ATI RN
ATI Proctored Leadership Exam Questions
Question 1 of 5
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
Correct Answer: A
Rationale: The correct answer is A: Wear an N95 respirator when giving direct care to the client. This is correct because allogeneic stem cell transplant recipients are at high risk for infection due to immunosuppression. An N95 respirator helps protect the nurse from inhaling airborne pathogens when in close contact with the client. Choice B is incorrect because negative-pressure airflow rooms are typically used for clients with airborne infections, not for those at risk due to immunosuppression. Choice C is incorrect because although adequate air exchanges are important for infection control, it is not the specific precaution needed for a client with an allogeneic stem cell transplant. Choice D is incorrect because wearing a mask outside the room is not as effective in preventing transmission of infections as wearing an N95 respirator during direct care.
Question 2 of 5
A registered nurse (RN) is caring for a patient who is one of Jehovah’s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Autonomy refers to the patient's right to make their own decisions about their healthcare, including the choice to refuse treatment. In this scenario, the healthcare provider respects the patient's autonomy by providing information and allowing her to make an informed decision, even if it goes against medical advice. This upholds the patient's right to self-determination and control over her own body. Summary: B: Nonmaleficence - This principle focuses on doing no harm to the patient, but in this case, respecting the patient's autonomy takes precedence. C: Beneficence - This principle involves acting in the patient's best interest, but in this scenario, respect for autonomy is the primary consideration. D: Distributive justice - This principle is about fair distribution of resources and care, which is not directly relevant to the patient's right to make decisions about her own treatment.
Question 3 of 5
Which of the following best describes the ethical concept of values?
Correct Answer: A
Rationale: The correct answer is A because values are subjective and personal beliefs that influence one's feelings and attitudes towards situations. This aligns with the definition of values as individual's principles or standards of behavior. B is incorrect because values are not solely learned through family systems, but can also be influenced by culture, education, and personal experiences. C is incorrect because values are more about personal beliefs and principles rather than organized ways of thinking about the meaning of life. D is incorrect because values are not the sole determinants of rightness or wrongness of behavior, as ethical principles and moral standards also play a role in making such judgments.
Question 4 of 5
An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?
Correct Answer: D
Rationale: The correct answer is D because if the institution is unable to honor the patient's request, it can create a barrier to reaching an agreement in an ethical dilemma. If the institution cannot support the patient's wishes, it can lead to conflicting viewpoints and hinder consensus. In contrast, choices A, B, and C do not directly address the institutional aspect and are not as relevant to the primary reason for the inability to reach an agreement in this context. Choice A focuses on individual values, choice B emphasizes the patient's perspective, and choice C pertains to the nature of the dilemma itself rather than external factors like institutional limitations.
Question 5 of 5
There are several pitfalls that should be avoided when using social media of any type. For example, a nurse or student could be found guilty of libel in which of the following scenarios?
Correct Answer: D
Rationale: The correct answer is D because complaining about a nurse preceptor on social media and discussing their unprofessional characteristics can be considered libel if it damages the preceptor's reputation. This action violates professional and ethical standards by publicly criticizing a colleague. A: Snapping a selfie with a patient is a breach of patient privacy but not necessarily libel. B: Posting a positive review of the hospital is not libelous. C: Creating a closed forum to discuss clinical experiences without client information is not libelous as long as confidentiality is maintained.