ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAMS2024 WITH
RATIONALES
A nurse is caring for a client who is scheduled for surgery. The client hands the nurse
information about advance directives and states, "Here, I don't need this. I am too
young to worry about life-sustaining measures and what I want done for me." Which of
the following actions should the nurse make?
A. Return the papers to the admitting department with a note stating that the client does
not wish to address the issue at this time
B. Explain to the client that you never know what can happen during surgery and to fill
the papers out just in case
C. Contact a client representative to talk with the client and offer additional information
about the purpose of advance directives
D. Inform the client that surgery cannot be conducted unless the advance directives
forms are completed - Contact a client representative to talk with the client and offer
additional information about the purpose of advance directives
*(a)The nurse should advocate for the client by ensuring that the client understands the
purpose of advance directives.
*(b)This response is nontherapeutic and can cause the client to be anxious about the
surgery.
*(c)Seeking the assistance of a client representative to provide information to the client
is an appropriate action
*(d) This statement is untrue and is a barrier to therapeutic communication
A nurse witnesses an assistive personnel (AP) they are supervising reprimanding a
client for not using the urinal properly. The AP threatens to put a diaper on the client if
the urinal is not used more carefully next time. Which of the following torts is the AP
committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - Assault
*Assault is conduct that makes a person fear they will be harmed. Battery is physical
contact without a person's consent. False imprisonment is restraining a person against
their will. It includes the use of physical or chemical restraints, and refusing to allow a
client to leave a facility. Invasion of privacy is the unauthorized release of a client's
private information
, A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of
the nurse as advocate. Which of the following situations illustrates the advocacy role?
(select all that apply)
A. Verifying that a client understands what is done during a cardiac catherization
B. Discussing treatment options for a terminal diagnosis
C. Informing members of the health care team that a client has do-not-resuscitate status
D. Reporting that a health team member on the previous shift did not provide care as
prescribed
E. Assisting a client to make a decision about their care based on the nurse's
recommendations - 1. Verifying that a client understands what is done during a cardiac
catherization
2. Informing members of the health care team that a client has do-not-resuscitate status
3. Reporting that a health team member on the previous shift did not provide care as
prescribed
*Ensuring that the client has given informed consent illustrates nurse advocacy.
Discussing treatment options is not within the scope of practice of the nurse. Ensuring
that the client's care is consistent with their DNR status illustrates nurse advocacy.
Ensuring that all clients receive proper care illustrates nurse advocacy. Assisting a client
to make decisions about their care based on nurse recommendations is appropriate.
The nurse should support the client in making their own decisions.
A nurse manager is providing information to the nurses on the unit about ensuring client
rights. Which of the following regulations outlines the rights of individuals in health care
settings?
A. American Nurses Association Code of Ethics
B. HIPAA
C. Patient Self-Determination Act
D. Patient Care Partnership - Patient Care Partnership
*The American Nurses Association Code of Ethics provides nurses with a set of
standards for nursing practice. The Privacy Rule of HIPAA ensures client privacy and
confidentiality. The Patient Self-Determination Act is federal legislation that requires that
all clients admitted to a health care facility be asked whether they have advance
directives. The Patient Care Partnership is a document that addresses client's right
when receiving care
A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the
following sources should the nurse use to review the procedure and the standard at
which it should be performed?
A. Website
B. Institutional policy and procedure manual
C. More experienced nurse
RATIONALES
A nurse is caring for a client who is scheduled for surgery. The client hands the nurse
information about advance directives and states, "Here, I don't need this. I am too
young to worry about life-sustaining measures and what I want done for me." Which of
the following actions should the nurse make?
A. Return the papers to the admitting department with a note stating that the client does
not wish to address the issue at this time
B. Explain to the client that you never know what can happen during surgery and to fill
the papers out just in case
C. Contact a client representative to talk with the client and offer additional information
about the purpose of advance directives
D. Inform the client that surgery cannot be conducted unless the advance directives
forms are completed - Contact a client representative to talk with the client and offer
additional information about the purpose of advance directives
*(a)The nurse should advocate for the client by ensuring that the client understands the
purpose of advance directives.
*(b)This response is nontherapeutic and can cause the client to be anxious about the
surgery.
*(c)Seeking the assistance of a client representative to provide information to the client
is an appropriate action
*(d) This statement is untrue and is a barrier to therapeutic communication
A nurse witnesses an assistive personnel (AP) they are supervising reprimanding a
client for not using the urinal properly. The AP threatens to put a diaper on the client if
the urinal is not used more carefully next time. Which of the following torts is the AP
committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - Assault
*Assault is conduct that makes a person fear they will be harmed. Battery is physical
contact without a person's consent. False imprisonment is restraining a person against
their will. It includes the use of physical or chemical restraints, and refusing to allow a
client to leave a facility. Invasion of privacy is the unauthorized release of a client's
private information
, A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of
the nurse as advocate. Which of the following situations illustrates the advocacy role?
(select all that apply)
A. Verifying that a client understands what is done during a cardiac catherization
B. Discussing treatment options for a terminal diagnosis
C. Informing members of the health care team that a client has do-not-resuscitate status
D. Reporting that a health team member on the previous shift did not provide care as
prescribed
E. Assisting a client to make a decision about their care based on the nurse's
recommendations - 1. Verifying that a client understands what is done during a cardiac
catherization
2. Informing members of the health care team that a client has do-not-resuscitate status
3. Reporting that a health team member on the previous shift did not provide care as
prescribed
*Ensuring that the client has given informed consent illustrates nurse advocacy.
Discussing treatment options is not within the scope of practice of the nurse. Ensuring
that the client's care is consistent with their DNR status illustrates nurse advocacy.
Ensuring that all clients receive proper care illustrates nurse advocacy. Assisting a client
to make decisions about their care based on nurse recommendations is appropriate.
The nurse should support the client in making their own decisions.
A nurse manager is providing information to the nurses on the unit about ensuring client
rights. Which of the following regulations outlines the rights of individuals in health care
settings?
A. American Nurses Association Code of Ethics
B. HIPAA
C. Patient Self-Determination Act
D. Patient Care Partnership - Patient Care Partnership
*The American Nurses Association Code of Ethics provides nurses with a set of
standards for nursing practice. The Privacy Rule of HIPAA ensures client privacy and
confidentiality. The Patient Self-Determination Act is federal legislation that requires that
all clients admitted to a health care facility be asked whether they have advance
directives. The Patient Care Partnership is a document that addresses client's right
when receiving care
A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the
following sources should the nurse use to review the procedure and the standard at
which it should be performed?
A. Website
B. Institutional policy and procedure manual
C. More experienced nurse
