lOMoARcPSD|22789381
lOMoARcPSD|22789381
ATI Leadership and Management latest Update| Ati
Leadership Real Exam|140 Questions and Correct
Answers|Rated A+
1. A nurse is caring for a client who has metastatic cancer and has become ventilator-dependent after palliative
surgery. The client wants to have the ventilator withdrawn but the client's children want the client to keep it on. The
client is examined by a psychiatrist who finds that the client is competent. The nurse is aware that continued
treatment against the client's wishes is a violation of which ethical principle?
A. Veracity
Rationale: Veracity is the "duty to tell the truth." This ethical principle is not violated.
B. Autonomy
Rationale: In health care, autonomy is the principle underlying informed consent, the right to refuse
treatment, and the right to appoint a surrogate decision-maker.
C. Fidelity
Rationale: Fidelity is the "duty to keep one's promises or word." It refers to the obligation to be faithful to the
agreements, commitments, and responsibilities made to oneself and others. This ethical
principle is not violated.
D. Nonmaleficence
Rationale: Nonmaleficence is the "duty to do no harm." This ethical principle is not violated.
2. A nurse is caring for a client who has an indwelling urinary catheter and is to receive catheter care twice a day.
Which of the following is the appropriate nursing action to ensure the client's privacy?
A. Pull the curtain around the client's bed.
Rationale: Pulling the curtain provides the most privacy for the client. With the curtain pulled, anyone
entering the client's room does not have visual access to the client or the treatment being
performed.
B. Cover the client's genitalia with a towel while performing catheter care.
Rationale: This action is inappropriate. Performing catheter care includes cleansing and inspection of the
urinary meatus. This cannot be properly accomplished if the client's genitalia are covered.
C. Close the door to the client's room.
Rationale: Anyone can open the door and unnecessarily expose the client to the person entering the room
as well as others in the hallway.
D. Ask the client's roommate to leave until the treatment is finished.
Rationale: This action is inappropriate. It is not necessary for the client's roommate to leave the room while
catheter care is performed.
, lOMoARcPSD|22789381
3. A nurse is caring for several clients in a walk-in clinic. Which client should the nurse have the provider see
Created on:03/25/2019 Page 1
, lOMoARcPSD|22789381
immediately?
A. A belligerent, vomiting teenager with alcohol on her breath.
Rationale: This client does not have a life-threatening emergency.
B. A screaming toddler with a freely bleeding forehead wound.
Rationale: This client does not have a life-threatening emergency.
C. A diaphoretic, obese middle-aged man with epigastric pain.
Rationale: This client has two of the classic signs of a myocardial infarction (MI), diaphoresis and epigastric
pain. It is possible the client is having an MI.
D. Young adult with painful sunburned face and arms.
Rationale: This client does not have a life-threatening emergency.
4. A nurse is caring for a client with a compression fracture of a spinal vertebra. Just prior to an hour-long transport to
the hospital, the client was medicated with intravenous morphine sulfate (Duramorph). On arrival, the neurosurgeon
determines that urgent surgical intervention is indicated for the fracture. The nurse realizes that consent for the
surgery
A. must be obtained from a relative of the client.
Rationale: According to the case scenario, this client was given a narcotic that can alter the ability to
understand within the subsequent 1 to 2 hr. Consequently, this client is not legally able to
provide consent.
B. can be inferred since the client consented to the transport.
Rationale: Consent for transfer to another facility for evaluation by a specialist does not imply consent for
any further procedures or care.
C. should be obtained from the client immediately.
Rationale: This client was given a narcotic that can alter the ability to understand within the subsequent 1 to
2 hr. Consequently, this client is not legally able to provide consent.
D. will be delayed until the morphine is metabolized.
Rationale: Delaying consent until the morphine is metabolized could be dangerous to the client and may
increase the chance of a life-long disability.
5. An assistive personnel (AP) comes to work with a new set of highly polished acrylic nails. The nurse takes the AP
aside and explains that acrylic nails are not permitted on the health care unit. Which of the following statements
should the nurse tell the AP?
A. "There is a higher risk of infection associated with acrylic nails."
Rationale:
Created on:03/25/2019 Page 2
lOMoARcPSD|22789381
ATI Leadership and Management latest Update| Ati
Leadership Real Exam|140 Questions and Correct
Answers|Rated A+
1. A nurse is caring for a client who has metastatic cancer and has become ventilator-dependent after palliative
surgery. The client wants to have the ventilator withdrawn but the client's children want the client to keep it on. The
client is examined by a psychiatrist who finds that the client is competent. The nurse is aware that continued
treatment against the client's wishes is a violation of which ethical principle?
A. Veracity
Rationale: Veracity is the "duty to tell the truth." This ethical principle is not violated.
B. Autonomy
Rationale: In health care, autonomy is the principle underlying informed consent, the right to refuse
treatment, and the right to appoint a surrogate decision-maker.
C. Fidelity
Rationale: Fidelity is the "duty to keep one's promises or word." It refers to the obligation to be faithful to the
agreements, commitments, and responsibilities made to oneself and others. This ethical
principle is not violated.
D. Nonmaleficence
Rationale: Nonmaleficence is the "duty to do no harm." This ethical principle is not violated.
2. A nurse is caring for a client who has an indwelling urinary catheter and is to receive catheter care twice a day.
Which of the following is the appropriate nursing action to ensure the client's privacy?
A. Pull the curtain around the client's bed.
Rationale: Pulling the curtain provides the most privacy for the client. With the curtain pulled, anyone
entering the client's room does not have visual access to the client or the treatment being
performed.
B. Cover the client's genitalia with a towel while performing catheter care.
Rationale: This action is inappropriate. Performing catheter care includes cleansing and inspection of the
urinary meatus. This cannot be properly accomplished if the client's genitalia are covered.
C. Close the door to the client's room.
Rationale: Anyone can open the door and unnecessarily expose the client to the person entering the room
as well as others in the hallway.
D. Ask the client's roommate to leave until the treatment is finished.
Rationale: This action is inappropriate. It is not necessary for the client's roommate to leave the room while
catheter care is performed.
, lOMoARcPSD|22789381
3. A nurse is caring for several clients in a walk-in clinic. Which client should the nurse have the provider see
Created on:03/25/2019 Page 1
, lOMoARcPSD|22789381
immediately?
A. A belligerent, vomiting teenager with alcohol on her breath.
Rationale: This client does not have a life-threatening emergency.
B. A screaming toddler with a freely bleeding forehead wound.
Rationale: This client does not have a life-threatening emergency.
C. A diaphoretic, obese middle-aged man with epigastric pain.
Rationale: This client has two of the classic signs of a myocardial infarction (MI), diaphoresis and epigastric
pain. It is possible the client is having an MI.
D. Young adult with painful sunburned face and arms.
Rationale: This client does not have a life-threatening emergency.
4. A nurse is caring for a client with a compression fracture of a spinal vertebra. Just prior to an hour-long transport to
the hospital, the client was medicated with intravenous morphine sulfate (Duramorph). On arrival, the neurosurgeon
determines that urgent surgical intervention is indicated for the fracture. The nurse realizes that consent for the
surgery
A. must be obtained from a relative of the client.
Rationale: According to the case scenario, this client was given a narcotic that can alter the ability to
understand within the subsequent 1 to 2 hr. Consequently, this client is not legally able to
provide consent.
B. can be inferred since the client consented to the transport.
Rationale: Consent for transfer to another facility for evaluation by a specialist does not imply consent for
any further procedures or care.
C. should be obtained from the client immediately.
Rationale: This client was given a narcotic that can alter the ability to understand within the subsequent 1 to
2 hr. Consequently, this client is not legally able to provide consent.
D. will be delayed until the morphine is metabolized.
Rationale: Delaying consent until the morphine is metabolized could be dangerous to the client and may
increase the chance of a life-long disability.
5. An assistive personnel (AP) comes to work with a new set of highly polished acrylic nails. The nurse takes the AP
aside and explains that acrylic nails are not permitted on the health care unit. Which of the following statements
should the nurse tell the AP?
A. "There is a higher risk of infection associated with acrylic nails."
Rationale:
Created on:03/25/2019 Page 2
