Extract:

Question 1 of 5

A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process?

A. Assess the client's understanding after the provider has talked with her.B. Discuss alternative treatment options with the client.C. Review the risks and benefits of the procedure with the client.D. Place a photocopy of the signed informed consent in the client's medical record.

Correct Answer: A

Rationale: The nurse's role is to ensure the client understands the procedure by assessing comprehension, while the provider discusses risks, benefits, and alternatives.

Question 2 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?

A. Secure the client's restraints with a square knot.B. Attach the restraints to the fixed portion of the frame of the client's bed.C. Remove the client's restraints every 2 hr.D. Allow 1 fingerbreadth between the restraint and the client's wrists.

Correct Answer: C

Rationale: Removing restraints every 2 hours ensures skin integrity and circulation checks, aligning with safe restraint use.

Question 3 of 5

A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

A. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.B. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.C. A nurse explains to a client's family that a DNR order includes withholding comfort measures.D. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.

Correct Answer: C

Rationale: Misrepresenting a DNR order as withholding comfort measures indicates a misunderstanding of ethical practice, as DNR only applies to CPR, not comfort care.

Question 4 of 5

A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?

A. State nurse practice actB. ANA Standards of PracticeC. ANA Code of EthicsD. Institute of Medicine

Correct Answer: A

Rationale: The state nurse practice act defines the scope of practice, ensuring the policy aligns with legal nursing responsibilities.

Question 5 of 5

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

A. A client who has a raised red skin rash on his arms, neck, and faceB. A client who has active bleeding from a puncture wound of the left groin areaC. A client who reports right-sided flank pain and is diaphoreticD. A client who reports shortness of breath and left neck and shoulder pain

Correct Answer: B

Rationale: Active bleeding from the groin risks hypovolemic shock, requiring immediate intervention per the ABCs (circulation), making it the highest priority.

Nurselytic

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ATI Leadership 2023 I Questions

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Question 1 of 5

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Question 4 of 5

Question 5 of 5

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