ATI RN
ATI Leadership Level 3 Questions
Extract:
Question 1 of 5
A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive personnel (AP) who just measured the client's vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Logging out for the AP to log in ensures secure, accurate documentation. Delaying disrupts workflow, charting for the AP blurs roles, and allowing access while logged in violates security.
Question 2 of 5
A nurse in a long-term care facility is caring for a client who reports that the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Contacting the nurse manager initiates investigation of the complaint. Documentation follows reporting, risk management is secondary, and reassurance dismisses the concern.
Question 3 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: B
Rationale: If the partner is the durable power of attorney for health care, they have legal authority to make decisions when the client cannot. A competent client's understanding is relevant but secondary to legal authority. Religious beliefs may influence but do not override legal designations. Ethics committees provide guidance but lack final authority over legal surrogates.
Question 4 of 5
A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Acknowledging the client's concerns and affirming their right to reconsider supports autonomy. Dismissing concerns (A,
D) or questioning provider discussions is inappropriate.
Question 5 of 5
A nurse is working on a medical surgical unit and is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
Correct Answer: D
Rationale: Pressure ulcer risk and nutritional concerns require interdisciplinary collaboration for comprehensive care.