ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
A new graduate nurse asks their manager for guidance on how to respond to a patient who refuses to sign a surgical consent form. The patient says that she won’t sign because she wishes to explore other options. Which of the following responses made by the manager are most appropriate?
Correct Answer: B,E
Rationale: Consent should not be forced (
B) and the patient has every right to refuse (E) are correct. Forcing consent (
A) or proceeding without it (
C) violates patient autonomy and ethical principles. Administering a sedative to gain consent (
D) is coercive and unethical. Patients have the right to make informed decisions, and healthcare providers must respect refusals while providing information to support decision-making.
Question 2 of 5
A nurse is delivering a presentation on client confidentiality to a group of newly licensed nurses. Which of the following actions demonstrates a breach in patient confidentiality?
Correct Answer: B
Rationale: Reporting lab findings to family without consent breaches confidentiality under HIPAA. Discussing with a case manager (
A), identifying for referrals (
C), and notifying providers (
D) are permissible.
Question 3 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: Conducting a root cause analysis identifies underlying error causes, guiding effective interventions. Training (
A), competency exams (
B), and QI programs (
D) should follow this analysis.
Question 4 of 5
Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a:
Correct Answer: C
Rationale: A randomized controlled trial involves random assignment and a placebo, as described. Meta-analysis (
A) synthesizes studies, cohort studies (
B) are observational, and systematic reviews (
D) summarize evidence.
Question 5 of 5
A nurse is getting ready to use electrical equipment. What actions should the nurse take to avoid electrical dangers?
Correct Answer: A,B,C,E
Rationale: Unplug the cord by grasping the plug (
A), ensure the plug has three prongs (
B), avoid rolling equipment over cords (
C), and do not run additional cords under carpeting (E) are all correct. These actions prevent electrical shock, fire hazards, and equipment damage. Grasping the plug avoids cord damage, three-pronged plugs ensure grounding, avoiding cord damage prevents exposure, and not running cords under carpets prevents overheating. Plugging away from the sink (
D) is less critical with GFCI outlets.