ATI RN
ATI RN Leadership 2023 Questions
Extract:
An older adult client, family disagreement over surgery, oldest child has durable power of attorney, client is oriented
Question 1 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:
Scenarios of client advocacy
Question 2 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.
Extract:
Several clients in the emergency department
Question 3 of 5
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
Correct Answer: B
Rationale: Active bleeding risks hemorrhage and shock, requiring immediate intervention. Cardiac symptoms, rashes, and flank pain are serious but less urgent.
Extract:
A client who speaks a different language than the nurse
Question 4 of 5
A nurse is teaching a client who speaks a different language than the nurse about medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Written information in the client's language ensures understanding and reference. Slow speech, medical terms, or family interpretation risk miscommunication or confidentiality issues.
Extract:
Creating a policy to allow nurses to remove chest tubes
Question 5 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.