ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A client who is scheduled for a hysterectomy and has signed the informed consent form tells the nurse she is unsure about having the procedure.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C because it prioritizes patient autonomy and ensures informed decision-making. By stating that the surgery can be cancelled if there are concerns, the nurse respects the patient's right to make choices about their own healthcare. This response promotes open communication and empowers the patient to voice any worries they may have.
Choices A, B, and D may dismiss the patient's concerns or offer solutions without addressing the root issue. A could be seen as confrontational, B could be seen as deflecting responsibility, and D could be seen as pushing medication instead of addressing the patient's fears.
Extract:
A client who is scheduled for coronary artery bypass surgery and does not wish to have any blood transfusions.
Question 2 of 5
Administering blood to this client is a violation of which of the following ethical principles?
Correct Answer: A
Rationale: The correct answer is A: Autonomy. Administering blood without the client's consent violates the principle of autonomy, which emphasizes the individual's right to make decisions about their own healthcare. This action disregards the client's right to self-determination. Fidelity (choice
B) refers to being faithful and keeping promises, not directly related to the scenario. Justice (choice
C) pertains to fairness in resource allocation, not about individual decision-making. Veracity (choice
D) is about truth-telling, not directly applicable here.
Extract:
A nurse is participating in an interdisciplinary conference for a client who has heart failure, reports limited resources, and lives alone.
Question 3 of 5
Which of the following actions is the nurse's responsibility?
Correct Answer: D
Rationale: The correct answer is D: Perform a dietary assessment. This is the nurse's responsibility because assessing the client's dietary intake is crucial for identifying any nutritional deficiencies or dietary restrictions that may impact their health. It falls within the scope of nursing practice to evaluate and address the client's nutritional needs.
Choice A is incorrect because coordinating the team and the plan of care is a collaborative effort involving various healthcare professionals, not solely the nurse's responsibility.
Choice B is incorrect as ordering durable medical equipment for the client's home typically falls under the responsibility of a healthcare provider such as a physician or occupational therapist.
Choice C is incorrect as helping the client obtain financial assistance is important but is not specifically within the nurse's direct responsibility.
In summary, the nurse's primary responsibility among the given choices is to perform a dietary assessment to address the client's nutritional needs effectively.
Extract:
A nurse is teaching a newly licensed nurse about the purpose of interdisciplinary conferences. Clients include: a client who had a recent stroke and is showing manifestations of depression, a client whose provider is unhappy with the nursing care, a client whose MRI results are delayed, a client whose partner requests a private room.
Question 4 of 5
Which of the following clients needs an interdisciplinary conference?
Correct Answer: A
Rationale: The correct answer is A because a client who had a recent stroke and is showing manifestations of depression would benefit from an interdisciplinary conference to address their physical and mental health needs. This type of client requires input from various healthcare professionals such as doctors, nurses, therapists, and psychologists to develop a comprehensive care plan.
Choice B is incorrect because a client whose provider is unhappy with the nursing care does not necessarily warrant an interdisciplinary conference. This issue can typically be resolved through communication between the provider and nursing staff.
Choice C is incorrect as the delay in MRI results does not require an interdisciplinary conference but rather efficient follow-up by the responsible healthcare team.
Choice D is also incorrect as a client's request for a private room can be addressed by the nursing staff or facility administration without the need for an interdisciplinary conference.
Extract:
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool.
Question 5 of 5
Which of the following information should the nurse include in the background portion of the report?
Correct Answer: C
Rationale: The nurse should include the client's name in the background portion of the report for proper identification and communication. This information is essential for accurate documentation and patient safety. Vital signs are part of the current assessment, not background information. Code status and prescribed consultation are specific details that belong in the assessment and plan sections, respectively. Thus, choice C is correct as it establishes the client's identity for effective handover communication.