ATI RN LEADERSHIP (CRAM VERSION) EXAM STUDY NOTES
ATI RN Leadership (Cram Version) Exam Study Notes Complete Verified Solutions
Question 1: Quality Improvement - HAIs
● Goal: Reduce Healthcare-Associated Infections (HAIs).
● Effective Sign: Client 3 (Wound Infection) - Decreasing temp, HR, RR from Day 1
to Day 3.
● Ineffective Sign: Client 4 (UTI) - Increased WBC (worsening). Client 1 (Pressure
Injury) - Worsening injury with drainage.
Question 3: ED Triage - Bus Crash
● Prioritize (Trauma Room):
○ Client 4: Absent lower extremity movement (spinal injury concern).
○ Client 5: Traumatic amputation, CPR (critical, life-saving needed).
○ Client 6: Hypotension (82/54), Tachycardia (124/min) with
abdominal bruising (internal bleeding/shock).
Question 4: Mental Health - Shift Report/Assessment
● Assess First (Safety/Acute Change):
○ Client 3 (Bipolar): Lithium 0.7 mEq/L (subtherapeutic) + agitation/pressured
speech.
○ Client 1 (Schizophrenia): Command hallucinations (safety risk).
● Less Urgent (Worsening, but not acute safety): Client 2 (Depression) - Stopped
meds, withdrawn.
Question 5: Infectious Disease - Reportable Diagnoses
● Must Report:
○ Acute Hepatitis C
○ Streptococcal Pharyngitis
○ Clostridium difficile
○ Pertussis (Whooping Cough)
○ Lyme Disease
Question 6: Case Management - Terminal Illness Discharge
● Client Need: Terminal lung cancer, expected to live < 6 months; worried
about care at home (partner is caretaker), meds, and emotional stress.
● Referrals:
○ Hospice Care: Provides palliative care for terminal illness, including
comfort, emotional, and spiritual support for client and family.
○ Social Worker: Helps with financial resources for medications,
equipment, and counseling.
○ Adult Day Care: Provides supervision and care for adults who need
assistance during the day, relieving caregivers.
Question 13: Nurse Manager Responsibilities
● Nurse Manager Role:
○ Develop unit short-term goals.
○ Ensure compliance with standards of care.
○ Advocate for staff and client needs.
Question 18: Advance Directives - Priority Action
● Issue: 6 of 15 client records lack advance directive documentation.
®™ 1
, ATI RN LEADERSHIP (CRAM VERSION) EXAM STUDY NOTES
● Priority Action: Meet with nursing staff to review advance directive policy. This
ensures
®™ 2
ATI RN Leadership (Cram Version) Exam Study Notes Complete Verified Solutions
Question 1: Quality Improvement - HAIs
● Goal: Reduce Healthcare-Associated Infections (HAIs).
● Effective Sign: Client 3 (Wound Infection) - Decreasing temp, HR, RR from Day 1
to Day 3.
● Ineffective Sign: Client 4 (UTI) - Increased WBC (worsening). Client 1 (Pressure
Injury) - Worsening injury with drainage.
Question 3: ED Triage - Bus Crash
● Prioritize (Trauma Room):
○ Client 4: Absent lower extremity movement (spinal injury concern).
○ Client 5: Traumatic amputation, CPR (critical, life-saving needed).
○ Client 6: Hypotension (82/54), Tachycardia (124/min) with
abdominal bruising (internal bleeding/shock).
Question 4: Mental Health - Shift Report/Assessment
● Assess First (Safety/Acute Change):
○ Client 3 (Bipolar): Lithium 0.7 mEq/L (subtherapeutic) + agitation/pressured
speech.
○ Client 1 (Schizophrenia): Command hallucinations (safety risk).
● Less Urgent (Worsening, but not acute safety): Client 2 (Depression) - Stopped
meds, withdrawn.
Question 5: Infectious Disease - Reportable Diagnoses
● Must Report:
○ Acute Hepatitis C
○ Streptococcal Pharyngitis
○ Clostridium difficile
○ Pertussis (Whooping Cough)
○ Lyme Disease
Question 6: Case Management - Terminal Illness Discharge
● Client Need: Terminal lung cancer, expected to live < 6 months; worried
about care at home (partner is caretaker), meds, and emotional stress.
● Referrals:
○ Hospice Care: Provides palliative care for terminal illness, including
comfort, emotional, and spiritual support for client and family.
○ Social Worker: Helps with financial resources for medications,
equipment, and counseling.
○ Adult Day Care: Provides supervision and care for adults who need
assistance during the day, relieving caregivers.
Question 13: Nurse Manager Responsibilities
● Nurse Manager Role:
○ Develop unit short-term goals.
○ Ensure compliance with standards of care.
○ Advocate for staff and client needs.
Question 18: Advance Directives - Priority Action
● Issue: 6 of 15 client records lack advance directive documentation.
®™ 1
, ATI RN LEADERSHIP (CRAM VERSION) EXAM STUDY NOTES
● Priority Action: Meet with nursing staff to review advance directive policy. This
ensures
®™ 2
