ATI RN
ATI Leadership Level 3 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: A
Rationale: The client's autonomy and capacity to make informed decisions are paramount. Ensuring the client understands the risks of refusing the procedure is critical to validating their decision-making capacity.
Question 2 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 3 of 5
A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In emergencies, implied consent allows treatment without written consent to stabilize life-threatening conditions.
Question 4 of 5
A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Patient confidentiality laws, such as HIPAA, prohibit sharing health information without the client's consent, making this the appropriate response.
Question 5 of 5
A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client's feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The health care surrogate has legal authority to decide. Contacting the provider , ethics committee , or reviewing directives may follow but don't override the surrogate's authority.