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ATI RN LEADERSHIP PROCTORED EXAM NEWEST
2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is a member of a quality-improvement committee seeking to
reduce the risk of adverse events in a health care facility. When
reviewing recently submitted incident reports, which of the following
incidents should the nurse identify as a sentinel event?
A. Paralysis of a client's lower extremities occurred following epidural
anesthesia.
B. A client fall during ambulation did not result in client injury.
C. A client's family member complained that a nurse was culturally
insensitive.
D. Surgery to the wrong site was stopped prior to a procedure. -
ANSWER- A.
Paralysis of a client's lower extremities occurred following epidural
anesthesia.
Rationale; An incident resulting in permanent harm, such as
paralysis or death, is a sentinel event. Sentinel events are a high
priority and indicate the need for an immediate investigation.
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Incorrect Answers:
B. The committee should review this incident and policies to reduce
the risk and occurrence of falls in the facility; however, a client fall
that does not result in injury is not a sentinel event.
C. The committee should review the incident and policies to promote
culturally competent care. However, this type of adverse event is not
identified as a sentinel event.
D. The nurse should identify this type of incident as a near-miss,
which happens when an error is caught and prevented before it
occurs.
A charge nurse is teaching a group of clients in an assisted living facility
about client rights. Which of the following pieces of information should
the charge nurse include in the teaching?
A. "You can request to review your personal medical records at any
time."
B. "A 20-day notice is required prior to you being transferred to long-
term care."
C. "An executor will be assigned to manage your financial affairs."
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D. "You will have a provider other than your primary physician assigned
to your care." - ANSWER- A.
"You can request to review your personal medical records at any time."
Rationale; Clients have the right to request their own medical
records and should expect adequate and appropriate care from the
facility's personnel.
Incorrect Answers: B. A client has the right to a 30-day notice if
transfer to a long-term facility is required. The 30-day notice is to
assist the client with financial preparations and to promote the
client's welfare.
C. A client has the right to make independent choices, such as
managing personal financial affairs.
D. A client has the right to keep his/her provider and to choose a
different provider if necessary.
A nurse is discussing with a newly licensed nurse about how to obtain
informed consent from a client who is scheduled to undergo an epidural
procedure. Which of the following ethical principles should the nurse
include in the teaching?
A. Beneficence
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B. Autonomy
C. Paternalism
D. Justice - ANSWER- Autonomy
Rationale; Informed consent is based on the ethical principle of
autonomy, which is the right to self-determination, independence,
and freedom of choice.
Incorrect Answers:
A. Beneficence is based on the principle that actions should be taken
with the intent to do good. It is associated with nonmaleficence,
which is the requirement that health care providers do no harm to
their clients. Although this is an important ethical principle in
nursing, it is not the basis for informed consent.
C. Paternalism is based on the assumption that one person can
assume responsibility for making the decisions of another person.
This principle limits freedom of choice.
D. Justice is based on the principle that everyone should be treated
similarly and fairly. This is an important ethical principle but is not
the basis for informed consent.
ATI RN LEADERSHIP PROCTORED EXAM NEWEST
2024 ACTUAL EXAM TEST BANK 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is a member of a quality-improvement committee seeking to
reduce the risk of adverse events in a health care facility. When
reviewing recently submitted incident reports, which of the following
incidents should the nurse identify as a sentinel event?
A. Paralysis of a client's lower extremities occurred following epidural
anesthesia.
B. A client fall during ambulation did not result in client injury.
C. A client's family member complained that a nurse was culturally
insensitive.
D. Surgery to the wrong site was stopped prior to a procedure. -
ANSWER- A.
Paralysis of a client's lower extremities occurred following epidural
anesthesia.
Rationale; An incident resulting in permanent harm, such as
paralysis or death, is a sentinel event. Sentinel events are a high
priority and indicate the need for an immediate investigation.
,2|Page
Incorrect Answers:
B. The committee should review this incident and policies to reduce
the risk and occurrence of falls in the facility; however, a client fall
that does not result in injury is not a sentinel event.
C. The committee should review the incident and policies to promote
culturally competent care. However, this type of adverse event is not
identified as a sentinel event.
D. The nurse should identify this type of incident as a near-miss,
which happens when an error is caught and prevented before it
occurs.
A charge nurse is teaching a group of clients in an assisted living facility
about client rights. Which of the following pieces of information should
the charge nurse include in the teaching?
A. "You can request to review your personal medical records at any
time."
B. "A 20-day notice is required prior to you being transferred to long-
term care."
C. "An executor will be assigned to manage your financial affairs."
,3|Page
D. "You will have a provider other than your primary physician assigned
to your care." - ANSWER- A.
"You can request to review your personal medical records at any time."
Rationale; Clients have the right to request their own medical
records and should expect adequate and appropriate care from the
facility's personnel.
Incorrect Answers: B. A client has the right to a 30-day notice if
transfer to a long-term facility is required. The 30-day notice is to
assist the client with financial preparations and to promote the
client's welfare.
C. A client has the right to make independent choices, such as
managing personal financial affairs.
D. A client has the right to keep his/her provider and to choose a
different provider if necessary.
A nurse is discussing with a newly licensed nurse about how to obtain
informed consent from a client who is scheduled to undergo an epidural
procedure. Which of the following ethical principles should the nurse
include in the teaching?
A. Beneficence
, 4|Page
B. Autonomy
C. Paternalism
D. Justice - ANSWER- Autonomy
Rationale; Informed consent is based on the ethical principle of
autonomy, which is the right to self-determination, independence,
and freedom of choice.
Incorrect Answers:
A. Beneficence is based on the principle that actions should be taken
with the intent to do good. It is associated with nonmaleficence,
which is the requirement that health care providers do no harm to
their clients. Although this is an important ethical principle in
nursing, it is not the basis for informed consent.
C. Paternalism is based on the assumption that one person can
assume responsibility for making the decisions of another person.
This principle limits freedom of choice.
D. Justice is based on the principle that everyone should be treated
similarly and fairly. This is an important ethical principle but is not
the basis for informed consent.
