Extract:

Question 1 of 5

A nurse is caring for a client who has a history of dementia. The client is alert and oriented to person, place, and time, and has advance directives. The client is scheduled for a procedure that requires informed consent. Which of the following persons should sign the informed consent?

A. The clientB. The client's son, who has a durable power of attorneyC. The client's partnerD. The client's daughter, who is the primary caregiver

Correct Answer: A

Rationale: The client should sign the informed consent if they are alert, oriented, and capable of making decisions. The client's ability to understand the procedure and its implications is key to valid informed consent.

Question 2 of 5

A charge nurse is planning a staff meeting to address low morale on the unit. Which of the following actions should the charge nurse take to promote a positive discussion?

A. Criticize staff members who have been vocal about their dissatisfaction.B. Invite staff to share ideas for improving the work environment.C. Schedule the meeting during a busy shift to ensure attendance.D. Focus solely on the unit's performance metrics.

Correct Answer: B

Rationale: Inviting staff to share ideas fosters collaboration and engagement, creating a positive environment for addressing morale issues and encouraging staff input.

Question 3 of 5

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

A. Measure 1&O for a client who has an indwelling urinary catheter.B. Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.C. Develop a plan of care for a client who has cholecystitis.D. Complete an admission assessment for a client who has COPD.

Correct Answer: B

Rationale: Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.

Question 4 of 5

A nurse is participating in a disaster drill for a chemical spill. Which of the following actions should the nurse take first when caring for exposed clients?

A. Administer antidotes for the chemical agent.B. Decontaminate clients by removing contaminated clothing.C. Assess clients for respiratory distress.D. Document the number of affected clients.

Correct Answer: B

Rationale: Decontaminating clients by removing contaminated clothing is the first step to prevent further exposure and harm, aligning with disaster response protocols for chemical spills.

Question 5 of 5

A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of negligence?

A. A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving.B. A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon.C. A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge.D. A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips.

Correct Answer: C

Rationale: A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge is an example of negligence as it violates the client's autonomy and informed consent.

Nurselytic

ATI RN

ATI RN

ATI NU2508 Leadership Final Exam Questions

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Question 5 of 5

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