a nurse is caring for a client who has a terminal diagnosis and whose health is declining the client requests information about advance directives whi
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Nursing Elites

ATI RN

ATI Leadership Proctored Exam 2023

1. When a client with a terminal diagnosis asks about advance directives, what should the nurse do?

Correct answer: A

Rationale: Choice A is the correct response as it demonstrates active listening and empathy by engaging the client in a discussion about their concerns regarding advance directives. It also recognizes the importance of involving the client's partner in such discussions, promoting shared decision-making and support. Choices B and C lack the personalized approach needed in this situation and do not address the client's immediate request for information. Choice D is incorrect as it disregards the client's expressed need to discuss advance directives and focuses solely on their current feelings, delaying a crucial conversation.

2. What should the nurse do after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?

Correct answer: B

Rationale: After a patient treated with intramuscular glucagon for hypoglycemia regains consciousness, providing a snack of peanut butter and crackers is essential to prevent another episode of hypoglycemia. Peanut butter and crackers contain a combination of protein and carbohydrates, which can help stabilize the patient's blood glucose levels. This choice is the most appropriate immediate action to prevent recurrence of hypoglycemia in this scenario. Assessing for symptoms of hyperglycemia (choice A) is not the immediate priority after treating hypoglycemia. While orange juice or nonfat milk (choice C) can help raise blood sugar, they lack the sustained effect of protein found in peanut butter. Administering a continuous infusion of dextrose (choice D) is excessive and not indicated after the patient has already regained consciousness.

3. An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?

Correct answer: A

Rationale: Commitment to others involves accountability for one�s actions, lifelong learning, and commitment to colleagues.

4. How are values learned?

Correct answer: C

Rationale: Values are learned through continuous reinforcement, where behaviors or beliefs are strengthened by consequences or rewards. Reading books (choice A) may expose individuals to different perspectives and values, but the active learning and internalization of values typically occur through reinforcement. Formal degrees (choice B) may provide education and knowledge, but values are more likely to be ingrained through continuous reinforcement. Meeting diverse individuals (choice D) can also influence values, but the consistent reinforcement of desired behaviors is a more direct method for learning values.

5. Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?

Correct answer: D

Rationale:

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