ATI RN
ATI Leadership 2023 I Questions
Question 1 of 5
A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: My durable power of attorney for health care is part of my advance directives. This statement indicates understanding because a durable power of attorney for health care is a legal document that allows an individual to appoint someone to make healthcare decisions on their behalf if they are unable to do so. Advance directives include both living wills and durable powers of attorney for health care.
Therefore, acknowledging that the durable power of attorney for health care is part of advance directives demonstrates comprehension of the topic.
Incorrect Answers:
A: Once I sign my living will, a family member must co-sign it - This is incorrect as a living will does not require a family member to co-sign.
C: I will wait until I have a serious health problem to sign my advance directives - This is incorrect as advance directives should be completed before a health crisis occurs.
D: My doctor will need to provide approval for the decisions outlined in my living will - This is incorrect as the decisions in a living will are made
Extract:
Exhibit 1 Nurses' Notes 1315:
Client is postoperative following an open cholecystectomy, Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment
Plan of Care
1300:
Case management referral for discharge planning.
Client will need home health referral for dressing changes Client to follow up with the provider at the clinic in 1 week.
Question 2 of 5
A nurse case manager is reviewing the electronic medical record of a postoperative client. Click to highlight the findings that require follow-up by the case manager.
| Client reports being unable to find transportation to follow-up appointment |
| Client expresses concern regarding the cost of prescription medications |
| Case management referral for discharge planning |
| Client will need home health referral for dressing changes |
Correct Answer: A
Rationale: []
Rationale:
- Correct Answer (
A): The client reporting being unable to find transportation to the follow-up appointment is a critical issue that requires immediate follow-up by the case manager to ensure continuity of care and adherence to the treatment plan.
- Incorrect Answer (
B): Although concerns about the cost of prescription medications are important, they do not directly relate to the immediate follow-up needed postoperatively.
- Incorrect Answer (
C): Case management referral for discharge planning is essential but does not specifically address the immediate follow-up after the postoperative period.
- Incorrect Answer (
D): While the client needing a home health referral for dressing changes is important, it does not pertain to the immediate follow-up that the case manager needs to address.
Extract:
Question 3 of 5
A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale:
Correct
Answer: A: Discuss with the client her concerns regarding the procedure.
Rationale:
1. Building Trust: By discussing the client's concerns, the nurse shows empathy and builds trust.
2. Client Autonomy: Respecting the client's decision-making process is essential.
3. Informed Decision-Making: Understanding the client's fears helps in providing tailored information.
4. Collaboration: Discussing concerns opens the door for shared decision-making.
5. Holistic Care: Addressing emotional aspects is crucial for overall well-being.
Incorrect
Choices:
- B: Initiating a mental health consult may be premature and could undermine the client's autonomy.
- C: Providing information without addressing concerns may not address the root of the refusal.
- D: Informing the client without understanding her perspective may lead to increased anxiety and resistance.
Question 4 of 5
A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Correct Answer: D
Rationale: The correct answer is D, assigning the task of obtaining a urine specimen from an older adult client to the LPN. This task falls within the scope of practice for an LPN as it involves basic nursing skills and does not require critical thinking or assessment. LPNs are trained to perform routine procedures such as specimen collection under the supervision of a registered nurse. Providing postmortem care (
A) requires emotional support and specialized knowledge beyond the LPN's scope. Reinforcing dietary teaching (
B) and accompanying a client to physical therapy (
C) involve critical thinking and assessment skills that are typically within the RN's scope.
Therefore, D is the correct choice.
Question 5 of 5
A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Offer to place the purse in the facility safe. This is the best option as it ensures the client's belongings are kept secure during the surgery. Storing the purse at the nurses' station (
A) may not guarantee its safety. Leaving the purse in a drawer (
B) or clothing bag (
C) can also pose a risk of theft. Placing it in the facility safe (
D) is the most secure and professional solution to address the client's concern.