ATI RN
ATI RN Leadership 2023 Questions
Extract:
Scenarios of client advocacy
Question 1 of 5
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Documenting refusal respects autonomy, providing palliative care information supports quality of life, and obtaining an interpreter ensures communication—each advocacy. Nursing goals prioritize nurse objectives, and IV without consent violates autonomy.
Extract:
An older adult client, family disagreement over surgery, oldest child has durable power of attorney, client is oriented
Question 2 of 5
The family members of an older adult client are expressing disagreement over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney. The client is oriented to person, place, and time. Which of the following people has the legal authority to make the care decision?
Correct Answer: C
Rationale: An oriented client retains legal authority for decisions, overriding durable power of attorney. Partners, children, and providers cannot override a competent client's choice.
Extract:
Four clients in the emergency department
Question 3 of 5
A triage nurse in an emergency department is caring for a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: Confusion and slurred speech suggest a stroke, a medical emergency requiring immediate assessment. Femur fracture, vomiting, and burns are serious but less urgent.
Extract:
A toddler who has a new diagnosis of asthma
Question 4 of 5
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
Correct Answer: C
Rationale: A social worker can assist with financial resources for the nebulizer. Respiratory therapists educate on use, pharmacists advise on medications, and child protective services is inappropriate here.
Extract:
Ethical practice education, observed behaviors
Question 5 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?
Correct Answer: B
Rationale: Misrepresenting a DNR as withholding comfort measures is unethical and incorrect, needing education. Refusal respects conscience, reassurance is therapeutic, and opioids follow beneficence.