Extract:

Question 1 of 5

A nurse is caring for a client who is experiencing cardiac arrest and has a do-not-resuscitate (DNR) prescription. The client's partner requests medical intervention. Which of the following actions should the nurse take?

A. Have the client's partner sign a consent form to reverse the DNR prescription.B. Begin chest compressions on the client.C. Contact social services to confer with the client's partner.D. Adhere to the client's treatment decision.

Correct Answer: D

Rationale: Adhering to the DNR respects the client’s wishes. Reversing the DNR (
A) or starting compressions (
B) violates the order, and social services (
C) is not immediate.

Question 2 of 5

A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

A. My doctor will need to provide approval for the decisions outlined in my living will.B. I will wait until I have a serious health problem to sign my advance directives.C. My durable power of attorney for health care is part of my advance directives.D. Once I sign my living will, a family member must co-sign it.

Correct Answer: C

Rationale: The durable power of attorney is part of advance directives. Doctor approval (
A) is not needed, waiting for illness (
B) is unwise, and co-signing (
D) is not required.

Question 3 of 5

A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

A. Tell the client to leave her purse in a drawer of the bedside table.B. Offer to store the purse at the nurses' station.C. Offer to place the purse in the facility safe.D. Place the purse in the clothing bag with the client's other belongings.

Correct Answer: C

Rationale: Placing the purse in the facility safe ensures security. Bedside drawers (
A) and clothing bags (
D) are insecure, and nurses' stations (
B) are less reliable.

Question 4 of 5

A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel?

A. Instructing a client on self-administration of a tap water enemaB. Suctioning a client's long-term tracheostomyC. Performing a dressing change on a client's peripherally inserted central catheterD. Using a pain rating scale to monitor a client's pain level

Correct Answer: D

Rationale: Using a pain rating scale is within AP scope, involving simple data collection. Enema instruction (
A), tracheostomy suctioning (
B), and PICC dressing changes (
C) require advanced skills.

Question 5 of 5

A nurse is teaching a group of assistive personnel about airborne precautions. Which of the following statements should the nurse make?

A. Masks are not required when more than 3 ft from a client who requires airborne precautions.B. A client who has influenza requires airborne precautions.C. An N95 respirator mask is required when caring for a client who has the measles!D. Clients who have varicella should be placed in a positive pressure room.

Correct Answer: C

Rationale: An N95 mask is required for measles, an airborne disease. Masks are needed regardless of distance (
A), influenza requires droplet precautions (
B), and varicella needs negative pressure (
D).

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ATI RN Leadership 2023 I Questions

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