ATI RN
ATI Leadership 2023 I Questions
Extract:
Question 1 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?
Correct Answer: A
Rationale: Respecting client autonomy involves exploring her concerns about the procedure to understand her decision, rather than assuming mental health issues or persuading her against her wishes.
Question 2 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: B
Rationale: The health care surrogate has legal authority to make decisions for an incapacitated client, superseding other family members' wishes.
Question 3 of 5
The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make this health care decision?
Correct Answer: A
Rationale: A mentally competent client retains legal authority to make healthcare decisions, despite a durable power of attorney, which only applies when the client is incapacitated.
Question 4 of 5
A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Removing restraints every 2 hours ensures skin integrity and circulation checks, aligning with safe restraint use.
Question 5 of 5
A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?
Correct Answer: B
Rationale: Impaired voluntary cough suggests swallowing difficulties, increasing aspiration risk, which a speech-language pathologist can address.