ATI RN
ATI RN Leadership 2023 I Questions
Extract:
Question 1 of 5
The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make this health care decision?
Correct Answer: D
Rationale: The client, being competent, has legal authority to make decisions, overriding the power of attorney. The child (
A), partner (
B), and provider (
C) lack authority if the client is competent.
Question 2 of 5
A nurse is assessing a client who is 1 day postoperative following a total knee arthroplasty. The client is scheduled for physical therapy in 45 min. Which of the following questions should the nurse ask first?
Correct Answer: B
Rationale: Assessing pain level is critical for therapy participation. Spirometer use (
A), family notification (
C), and bathing (
D) are secondary.
Question 3 of 5
A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?
Correct Answer: C
Rationale: Requesting a referral for reminiscent therapy sessions is advocacy, as it seeks resources to enhance the client's quality of life. Reorienting (
A) and assisting with ambulation (
D) are direct care, and assessments (
B) are clinical tasks, not advocacy.
Question 4 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: B
Rationale: The state nurse practice act defines the legal scope for nurses, ensuring policy compliance. IOM (
A), ANA Standards (
C), and ANA Ethics (
D) are less specific to procedural authorization.
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,C
Rationale: Documenting refusal (
A), obtaining an interpreter (
B), and providing palliative care information (
C) respect client autonomy and needs. Nursing goals (
D) are not advocacy, and IV access without consent (E) violates autonomy.