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ATI Leadership Exams BUNDLE
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RN 2019 Leadership ATI GRADED A
RN 2019 Leadership ATI GRADED A A nurse is reviewing a client's medication administration record and finds that the client has not received a prescrib... [Show More] ed dose of warfarin for 2 days. which of the following actions should the nurse take first? - CORRECT ANSWER Check the client's INR. A nurse manager is presenting an in-service about preventing readmission of clients dues to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing? - CORRECT ANSWER Advocay a nurse is teaching an AP about caring for a client who has a DNR order. Which of the following statements by the AP indicates an understanding of the teaching? - CORRECT ANSWER "I will call for the client's nurse to come to the room if I cannot detect the client's pulse." The AP should contact the nurse for further assessment whenever a client's condition does not meet expected findings. The client who has a DNR order in place does not require resuscitation. A nurse is caring for four clients. Which of the following tasks can the nurse assign to an AP? - CORRECT ANSWER Perform chest compressions on a client who is in cardiac arrest. The nurse should assign an AP to perform chest compressions on a client who is in cardiac arrest. Performing basic CPR is within an AP's range of function. A Nurse is teaching a newly licensed nurse about using electronic medical records. which of the following statements by the newly licensed nurse indicated an understanding of the teaching? - CORRECT ANSWER "My access to client electronic medical records may be tracked by my nurse manager." The nurse should keep her password private and not share it with anyone else to decrease the risk for a breach of client confidentiality.The nurse should expect her employer to track access of client records to ensure client confidentiality.While a client has the right to read his medical record, and the nurse can allow him to do so by following facility protocol, a client's partner does not have that right unless granted by the client.The nurse should log out of the electronic medical record when not actively using it. Failure to log out increases the risk for breach of client confidentiality. a nurse is receiving change-of-shift report. which of the following clients should the nurse assess first? - CORRECT ANSWER A client who had abdominal surgery 6 hours ago and had a heart rate of 120/min for the last 2 hours. A RN delegates the task of obtaining the bp of a client who is 2hr post-op following a cholecystectomy to a LPN. The LPN reports a BP that is significantly higher than the clients previous reading. which of the following actions should the RN take first? - CORRECT ANSWER Recheck client's BP A public health nurse is developing a list of recommendations for her supervisior on how to use EBP to improve community outcomes. Which of the following should the nurse recommend as a qualitative research method? - CORRECT ANSWER Phenomenology Meta-analysis is a quantitative research method that provides a statistical analysis of multiple studies conducted on the same topic.Experimental study is a quantitative research method that uses control and treatment groups to test at least one independent variable.Phenomenology is a qualitative research method that provides additional understanding of participants' experiences with emotional variances, such as grief and hope.Secondary analysis is a quantitative research method that uses previously collected data to answer newly formed hypotheses. A nurse at a urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take to ensure care is provided according to policy? - CORRECT ANSWER Report this issue to the nurse manager. The nurse should report this issue to the nurse manager because it is the manager's responsibility to ensure that standards are met and that care is provided according to policy. A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER "These will outline my wishes for medication treatment." The purpose of advance directives is to outline the client's wishes if they become unresponsive A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client states that he does not plan to tell his adult children about the dx. Which of the following responses displays clients advocacy by the nurse? - CORRECT ANSWER "Let's review what you understand about this test result." The nurse should use therapeutic communication techniques to encourage the client to share his point of view and to convey respect for the client's decisions. By seeking to understand the client's perceptions in a nonjudgmental manner, the nurse is displaying client advocacy. A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. which of the following statements should the nurse make? - CORRECT ANSWER "Let's talk about the benefits of each treatment." Talking about the benefits of each treatment option supports the right of the client to make decisions regarding treatment and encourages comparison of the treatments. A nurse in a community health clinic is caring for four clients who each have a communicable disease. Which of the following conditions is considered a nationally notifiable infectious disease? - CORRECT ANSWER Chlamydia trachomatis According to the Centers for Disease Control and Prevention, Chlamydia trachomatis is a nationally notifiable infectious disease in all 51 jurisdictions. The nurse should notify the state health department, which monitors and controls communicable diseases. A staff nurse detects alcohol on the breath of another nurse working on the unit. The staff nurse observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions should the nurse take? - CORRECT ANSWER Notify the charge nurse of the nurse's behavior. The charge nurse is responsible for the performance of the nurses on the shift; therefore, the staff nurse should follow the chain of command and notify the charge nurse about the nurse's behavior. A nurse overhears two staff members in the facility elevator discussing a clients care. which of the following actions should the nurse take? - CORRECT ANSWER Report the incident to the nurse manager. A Nurse manager is reviewing the stages of conflict resolutions with the nursing staff. The nurse manager should instruct the staff to expect the stages of conflict to occur in what order? STEPs: - CORRECT ANSWER 1. Latent Conflict. 2. Perceived Conflict 3. Felt Conflict 4. Manifest Conflict. 5. Conflict Aftermath A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing. Which of the following referrals should the nurse recommend for the client? - CORRECT ANSWER Occupational Therapy A nurse has just received report on four clients on a med-surg unit. which of the following clients should the nurse plan to assess first? - CORRECT ANSWER A client who is post-op following a total knee arthroplasty and has a cap. refill of 4 secs. A nurse is caring for several clients. which of the following actions should the nurse take to maintain client confidentiality - CORRECT ANSWER Tell a client's partner that the clients lab test cannot be disclosed without permission. A Charge Nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice per day. Which of the following actions should the CN take? - CORRECT ANSWER Assign the procedure to a LPN A nurse on a med-surg unit is terminally ill. which of the follwoing actions demonstrates that the nurse is practicing in an ethical manner when caring for the client? - CORRECT ANSWER Discuss end-of-life goals with the client. A nurse is teaching about the patient protection and affordable care act and their rights regarding insurance coverage. which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER "My insurance coverage no longer has lifetime coverage limits." A nurse is delegating tasks for a group of clients to an AP. Which of the following statements by the nurse provides the right direction of communication with the AP? - CORRECT ANSWER "Tell me what time the client in room 205 voids for the first time after catheter is removed." A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2hr. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next? - CORRECT ANSWER Inform the client about the risks she may encounter by leaving the facility. A Charge Nurse is evaluating a plan of care that a newly licensed nurse developed for a client who us to received a continuous NG tube feeding. Which of the following interventions should the CN ensure is part of the plan of care? - CORRECT ANSWER Use a 60ML syringe to flush out a clogged tube. A CN is planning assignments for the upcoming shift. Which of the following tasks should the CN delegate to an AP? - CORRECT ANSWER Assisting a client who had a hip arthroplasty to a chair. A Nurse manager is conducting an annual performance review for a staff nurse. Which of the following strategies should the nurse use in the review process? Select all that apply - CORRECT ANSWER Include peer evals completed by other staff nurses Have the nurse conduct a self-appraisal prior to review Complete a performance checklist A nurse manager is reviewing the actions a staff nurse took when they observed smoke coming from the wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when they performed which of the following actions first? - CORRECT ANSWER Transported the client to the hallway. [Show Less]
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ATI Leadership Management Proctored Exam
ATI Leadership Management Proctored Exam V1V2
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ATI Leadership Exam 2 GRADED A QUESTIONS AND ANSWERS
ATI Leadership Exam 2 GRADED A QUESTIONS AND ANSWERS 1. A client states: “ I do not want to be awakened for breakfast-I didn’t sleep at all las... [Show More] t night.” What is the first action for the RN to take? a. Notify the client’s provider b. Talk with the client to work out a mutual plan c. Consult with the patient’s family to get suggestions d. Contact the dietitian 2. An elderly client who has a documented history of dementia is intermittently alert and can currently tell you her name. Who should sign the client’s informed consent for an invasive diagnostic procedure? a. The client’s husband, who is blind b. The client herself, who has an advance directive c. The client’s friend who has durable power of attorney for health care for the client d. The client’s daughter, who is competent and visiting her mother from out of state 3. Nursing staff members are in the lounge on their morning break. A nursing assistant thinks that a unit secretary has acquired HIV and then tells the staff that the secretary probably caught it from her husband who is a drug addict. Which legal tort has she violated? a. Libel b. Slander c. Assault d. negligence 4. When referring to the standard of care, which phrase best describes the meaning of a nursing standard of care? a. The belief that nurses will always behave in a wise/prudent manner. b. The directive that ensures all nurses will always act in ways that help patients get better c. The ethical principle that states that a nurse shall do no harm d. The minimal level of nursing care and expertise that is expected to be delivered to a patient. 5. Which one of the following characteristics describes a “reasonable and prudent RN? a. At least 5 years of applicable RN experience b. Specialized RN skills for the assigned nursing area c. Average RN judgment and skill level in delivering patient care d. A BSN degree 6. An RN witnesses an assistive personnel (AP) under her supervision reprimand an elderly client for spilling urine form his urinal on the bed sheets. The AP verbally threatens to put a diaper on the client if he does use the urinal more carefully next time. Which one of the following wrong doings is the AP committing? a. False imprisonment b. Assault c. Invasion of Privacy d. slander 7. An RN accidentally sticks her hand with the syringe needle after administering an IM injection to a client. Which one of the following should the nurse do first? a. Notify the charge nurse of the incident b. Go to employee health services c. Complete an incident report d. Wash hand thoroughly with soap and water. 8. An RN notes that the toes on the casted left foot of her post-surgical client are cold and turning blue. The RN has notified the healthcare provides’ answering service every hour for the past two hours, yet the healthcare provider has not yet responded to the calls. The client is now complaining to extreme pain. What is the most important action for the nurse to take right now? a. Continue to call the healthcare provider’s answering service every 15 minutes until a response is obtained. b. Report the situation to the nursing supervisor so she can elevate the patient’s situation to the appropriate head/chief physician for the service. c. Continue to record the assessment finding, the time of each phone call and content reported each time to the healthcare provider d. Have the family file an immediate complaint with the Medical Staff Office against the physician. 9. Which statement best describes the value of clinical pathways (also known as care paths or critical pathways)? a. They provide a means of standardizing care for clients with similar diagnoses. b. They determine justifiable differences/variances among clients c. They decrease the amount of paperwork required for reimbursement d. They reduce administrative costs. 10. An RN overhears two care providers discussing a hospitalized client while getting coffee at the coffee bar in hospital lobby where many visitors can hear them. Which nursing action below is most appropriate for the RN to take first? a. Report the incident to their nurse manager b. Quickly engage them in a different conversation to change the subject. c. Quietly pull the two staf f members aside and remind them about client confidentiality. d. Wait until they get their coffee and head back to the nursing lounge; then tell the care providers that the conversation was not appropriate. 11. A client who is admitted for suspected abuse is quiet and withdrawn. Which of the following should the nurse implement to promote client communication? a. Invite a family member to be present for the nursing history b. Provide basic wound care for obvious physical injuries c. Probe the client to offer an actual account of the abuse d. Provide privacy and be direct and honest when communicating with the client 12. Which behavior is a priority to minimize an RN’s risk for a malpractice claim? a. Maintain positive nurse-patient relationships b. Function within the state’s nursing practice act. c. Maintain sufficient professional liability insurance to cover you if you are sued d. Ask for assistance from other RNs when engaged in high risk procedures 13. A RN in the emergency department is assessing an elderly client. The client’s son states that the client has glaucoma, is extremely hard of hearing, and has been experiencing severe abdominal cramping and diarrhea for the past 24 hours. Which of the following actions is most appropriate for the nurse to do first? a. Ask the client if he is wearing or has with him a hearing aid b. Ask the patient if he has taken any medication for the diarrhea in the past 24 hours c. Using a numeric 1-10 rating scale, ask the client to rate his abdominal pain d. Ask the client if he has talked to his physician yet about his condition. 14. Which of the following is a principle of ethical decision making that refers to the idea of doing “good”? a. Fidelity b. Beneficence c. Veracity d. Justice 15. The expense of buying a new MRI machine would most likely be included in which type of a budget? a. Contingency budget b. Operating budget c. Capital budget d. Minor equipment budget 16. The nurse is caring for a combative patient who has been placed in soft wrist restraints. The nurse notes that the client has been cooperative and non-combative for the past two hours. Which of the following measures will the nurse take next? a. Continue to assess the patient’s wrists every 15 minutes b. Compliment the patient for cooperating and return in 4 hours c. Remove one wrist restraint at a time and assess the patient’s behavior d. Maintain the restraints for the next 24 hours 17. A nurse calls the physician regarding a new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse has called the physician several times without reaching him, and the medication is due to be administered. Which action should the nurse take first? a. Administer the prescribed dose now b. Continue trying to reach the physician and document attempts made. c. Inform the nursing supervisor d. Administer the recommended dose until the physician can be contacted. 18. Nursing staff sometimes need support and guidance when facing challenging patient care ethical dilemmas. Nurse Managers can support staff in working through ethical dilemmas by consulting which of the following? a. American Nurses Association (ANA) Social Policy Statement b. Joint Commission Standards c. Patient Bill of Rights d. Hospital/Healthcare Agency’s Ethics Committee 19. Which phrase best describe the meaning of the standard of care? a. The directive that ensures that all nurses will act prudently b. The minimal level of expertise that may be delivered to a patient c. The intentions that the nurse will be [Show Less]
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ATI Leadership FINAL EXAM GRADED A
ATI Leadership FINAL EXAM GRADED A 1- A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having tro... [Show More] uble focusing and has difficulty completing the care for his assigned clients. Which of the following interventions is appropriate. A- Recommend that he take time to plan at the beginning of his shift. B- Ask other staff members to take over some of his tasks. C- Advise him to complete less time-consuming tasks first. D- Offer to provide care for his clients while he take a break. 2- A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding ring band. Which of the following is an appropriate procedure for taking care of this client’s ring. A- Place the ring in the bag with the client’s clothing. B- Agree to keep the ring for the client until after surgery. C- Place the client’s ring in the facility safe. D- Tape the ring securely to the client’s finger. 3 – A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as a correct technique? A- Instructing the client to place her chin toward her chest when swallowing. B- Provide a 10 minutes rest period prior to meals. C- Withholding fluids until the end of the meal. D- Elevating the head of the client’s bed to 30 degrees during meal time. 4 – A nurse is teaching newly licensed nurses about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality? A- Calling the pharmacy with a prescription for the client’s partner to pick up. B- Providing a copy of the client’s medical record to the transporting paramedic C- Informing housekeeping staff that the client is in the dialysis unit. D- Reporting a client’s deposition to the referring provider. 5 – A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first? A- Low pain tolerance. B- Limited social support C- Decreased self-esteem D- Inadequate food supply. 6 – A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using? A- Root cause analysis. B- Benchmarking. C- Structure audit. D- Risk benefit analysis. 7- A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include? A- Accompany residents older than 85 years of age during ambulation. B- Institute rounds every 2 hours during the day to offer toileting ATI pg 53 C- Apply vest restraints on residents who are confused. D- Keep the four side rails up on beds at night. 8- A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client’s care? (Select all that apply) from coursehero.com A – Mental health counselor. B – Occupational therapist. C – Nutritional therapist. D – Case Manager E – Physical therapist. 9 – 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 suspects elder abuse. Which of the following actions should the nurse take? A- File an incident report B- Treat and discharge the client. C- Ask the client’s son to go to the waiting room. D- Ask the client about his injuries with the son present. 10 – A nurse on a medical surgery unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? A- Obtaining a urine specimen from an older adult client AP role B- Reinforcing dietary teaching with a client who has heart disease. LPN role C- Accompanying a client who just had a wound debridement to physical therapy. D- Providing postmortem care for a client who has just died. AP role 11 – A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include. A- Provide an interpreter when obtaining consent from the client. B- Validate understanding by interpreting the client’s body language. Not culturally competent C- Involve the client’s partner to assist with the teaching session. D- Incorporate gesture and hand signals when presenting information. Not culturally competent 12 – A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines? A- I will have a client who is on airborne precautions wear a mask when out of the room. B- I will wear an N95 respirator mask when caring for a client who is on droplet precaution. C- I will place a client who has compromised immunity in a negative-pressure airflow room. D- I will instruct visitors to wear a mask when visiting a client who is on contact precaution. 13 – A nurse is assessing a client who is postoperative following a left leg below-the knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist? A- I hope I can adjust to using crutches while I am recovering. B- I am worried about taking care of my toddler at home. C- I am not sure how I will pay for all the therapy I will need. [Show Less]
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ATI RN Proctored Leadership Form A 2016
ATI RN Proctored Leadership Form A 2016 1. A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better, I'm goi... [Show More] ng to quit." Which of the following responses by the unit manager is appropriate? "So, you are upset about all the changes on the unit?" 2. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first? Determine the reasons the nurses are not taking scheduled breaks 3. A client has a new permanent pacemaker inserted. Which of the following home care instructions should the nurse include? Regular programming evaluations can be conducted by telephone 4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "I will wear a cover gown when caring for a client who has herpes simplex." 5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate? Checking residual volume before each feeding 6. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? A code of ethics is a set of principles for nursing practice 7. A nurse receives change-of-shift report for the following four clients. Which of the following clients should the nurse assess first? An older adult client who has bacterial pneumonia and a new onset of restlessness 8. A charge nurse is assessing staff knowledge about safety procedures regarding needlestick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures? "An incident report should be completed if a client receives a stick from her own used needle." 9. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? Libel 10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first? Remove the restraints from the client's wrists 11. To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using? Competing 12. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take? Remove the IV pump form the client's room 13. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states that she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? Social worker 14. A charge nurse is completing client care assignments. Which of the following assignments is appropriate for a licensed practical nurse? A client who is 1 day postoperative and has a continuous bladder irrigation 15. A nurse is caring for a client who is comatose and has advance directives designating his adult daughter as his health proxy. The client's partner instructs the nurse to institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take first? Inform the partner that the staff must follow the client's advance directives 16. A nurse from the labor and delivery unit is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take first? Request orientation to the medical-surgical unit 17. A nurse in the emergency department is preparing a married 17-year-old client for an appendectomy. The client's parents are enroute to the facility but have not spoken with the surgeon. Which of the following actions should the nurse take first? Have the client sign the consent form after the surgeon explains the procedure 18. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately relieved during the first 12 hours postoperatively. The unit manager decides to identify postoperative pain as a quality indicator. Which of the following data sources will be helpful in determining the reason why clients are not receiving adequate pain management after surgery? Pain assessment policy 19. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicates understanding of the teaching? (select all that apply) -"I can delegate the removal of an IV catheter to an LPN on the unit." -"I will attend continuing education classes for professional growth." -"I administer pain medication to my clients even if they have a history of narcotic addiction." 20. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report? The time the client received his last dose of pain medication 21. A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel? Using a pain rating scale to monitor a client's pain level 22. A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to assistive personnel? Pouching a client's established ostomy 23. A charge nurse is reviewing how to set up a sterile field with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the process? "I will keep the label of the solution bottle facing up when pouring solution into the sterile cup." 24. A nurse is providing care for four postoperative clients. The nurse should first assess the client Whose pulse has been steadily increasing during the past shift 25. A charge nurse overhe [Show Less]
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NSG325 ATI crtitical 6 QUESTIONS and Answers latest update
NSG325 ATI crtitical 6 QUESTIONS and Answers latest update 1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If ... [Show More] things do not ger better, I’m going to quit.” Which of the following responses by the unit manager is appropriate? “So you are upset about all the changes on the unit?” 2. A change nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse first take? Determine the reasons the nurses are not taking scheduled breaks. 3. A client has a new permanent peacemaker inserted. Which of the following home care instructions should the nurse include? The client should avoid using a microwave oven to heat food. 4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? “ I will wear a cover gown when caring for a client who has herpes simplex.” 5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate? Checking residual volume before each feeding 6. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? A code of ethics is a set of principles for nursing practice. 7. A nurse receives change-of-shift report for the following four clients. Which of the following clients should the nurse assess first? An older adult client who has bacterial pneumonia and a new onset of restlessness 8. A charge nurse is assessing staff knowledge about safety procedures regarding needlestick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures? “An incident report should ne completed if a client receives a stick from her own used needle.” 9. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? Libel 10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is agitate prescription for restraints. Which of the following actions should the nurse take first? Remove the restraints from the client’s wrist 11. To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those oppose those changes. Which of the following conflict resolution strategies is the nurse manager using? Competing 12. A nurse is caring for a client and notices fraying on the electrical cord of the client’s IV pump. Which of the following actions is the priority for the nurse to take? Report the problem to the engineering team. 13. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? Social worker 14. A charge nurse is completing client care assignments. Which of the following assignments is appropriate for licensed practical nurse? A client who is 1 day postoperative has a continuous bladder irrigation 15. A nurse is caring for a client who is comatose and has advance directives designating his adult daughter as his adult daughter as his health care instructs the nurse to Institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take? Inform the partner that the staf f must follow the client’s advance directives 16. A nurse from the labor and delivery unit is assigned to float to a medical surgical unit. Which of the follo [Show Less]
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ATI RN LEADERSHIP PROCTORED EXAM 2019 VERSION 2
ATI LEADERSHIP PROCTORED EXAM 1. A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better, I'm g... [Show More] oing to quit." Which of the following responses by the unit manager is appropriate? o "So you are upset about all the changes on the unit?" 2. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first? o Determine the reasons the nurses are not taking scheduled breaks 3. A client has a new permanent pacemaker inserted. Which of the following home care instructions should the nurse include? o Regular programming evaluations can be conducted by telephone 4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? o "I will wear a cover gown when caring for a client who has herpes simplex." 5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate? o Checking residual volume before each feeding 6. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? o A code of ethics is a set of principles for nursing practice 7. A nurse receives change-of-shift report for the following four clients. Which of the following clients should the nurse assess first? o An older adult client who has bacterial pneumonia and a new onset of restlessness 8. A charge nurse is assessing staff knowledge about safety procedures regarding needlestick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures? o "An incident report should be completed if a client receives a stick from her own used needle." 9. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? o Libel 10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first? o Remove the restraints from the client's wrists 11. To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using? o Competing 12. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take? o Remove the IV pump form the client's room 13. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states that she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? o Social worker 14. A charge nurse is completing client care assignments. Which of the following assignments is appropriate for a licensed practical nurse? o A client who is 1 day postoperative and has a continuous bladder irrigation 15. A nurse is caring for a client who is comatose and has advance directives designating his adult daughter as his health proxy. The client's partner instructs the nurse to institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take first? o Inform the partner that the staff must follow the client's advance directives 16. A nurse from the labor and delivery unit is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take first? o Request orientation to the medical-surgical unit 17. A nurse in the emergency department is preparing a married 17-year-old client for an appendectomy. The client's parents are en route to the facility but have not spoken with the surgeon. Which of the following actions should the nurse take first? o Have the client sign the consent form after the surgeon explains the procedure 18. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately relieved during the first 12 hours postoperatively. The unit manager decides to identify postoperative pain as a quality indicator. Which of the following data sources will be helpful in determining the reason why clients are not receiving adequate pain management after surgery? o Pain assessment policy 19. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicates understanding of the teaching? (select all that apply) o "I can delegate the removal of an IV catheter to an LPN on the unit." o "I will attend continuing education classes for professional growth." o "I administer pain medication to my clients even if they have a history of narcotic addiction." 20. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report? o The time the client received his last dose of pain medication 21. A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel? o Using a pain rating scale to monitor a client's pain level 22. A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to assistive personnel? o Pouching a client's established ostomy 23. A charge nurse is reviewing how to set up a sterile field with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the process? o "I will keep the label of the solution bottle facing up when pouring solution into the sterile cup." 24. A nurse is providing care for four postoperative clients. The nurse should first assess the client o Whose pulse has been steadily increasing during the past shift 25. A charge nurse overhears a provider and a nurse talking about a client's diagnosis in the cafeteria. Which of the following actions should the nurse take first? o Remind them that client information is confidential 26. A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed? o A nurse explains to a client's family that a DNR order includes withholding comfort measures 27. The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place and time. Which of the following people has the legal authority to make this health decision? o The client 28. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take? o Contact social services about the delivery of the oxygen equipment 29. A nurse is a long-term facility is assessing a client who [Show Less]
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ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAM
ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAM 1. A nurse enters the room of a client and finds the client lying on the floor. Which of the followin... [Show More] g actions should the nurse take first? A) Call the provider. B) Ask a staff member for assistance getting the client back in bed. C) Inspect the client for injuries. D) Instruct the client to ask for help if they need to get out of bed. 2. An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN? A) Obtain vital signs for a client who is 2 hr post procedure following a cardiac catheterization. B) Administer a unit of packed red blood cells (RBCs) to a client who has cancer. C) Instruct a client who is scheduled for discharge in the performance of wound care. D) Develop a plan of care for a newly admitted client who has pneumonia. 3. A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and output for several clients. Which of the following actions should the RN take? A) Complete an incident report. B) Delegate this task to the PN. C) Ask the AP if they need assistance. D) Notify the nurse manager. 1.A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? A. A client who has a hip fracture and is in Buck‟s traction B. A client who has aspiration pneumonia and a respiratory rate of 28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot D. A client who has a C diff infection and needs a stool specimen collected 2.A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min. Which of the following actions should the nurse take? A. Notify the nursing supervisor about the issues B. Contact the client‟s physical therapist C. Apply a warm compress to the hip D. Reposition the client for comfort 3. The mother of a client with breast cancer states, it‟s been hard for her, especially after losing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate client advocacy? A. The nurse investigates potential resources to help the client purchase wig B. The nurse explains to the mother that most clients with cancer lose their hair C. The nurse informs the next shift nurse regarding the mother‟s concerns. D. The nurse suggests counseling for the client‟s body image issues 4.Which of the following items must be discarded in a biohazard waste receptacle? A. A urinary catheter drainage bag from a client who is post-opt B. A bed sheet from a client with bacterial pneumonia C. A perineal pad from a client who is 24-hr post-vaginal delivery D. An empty IV bag removed from a client who has HIV 5.A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don‟t get better, I‟m going to quit. “Which of the following responses appropriate? A. “So you are upset about all the changes on the Unit” B. “I think you have a right to be upset, I am tired of the changes too” C. “Just stick with it a little longer. Things will get better soon D. “ You should file complaints with hospital administrator 6. According to the HIPAA regulations, which of the following is a violation of client confidentiality? A. Telephone the pharmacy with a prescription for the spouse to pick up B. Providing a copy of the record to the transporting paramedic C. Reporting a client‟s disposition to the referring provider D. Informing housekeeping staff that the client is in dialysis unit 7.A Nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a sterile procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all that apply.) A. Open the sterile pack by first unfolding the flap farthest from her body B. Rests the cap of a solution container upside down on the sterile field C. ld D. Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field E. Places sterile items within 1.25 cm (0.5 inch) border around the edge of the sterile field 8.A nurse is providing care for 4 post-opt clients. The nurse should first assess the client A. Whose pulse has been steadily increasing during the past shift B. Who is reporting a pain level of 8 on a scale of 0 to 10. C. Whose urine output averaged 32 ml/hr for the past 24 hr Who is reporting nausea after the prescribed antiemetic was administered d. Seek the assistance of a nurse on the floor who is fluent in the client's language. [Show Less]
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