ATI RN
ATI RN Leadership Retake 2023 Questions
Question 1 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: C,D,E
Rationale: The correct answers are C, D, and E. Advocacy involves ensuring clients have access to necessary information and resources, respecting their rights, and supporting their decisions. Providing written information on palliative care (
C) empowers the client with knowledge. Obtaining an interpreter (
D) ensures effective communication and understanding. Documenting a client's refusal of medication (E) respects their autonomy and informs the healthcare team.
Choices A and B do not align with advocacy principles as they potentially disregard client preferences and autonomy. A nurse should not initiate IV access on a sleeping client without consent (
B), and implementing a care plan without considering the client's goals (
A) may not prioritize their best interests.
Question 2 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: C
Rationale: The correct answer is C: Whether the client understands the risk of refusing the procedure. This is the deciding factor because it involves the client's autonomy and informed decision-making. The client's ability to comprehend the risks associated with refusing surgery is crucial in respecting their right to make their own healthcare decisions. Options A, B, and D are not the deciding factors because the client's religious beliefs, ethics committee consensus, and healthcare power of attorney do not override the client's autonomy and right to refuse treatment. It is essential to prioritize the client's understanding and respect their decision-making capacity in this scenario.
Question 3 of 5
A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Observe the client's condition. This is the first action the nurse should take because it is essential to assess the client's immediate health status following an additional dose of medication. By observing the client's condition, the nurse can quickly identify any adverse effects or changes that may require immediate intervention. This step ensures the client's safety and allows for prompt management of any potential complications.
Choice A (Notify the provider) can be done after observing the client's condition to provide necessary information.
Choice B (Complete an incident report) is important but should come after assessing the client.
Choice C (Inform the nursing supervisor) can be done later based on the assessment findings.
Question 4 of 5
A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?
Correct Answer: C
Rationale: The correct answer is C: A client who sustained a concussion and is being monitored for complications. This assignment is appropriate for a newly licensed nurse as it involves monitoring and assessing for potential complications related to a common and relatively less complex neurological condition. This will allow the new nurse to practice critical thinking skills, gain experience in neurological assessments, and develop confidence in caring for neurologically compromised patients.
Choices A, B, and D involve clients with more complex conditions that may require specialized interventions or closer monitoring, making them less suitable for a newly licensed nurse. Assigning these clients may overwhelm the new nurse and potentially compromise patient safety.
In summary, assigning the client with a concussion for monitoring is the best choice for the newly licensed nurse, as it provides a suitable learning opportunity without overwhelming complexity.
Question 5 of 5
A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?
Correct Answer: C
Rationale: The correct answer is C because the toddler crying when the parent enters the examination room could be a sign of maltreatment or abuse. This behavior may indicate fear or anxiety towards the parent, suggesting a potentially harmful relationship. Reporting this suspicion is crucial to protect the child's well-being.
Choice A is incorrect because an adolescent's refusal to speak to their parents does not necessarily indicate maltreatment. It could be due to various reasons such as typical teenage behavior.
Choice B is incorrect as regression in toileting habits during illness is common in preschoolers and not necessarily indicative of maltreatment.
Choice D is incorrect as abrasions on a school-age child's legs could be attributed to normal childhood activities and not necessarily a sign of maltreatment.