ATI RN
ATI Leadership Proctored Exam 2023 Questions
Question 1 of 5
A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in-service?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Informed consent is a fundamental client right. The nurse should include the statement that a nurse can disclose information to a family member with the client's permission because it upholds confidentiality and respects the client's autonomy. This aligns with ethical principles and legal frameworks.
Incorrect
Choices:
B: While nurses should inform clients about treatment options, this is not specifically related to client rights.
C: Applying restraints on a PRN basis does not align with client rights as it should be based on a thorough assessment and documented justification.
D: Administering medications without consent for research violates the client's autonomy and ethical principles.
Question 2 of 5
A nurse manager observes an assistive personnel incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse manager to take first is to help the assistive personnel assist the client with the transfer. This is the priority because the client's safety and well-being are at risk due to the incorrect transfer technique observed. By immediately intervening and providing guidance in the correct transfer process, the nurse can prevent any potential harm to the client. Instructing the AP to request assistance when unsure (
Choice
A) is important, but the immediate focus should be on addressing the current situation. Demonstrating the proper technique (
Choice
B) and referring to the facility manual (
Choice
D) can be done after ensuring the client's safety.
Extract:
Client does not understand the gastroscopy procedure
Question 3 of 5
A nurse enters a client's room to witness an informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inform the provider that the client requires clarification about the procedure. This is the correct action because the nurse should advocate for the client's right to fully understand the procedure before giving consent. By informing the provider, the nurse ensures that the client receives the necessary clarification directly from the healthcare provider who will perform the procedure. This promotes patient autonomy and ensures informed decision-making.
Other choices are incorrect:
A: Educating about risks of refusal is not the immediate priority; understanding the procedure is crucial.
B: Completing an incident report is not necessary in this situation as there is no incident to report.
D: While answering questions is important, the provider should clarify the procedure for informed consent.
E, F, G: These choices are not provided in the question and are irrelevant.
Extract:
Client is postoperative and will require a wheelchair in the home
Question 4 of 5
A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?
Correct Answer: B
Rationale: The correct answer is B: Social services. Social services can provide assistance in coordinating resources for the client's wheelchair needs, such as financial assistance or connecting the client with community programs. Occupational therapy focuses on functional activities, not wheelchair provision. Home health services provide skilled healthcare at home. Physical therapy focuses on mobility and strength training, not wheelchair provision.
Extract:
Client speaks a different language than the nurse
Question 5 of 5
A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Provide an interpreter when obtaining consent from the client. This is crucial to ensure accurate communication and understanding between the nurse and the client. Using an interpreter helps to convey complex information effectively and ensures the client's rights are respected.
A: Involving the client's partner may not guarantee accurate communication and may breach confidentiality.
B: Gestures and hand signals may lead to misunderstandings and misinterpretations.
C: Interpreting body language alone may not be sufficient for complex medical information and could lead to miscommunication.
E, F, G: Irrelevant choices as they do not address the language barrier issue directly.