ATI Leadership Management Proctored Exam
ATI LEADERSHIP AND MANGEMENT
Question 1
Correct
Mark 1.00 out of 1.00
Flag question
Question text
A nurse
... [Show More] is preparing a client who speaks limited English for surgery. Which of the following is the most appropriate nursing action in obtaining informed consent from this client?
Select one:
a. The nurse should explain the procedures using pictures and hand gestures.
b. Do nothing as this is the provider’s primary concern.
c. Seek the assistance of a nurse on the 昀氀oor who is 昀氀uent in the client’s language.
The nurse is responsible for ensuring that the client understands the information provided regarding the procedure.
d. Have the nurse respond to the client’s concerns so the provider can prepare for surgery.
Feedback
The correct answer is: Seek the assistance of a nurse on the 昀氀oor who is 昀氀uent in the client’s language.
Downloaded by Martin muthii ([email protected])
lOMoARcPSD|24448587
Question 2
Correct
Mark 1.00 out of 1.00
Flag question
Question text
A nurse is performing initial teaching with a client who will be receiving electroconvulsive therapy (ECT). Which statement by the client indicates a need for further teaching?
Select one:
a. “I will stop taking my lithium for 2 weeks prior to my procedure.”
b. “Before the procedure, I will have an EKG to assess for heart irregularities.”
c. “My Dilantin dose will be increased several days before the procedure.”
Because the therapeutic action of ECT is to induce seizures, any medications that a昀昀ect the client’s seizure threshold must be decreased or discontinued several days before the procedure.
d. “I will need to continue taking my regular blood pressure medication.”
Feedback
The correct answer is: “My Dilantin dose will be increased several days before the procedure.”
Question 3
Correct
Mark 1.00 out of 1.00
Flag question
Question text
A daughter of a client with a terminal illness pulls a nurse to the side and says, “Although my mother’s living will states she is not to be resuscitated, the family wants everything done to save her if she has a cardiac arrest.” How should the nurse respond?
Select one:
a. “I will contact the provider to make him aware of your request.”
b. “Since the living will is a legal document a lawyer will have to make the changes.”
Downloaded by Martin muthii ([email protected])
lOMoARcPSD|24448587
c. “If your mother has a cardiac arrest, we will begin resuscitation if you wish.”
d. “The living will documents your mother’s wishes and must be followed.”
A living will is a document that expresses the client’s wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues. The client’s wishes should be followed by the health care provider.
Feedback
The correct answer is: “The living will documents your mother’s wishes and must be followed.”
Question 4
Correct
Mark 1.00 out of 1.00
Flag question
Question text
A provider informs the wife of a comatose client with terminal cancer that she will need to sign the consent for insertion of a gastrostomy feeding tube. The nurse knows this is against the client’s wishes. What is the appropriate action by the nurse?
Select one:
a. Prepare the consent for the wife to sign.
b. Inform the wife she cannot sign the consent
c. Consult the hospital’s ethics committee.
If the nurse believes the provider’s actions are directly against the client’s wishes, the nurse should contact the hospital’s ethics committee. These committees are typically multidisciplinary and are organized to consciously and re昀氀ectively consider signi昀椀cant and often di昀케cult issues related to client care. Any nurse can consult the hospital’s ethics committee when deemed necessary.
d. Ask the provider for an order for a NG tube instead.
Feedback
The correct answer is: Consult the hospital’s ethics committee.
Question 5
Downloaded by Martin muthii ([email protected])
lOMoARcPSD|24448587
Correct
Mark 1.00 out of 1.00
Flag question
Question text
A client is seeking treatment for stress related to unexpected loss of employment and is engaging in the stress management technique of cognitive reframing. Which of the following statements would indicate to the nurse that the client understands this stress management technique?
Select one:
a. “I have excellent job skills; I just need to 昀椀nd a new employer.”
Cognitive reframing is a simple and e昀昀ective technique for reducing stress by looking at things in a more positive light in order to experience them as less stressful. Cognitive reframing for this client would involve building con昀椀dence in job skills and searching for a new job.
b. “Once I decided what was most important to me, things got easier.”
c. “I can visualize the perfect interview and being o昀昀ered a new job.”
d. “When I do my daily yoga exercises, I feel so much better.”
Feedback
The correct answer is: “I have excellent job skills; I just need to 昀椀nd a new employer.”
Question 6
Correct
Mark 1.00 out of 1.00
Flag question
Question text
A nurse is preparing a client with terminal illness for discharge to a nursing home when he states: “I don’t want to go to a nursing home to die. I would rather die at home.” What would be the most appropriate action by the nurse?
Select one:
a. Continue to make the discharge arrangements.
b. Inform the provider of the client's decision.
Downloaded by Martin muthii ([email protected])
lOMoARcPSD|24448587
c. Assess the client's reasons for feeling this way.
d. Contact the client's case manager.
Contact the client’s case manager would be the most appropriate action by the nurse. The case manger would be able to determine if the client’s wishes could be carried out.
Feedback
The correct answer is: Contact the client's case manager.
Question 7
Correct
Mark 1.00 out of 1.00
Flag question
Question text
A client is hospitalized for multiple rib fractures following a motor vehicle accident (MVA). The results of an arterial blood gas (ABG's) are; pH 7.30, pCO2 48, HCO3 26 and pO2 91 on 2 L/min of oxygen per nasal cannula. Which of the following interventions has the highest priority?
Select one:
a. Increase the client's O2 delivery to 4 L/min.
b. Administer an anti-anxiety agent to calm the client.
c. Assist the client to deep breathe, splinting with a pillow.
The client is experiencing respiratory acidosis from hypoventilation caused by painful respirations due to fractured ribs. Splinting the chest wall with a pillow will decrease pain associated with deep breathing. Deeper breaths will allow for better gas exchange, which will correct the acidosis.
d. Notify the health care provider of the abnormal ABG's.
Feedback
The correct answer is: Assist the client to deep breathe, splinting with a pillow. [Show Less]