ATI RN
ATI Leadership 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?
Correct Answer: C
Rationale: Parental refusal of a blood transfusion for a minor creates an ethical dilemma, balancing autonomy and the minor's health, requiring ethics committee input.
Extract:
Exhibit 1 Nurses' Notes 1315:
Client is postoperative following an open cholecystectomy, Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment
Plan of Care
1300:
Case management referral for discharge planning.
Client will need home health referral for dressing changes Client to follow up with the provider at the clinic in 1 week.
Question 2 of 5
A nurse case manager is reviewing the electronic medical record of a postoperative client. Click to highlight the findings that require follow-up by the case manager.
| Client reports being unable to find transportation to follow-up appointment |
| Client expresses concern regarding the cost of prescription medications |
| Case management referral for discharge planning |
| Client will need home health referral for dressing changes |
Correct Answer: A
Rationale: Lack of transportation is a barrier to postoperative care, requiring case manager intervention to ensure follow-up appointments are accessible. Other findings are either already addressed or less urgent.
Extract:
Question 3 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?
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 4 of 5
A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of the following nursing statements is an appropriate nursing response?
Correct Answer: A
Rationale: Acknowledging the client's emotional distress and affirming her autonomy to reconsider respects her feelings and decision-making.
Question 5 of 5
A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?
Correct Answer: A
Rationale: A new admission requires immediate attention to ensure timely care and bed assignment, taking priority over staffing or non-urgent issues.