ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Contaminated linens discarded incorrectly.
Question 1 of 5
A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Discuss the issue with the AP. This is the first step because direct communication with the AP allows for immediate clarification of the protocol violation and provides an opportunity to correct the behavior promptly. By addressing the issue directly with the individual involved, the charge nurse can offer guidance, education, and reinforcement of proper procedures. This approach promotes a supportive and constructive learning environment, helping to prevent future incidents.
Summary:
B: Reinforcing facility protocols at the next staff meeting may be necessary but is not the first step in addressing the immediate issue.
C: Notifying the unit manager can be considered after discussing the issue with the AP to ensure appropriate action is taken.
D: Alerting the infection control department may be necessary if the situation warrants their involvement, but it is not the initial step in addressing the problem directly with the AP.
Extract:
Client is unconscious with extensive internal injuries.
Question 2 of 5
A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency unit. Which of the following permits the staff to proceed with emergency surgery?
Correct Answer: A
Rationale: The correct answer is A: Implied consent. When a client is unconscious and unable to provide consent, the healthcare team can proceed with emergency surgery based on implied consent, assuming that a reasonable person would consent in such a situation to prevent harm or save a life. This is a legal concept that allows healthcare providers to act in the best interest of the patient in emergency situations.
Explanation for other choices:
B: Good Samaritan Act - This act protects individuals who provide emergency medical care in good faith from being sued for negligence. However, it does not apply to situations where formal consent for surgery is required.
C: Nonmaleficence - This ethical principle emphasizes the duty to do no harm to the patient. While important in healthcare decision-making, it does not provide legal grounds for proceeding with surgery without consent.
D: Living will - A living will is a document that specifies a person's wishes regarding medical treatment in case they are unable to communicate. It does not apply in situations where immediate action
Extract:
Client expresses concern about purse theft during surgery.
Question 3 of 5
A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Offer to place the purse in the facility safe.
Rationale: Placing the purse in the facility safe ensures maximum security and minimizes the risk of theft during surgery. The safe is a designated secure location specifically designed for safeguarding valuables. This action demonstrates the nurse's commitment to addressing the client's concerns and prioritizing their safety and peace of mind.
Summary of Incorrect
Choices:
A: Storing the purse at the nurses' station may not offer the same level of security as a facility safe.
B: Leaving the purse in a drawer of the bedside table does not provide adequate protection against theft.
C: Placing the purse in the clothing bag with other belongings does not guarantee its safety during the procedure.
Extract:
Six of 15 records lack advance directive documentation.
Question 4 of 5
While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Ask nurses who are caring for clients without this information in the medical record to obtain it. This is the priority action because it directly addresses the current issue of missing advance directives in the medical records. By instructing nurses to obtain the necessary information, the nurse manager ensures that patient care is aligned with legal and ethical standards. Reinforcing the potential consequences (choice
A) is important but not as immediate as rectifying the missing information. Meeting to review policy (choice
C) and reminding nurses during admission (choice
D) are important steps but do not address the immediate need to rectify the missing information.
Extract:
Client receiving nasogastric tube; Client with chest tube; Client for lumbar puncture; Client post-esophagogastroduodenoscopy.
Question 5 of 5
A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?
Correct Answer: A
Rationale: The correct answer is A because elevating the head of the client's bed to 30° before inserting a nasogastric tube helps prevent aspiration by promoting proper positioning and facilitating tube insertion. Elevating the head of the bed reduces the risk of the tube entering the trachea instead of the esophagus.
Choices B, C, and D are incorrect because maintaining the chest tube below the insertion site when ambulating, assisting the client into a fetal position for a lumbar puncture, and assessing gag reflex post-procedure are all appropriate and safe nursing actions that do not require intervention.