ATI Leadership Proctored Exam 2023

Extract:

Client wants to appoint a health care proxy

Question 1 of 5

A nurse on a medical-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?

A. You must choose a member of your family to serve as your health care proxyB. A health care proxy can make decisions for you when you are unable to do soC. You should appoint a health care proxy before undergoing an invasive procedureD. It is necessary for an attorney to approve your health care proxy

Correct Answer: B

Rationale: A health care proxy makes decisions when the client is incapacitated, accurately describing its role.

Extract:

Newly licensed nurse having trouble focusing

Question 2 of 5

A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?

A. Advise him to complete less time-consuming tasks firstB. Recommend that he take time to plan at the beginning of his shiftC. Offer to provide care for his clients while he takes a breakD. Ask other staff members to take over some of his tasks

Correct Answer: B

Rationale: Planning at the shift's start organizes tasks, improving focus and time management for the nurse.

Extract:

Client with stable blood pressure; client post-PACU; client with chest pain; client with normal glucose

Question 3 of 5

A nurse is preparing to delegate tasks to an assistive personnel after receiving change-of-shift report. The nurse should assign the AP to obtain vital signs from which of the following clients?

A. A client who has just returned from the PACUB. A client who has a blood pressure of 110/68 mm HgC. A client who is experiencing chest painD. A client who has a fasting blood glucose of 104 mg/dL

Correct Answer: B

Rationale: Stable vital signs like 110/68 mm Hg are suitable for AP delegation, ensuring safe task assignment.

Extract:

Client is unconscious with health care surrogate

Question 4 of 5

A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client's feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?

A. You should contact the provider about your wishes to your family member.B. You should speak with the facility's ethics committee about your concerns.C. We'll need to have the nursing supervisor review the client's advance directives.D. As the health care surrogate, the client's partner can make this decision.

Correct Answer: D

Rationale: The health care surrogate has legal authority to make decisions, superseding other family members' wishes.

Extract:

Question 5 of 5

A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?

A. A visitor experiences a minor burn after spilling coffeeB. A parent wants her 14-year-old adolescent to receive radiation treatment against his willC. A nurse witnesses another nurse administer an incorrect medicationD. A client receives an operation on the wrong side of her body

Correct Answer: B

Rationale: This situation involves conflicting parental authority and adolescent autonomy, presenting a true ethical dilemma.

ATI Leadership Proctored Exam 2023 - Nurselytic

Nurselytic

ATI RN

ATI RN