ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A charge nurse is preparing the shift assignment on an obstetrical unit. Clients include: a client with gestational diabetes, a primigravida client post-Cesarean with a PCA pump, a client at 32 weeks with premature rupture of membranes, a multigravida client with preeclampsia receiving misoprostol.
Question 1 of 5
Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
Correct Answer: B
Rationale: Post-Cesarean care with a PCA pump aligns with the float RN's medical-surgical experience, despite some obstetrical considerations.
Extract:
A preschool-age child who has bruises on both arms and a spiral fracture of the left ulna. The child's parent says the child tripped over toys and fell.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The injuries are inconsistent with the explanation, suggesting possible abuse, requiring a report to Child Protective Services.
Extract:
A charge nurse is teaching about the purpose of a living will.
Question 3 of 5
Which of the following information about living wills should the charge nurse include in the teaching?
Correct Answer: D
Rationale: A living will allows clients to refuse life-sustaining treatments, reflecting their autonomy.
Extract:
A client who is disoriented and has a history of wandering.
Question 4 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Providing distractions reduces wandering by engaging the client in meaningful activities.
Extract:
A charge nurse is making room for new admissions following a community disaster. Clients include: a client who has a deep-vein thrombosis and an INR of 2.0, a client who is receiving chemotherapy and has tumor lysis syndrome, a client who has a new onset of left-sided weakness, a client who has angina and a troponin level of 3 ng/mL.
Question 5 of 5
Which of the following clients should the nurse recommend for discharge?
Correct Answer: A
Rationale: The client with DVT and a therapeutic INR is stable and suitable for discharge with outpatient management, unlike the other clients with acute or unstable conditions.