ATI Leadership Proctored Exam 2023

Extract:

Client with respiratory tuberculosis; client with Clostridium difficile; client with infected surgical wound; client with MRSA

Question 1 of 5

A nurse on a medical-surgical unit is evaluating an assistive personnel's use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

A. The AP wears a surgical mask when caring for a client who has respiratory tuberculosisB. The AP uses alcohol-based hand sanitizer after emptying the bed pan on a client who has Clostridium difficileC. The AP bundles the client side of linen inward when changing the sheets for a client who has an infected surgical woundD. The AP removes her gloves before leaving the room of a client who has MRSA

Correct Answer: C

Rationale: Bundling linen inward minimizes contamination spread, correctly applying infection control for an infected wound.

Extract:

Client does not understand the gastroscopy procedure

Question 2 of 5

A nurse enters a client's room to witness an informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?

A. Educate the client about the risks of refusing the procedureB. Complete the incident reportC. Inform the provider that the client requires clarification about the procedureD. Answer the client's questions concerning the procedure

Correct Answer: C

Rationale: Informing the provider ensures the client receives accurate information about the procedure from the responsible party, supporting informed consent.

Extract:

Client has cancer

Question 3 of 5

A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?

A. I will ask your mother's primary care provider to speak with you.B. You will have to speak directly to your mother about her treatment.C. What would you like to know about your mother's treatment.D. I cannot provide this information to you without your mother's consent.

Correct Answer: D

Rationale: HIPAA requires client consent before sharing treatment information, ensuring confidentiality.

Extract:

Question 4 of 5

Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

A. Store opened bottles of normal saline in a refrigerator for up to 48 hrB. Wait to dispose of sharps containers until they are completely fullC. Use clean gloves rather than sterile gloves for colostomy careD. Return unused supplies from the bedside to the unit's supply stock

Correct Answer: C

Rationale: Using clean gloves for colostomy care is cost-effective and safe, as it's a clean procedure.

Extract:

Client is unconscious with health care surrogate

Question 5 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.

ATI Leadership Proctored Exam 2023 - Nurselytic

Nurselytic

ATI RN

ATI RN