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ATI LEADERSHIP PROCTORED A,B,C AND OTHER EXAMS BUNDLE
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ATI LEADERSHIP PROCTORED EXAM 2021/2022 –REVISION GUIDE(LATEST) QUESTIONS,ANSWERS AND RATIONALES
ATI LEADERSHIP PROCTORED EXAM 2021/2022 –REVISION GUIDE(LATEST) QUESTIONS,ANSWERS AND RATIONALES 1. A nurse is assessing pressure ulcers on four client... [Show More] s to evaluate the effectiveness of a change in the wound care procedure. Which of the following findings indicate wound healing. a. Erythema on the skin surrounding a client's wound b. Deep red color on the center of the clients wound c. Inflammation noted on the tissue edges of a client's wound d. Increase in serosanguineous exudate from the clients wound (damaged capillaries) Rationale: Leadership 7.0 pg 329: - Stages of Wound Healing - Inflammatory stage - beginning stage, also usually suggests infection - Begins with the injury and lasts 3 to 6 days - Effects to the wound: controlling bleeding with vasoconstriction and retraction of blood vessels, and with clot formation. Delivering oxygen, WBCs, nutrients to the area via blood supply. Hemostasis occurs along with fibrin formation. Macrophages engulf microorganisms and cellular debris (phagocytosis). - Proliferative stage - Lasts the next 3 to 24 days - Effects to the wound: replacing lost tissue with connective or granulated tissue or collagen. Contracting the wound’s edges. Resurfacing of new epithelial cells. Healthy granulation tissue does not bleed easily. Dark granulation tissue can be a sign of infection, ischemia, or poor perfusion. In the final phase of the proliferative stage of wound healing, epithelial cells resurface the injury. - Maturation or remodeling stage - Occurs after day 21 and involves that strengthening of the collagen scar and restoration of a more normal appearance. It can take more than 1 year to complete, depending on the extent of the original wound. When scar tissues are forming. - Appearance: - Note the color of open wounds. - Red: healthy regeneration of tissue. - Yellow: presence of purulent drainage and slough - Black: presence of eschar that hinders healing and requires removal. 2. A nurse received change of shift report at 0700 for four clients. Which of the following actions should the nurse perform first? a. Obtain a breakfast tray for a client who received a morning dose of insulin aspart. - (fast-acting insulin...usually takes effect after 15 minutes) b. Administer pain medication to a client who has rheumatoid arthritis and received the last dose at 0400. c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900 d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours 3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse? a. A client who has multiple sclerosis and ataxia - (normal finding for someone that has multiple sclerosis= most stable - showed up on online practice tests) b. A client who has brain tumor and is admitted for chemotherapy ← dead c. A client who has guillain-barre syndrome and a tracheostomy -unstable d. A client who sustained a concussion and is being monitored for complication -unstable 4. A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? a. “Once I sign my living will, a family member must co-sign it” b. “I will wait until I have a serious health problems to sign my advance directives” c. “My doctor will need to provide approval for the decisions outlines in my living will d. “My durable power of attorney for health care is part of my advance directives”-durable power of will and living will are components of advance directives. Rationale: Leadership 7.0 page 38 5. A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first? a. Identify the industry standards for infant safety b. Evaluate the selected infant safety system c. Choose an infant safety system d. Establish measurement criteria for infant safety systems 6. A nurse notes that a client is eating about half of the food on his plate and coughs frequently during meals. The nurse plans to perform dysphagia screening to determine the client's need for a referral to which of the following providers? a. Physical therapist b. Respiratory therapist c. Speech therapist d. Occupational therapist 7. A home health nurse is assessing the home environment during an initial visit to a client who has a history of falls. Which of the following findings should the nurse identify as increasing the client's risk for falls (select all that apply) - A wheeled office chair at the client's computer desk - A raised vinyl seat on the toilet in the bathroom - A throw rug covering some cracked vinyl flooring in the kitchen - A folding chair without arm rests. - A two wheeled walker used to assist the client with ambulation 8. A nurse manager is planning to assign care for four clients on a medical surgical unit. Which of the following clients should the nurse assign to a LPN a. An older adult who has lung cancer and has periodic episodes of severe dyspnea b. A middle adult client who has a below the knee amputation and requires a dressing change - stable; only needs dressing change c. A young adult client who is postoperative, receiving morphine via epidural, and reports pruritus d. An adolescent who is new diagnosed with DM and requires teaching regarding insulin administration 9. While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority for the nurse to take? a. Remind nurses to obtain this information during the admission processb. Reinforce the potential consequences of not having his information on record to the nursing staff c. Meet with nursing staff to review the policy regarding advance directive d. Ask nurse who are caring for client without his information in the medical record to obtain it 10. A nurse is caring for a group of clients. Which of the following should the nurse see first? a. A client who is postoperative and his a fever. b. A client whose pressure ulcer has serosanguineous drainage on the dressing-normal c. A client who has diabetes mellitus and is diaphoretic- hypoglycemia d. A client who has a fractured hip and reports a pain level of 7 on a scale from 0 to 10.-no Rationale:Hypoglycemia may lead to SZ, coma or death if it’s not treated right away. Other S/S: Tachycardia, cold sweats, irritability, confusion, and diaphoretic aka sweating. 11. A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse care for first? a. A client who is 4 hr post-operative following a hernia repair and has pitting edema of the right leg b. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea c. A client who has pneumonia and requires a tracheostomy dressing change d. A client who has a new colostomy and requires discharge teaching 12. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working on the night shift. Which of the following actions should the nurse manager take first? a. Acknowledge the conflict and encourage the nurses to focus on working as a team. b. Gather information regarding the situation c. Encourage the nurses to resolve the conflict autonomously d. Meet with a committee from each shift to discuss issues related to the conflict 13. A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an industrial setting. Which of the following actions should the nurse take first? a. Don personal protective equipment - protect yourself first b. Irrigate the exposed area with water c. Remove the client’s clothing d. Report the incident to OSHA 14. A newly licensed nurse realizes that she administered metoprolol 25 mg PO to the wrong client. Which of the following actions should the nurse perform first? a. Complete an incident report b. Measure the client’s vital signs c. Inform the nurse manager d. Call the provider 15. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately? a. Decreased level of consciousness - getting sleepier..neurological damage? Maybe? INC ICP b. Generalized rash over trunk c. Increased temperature d. Report of photophobia Rationale:Seek immediate medical care if you or someone in your family has meningitis symptoms, such as: ● Fever. ● Severe, unrelenting headache. ● Confusion. ● Vomiting. ● Stiff neck. 16. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway? a. Antibiotic therapy was initiated 2 hr after implementation of the care pathway. b. A blood culture was obtained after antibiotic therapy had been initiated c. An allergy to penicillin required an alternative antibiotic to be prescribed HMM d. The route of antibiotic therapy on the care pathway was changed from IV to PO A variance report should be initiated whenever an error is made involving a client, even if no injury occurred. 17. A nurse manager is making staffing assignments for the maternal newborn unit. Which of the following clients should the nurse manager assign to a float nurse from the medical-surgical unit? a. A client who is postterm and is receiving oxytocin for labor induction b. A client who gave birth to her first child and requires instruction on breastfeeding techniques c. A client who is 2 days post-operative following a caesarean birth and is having difficulty ambulating. - most stable d. A client who has preeclampsia and is receiving a continuous magnesium sulfate infusion 18. A nurse is coordinating an interprofessional team to review proposed standards to reduce the transmission of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following members of the interprofessional team should the nurse consult? a. Risk management coordinator b. Clinical pharmacist c. Nursing supervisor d. Infection control nurse 19. A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take? a. Discuss with the client her concerns regarding the procedure b. Provide the client with information on treatment options and outcomes c. Inform the client of the consequences of uterine prolapse and the need for intervention d. Initiate a mental health consult to determine the client’s reasons for refusing surgery 20. A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take? a. Delay the surgery until the nurse can obtain informed consent b. Obtain telephone consent from the facility administrator before the surgery c. Ask the anesthesiologist to sign the consent d. Transport the client to the operating room without verifying informed consent 21. A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to an assistive personnel? a. Performing postmortem care prior to transferring the client to the morgue b. Advising a client on self-administration of acetaminophen c. Teaching a client to perform a finger-stick for testing blood glucose levels d. Informing a family of a client’s progress in physical therapy 22. A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process? a. Notify staff of the increased fall rate b. Review current literature regarding client falls c. Implement a fall prevention plan d. Identify clients who are at risk for falls 23. A nurse is completing a performance evaluation for an assistive personnel (AP). Which of the following actions by the AP requires intervention by the nurse? a. The AP uses alcohol hand antiseptic after caring for a client who has Clostridium difficile . b. The AP closes the door of a client who is on airborne precautions c. The AP removes cut flowers from the room of a client who is in a protective environment. d. The AP wears a mask when caring for a client who has varicella Rationale: Alcohol-based hand sanitizers are highly effective against non–spore-forming organisms, but they do not kill C. difficile spores or remove C. difficile from the hands 24. A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse? a. Asses the staff nurses’ knowledge deficit - assess first b. Pair an inexperienced nurse with an experienced nurse c. Demonstrate use of the pump during medication administration d. Plan an in-service education program on the unit 25. A nurse is preparing a shift assignment for an assistive personnel (AP) on the unit. Which of the following tasks should the nurse assign to the AP? a. Administer the initial bolus feeding to a client who has an NG tube → admin of med b. Check a client’s pain level 30 min after receiving acetaminophen → assessment of pain c. Collect a urine specimen from a newly admitted client d. Instruct a client to splint an abdominal incision → considered teaching/assessment 26. A nurse is assisting with triage during a mass casualty event. The nurse applies a red tag to a client. Which of the following actions should the nurse take? a. Treat the client’s injuries within 30 min b. Provide treatment for life-threatening injuries c. Provide treatment for minor injuries d. Allow the client to die without further intervention BLACK Red tags - (immediate) are used to label those who cannot survive without immediate treatment but who have a chance of survival. Yellow tags - (observation) for those who require observation (and possible later re-triage). Their condition is stable for the moment and, they are not in immediate danger of death. These victims will still need hospital care and would be treated immediately under normal circumstances. Green tags - (wait) are reserved for the "walking wounded" who will need medical care at some point, after more critical injuries have been treated. White tags - (dismiss) are given to those with minor injuries for whom a doctor's care is not required. Black tags - (expectant) are used for the deceased and for those whose injuries are so extensive that they will not be able to survive given the care that is available. 27. A home health nurse is performing a safety assessment of a client’s home. Which of the following findings should the nurse identify as a safety hazard? a. The client has used tacks to secure the carpet on the stairs X b. The client’s electrical cord is taped to the floor X c. The client's bedside lamp is plugged in using an extension cord with two prongs d. The client stores cleaning supplies in a locked cabinet above his head X 28. A charge nurse is observing a newly licensed nurse provide care for a client who has Clostridium difficile infections. Which of the following actions by the newly licensed nurse indicate an understanding of proper infection control procedures? A. Applies a mask before entering the client’s room B. Removes fresh flowers from the client’s room. C. Washes her hands with an alcohol-based hand rub after caring for the client. D. Wears a gown when caring for the client Rationale: C-diff is considered Contact Isolation 29. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client’s need for which of the following supplies to manage tracheostomy at home? (Select all that apply.) A. Pipe cleaners B. O2 Tank C. Cotton balls D. Petroleum Jelly E. Obturator 30. A nurse is caring for four clients who are scheduled to undergo surgery. Which of the following clients can give informed consent? A. An adult client who has alcohol intoxication B. An adolescent client who is legally emancipated C. An older adult client who has questions about the procedure D. An adult client who has moderate Alzheimer’s disease. Rationale: The form for informed consent must be signed by a competent adult. Emancipated minors (minors who are independent from their parents, such as a married minor) can provide informed consent for themselves. 31. A nurse is discussing the safekeeping of valuables with a client who is scheduled for surgery. Which of the following client statements indicates the need for further teaching? a. “I can wear my ankle bracelet since i am just having a local anesthetic: b. “I can leave my wedding ring on if it is taped in place” c. “I should remove my dentures before the procedure” d. “I should leave my valuables with a family member” 32. A nurse is caring for an older adult client who has Stage III pressure ulcer. The nurse requests a consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with a consultant? a. Request the consultation after several wound care treatments are tried b. Arrange for the wound care nurse specialist to see the client daily to provide the recommended treatments c. Arrange the consultation for a time when the nurse caring for the client is able to be present for the consultation d. Provide the consultant with subjective opinions and beliefs about the client’s wound care 33. A nurse is observing an AP administer 0.9% sodium chloride enema to an adult client. For which of the following actions by the AP should the nurse intervene? a. Positions the client on her left side with knees flexed b. Administers the solution at room temp - ok c. Points tubing in the direction of the umbilicus during insertion - ok d. Inserts the tubing 8cm (3.1 in) into the rectum -ok insert 3-4 inches Rationale: sims position: left side, right leg flexed, left leg straight 34. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. “I should encrypt personal health information when sending emails.” → Encryption is a way to make data unreadable at rest and during transmission. b. “I can post the client’s vital signs in the client’s room.” c. “I can use another nurse’s password as long as i log off after using the computer” d. “I should discard personal health information documents in the trash before leaving the unit” 35. A nurse is participating on a committee that is considering the creation of a policy that will allow the nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy? a. ANA Standards of Practice b. ANA Code of Ethics c. State nurse practice act - showed up on practice tests d. Institute of medicine 36. A charge nurse observe a licensed practical nurse tell a client that she will return with a medication to help relieve the client’s nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN? a. Veracity b. Justice c. Fidelity d. Nonmaleficence Rationale: Review ATI pg. 47 Autonomy: The ability of the client to make personal decisions, even when those decisions might not be in the client’s own best interest ●● Beneficence: Care that is in the best interest of the client ●● Fidelity: Keeping one’s promise to the client about care that was offered ●● Justice: Fair treatment in matters related to physical and psychosocial care and use of resources ●● Nonmaleficence: The nurse’s obligation to avoid causing harm to the client ●● Veracity: The nurse’s duty to tell the truth 37. A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take? a. Use root cause analysis to identify gaps in meeting standards b. Establish work initiatives to promote a positive environment c. Compare practices within the facility against other high-performing facilities d. Determine how current practice will affect future performance within the facility Benchmarks are goals that are set to determine at what level the outcome indicators should be met. Data is collected, analyzed, and compared with the established benchmark. ●● If the benchmark is not met, possible influencing factors are determined. A root cause analysis can be done to critically assess all factors that influence the issue. A root cause analysis: ◯◯ Focuses on variables that surround the consequence of an action or occurrence. ◯◯ Is commonly done for sentinel events (client death, client care resulting in serious physical injury) but can also be done as part of the quality improvement process. ◯◯ Investigates the consequence and possible causes. ◯◯ Analyzes the possible causes and relationships that can exist. ◯◯ Determines additional influences at each level of relationship. ◯◯ Determ...................................................................................................................................................................CONTINUED....................................................DOWNLOAD FOR BEST SCORES [Show Less]
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ATI LEADERSHIP PROCTORED EXAM PRACTICE A GUIDE.RATED A+
A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informe... [Show More] d consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind signing the informed consent form for the procedure at this time?" A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)? Instruct a client how to take their blood pressure. Administer subcutaneous medications to a client. Determine a client's intake and output. • Provide a status update to a client's family member. A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the nurse anticipate referring the guardian of the newborn? Child protective services Public health • Home health Women, Infants, and Children A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next. Set target dates for completion. Identify areas of support. Determine goals and objectives. • Implement recommended strategies A home health nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should first visit the client who has which of the following laboratory values? Digoxin 1.0 ng/mL • WBC 6,000/mm3 Platelets 100,000/mm3 Serum potassium 4.0 mEq/L A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? The child has red sores at the corners of the mouth. The child has several small bruises on both legs. The child sleeps for about 13 hr each night. The child is not regularly attending school A nurse manager is teaching about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the teaching? "Change-of-shift report can be given at the client's bedside." "I can provide client information over the phone if the caller identifies themselves as family." "A client cannot see their medical record because it is considered to be property of the facility." "Access to client information is limited to direct care providers." A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A nurse is photocopying their assigned client's diagnostic test results. • An assistive personnel (AP) documents a client's vital signs on the client's paper-based graphic record. The unit secretary faxes a client's laboratory results to the provider. An RN stays with a client who is reading the medical records that were requested. A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist the nurse in evaluating the cost effectiveness of the care? The age of the client The availability of community support groups • The length of the client's stay The type of insurance the client carries A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) The right to be treated with respect and dignity The right to full access of the facility The right to refuse their medications The right to leave regardless of provider recommendations The right to be fully informed of their health conditions A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks. Identify the sequence the nurse manager should follow when disciplining the employee. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) Schedule a meeting with the nurse. Provide a written reprimand. Temporarily remove the nurse from scheduled shifts. Terminate the nurse's employment. Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)? "Take vital signs every 2 hours for the client who had a cholecystectomy in room 6122." "Check the urinary output at 1100 for John Doe and report it to me immediately." "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438." "Please notify me of any clients whose vital signs or blood glucose levels are significant." A nurse is caring for a 19-year-old client who has just been informed that their cancer has metastasized. The client tells the nurse that they do not want to continue chemotherapy. Which of the following responses should the nurse make? "I will have the provider discuss treatment options with your parents." "I will gather information about palliative care for you." • "I will contact your spiritual advisor to discuss this decision with you." "I will contact your parents about becoming your designees in your durable power of attorney." A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as demonstrating sterile technique? The nurse places the sterile package with the top ap opening away from the body. • The nurse pinches the ap on the inside of the package rst to open it. The nurse reaches over the package to open the left ap. The nurse pulls the last ap of the package away from the body. A nurse is planning discharge care for a client who had a stroke and now has left-sided weakness. Which of the following interventions should the nurse include in the plan of care? Request crutches from a medical equipment provider. Advise the client to install grab bars in the bathroom at home. Encourage the client to allow a home care aide to perform ADLs for them. • Contact hospice to provide follow-up care for the client. A charge nurse is planning client care assignments for a unit. Which of the following tasks should the nurse assign to an LPN? A. Determine the swallowing ability of a client who has had a stroke. B. Provide an enteral feeding to a client who has Chron's disease. C. Develop a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus. D. Weigh a client who is 3 days postoperative following coronary artery bypass grafting. A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after discharge. Which of the following statements should the nurse make? "A social worker will address your concerns after discharge." "You should plan to go to a skilled nursing facility after discharge." "Your case manager will coordinate the resources you will need." • "You will need hospice care until you feel stronger." A nurse manager is auditing client charts and identifies an increase in ventilator-associated pneumonia (VAP). Which of the following actions should the nurse manager take? Report the findings to the hospital ethics committee. Alert central supply. Fill out an incident report. Notify the quality improvement team. A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take? Assist in weighing the options involved in the decision. Provide a legal representative for the family. Recommend the best course of action for the client. Decide how the nursing team should resolve the dilemma. A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic expe.............................................................................CONTINUED...............................................................................DOWNLOAD FOR BEST SCORES [Show Less]
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ATI LEADERSHIP C PROCTORED EXAM QUESTIONS AND ANSWERS REVISION STUTY GUIDE
1. A nurse is assessing pressure ulcers on four clientsto evaluate the effectiveness of a change in wound care procedure. Which of the following findings ... [Show More] indicate wound healing? a. Erythema on the skin surrounding a client’s wound b. Inflammation noted on the tissue edges of a client’s wound c. Increase in serosanguinous exudate from a client’s wound d. Deep red color on the center of a client’s wound 2. A nurse received change-of-shift report at 0700 for four clients. Which of the following actions should the nurse perform first? a. Administer pain medication to a client who has rheumatoid arthritis and received the last dose at 0400 b. Obtain a breakfast tray for a client who received a morning dose of insulin aspart c. Replace a client’s enteral nutrition feeding solution that has been hanging for 24 hr d. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900 3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse? a. A client who sustained a concussion and is being monitored for complications b. A client who has a brain tumor and is admitted for chemotherapy c. A client who has Gullain-Barre syndrome and a tracheostomy d. A client who has multiple sclerosis and ataxia 4. A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? a. My durable power of attorney for health care is part of my advance directives b. My doctor will need to provide approval for the decisions outlined in my living will c. Once I sign my living will, a family member must co-sign it d. I will wait until I have a serious health problem to sign my advance directives 5. A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first? a. Establishmeasurement criteria for infantsafety systems b. Evaluate the selected infantsafety system c. Choose an infantsafety system d. Identify the industry standards for infantsafety 6. A nurse notes that a client is eating about half of the food on his plate and coughs frequently during meals. The nurse plans to perform dysphagia screening to determine the client’s need for a referral to which of the following providers? a. Respiratory therapist b. Physical therapist c. Occupational therapist d. Speech therapist 7. A home health nurse is assessing the home environment during an initial visit to a client who has a history of falls. Which of the following findings should the nurse identify as increasing the client’s risk for falls? (Select all that apply.) a. A wheeled office chair at the client’s computer desk b. A two-wheeled walker used to assist the client with ambulation c. A throw rug covering some cracked vinyl flooring in the kitchen d. A folding chair without arm rests e. A raised vinyl seat on the toilet in the bathroom 8. A nurse manager is planning to assign care for four clients on a medical-surgical unit. Which of the following clients should the nurse assign to a licensed practical nurse? a. An adolescent client who is newly diagnosed with diabetes and requires teaching regarding insulin administration b. A middle adult client who had a below-the-knee amputation and requires a dressing change c. An older adult client who has lung cancer and has periodic episodes ofsevere dyspnea d. A young adult client who is postoperative, receiving morphine via epidural, and reports pruritus 9. While auditing the medical records of clients currently on an oncology unit, the nurse manager findsthat six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take? a. Reinforce the potential consequences of not having thisinformation on record to the nursing staff b. Ask nurses who are caring for clients without this information in the medical record to obtain it c. Meet with nursing staff to review the policy regarding advance directives d. Remind nursesto obtain this information during the admission process 10. A nurse is caring for a group of clients. Which of the following clients should the nurse see first? a. A client who is postoperative and has a fever b. A client whose pressure ulcer has serosanguinous drainage on the dressing c. A client who has diabetes mellitus and is diaphoretic d. A client who has a fractured hip and reports a pain level of 7 on a scale from 0 to 10 11. A nurse isreceiving change-of-shift report for four clients. Which of the following clients should the nurse care for first? a. A client who has pneumonia and requires a tracheostomy dressing change b. A client who has a new colostomy and requires discharge teaching c. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea d. A client who is 4 hr postoperative following a hernia repair and has pitting edema of the right leg - check 12. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working the night shift. Which of the following actions should the nurse manager take first? a. Encourage the nursesto resolve the conflict autonomously b. Meet with a committee of nurses from each shift to discuss issues related to the conflict c. Gather information regarding the situation d. Acknowledge the conflict and encourage the nurses to focus on working as a team 13. A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an industrial setting. Which of the following actionsshould the nurse take first? a. Remove the client’s clothing b. Don personal protective equipment - check c. Report the incident to OSHA d. Irrigate the exposed area with water 14. A newly licensed nurse realizes that she administered metoprolol 25 mg PO to the wrong client. Which of the following actions should the nurse perform first? a. Measure the client’s vitalsigns b. Call the provider c. Inform the nurse manager d. Complete an incident report 15. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately? a. Increased temperature b. Generalized rash overtrunk c. Report of photophobia d. Decreased level of consciousness 16. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway? a. The route of antibiotic therapy on the care pathway was changed from IV to PO b. An allergy to penicillin required an alternative antibiotic to be prescribed c. A blood culture was obtained after antibiotic therapy had been initiated d. Antibiotic therapy was initiated 2 hr after implementation of the care pathway 17. A nurse manager is making staffing assignments for the maternal newborn unit. Which of the following clients should the nurse manager assign to a float nurse from the medical-surgical unit? a. A client who is post-term and is receiving oxytocin for labor induction b. A client who has preeclampsia and is receiving a continuous magnesium sulfate infusion c. A client who gave birth to herfirst child and requiresinstruction on breastfeeding techniques d. A client who is 2 days postoperative following a caesarean birth and is having difficulty ambulating 18. A nurse is coordinating an inter-professional team to review proposed standardsto reduce the transmission of MRSA. Which of the following members of the inter-professional team should the nurse consult? a. Risk management coordinator b. Nursing supervisor c. Infection control nurse d. Clinical pharmacist 19. A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take? a. Initiate a mental health consult to determine the client’sreasons for refusing surgery b. Inform the client of the consequences of uterine prolapse and the need for intervention c. Provide the client with information on treatment options and outcomes - check d. Discuss with the client her concerns regarding the procedure 20. A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take? a. Obtain telephone consent from the facility administrator before the surgery b. Transport the client to the operating room without verifying informed consent c. Delay the surgery until the nurse can obtain informed consent d. Ask the anesthesiologist to sign the consent 21. A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to assistive personnel? a. Informing a family of a client’s progress in physical therapy b. Advising a client on self-administration of acetaminophen c. Teaching a client to perform a finger-stick for testing blood glucose levels d. Performing postmortem care prior to transferring the client to the morgue 22. A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process? a. Notify staff of the increased fall rate b. Identify clients who are at risk for falls c. Review current literature regarding client falls d. Implement a fall prevention plan 23. A nurse is completing a performance evaluation for assistive personnel (AP). Which of the following actions by the AP requires intervention by the nurse? a. The AP uses alcohol hand antiseptic after caring for a client who has C. dif b. The AP removes cut flowers from the room of a client who is in a protective environment c. The AP wears a mask when caring for a client who has varicella d. The AP closes the door of a client who is on airborne precautions 24. A charge nurse noticesthat staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse? a. Demonstrate use of the pump during medication administration b. Assess the staff nurses’ knowledge deficit c. Pair an inexperienced nurse with an experienced nurse d. Plan an in-service education program on the unit 25. A nurse is preparing a shift assignment for assistive personnel (AP) on the unit. Which of the following tasks should the nurse assign to the AP? a. Administer the initial bolus feeding to a client who has an NG tube b. Instruct a client to splint an abdominal incision c. Check a client’s pain level 30 min after receiving acetaminophen d. Collect a urine specimen from a newly admitted client 26. A nurse is assisting with triage during a mass casualty event. The nurse applies a red tag to a client. Which of the following actions should the nurse take? a. Provide treatment for minor injuries b. Provide treatment for life-threatening injuries c. Allow the client to die without further intervention d. Treat the client’s injuries within 30 min 27. A home health nurse is performing a safety assessment of a client’s home. Which of the following findings should the nurse identify as a safety hazard? a. The client’s electrical cord is taped to the floor b. The client has used tacks to secure the carpet on the stairs c. The client’s bedside lamp is plugged in using an extension cord with two prongs d. The client stores cleaning supplies in a locked cabinet above his head 28. A charge nurse is observing a newly licensed nurse provide care for a client who has a C. dif infection. Which of the following actions by the newly licensed nurse indicates an understanding of proper infection control procedures? a. Removesfresh flowers from the client’s room b. Wears a gown when caring for the client c. Washes her hands with an alcohol-based hand rub after caring for the client d. Applies a mask before entering the client’s room 29. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client’s need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.) a. Petroleum jelly b. Cotton balls c. Obturator d. Oxygen tank e. Pipe cleaners 30. A nurse is caring for four clients who are scheduled to undergo surgery. Which of the following clients can give informed consent? a. An adolescent client who is legally emancipated b. An older adult client who has questions about the procedure c. An adult client who ha.....................................................................................CONTINUED...............................................................DOWNLOAD FOR BEST SCORES [Show Less]
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ATI LEADERSHIP B PRACTICE QUESTIONS AND ANSWERS REVISED 2021
1. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate to the nurse the need for referral to an occupat... [Show More] ional therapist? a. Facial drooping b. Receptive aphasia c. Unilateral neglect d. Memory loss 2. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? a. Show a new mother how to change the newborn’s diaper b. Inspect the skin of a newborn who is receiving phototherapy c. Obtain the weight of a newborn who is receiving formula d. Answer the parents’ questions about newborn circumcision 3. A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurse are available forstaffing. Which of the following tasks should the nurse assign to a licensed practical nurse? a. Conduct the newborn hearing screening b. Perform a New Ballard screening c. Administer a hepatitis B vaccine d. Obtain vitalsigns 4. A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching? a. I need to have a TB skin test done once per year b. I need to take my prescribed medication for 3 months c. Ishould have a sputum culture done every 2 to 4 weeks d. I should wear a mask while around my family 5. A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take? a. Accept the assignment with help from assistive personnel on the unit b. Document the concern in the nurse’s notes c. Notify the risk manager d. Request that the charge nurse modify the assignment 6. A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy? a. Recommending a referral for a client who requires physical therapy b. Suggesting a client’s partner attend a support group for emotional support - check c. Completing an incident report following a medication error d. Evaluating a client’s home forsafety hazards 7. A nurse is caring for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr b. A client who has diabetes mellitus and reports paresthesia in his fingers and toes c. A client who has a new diagnosis of Graves’ disease and a TSH level of 0.2 microunits/mL d. A client who has a nasogastric tube and has crackles in the lungs 8. A staff development nurse is giving an in-service presentation about advocacy in nursing. Which of the following statements by a nurse indicates an understanding of the role of a client advocate? a. As a client advocate, I will suggest the best course of action for clients who are indecisive b. In the role of client advocate, Ishould take responsibility for coordinating each client’s care c. My role as a client advocate is to empower the clients to make informed health care decisions d. As a client advocate, I will adhere to the provider’s prescribed treatments 9. A charge nurse in the emergency department is supervising a nurse who is floating from the medical-surgical unit. Which of the following assignments is appropriate for the float nurse? a. Set up a trauma room for an incoming client who was in a motor-vehicle crash b. Perform a urinary catheterization for a client who has experienced a stroke - check c. Administer IV nitroglycerin to a client who is experiencing chest pain d. Complete a SAD PERSONS assessment scale for a client who has attempted suicide 10. A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary? a. I will need assistance with bathing - check b. I am tired of having pain in my joints all the time c. I’m having difficulty climbing the stairs at my house d. I need some help planning my meals to maintain my weight 11. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique? a. The nurse turns her back to the sterile field b. The nurse puts on a face mask c. The nurse holds her hands above her waist d. The nurse applies goggles 12. A home health nurse finds piles of newspapers in the hallway of a client’s home. The nurse explains the need to discard the newspapers for safety reasons. The client agrees to move the newspapers into the living room. Which of the following conflict resolution strategies has the nurse used? a. Compromising b. Accommodating c. Collaborating d. Smoothing 13. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventing client injury by removing a fall hazard demonstrates which of the following ethical principles? a. Nonmaleficence b. Veracity c. Autonomy d. Utility 14. 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? a. Whether the facility ethics committee reaches a consensus on the case b. Whether the client understands the risk of refusing the procedure c. Whether the client’s refusal is based on religious belief d. Whether the partner is the client’s durable power of attorney for health care 15. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted b. Assess the client for urinary retention c. Obtain a provider’s prescription for a blood alcohol level d. Document the client’s refusal in the chart 16. A charge nurse is teaching a newly licensed nurse about proper cleaning of equipment used for a client who has C. dif. Which of the following solutions should the nurse recommend to clean the equipment? a. Chlorine bleach b. Isopropyl alcohol c. Triclosan d. Chlorhexidine 17. A nurse is prioritizing care after receiving change-of-shift report on four clients. Which of the following clients should the nurse assess first? a. A client who reports a headache with sensitivity to light b. A client who reports feeling lightheaded when he stands up from a lying position c. A client who reports indigestion and pain in her jaw d. A client who reports an urge to void but has not urinated during the priorshift 18. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care? a. Doesthe AP have time to change the client’s central IV-line dressing after turning her? b. Is the client’s family present so the AP can show them how to turn the client? c. Has the AP checked the client’s pain level prior to turning her? d. Has data been collected aboutspecific client needs related to turning? 19. A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of this client’s ring? a. Place the client’s ring in the facility safe b. Tape the ring securely to the client’s finger c. Place the ring in the bag with the client’s clothing d. Agree to keep the ring for the client until aftersurgery 20. A nurse is planning care for a client who has Addison’s disease. Which of the following tasks should the nurse plan to delegate to assistive personnel? a. Explain to the client about a 24-hr urine specimen collection b. Remind the client to change positions slowly c. Decide how often to measure vital signs d. Determine the client’s muscle strength prior to ambulation 21. A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take? a. Check to see if the medical record indicates the provider explained the procedure to the client b. Explain the risks of the procedure to the client c. Notify the provider about the client’s concerns d. Convey the client’s request to the nurse who witnessed the consent 22. A nurse is providing information to a client about advance directives. The nurse should explain that advance directives include which of the following? a. Information regarding organ donation b. A form with directions for contacting next of kin c. Instructions regarding treatments the client desires or does not desire d. Informatio......................................................................CONTINUED [Show Less]
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ATI LEADERSHIP PROCTORED EXAM-STUDY GUIDE
ATI LEADERSHIP PROCTORED EXAM-STUDY GUIDE!
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ATI RN LEADERSHIP 2021 PROCTORED EXAM – STUDY GUIDE
A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informe... [Show More] d consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind signing the informed consent form for the procedure at this time?" A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)? Instruct a client how to take their blood pressure. Administer subcutaneous medications to a client. Determine a client's intake and output. • Provide a status update to a client's family member. A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the nurse anticipate referring the guardian of the newborn? Child protective services Public health • Home health Women, Infants, and Children A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next. Set target dates for completion. Identify areas of support. Determine goals and objectives. • Implement recommended strategies A home health nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should first visit the client who has which of the following laboratory values? Digoxin 1.0 ng/mL • WBC 6,000/mm3 Platelets 100,000/mm3 Serum potassium 4.0 mEq/L A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? The child has red sores at the corners of the mouth. The child has several small bruises on both legs. The child sleeps for about 13 hr each night. The child is not regularly attending school A nurse manager is teaching about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the teaching? "Change-of-shift report can be given at the client's bedside." "I can provide client information over the phone if the caller identifies themselves as family." "A client cannot see their medical record because it is considered to be property of the facility." "Access to client information is limited to direct care providers." A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A nurse is photocopying their assigned client's diagnostic test results. • An assistive personnel (AP) documents a client's vital signs on the client's paper-based graphic record. The unit secretary faxes a client's laboratory results to the provider. An RN stays with a client who is reading the medical records that were requested. A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist the nurse in evaluating the cost effectiveness of the care? The age of the client The availability of community support groups • The length of the client's stay The type of insurance the client carries A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) The right to be treated with respect and dignity The right to full access of the facility The right to refuse their medications The right to leave regardless of provider recommendations The right to be fully informed of their health conditions A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks. Identify the sequence the nurse manager should follow when disciplining the employee. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) Schedule a meeting with the nurse. Provide a written reprimand. Temporarily remove the nurse from scheduled shifts. Terminate the nurse's employment. Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)? "Take vital signs every 2 hours for the client who had a cholecystectomy in room 6122." "Check the urinary output at 1100 for John Doe and report it to me immediately." "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438." "Please notify me of any clients whose vital signs or blood glucose levels are significant." A nurse is caring for a 19-year-old client who has just been informed that their cancer has metastasized. The client tells the nurse that they do not want to continue chemotherapy. Which of the following responses should the nurse make? "I will have the provider discuss treatment options with your parents." "I will gather information about palliative care for you." • "I will contact your spiritual advisor to discuss this decision with you." "I will contact your parents about becoming your designees in your durable power of attorney." A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as demonstrating sterile technique? The nurse places the sterile package with the top ap opening away from the body. • The nurse pinches the ap on the inside of the package rst to open it. The nurse reaches over the package to open the left ap. The nurse pulls the last ap of the package away from the body. A nurse is planning discharge care for a client who had a stroke and now has left-sided weakness. Which of the following interventions should the nurse include in the plan of care? Request crutches from a medical equipment provider. Advise the client to install grab bars in the bathroom at home. Encourage the client to allow a home care aide to perform ADLs for them. • Contact hospice to provide follow-up care for the client. A charge nurse is planning client care assignments for a unit. Which of the following tasks should the nurse assign to an LPN? A. Determine the swallowing ability of a client who has had a stroke. B. Provide an enteral feeding to a client who has Chron's disease. C. Develop a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus. D. Weigh a client who is 3 days postoperative following coronary artery bypass grafting. A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after discharge. Which of the following statements should the nurse make? "A social worker will address your concerns after discharge." "You should plan to go to a skilled nursing facility after discharge." "Your case manager will coordinate the resources you will need." • "You will need hospice care until you feel stronger." A nurse manager is auditing client charts and identifies an increase in ventilator-associated pneumonia (VAP). Which of the following actions should the nurse manager take? Report the findings to the hospital ethics committee. Alert central supply. Fill out an incident report. Notify the quality improvement team. A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take? Assist in weighing the options involved in the decision. Provide a legal representative for the family. Recommend the best course of action for the client. Decide how the nursing team should resolve the dilemma. A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following clients should be assigned to the medical nurse? A client who is in balanced skeletal traction A client who had a total hip arthroplasty 3 days ago A client who has a fractured femur with a new cast A client who had a right above-the-knee amputation 24 hr ago A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following actions should a charge nurse on the PACU take? Take extra wheelchairs to the emergency department. Send PACU assistive personnel to assist with triage. Identify stable clients for transfer to a surgical unit. Report to the command center for further instructions. A nurse is caring for a client who requests pain medication. The nurse fulfills a promise to return with the medication within 15 min. The nurse is demonstrating which of the following ethical principles? Beneficence Utility Justice Fidelity A nurse is providing preoperative teaching for a client who is scheduled for a total knee arthroplasty and speaks a different language than the nurse. Which of the following interprofessional team members should the nurse include in the discussion? Interpreter • Social worker Occupational therapist Spiritual advisor A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the following actions should the newly licensed nurse take? Open the top ap of the sterile package towards the body. Maintain a 1.25 cm (0.5 in) border around the edges of the sterile end. Pick up the first sterile glove by grasping the folded cu edge. Remove soiled dressings using sterile gloves. A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take? Inform the client of the consequences of decreased cerebral circulation. Initiate a mental health consultation to determine why the client refuses the surgery. Discuss the client's concerns about having the surgery. Provide the client with information on additional treatment options. A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. Which of the following instructions should the nurse include? Raise the footplates of the wheelchair before transferring the client. Lock the brake o........................................................................................CONTINUED................................DOWNLOAD FOR BEST SCORES [Show Less]
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ATI LEADERSHIP PROCTORED 2019 STUDY GUIDE
ATI LEADERSHIP PROCTORED 1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a vo... [Show More] ided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted. b. Document the client’s refusal in the chart. c. Assess the client for urinary retention. d. Obtain a provider’s prescription for a blood alcohol level. 2. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse? a. Pick up the meal trays after lunch. b. Administer a nasogastric tube feeding. c. Plan break times for assistive personnel. d. Determine adequacy of ventilator settings. 3. A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA) a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field b. Opens the sterile pack by first unfolding the top flap away from her body c. Prepares a container of sterile solution on the field after putting on sterile gloves d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field e. Holds the sterile solution bottle with the label facing up 4. A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? a. Auscultate the client’s lungs. b. Notify the provider. c. Place a faulty equipment tag on the pump. d. Complete an incident report. 5. A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? a. Reinforcing teaching with a client who is learning to self-administer insulin b. Ambulating a client who is scheduled for discharge later in the day c. Administering morphine IV bolus to a client who is hr postoperative d. Admitting a new client who has chronic back pain to the unit 6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique? a. The nurse applies goggles. b. The nurse turns her back to the sterile field. c. The nurse holds her hands above her waist. d. The nurse puts on a face mask. 7. A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel (AP). Which of the following actions should the nurse take to evaluate the delegated task? a. Review vital sign trends at the end of the shift. b. Recheck vital signs that are outside the expected reference range. c. Ask the AP to write a summary of the delegated tasks during the shift. d. Compare the vital signs the AP obtained with those taken by another AP on a previous shift. 8. A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive personnel? a. Obtaining a stool sample from a client who has renal failure b. Monitoring a client who has a fluid restriction c. Assessing a client who just returned from hemodialysis d. Reviewing dietary instructions for a client who has kidney stones 9. A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first? a. A client who has a neck injury and is unable to breathe spontaneously b. A client who has two open chest wounds with a left tracheal deviation c. A client who has major burns over 75% of her body surface area d. A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3) 10. A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following statements by a staff nurse indicates that the teaching was effective? a. “A family member can interpret to obtain informed consent from a client who is deaf.” b. “Consent can be given by a durable power of attorney.” c. “Guardian consent is required for an emancipated minor.” d. “The nurse can answer any questions the client has about the procedure.” 11. A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee? a. A middle adult client who leaves the facility against medical advice b. An older adult client who has advanced directives on file c. A young adult client who is participating in a medical research study d. An adolescent client whose parents refuse a blood transfusion for religious reasons 12. A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth? a. Assessing client needs b. Developing client treatment protocols c. Providing medication reconciliation d. Establishing communication between providers (Community Health pg. 75) 13. A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The client expresses concern about the cost of blood-glucose monitoring supplies. Which of the following actions should the nurse take? a. Refer the client to the social services department. b. Provide the client with a week’s worth of supplies from the hospital (still needs help paying after) c. Ask the provider about the possibility of less frequent monitoring (pt needs to monitor often) d. Recommend the client reuse the testing lancets (breaks the safety & infection protocol) 14. A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first? a. A nurse on the previous shift wrote an incident report about a medication error. b. Two staff members have called to say they will be absent. c. Transport assistance is unavailable to take a client to occupational therapy. d. The emergency department nurse is waiting to give report on a new admission. 15. A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management? a. Complete required tasks. b. Review the client’s new laboratory values. c. Determine client care goals (set/plan goals) d. Document assessment data. 16. A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding? a. “Clients who participate in research studies forfeit their HIPAA right to privacy.” b. “HIPAA allows facility........................................................................CONTINUED [Show Less]
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