ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A client's adult child asks for information about the client's cancer treatment plan.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Without the client's consent, sharing treatment information violates privacy and confidentiality.
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 2 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 nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel (AP).
Question 3 of 5
Which of the following assessments should the nurse make before delegating care?
Correct Answer: C
Rationale: Checking the client's pain level ensures comfort and safety during turning, a critical assessment before delegation.
Extract:
A nurse on a medical-surgical unit is delegating client care.
Question 4 of 5
Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: B
Rationale: Using a pain rating scale is a simple task suitable for an AP, who can report the result to the nurse.
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.