ATI RN
ATI Leadership Level 3 Questions
Extract:
Question 1 of 5
A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: A health care proxy is designated to make medical decisions when the client is incapacitated, accurately reflecting their role.
Question 2 of 5
A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: In hospice care, managing pain is prioritized, but benzodiazepines may contribute to excessive sedation, so withholding them while continuing the opioid is appropriate.
Question 3 of 5
A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the client's medical record?
Correct Answer: B
Rationale: Morphine sulfate 10mg IV q 4hrs prn is clear and avoids unsafe abbreviations. MS and MSO4 risk confusion, and trailing zeros increase error risk.
Question 4 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: Decreased consciousness signals potential neurological deterioration, requiring urgent reporting. Temperature , rash , and photophobia are expected but less critical.
Question 5 of 5
A nurse is preparing to discharge a client who has end-stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?
Correct Answer: C
Rationale: Contacting the case manager facilitates exploring discharge options like home care or facilities. Delaying discharge doesn't solve the issue, recommending a facility is premature, and requesting family help may not be feasible.