ATI RN Leadership 2023
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Free ATI RN Leadership 2023 Questions
A nurse from the labor and delivery unit is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take first?
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Inform the nursing supervisor of the lack of experience on the medical-surgical unit.
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Request orientation to the medical-surgical unit.
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Clarify competencies with the medical-surgical charge nurse.
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Refer to the assigned resource nurse regarding client assignments.
Explanation
Correct Answer: C) Clarify competencies with the medical-surgical charge nurse.
The first action when floating to an unfamiliar unit is to clarify competencies with the charge nurse. This ensures that client assignments are matched to the float nurse's actual skill set, protecting patient safety. The charge nurse is responsible for assignments and must know the nurse's limitations before delegating care.
A) Informing the supervisor is appropriate but is not the first action — the charge nurse is the immediate point of contact. B) Requesting orientation is reasonable but clarifying competencies is more immediate and actionable. D) Referring to a resource nurse may come after competencies are clarified with the charge nurse.
A nurse in an emergency department is triaging clients following a mass casualty event. For which of the following clients should the nurse place a nonurgent tag?
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A client who reports severe abdominal pain
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A client who has an open chest wound
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A client who has a closed fracture of the left arm
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A client who has superficial burns on 50% of their body
Explanation
Correct Answer: (C) A client who has a closed fracture of the left arm
A closed fracture of the arm is a non-life-threatening injury that can tolerate a delay in treatment, making this client appropriate for a nonurgent (green) tag in a mass casualty triage system.
Why the other options are incorrect:
A. Severe abdominal pain may indicate a serious internal injury that requires prompt evaluation and would typically be classified as urgent rather than nonurgent.
B. An open chest wound is a life-threatening injury requiring immediate intervention and would be classified as emergent (red tag), not nonurgent.
D. Superficial burns on 50% of the body cover a large body surface area and require prompt treatment, making this client a higher triage priority than nonurgent.
A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP?
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Show a new mother how to change the newborn's diaper.
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Answer the parents' questions about newborn circumcision.
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Obtain the weight of a newborn who is receiving formula.
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Inspect the skin of a newborn who is receiving phototherapy.
Explanation
Correct Answer: C) Obtain the weight of a newborn who is receiving formula.
Obtaining and recording a newborn's weight is a routine, non-clinical measurement task that falls within the AP's scope of practice. It requires no clinical judgment and is a standard delegable task.
A) Teaching a new mother how to change a diaper involves patient education, which is within the RN's scope of practice. B) Answering questions about circumcision involves providing medical information and education — exclusively an RN or provider responsibility. D) Inspecting the skin of a newborn receiving phototherapy requires clinical assessment to evaluate for jaundice progression, skin breakdown, and treatment effectiveness — this is an RN assessment task.
A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)
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Pipe cleaners
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Oxygen tank
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Obturator
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Cotton balls
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Petroleum jelly
Explanation
Correct Answer: A) Pipe cleaners, C) Obturator, and D) Cotton balls.
A) Pipe cleaners are used to clean the inner cannula of the tracheostomy tube, removing secretions and maintaining airway patency — an essential home care supply.
C) The obturator is a critical safety device that must be kept at the bedside at all times. It is used to reinsert the outer cannula if the tracheostomy tube becomes dislodged — a potentially life-saving tool.
D) Cotton balls or cotton-tipped applicators are used to clean the stoma site and surrounding skin as part of routine tracheostomy care.
A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
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The client is experiencing dysarthria.
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The client enjoys helping to prepare meals.
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The client has extreme difficulty swallowing.
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The client has four new medications.
Explanation
Correct Answer: B) The client enjoys helping to prepare meals.
Occupational therapy focuses on helping clients regain the ability to perform activities of daily living (ADLs), including instrumental ADLs such as meal preparation. A client who enjoys and wants to participate in cooking is an ideal candidate for OT to rebuild functional independence in this area.
A) Dysarthria (difficulty speaking) is addressed by a speech-language pathologist, not an occupational therapist. C) Extreme difficulty swallowing (dysphagia) is also managed by a speech-language pathologist. D) Managing multiple new medications falls under the scope of the nurse and pharmacist, not occupational therapy.
A nurse is conducting an in-service training about ethics with a group of newly licensed nurses. Which of the following examples should the nurse use to describe the principle of nonmaleficence?
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Asking a client if they have any questions prior to signing a surgical consent form
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Treating a client who is confused with dignity and respect
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Completing an incident report following a medication error
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Placing the bed of a client who is at risk for falls in the lowest position
Explanation
Correct Answer: (D) Placing the bed of a client who is at risk for falls in the lowest position
Nonmaleficence is the ethical principle of doing no harm, and placing the bed in the lowest position for a client at risk for falls is a direct, proactive safety measure intended to prevent injury, making it the best example of this principle.
Why Other Options are Incorrect:
A. Asking a client if they have questions before signing a consent form relates to the ethical principle of autonomy, as it supports the client's right to make informed decisions.
B. Treating a confused client with dignity and respect reflects the ethical principle of respect for persons or autonomy rather than specifically nonmaleficence.
C. Completing an incident report following a medication error is an important accountability and quality improvement action, but it occurs after harm may have already taken place rather than serving as an act of preventing harm.
A nurse is planning care for four clients who were classified using a disaster triage tag system following a mass casualty event. Which of the following clients should the nurse identify as the priority?
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A client who has a green tag
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A client who has a red tag
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A client who has a black tag
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A client who has a yellow tag
Explanation
Correct Answer: B) A client who has a red tag.
In disaster triage, a red tag indicates the highest priority — the client has a life-threatening injury that is survivable with immediate intervention. These clients receive care first because they will die without prompt treatment but have a good chance of survival with it.
A) A green tag indicates minor injuries — the client is ambulatory and can wait for treatment. C) A black tag indicates the client is deceased or injuries are so severe that survival is unlikely even with intervention — expectant/comfort care only. D) A yellow tag indicates delayed priority — the client has serious injuries but is stable enough to wait while red-tagged clients are treated first.
A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
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Have the client sign a consent for treatment.
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Notify risk management before initiating treatment.
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Proceed with treatment without obtaining written consent.
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Contact the client's next of kin to obtain consent for treatment.
Explanation
Correct Answer: (C) Proceed with treatment without obtaining written consent.
In an emergency situation where the client is disoriented and unable to provide informed consent and a delay in treatment could result in harm, implied consent applies, and the nurse should proceed with necessary treatment to stabilize the client without first obtaining written consent.
Why Other Options are Incorrect:
A. The client is disoriented and therefore lacks the capacity to provide informed consent at this time, making it inappropriate to have them sign a consent form.
B. Notifying risk management before initiating treatment would cause a dangerous delay in emergency care for a client who needs immediate intervention.
D. Attempting to contact next of kin would delay urgently needed treatment in this emergency situation where implied consent allows the nurse to proceed.
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Discuss time management strategies with the nurses.
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Determine the reasons the nurses are not taking scheduled breaks.
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Review facility policies for taking scheduled breaks.
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Provide coverage for the nurses' breaks.
Explanation
Correct Answer: (B) Determine the reasons the nurses are not taking scheduled breaks.
Following the nursing process, the charge nurse should first assess the situation by determining the underlying reasons the nurses are skipping their breaks before implementing any specific intervention, as this allows for an appropriately targeted solution to the actual problem.
Why the other options are incorrect:
A. Discussing time management strategies assumes the cause of the issue without first assessing the actual reason behind the nurses' behavior.
C. Reviewing facility policies may be a useful step, but it does not take priority over first assessing why the nurses are not taking their breaks.
D. Providing coverage for breaks is an intervention that should be considered only after determining the underlying reason for the issue, not as the first action.
A nurse is participating in a disaster drill by triaging clients. Which of the following clients should the nurse place in the emergent category?
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A client who reports chest pain and is diaphoretic
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A client who has an open humerus fracture
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A client who reports severe itching on the chest
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A client who has a scalp laceration and is bleeding heavily
Explanation
Correct Answer Is:
A) A client who reports chest pain and is diaphoretic.
The emergent (red tag) category is for clients with life-threatening conditions that are survivable with immediate intervention. Chest pain with diaphoresis is a classic presentation of acute myocardial infarction — a life-threatening cardiac emergency requiring immediate treatment.
B) An open humerus fracture is serious and painful but not immediately life-threatening — this would be categorized as urgent (yellow tag). C) Severe itching is a minor complaint with no indication of life-threatening compromise — green tag (non-urgent). D) A bleeding scalp laceration is concerning but scalp wounds bleed profusely even when minor due to high vascularity — this would be urgent (yellow) rather than emergent unless there are signs of hemorrhagic shock.
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