ATI RN
ATI RN Leadership 2023 Questions
Extract:
A client requiring wrist restraints
Question 1 of 5
A nurse is providing teaching to an assistive personnel (AP) about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Attaching restraints to the bed frame ensures stability and safety. Square knots are unsafe, 2-hour removal varies by policy, and 2 fingerbreadths is the correct fit.
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:
Creating a policy to allow nurses to remove chest tubes
Question 3 of 5
A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?
Correct Answer: A
Rationale: The state nurse practice act defines nursing scope, ensuring the policy aligns with legal authority. ANA standards and ethics are general, and the Institute of Medicine doesn't regulate practice.
Extract:
A client being transferred from the emergency department to a medical-surgical unit
Question 4 of 5
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?
Correct Answer: B
Rationale: The client's name identifies them and establishes rapport, fitting the background section of SBAR. Vital signs belong in assessment, code status in recommendation, and consultations in situation.
Extract:
Scenarios of client advocacy
Question 5 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.