ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client is unconscious with health care surrogate
Question 1 of 5
A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client's feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: As the health care surrogate, the client's partner can make this decision. The rationale for this is that a health care surrogate is designated to make medical decisions on behalf of an incapacitated individual when they are unable to do so themselves. In this scenario, the client's partner is the designated health care surrogate. It is their responsibility to make decisions regarding the client's care, including decisions about discontinuing feeding tubes.
A: Contacting the provider does not address the issue of who has the legal authority to make decisions for the client.
B: Involving the ethics committee is not necessary when there is a designated health care surrogate.
C: While reviewing advance directives is important, the client's partner as the health care surrogate has the authority to make these decisions without the need for the nursing supervisor to review advance directives.
In summary, the correct response is D because the health care surrogate has the legal authority to make decisions for the client in this situation, overriding the
Extract:
Client with end-stage bone cancer
Question 2 of 5
A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?
Correct Answer: C
Rationale: The correct answer is C. Before delegating care, the nurse should assess if data has been collected about specific client needs related to turning. This includes knowing any mobility restrictions, skin integrity issues, risk for pressure ulcers, and any other individualized needs of the client. This assessment ensures that the assistive personnel can provide safe and appropriate care tailored to the client's condition.
Choice A is incorrect because the presence of the client's family is not a necessary assessment before delegating care.
Choice B is incorrect as changing the central IV line dressing is not directly related to bathing and turning the client.
Choice D is incorrect as checking the client's pain level is important but not the primary assessment needed before delegating care in this scenario.
Extract:
Question 3 of 5
A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?
Correct Answer: C
Rationale: The correct answer is C: Identify clients who are at risk for falls. This should be the first step in the quality improvement process because it allows the nurse to target interventions to those most at risk. By identifying high-risk clients, the team can focus on specific factors contributing to falls and tailor interventions accordingly. Reviewing current literature (choice
A) is important but should come after identifying at-risk clients. Implementing a fall prevention plan (choice
B) and notifying staff (choice
D) are premature without first identifying the specific clients who need targeted interventions.
Question 4 of 5
A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take?
Correct Answer: A,B
Rationale: The correct answer is A and B. In preparing an incident report for a medication error, the nurse should include the time the error occurred (
Choice
A) to provide a clear timeline of events. Identifying the medication name and dosage administered to the client (
Choice
B) is crucial for accurate documentation and future prevention.
Choice C is incorrect because incident reports are typically kept confidential and not for personal record keeping.
Choice D is incorrect as the completed report should be kept separate from the client's medical record to maintain confidentiality.
Choice E is unnecessary as obtaining an order from the provider is not typically required to complete an incident report.
Extract:
Client with stable blood pressure; client post-PACU; client with chest pain; client with normal glucose
Question 5 of 5
A nurse is preparing to delegate tasks to an assistive personnel after receiving change-of-shift report. The nurse should assign the AP to obtain vital signs from which of the following clients?
Correct Answer: B
Rationale: The correct answer is B because a blood pressure of 110/68 mm Hg falls within the normal range, indicating a stable client. Vital signs can be delegated to an assistive personnel for clients who are stable.
Choice A is incorrect as a client returning from PACU may require close monitoring.
Choice C is incorrect as chest pain may indicate a serious condition requiring immediate attention.
Choice D is incorrect as a fasting blood glucose of 104 mg/dL does not require immediate monitoring by the AP.