ATI RN
ATI RN Leadership 2023 I Questions
Extract:
Question 1 of 5
A nurse is delegating oral care for a client who is unconscious to an assistive personnel (AP). The AP tells the nurse that APs are not allowed to perform the delegated task. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the AP job description. The nurse should refer to the job description to ensure that performing oral care falls within the scope of practice for the AP. This step is crucial for verifying if the task can be delegated to the AP legally and safely.
A: Asking the nurse manager may not be necessary if the job description clarifies the AP's responsibilities.
B: Performing the oral care oneself is not the best choice as delegation is a key nursing skill.
C: Asking a licensed practical nurse is unnecessary if the AP is qualified to perform the task.
Overall, option D is the best course of action to address the issue effectively.
Question 2 of 5
A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Request that the charge nurse modify the assignment. This is the best course of action as it prioritizes patient safety by acknowledging the nurse's limitations and seeking a more suitable assignment. Notifying the risk manager (
A) may not result in immediate resolution. Documenting the concern (
C) is not enough to address the issue at hand. Accepting the assignment with help (
D) could compromise patient safety if the nurse lacks the necessary skills.
Question 3 of 5
A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Communicate the client's decision to the provider. This is the appropriate action because it respects the client's autonomy and ensures that the healthcare team is aware of the client's decision. It allows the provider to discuss alternative options or provide supportive care.
Choice A is incorrect because sympathy alone may not address the client's needs effectively.
Choice B is incorrect as informed consent is typically obtained before a procedure, not for refusing treatment.
Choice D is incorrect as it goes against the client's right to make autonomous decisions.
Question 4 of 5
A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: A statement indicating the need for assistance with bathing suggests difficulty with performing activities of daily living due to rheumatoid arthritis. Occupational therapists specialize in helping individuals regain independence in daily tasks. Referral is necessary to assess the client's specific needs and provide strategies for adaptive techniques to promote self-care.
Incorrect
Choices:
B: Complaint of joint pain is common in rheumatoid arthritis but does not specifically indicate the need for occupational therapy.
C: Needing help with meal planning may suggest nutritional support but does not directly relate to occupational therapy.
D: Difficulty climbing stairs may require physical therapy for mobility but does not directly indicate the need for occupational therapy.
Question 5 of 5
A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because a durable power of attorney for health care is indeed a crucial part of advance directives. This person can make healthcare decisions on your behalf if you are unable to do so.
Choice A is incorrect as approval from the doctor is not needed for advance directives.
Choice B is incorrect because it is best to have advance directives in place before a serious health problem arises.
Choice D is incorrect as a family member typically does not need to co-sign a living will.