Extract:

Question 1 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.

Question 2 of 5

A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

A. Initiate a mental health consult to determine the client's reasons for refusing surgery.B. Provide the client with information on treatment options and outcomes.C. Discuss with the client her concerns regarding the procedure.D. Inform the client of the consequences of uterine prolapse and the need for intervention.

Correct Answer: C

Rationale: Discussing concerns respects autonomy and informs decision-making. Mental health consult (
A) is premature, providing options (
B) is secondary, and informing consequences (
D) may pressure.

Question 3 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 4 of 5

A nurse is caring for a client who refuses to take their prescribed medication. Which of the following actions should the nurse take first?

A. Document the client's refusal in the medical record.B. Ensure the client understands the risks of not taking the medication.C. Dispose of the medication according to facility policy.D. Inform the provider of the client's refusal.

Correct Answer: B

Rationale: Ensuring understanding supports informed decision-making. Documentation (
A), disposal (
C), and provider notification (
D) follow this step.

Question 5 of 5

A nurse manager notes that the number of medication administration errors has increased on the unit. Which of the following actions should the nurse take first?

A. Serve on a quality improvement committee.B. Conduct a root cause analysis.C. Develop preventative measures.D. Review current evidence-based practice.

Correct Answer: B

Rationale: Conducting a root cause analysis identifies underlying causes of errors, guiding interventions. Committee participation (
A), prevention (
C), and evidence review (
D) follow analysis.

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ATI RN Leadership 2023 I Questions

Extract:

Question 1 of 5

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Question 4 of 5

Question 5 of 5

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