ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Client expresses concern about purse theft during surgery.
Question 1 of 5
A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Offer to place the purse in the facility safe.
Rationale: Placing the purse in the facility safe ensures maximum security and minimizes the risk of theft during surgery. The safe is a designated secure location specifically designed for safeguarding valuables. This action demonstrates the nurse's commitment to addressing the client's concerns and prioritizing their safety and peace of mind.
Summary of Incorrect
Choices:
A: Storing the purse at the nurses' station may not offer the same level of security as a facility safe.
B: Leaving the purse in a drawer of the bedside table does not provide adequate protection against theft.
C: Placing the purse in the clothing bag with other belongings does not guarantee its safety during the procedure.
Extract:
Six of 15 records lack advance directive documentation.
Question 2 of 5
While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Ask nurses who are caring for clients without this information in the medical record to obtain it. This is the priority action because it directly addresses the current issue of missing advance directives in the medical records. By instructing nurses to obtain the necessary information, the nurse manager ensures that patient care is aligned with legal and ethical standards. Reinforcing the potential consequences (choice
A) is important but not as immediate as rectifying the missing information. Meeting to review policy (choice
C) and reminding nurses during admission (choice
D) are important steps but do not address the immediate need to rectify the missing information.
Extract:
Client receiving nasogastric tube; Client with chest tube; Client for lumbar puncture; Client post-esophagogastroduodenoscopy.
Question 3 of 5
A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?
Correct Answer: A
Rationale: The correct answer is A because elevating the head of the client's bed to 30° before inserting a nasogastric tube helps prevent aspiration by promoting proper positioning and facilitating tube insertion. Elevating the head of the bed reduces the risk of the tube entering the trachea instead of the esophagus.
Choices B, C, and D are incorrect because maintaining the chest tube below the insertion site when ambulating, assisting the client into a fetal position for a lumbar puncture, and assessing gag reflex post-procedure are all appropriate and safe nursing actions that do not require intervention.
Extract:
Question 4 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: B,C,E
Rationale: The correct answers are B, C, and E. B, obtaining an interpreter, ensures effective communication, a fundamental aspect of advocacy. C, documenting refusal, respects client autonomy and promotes safety. E, providing information, empowers the client in decision-making. A is incorrect as it focuses on nursing goals, not client preferences. D violates the client's autonomy and dignity by not obtaining consent.
Therefore, the correct answers align with principles of autonomy, communication, and empowerment.
Extract:
Client involved in motor-vehicle crash, refuses urine sample.
Question 5 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: A
Rationale: The correct answer is A: Document the client's refusal in their chart. The nurse should respect the client's autonomy and right to refuse. Documenting the refusal ensures that the information is recorded for legal and ethical purposes. It also helps in providing continuity of care and communication among the healthcare team.
Choice B is incorrect as threatening the client may compromise the therapeutic relationship.
Choice C is irrelevant as the client's refusal is not related to urinary retention.
Choice D is invasive and should not be done without the client's consent.