ATI RN Leadership 2019

Question 1 of 5

A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

A. Instruct the AP to request assistance when unsure about a task.B. Demonstrate the proper client transfer technique for the AP.C. Help the AP assist the client with the transfer.D. Refer the AP to the facility procedure manual.

Correct Answer: C

Rationale: The nurse's first priority should be the safety of the client. By immediately assisting the AP with the transfer, the nurse ensures the client's safety and prevents potential injury.

Question 2 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?

A. A nurse can apply restraints on a PRN basis.B. A nurse can disclose information to a family member with the client's permission.C. A nurse is responsible for informing clients about treatment options.D. A nurse can administer medications without consent to a client as part of a research study.

Correct Answer: B

Rationale: Nurses are permitted to share a client's information with family members only if the client grants permission. This aligns with the Health Insurance Portability and Accountability Act (HIPA
A) and ensures the client's right to privacy and confidentiality is upheld.

Extract:

Client has end-stage heart failure; client's partner can no longer handle the client

Question 3 of 5

A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

A. Contact the case manager to discuss discharge options.B. Recommend the partner place the client in a long-term care facility.C. Request another family member assist the client's partner with care.D. Ask the provider to delay the client's discharge home for a few more days.

Correct Answer: A

Rationale: The case manager can assess the client's needs and coordinate appropriate discharge arrangements, such as home health or alternative care options.

Extract:

Client is unconscious following a motor-vehicle crash

Question 4 of 5

A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?

A. Obtain telephone consent from the facility administrator before the surgery.B. Delay the surgery until the nurse can obtain informed consent.C. Ask the anesthesiologist to sign the consent.D. Transport the client to the operating room without verifying informed consent.

Correct Answer: D

Rationale: In emergencies, implied consent allows treatment without formal consent to prevent harm, justifying immediate surgery for the unconscious client.

Extract:

Older adult client fell at home; suspected elder abuse

Question 5 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 suspects elder abuse. Which of the following actions should the nurse take?

A. Ask the client's son to go to the waiting area.B. Ask the client about his injuries with the son present.C. Treat and discharge the client.D. File an incident report.

Correct Answer: A

Rationale: Separating the son allows a private conversation, enabling the client to disclose information freely without fear, critical in suspected elder abuse cases.

ATI RN Leadership 2019 | Nurselytic

Nurselytic

ATI RN

ATI RN