ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 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: C
Rationale: The client’s understanding of risks ensures informed refusal, respecting autonomy. Religious beliefs, ethics committees, and durable power of attorney (only if incapacitated) don’t override a competent client’s decision.
Question 2 of 5
A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: C
Rationale: Documenting that an incident report was filed in the client’s record ensures legal compliance. Witness names shouldn’t be in notes, the client’s account belongs in the report, and incident reports go to risk management, not ethics.
Question 3 of 5
A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?
Correct Answer: C
Rationale: Financial resource arrangement is within a social worker’s scope. Bathing assistance requires home health, oxygen delivery involves respiratory therapy, and exercises are for physical therapy.
Question 4 of 5
A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Documenting the refusal ensures legal and ethical compliance. Threatening catheterization is coercive, mentioning blood alcohol is irrelevant, and assessing incontinence is unrelated.
Question 5 of 5
A nurse manager is developing a protocol to reduce the incidence of UTIs in clients who have an indwelling urinary catheter. Which of the following interventions should the nurse include in the protocol?
Correct Answer: D
Rationale: Maintaining a closed system prevents pathogen entry, reducing UTI risk. Antiseptics may irritate, routine irrigation increases infection risk, and a 4-day limit isn’t evidence-based.