ATI RN
ATI RN Leadership 2023 Questions
Extract:
A client who has end-stage heart failure
Question 1 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?
Correct Answer: C
Rationale:
Correct Answer: C. Contact a case manager to discuss hospice options.
Rationale: In end-stage heart failure, the client's partner expressing inability to care indicates a need for additional support. Contacting a case manager for hospice options can provide appropriate care while addressing the partner's concerns. Hospice care offers specialized support for end-of-life care, including symptom management and emotional support for both the client and their loved ones.
Incorrect
Choices:
A: Asking the provider to delay discharge does not address the partner's inability to provide care.
B: Seeking out another family member may not be feasible or address the partner's emotional distress.
D: Advising placement in a long-term care facility may not be aligned with the client's end-of-life wishes and may not address the partner's emotional needs.
Extract:
A client who has meningitis
Question 2 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: C
Rationale: The correct answer is C: Decreased level of consciousness. This finding is crucial to report immediately in a client with meningitis as it could indicate increased intracranial pressure or worsening infection. Decreased level of consciousness may suggest brain swelling or impaired blood flow to the brain, which require urgent intervention. Reporting this promptly can help prevent serious complications such as seizures or coma.
Choices A, B, and D are common manifestations of meningitis but do not necessitate immediate reporting compared to a decreased level of consciousness.
Extract:
Ethical practice education, observed behaviors
Question 3 of 5
A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?
Correct Answer: B
Rationale: The correct answer is B. A nurse explaining to a client's family that a DNR order includes withholding comfort measures indicates a lack of understanding of ethical practice. Comfort measures should always be provided to ensure the patient's comfort, even with a DNR order in place. This goes against the principle of beneficence in nursing ethics.
A: A nurse refusing to participate in an elective abortion respects their personal beliefs, which is acceptable.
C: Informing a confused client that they will stay at the facility for better care shows a commitment to patient safety and well-being.
D: Giving opioids to a terminally ill client with low respirations is appropriate for pain management in palliative care.
Extract:
Scenarios of client advocacy
Question 4 of 5
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)
Correct Answer: A,B,D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Documenting a client's refusal to take a prescribed medication is client advocacy as it respects the client's autonomy and right to make informed decisions about their care.
B: Providing written information to a client regarding palliative care empowers the client with knowledge and supports their decision-making process.
D: Obtaining an interpreter for a client who speaks a different language ensures effective communication and promotes the client's understanding and participation in their care.
Summary:
C: Implementing a client's plan of care based on nursing goals is important but does not directly involve advocating for the client's rights or preferences.
E: Initiating IV access on a client with dementia while sleeping may violate the client's autonomy and dignity, thus not aligning with client advocacy principles.
Extract:
A small fire in the bathroom trash can
Question 5 of 5
A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Activate the fire alarm. The nurse's immediate priority is to alert others about the fire to ensure everyone's safety. Activating the fire alarm will notify the entire facility, prompting an organized evacuation and summoning professional fire response. Closing fire doors and room doors (option
A) can contain the fire but should not delay the alarm activation. Extinguishing the fire (option
B) can be dangerous without proper training and equipment. Removing clients from nearby rooms (option
C) is secondary to alerting everyone.
Therefore, activating the fire alarm is the most critical and effective action to take in this situation.