ATI Leadership Proctored Exam 2023

Extract:

Client is unconscious with health care surrogate

Question 1 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?

A. You should contact the provider about your wishes to your family member.B. You should speak with the facility's ethics committee about your concerns.C. We'll need to have the nursing supervisor review the client's advance directives.D. As the health care surrogate, the client's partner can make this decision.

Correct Answer: D

Rationale: The health care surrogate has legal authority to make decisions, superseding other family members' wishes.

Extract:

Client has an open abdominal wound

Question 2 of 5

A nurse is observing a newly licensed nurse use aseptic technique when irrigating a client's open abdominal wound. The charge nurse should intervene for which of the following actions by the newly licensed nurse?

A. Wears clean gloves to remove the soiled dressingB. Uses slow, continuous pressure to flush the woundC. Places the syringe tip with angiocatheter 2.5 cm (1 in) above the open wound bedD. Opens irrigation supplies before removing the soiled dressing

Correct Answer: D

Rationale: Opening irrigation supplies before removing the soiled dressing increases the risk of contamination, requiring intervention to maintain aseptic technique.

Extract:

Question 3 of 5

A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?

A. Review current literature regarding client fallsB. Implement a fall prevention planC. Identify clients who are at risk for fallsD. Notify staff of the increased fall rate

Correct Answer: C

Rationale: Identifying at-risk clients allows targeted interventions, forming the basis for effective fall prevention.

Extract:

Client is agitated without a prescription for restraints

Question 4 of 5

A charge nurse making rounds observes that an assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?

A. Review the chart for nonrestraint alternatives for agitationB. Inform the unit manager of the incidentC. Speak with the AP about the incidentD. Remove the restraints from the client's wrists

Correct Answer: D

Rationale: Removing unauthorized restraints prevents harm and ensures client safety, making it the first action.

Extract:

Question 5 of 5

A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report?

A. The client is in the radiology department for a chest x-rayB. The client's partner came to visit him 2 hours agoC. The client has routine vital signs prescribedD. The client is the president of a local bank

Correct Answer: A

Rationale: The client's location for a chest x-ray is critical for continuity of care and monitoring.

ATI Leadership Proctored Exam 2023 - Nurselytic

Nurselytic

ATI RN

ATI RN