ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client reports acute pain and refuses IM medication
Question 1 of 5
A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?
Correct Answer: C
Rationale: The correct answer is C: Battery. Battery refers to the intentional harmful or offensive touching of another person without their consent. In this scenario, the nurse administered the injection without the client's consent, which constitutes battery. This action is not considered assault (threatening to harm), libel (written defamation), or false imprisonment (unlawful restraint). The key factor here is the lack of consent, making the action a clear case of battery.
Extract:
Question 2 of 5
A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Encrypting personal health information when sending emails ensures data security and confidentiality, aligning with HIPAA regulations. This step protects patient privacy and prevents unauthorized access. Other choices violate confidentiality: B breaches password policy, C compromises document disposal, and D exposes vital signs to unauthorized individuals.
Choice A demonstrates a clear understanding of maintaining client confidentiality through secure communication methods.
Extract:
Client following coronary artery bypass grafting surgery
Question 3 of 5
A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first?
Correct Answer: C
Rationale: The correct answer is C: Inadequate food supply. Addressing this issue first is crucial for the client's recovery post-surgery as proper nutrition is essential for wound healing and overall recovery. Without an adequate food supply, the client may experience delayed healing, increased risk of infection, and compromised immunity. Limited social support (
A), decreased self-esteem (
B), and low pain tolerance (
D) are important factors to address but are not as immediately critical to the client's physical recovery as inadequate food supply. By prioritizing the client's nutritional needs, the nurse ensures a strong foundation for the client's overall well-being and successful recovery.
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?
Correct Answer: D
Rationale: The correct first action is to remove the restraints from the client's wrists (Option
D) because the client does not have a prescription for restraints, indicating a violation of their rights. Removing the restraints is a priority to ensure the client's safety and prevent harm. Reviewing the chart for nonrestraint alternatives (Option
A) should follow after ensuring the client's immediate safety by removing the restraints. Informing the unit manager (Option
B) can be done after addressing the immediate issue. Speaking with the AP (Option
C) can be done later to discuss the incident and educate on proper restraint use.
Extract:
Client scheduled for endoscopy; client with sickle cell anemia; client post-myocardial infarction; client with diabetes mellitus
Question 5 of 5
A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?
Correct Answer: A
Rationale: The correct answer is A because administering an enema is within the scope of practice of a licensed practical nurse (LPN). LPNs are trained to perform basic nursing care tasks such as enema administration under the supervision of a registered nurse (RN). Administering an enema is a routine procedure that does not require advanced assessment or critical thinking skills.
Choice B is incorrect because developing an initial plan of care for a client with sickle cell anemia requires a higher level of assessment and critical thinking skills typically performed by an RN.
Choice C is incorrect as a client transferring from the CCU after a myocardial infarction requires close monitoring and advanced nursing care, which is beyond the scope of an LPN.
Choice D is incorrect as teaching self-administration of insulin involves complex medication management and education that is typically done by an RN.
In summary, the LPN should be assigned to the client requiring an enema as it falls within their scope of practice, while the other choices involve