ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool.
Question 1 of 5
Which of the following information should the nurse include in the background portion of the report?
Correct Answer: C
Rationale: The client's name, along with age, diagnosis, and medical history, is part of the background in SBAR to identify the client.
Extract:
A nurse is working on a quality improvement team assessing an increase in client falls.
Question 2 of 5
Which of the following actions should the nurse plan to take first as part of the quality improvement process?
Correct Answer: B
Rationale: Identifying at-risk clients is the first step to understand the problem's scope and contributing factors.
Extract:
A nurse enters the room of a client who is unconscious and finds that the client's son is reading her electronic medical records from a monitor located at the bedside.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Logging out the computer immediately stops unauthorized access, protecting the client's confidentiality as the priority action.
Extract:
A client who has increased intracranial pressure and is receiving IV corticosteroids.
Question 4 of 5
Which of the following information is most important for the nurse to report at shift change?
Correct Answer: D
Rationale: The Glasgow Coma Scale score is critical for monitoring neurological status in a client with increased intracranial pressure.
Extract:
A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Clients include: a client who is confused and restrained for safety, a client who is 1 day postoperative following thoracic surgery and has a chest tube, a client who is in Buck's traction for a left hip fracture, a client who is receiving IV chemotherapy and is ambulatory.
Question 5 of 5
Which of the following clients should the nurse evacuate first?
Correct Answer: A
Rationale: The confused and restrained client is at highest risk during a fire due to inability to understand or move independently, requiring immediate evacuation.