ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is unresponsive and has advance directives stating they do not want treatment to extend their life. The client's partner is their health care surrogate and requests the nurse begin tube feedings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Stating the client’s wishes respects their advance directives, prioritizing autonomy. Ethics committee involvement, suggesting benefits, or family discussion are inappropriate if directives are clear.
Question 2 of 5
A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Documenting the refusal ensures legal and ethical compliance. Threatening catheterization is coercive, mentioning blood alcohol is irrelevant, and assessing incontinence is unrelated.
Question 3 of 5
A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?
Correct Answer: B
Rationale: Reconciled medications ensure safe home medication management. DNR status, acuity, and lab results are less critical for discharge documentation.
Question 4 of 5
A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, 'I’ve never taken these before.' Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Reviewing the medication’s purpose addresses the client’s concerns, promoting adherence. Calling the provider, consulting the pharmacist, or comparing records are secondary to engaging the client.
Question 5 of 5
A nurse case manager is coordinating care for a client. Select the 3 community resources the nurse should refer the client.
Correct Answer: A,B,C
Rationale: Respite care, hospice care, and social worker support address terminal lung cancer needs, providing caregiver relief, end-of-life care, and resource assistance. Adult day care and legal assistance are less relevant.