ATI RN
ATI Leadership Level 3 Questions
Question 1 of 5
A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?
Correct Answer: A
Rationale: The correct answer is A: Whether the client understands the risk of refusing the procedure. This is the deciding factor because the client has the right to make decisions about their own medical care, as long as they are competent and informed. It is crucial for the client to understand the potential consequences of refusing surgery.
Choice B is incorrect because the partner's role as a durable power of attorney for health care does not automatically override the client's decision-making capacity.
Choice C is incorrect as the client's refusal based on religious beliefs may be a factor to consider but does not solely determine whether the surgery will be done.
Choice D is incorrect because the decision should primarily be based on the client's autonomy and understanding, not on the facility ethics committee's consensus.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Report the infection to the local health department. This action is essential to prevent the spread of chlamydia to others in the community. By reporting the infection, the health department can provide guidance on contact tracing, partner notification, and preventive measures. Initiating contact precautions (
B) is not necessary for chlamydia, as it is primarily transmitted through sexual contact. Instructing the client to use condoms (
C) is important for preventing further transmission but is not the nurse's primary responsibility. Applying an antiviral cream (
D) is not appropriate for chlamydia, as it is a bacterial infection, not a viral infection.
Question 3 of 5
A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I cannot provide this information to you without your mother's consent." The rationale behind this is that sharing a client's medical information without their consent violates their privacy and confidentiality rights. As a nurse, it is important to uphold these ethical principles and respect the client's autonomy.
Choice A involves disclosing information to a third party without the client's consent, which is not appropriate.
Choice B puts the burden of knowledge-seeking on the adult child rather than ensuring proper communication channels.
Choice C does not respect the client's right to privacy and autonomy.
Question 4 of 5
A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Ask the client's son to go to the waiting area. This action is necessary to ensure the client's safety and privacy during the assessment for potential elder abuse. Having the son leave the room allows the nurse to establish a trusting and confidential environment to gather information from the client without any potential influence or intimidation from the son. This step is crucial in identifying and addressing any signs of elder abuse.
Other choices are incorrect because:
B: Filing an incident report should come after a thorough assessment and investigation of the situation.
C: Treating and discharging the client without addressing potential elder abuse would neglect the client's safety.
D: Asking the client about his injuries with the son present may not allow the client to speak freely due to fear or pressure.
Question 5 of 5
A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns on 72% of his body?
Correct Answer: C
Rationale: The correct answer is C: Black. In a disaster scenario, a client with 72% full thickness burns would be considered non-survivable due to the extensive injuries. Triage tags use a color-coding system to prioritize care based on the severity of injuries, and black signifies deceased or expected to die. Applying a black tag to this client would indicate to responders that resources should be directed towards those with a higher chance of survival. Green (
A) indicates minor injuries, yellow (
B) indicates delayed care, and red (
D) indicates immediate care. None of these colors would be appropriate for a client with such severe burns.