Questions 63

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ATI RN Leadership 2019 Exam 2 Questions

Extract:

A charge nurse is receiving change-of-shift report. Situations include: the emergency department nurse waiting to give report on a new admission, two staff members calling in absent, transport assistance unavailable for occupational therapy, a medication error incident report from the previous shift.


Question 1 of 5

Which of the following situations should the charge nurse address first?

Correct Answer: A

Rationale: The new admission is the most urgent, requiring immediate assignment and preparation to ensure timely care.

Extract:

A client who has a new diagnosis of chlamydia.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Instructing the client to use condoms prevents transmission of chlamydia during treatment, a critical part of client education.

Extract:

A nurse is planning to develop a standard for removal of indwelling urinary catheters following colon resection.


Question 3 of 5

Which of the following resources should the nurse use?

Correct Answer: C

Rationale: Evidence-based practice integrates research and clinical expertise to develop effective, safe standards.

Extract:

A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room.


Question 4 of 5

Which of the following actions should the nurse take next?

Correct Answer: B

Rationale: Activating the fire alarm alerts the fire department and staff, following the RACE protocol after rescuing the client.

Extract:

A nurse working on a medical-surgical unit is managing the care of four clients: a client who has orthostatic hypotension and is receiving IV fluids, a client who has Type 1 diabetes and uses an insulin pump, a client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL, a client who is receiving heparin and has an aPTT of 34 seconds.


Question 5 of 5

Which of the following clients should the nurse schedule an interdisciplinary conference for?

Correct Answer: D

Rationale: The client with a subtherapeutic aPTT on heparin therapy requires an interdisciplinary conference to adjust the dosage and prevent complications like clot formation, involving collaboration among the physician, pharmacist, and nurse.

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