ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A client who has increased intracranial pressure and is receiving IV corticosteroids.
Question 1 of 5
Which of the following information is most important for the nurse to report at shift change?
Correct Answer: D
Rationale: The correct answer is D: Glasgow Coma Scale score. This is crucial as it assesses a patient's level of consciousness, indicating any neurological changes. It helps in monitoring the patient's condition and detecting any deterioration. Reporting this information at shift change allows the oncoming nurse to promptly address any emergent situations.
Choice A is important but not as critical as the GCS score.
Choice B is relevant, but it pertains to future plans rather than the current status of the patient.
Choice C is significant for skin integrity but may not signify an immediate change in the patient's condition compared to the GCS score.
Extract:
A nurse is planning to develop a standard for removal of indwelling urinary catheters following colon resection.
Question 2 of 5
Which of the following resources should the nurse use?
Correct Answer: C
Rationale: The nurse should use evidence-based practice (EBP) as the correct answer. EBP integrates clinical expertise, patient values, and the best research evidence to make informed decisions about patient care. It ensures that interventions are based on the most current and reliable research findings, leading to improved patient outcomes. Maslow's hierarchy of needs is a theoretical framework, not a resource for direct patient care. Provider's prescription, critical pathway, and surgical record are specific to individual patient care and do not encompass the broad scope of EBP.
Extract:
A nurse is supervising an assistive personnel (AP) feeding a client who has dysphagia.
Question 3 of 5
Which of the following actions by the AP should the nurse identify as correct technique?
Correct Answer: D
Rationale: The correct answer is D because instructing the client to place her chin toward her chest when swallowing helps prevent aspiration. This technique helps close off the airway, reducing the risk of food or liquid entering the lungs. Option A is incorrect as withholding fluids can lead to dehydration. Option B is incorrect because elevating the head to 30 degrees is recommended after meals to prevent aspiration, not during mealtime. Option C is incorrect as rest periods before meals do not directly impact swallowing safety.
Extract:
A charge nurse is supervising actions taken by a staff nurse following a client fall.
Question 4 of 5
The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: C
Rationale: The correct answer is C because including the client's account of the fall in the incident report demonstrates an understanding of the procedure. This action ensures that all relevant information is documented accurately, helping in the investigation and analysis of the incident.
Choice A is incorrect as incident reports are usually sent to a risk management department, not the ethics committee. Option B is incorrect because listing names of witnesses in nurses' notes may not be sufficient for proper documentation and follow-up. Option D is incorrect as it only documents the filing of the incident report but does not show an understanding of the procedure itself.
Extract:
A nurse is receiving a verbal prescription from the provider for a client who is having increased pain.
Question 5 of 5
The nurse should transcribe which of the following prescriptions in the client's medical record?
Correct Answer: C
Rationale: The correct answer is C because it provides all the necessary information in a clear and standardized format. "Morphine sulfate 10 mg IV q4h prn for pain" includes the medication name, dosage, route, frequency, and indication. Option A is verbose and includes unnecessary details. Option B uses an abbreviation without specifying the route clearly. Option D is incorrect due to the lack of detail in specifying the medication and route. A concise and complete transcription is essential for accurate administration and documentation.