Extract:

Question 1 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?

A. A nurse explains to a client's family that a DNR order includes withholding comfort measures.B. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.C. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.D. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.

Correct Answer: A

Rationale: Explaining that a DNR includes withholding comfort measures is incorrect and requires further education, as DNR only pertains to CPR. Conscientious objection (
B), opioid administration (
C), and safety measures (
D) are appropriate.

Question 2 of 5

A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

A. My doctor will need to provide approval for the decisions outlined in my living will.B. I will wait until I have a serious health problem to sign my advance directives.C. My durable power of attorney for health care is part of my advance directives.D. Once I sign my living will, a family member must co-sign it.

Correct Answer: C

Rationale: The durable power of attorney is part of advance directives, ensuring proxy decision-making. Doctor approval (
A), waiting for illness (
B), and co-signing (
D) are incorrect.

Question 3 of 5

A nurse is assessing a client who is 1 day postoperative following a total knee arthroplasty. The client is scheduled for physical therapy in 45 min. Which of the following questions should the nurse ask first?

A. Have you used an incentive spirometer today?B. What is your current pain level on a scale of 0 to 10?C. Have you informed your family of your physical therapy schedule?D. Would you like to bathe before or after physical therapy?

Correct Answer: B

Rationale: Assessing pain level is critical for therapy participation. Spirometer use (
A), family notification (
C), and bathing (
D) are secondary.

Question 4 of 5

A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

A. Two staff members have called to say they will be absent.B. Transport assistance is unavailable to take a client to occupational therapy.C. The emergency department nurse is waiting to give report on a new admissionD. A nurse on the previous shift wrote an incident report about a medication error.

Correct Answer: C

Rationale: The ED report on a new admission is urgent for care continuity. Staffing issues (
A), transport (
B), and incident reports (
D) are less immediate.

Question 5 of 5

A nurse is caring for a client who communicates with sign language. The provider needs to obtain informed consent from the client. Which of the following actions should the nurse take?

A. Contact a medical translator to serve as an interpreter.B. Have the provider speak loudly when communicating with the client.C. Request the client's family member to assist with translation.D. Ask the provider to sit to the side of the client.

Correct Answer: A

Rationale: A medical translator ensures accurate sign language communication for informed consent. Speaking loudly (
B) is ineffective, family translation (
C) risks bias, and side positioning (
D) doesn’t aid communication.

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ATI RN Leadership 2023 I Questions

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