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ATI Leadership Level 3 1) A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done? Whether the client understands the risk of refusing the procedure Whether the partner is the client's durable power of attorney for health care Whether the client's refusal is based on a religious belief Whether the facility ethics committee reaches a census on the case 2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take? Report the infection to the local health department Initiate contact precautions Instruct the client to use condoms until the treatment is complete Apply an antiviral cream to the lesions 3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make? "I will ask your mother's primary care provider to speak with you." "What would you like to know about your mother's treatment?" "You will have to speak directly to your mother about her treatment." "I cannot provide this information to you without your mother's consent." 4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse take? Ask the client's son to go to the waiting area File an incident report Treat and discharge the client Ask the client about his injuries with the son present 5) A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns on 72% of his body? Green Yellow Black Red 6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make? “You must choose a member of your family to serve as your health care proxy” “A health care proxy can make decisions for you when you are unable to do so” “You should appoint a health care proxy before undergoing an invasive procedure” “It is necessary for an attorney to approve your health care proxy” 7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take? Continue the medication dosages that relieve the client’s pain Contact the provider about replacing the opioid with an NSAID Administer the benzodiazepine but withhold the opioid Withhold the benzodiazepine but continue the opioid 8) A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? “I should encrypt personal health information when sending emails” “I can use another nurse’s password as long as I log off after using the computer” “I should discard personal health information documents in the trash before leaving the unit “I can post the client’s vitals sings in the client’s room” 9) A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN? Why is this page out of focus?This is a Premium document. Become Premium to read the whole document. Why is this page out of focus?This is a Premium document. Become Premium to read the whole document. Why is this page out of focus?This is a Premium document. Become Premium to read the whole document. Which actions should the nurse include in the plan as a case manager of the client's care?Which actions should the nurse include in the plan as a case manager of the client's care? Organize, manage, and balance health care services needed for the client.
Which of the following actions should the nurse take to maintain client confidentiality?Which of the following actions should the nurse take to maintain client confidentiality? This action by the nurse will maintain client confidentiality. Providing a client's partner with laboratory results without permission is unauthorized disclosure of confidential information.
Which of the following clients should the nurse assess first after receiving change of shift report?Which client should the nurse on the vascular unit assess first after receiving the shift report? The client with an above the knee amputation who needs a full body lift to get in the wheelchair. The charge nurse of a long-term care facility is making assignments.
Which of the following findings should the nurse recognize as a physiological change associated with aging?Which of the following findings should the nurse recognize as a physiological change associated with aging? Rationale: Older adult clients are more likely to have decreased lung expansion due to decreased mobility of the ribs.
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A nurse is caring for a client who has an STI that must be reported to the state health department
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