ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse is assessing clients triaged using the triage tag system following a hurricane disaster.
Question 1 of 5
Which of the following clients should the nurse assess first?
Correct Answer: A
Rationale: A red tag indicates life-threatening injuries requiring immediate assessment and treatment.
Extract:
A client who had a lung resection.
Question 2 of 5
Which of the following assessment data supports a referral for a social worker?
Correct Answer: B
Rationale: Financial resource needs for equipment justify a social worker referral to assist with funding options.
Extract:
A nurse on a medical-surgical unit is caring for four clients: a client who is postoperative following a laminectomy 12 hr ago and is unable to void, a client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy, a client who has peripheral vascular disease and has an absent pedal pulse in the right foot, a client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38°C (101°F).
Question 3 of 5
Which of the following clients is the highest priority?
Correct Answer: A
Rationale: Urinary retention post-laminectomy is urgent due to risks of bladder distension, infection, renal damage, or autonomic dysreflexia, making this client the highest priority.
Extract:
A visitor asks a question about the status of a relative who is a client on the unit.
Question 4 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: This response respects the client's privacy and confidentiality while addressing the visitor's concern by directing them to the appropriate nurse.
Extract:
A nurse manager is reviewing isolation guidelines with a newly licensed nurse.
Question 5 of 5
Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
Correct Answer: A
Rationale: A mask for a client on airborne precautions prevents transmission during transport.