Exam Prep | Nursing Leadership and
Management Edition 8.0 by ATI Nursing
Education | 150 Verified Q&As to Pass on Your
First Attempt & Avoid Resits
**Q1. 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.)**
- **A) Providing written information to a client regarding palliative care**
- B) Initiating IV access on a client who has dementia while he is sleeping
- **C) Implementing a client's plan of care based upon nursing goals**
- **D) Obtaining an interpreter for a client who speaks a different language than the nurse**
,- **E) Documenting a client's refusal to take a prescribed medication**
**Correct Answer: A, C, D, E**
**Rationale:** Client advocacy means acting in the client's best interest and supporting their rights.
Providing information about palliative care supports informed decision-making. Implementing care
based on nursing goals ensures client-centered care. Obtaining an interpreter ensures effective
communication and informed consent. Documenting refusal respects client autonomy and legal
standards. Option B (initiating IV access while sleeping) violates informed consent and is not advocacy.
---
**Q2. A client with an informed consent form for an upcoming procedure in his health record. Which of
the following actions should the nurse take to validate that the client understands the procedure?**
- A) Review documentation by the provider of discussing the procedure with the client
- B) Verify that the client's signature is on the informed consent form
- **C) Ask the client to verbalize the purpose, risks, and benefits of the procedure**
- D) Ensure that the provider has signed the informed consent form
**Correct Answer: C**
**Rationale:** Informed consent requires that the client understands the procedure. The nurse's role is
to verify understanding by asking the client to explain the purpose, risks, and benefits in their own
words. The provider is responsible for explaining the procedure; the nurse witnesses the signature and
confirms comprehension.
---
,**Q3. A charge nurse observes a client fall while ambulating with an assistive personnel and notes that
the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that
the report does not mention the gait belt. Which of the following ethical principles should the charge
nurse follow?**
- **A) Veracity**
- B) Fidelity
- C) Beneficence
- D) Nonmaleficence
**Correct Answer: A**
**Rationale:** Veracity is the principle of truthfulness. The incident report must be accurate and
complete. Omitting the gait belt is a violation of veracity. The charge nurse should ensure the report is
corrected.
---
**Q4. A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a
medication to help relieve the client's nausea. The LPN does not return with the medication. The charge
nurse should reinforce which of the following ethical principles with the LPN?**
- **A) Fidelity (Keep promise)**
- B) Veracity (Open and honest with patients)
- C) Justice (Being fair and equal)
- D) Nonmaleficence (Do no harm)
**Correct Answer: A**
, **Rationale:** Fidelity refers to keeping promises and being faithful to commitments. By not returning
with the medication, the LPN violated the principle of fidelity. The charge nurse should reinforce the
importance of following through on promises to clients.
---
**Q5. A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client
asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?**
- A) Check to see if the medical record indicates the provider explained the procedure to the client
- B) Explain the risks of the procedure to the client
- C) Convey the client's request to the nurse who witnessed the consent
- **D) Notify the provider about the client's concerns**
**Correct Answer: D**
**Rationale:** The provider is responsible for explaining the risks, benefits, and alternatives of a
procedure. If the client has questions or concerns about risks, the nurse should notify the provider so
they can address them before the client signs the consent form.
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### Category 2: Delegation, Assignment & Staff Management
**Q6. A nurse manager is assigning staff to care for clients. Which of the following tasks can the nurse
safely delegate to a licensed practical nurse (LPN)?**