ATI LEADERSHIP 2019 EXAM /ATI LEADERSHIP PROCTORED 2019 EXAM 70 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRADE ASSURED
A nurse manager is planning
... [Show More] an in-service for a group of nurses about caring for clients following stem cell transplant. Which of the following instructions should the nurse manager include in the teaching? A. Assigned to clients who have had a stem cell transplant to the same room B. Obtain rectal temp Q4 hours C. Where an N 95 respirator mask while caring for these clients D. Place clients in positive pressure airflow rooms - ...ANSWER...D. Place clients and positive pressure airflow rooms.
RATIONALE: The patient requires protective equipment precautions following a stem cell transplant in a private, positive pressure airflow room. The room air is filtered through a HEPA filter and the air flow rate is set at more than 12 error exchanges per hour
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 a priority? A. Child has red fissures at the corners of their mouth B. Child has several small bruises on both legs
C. Child sleeps for 13 H hour each night D. Child is not regularly attending school - ...ANSWER...A. Child has red fissures at the corners of the mouth.
RATIONALE: Use Maslow's hierarchy of needs, this can indicate a vitamin B deficiency which is a physiological need.
A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the nurse charge nurse take first? A. Write a memorandum emphasizing the importance of attending staff meetings B. Appoint a task force to promote attendance at the meetings C. Explore the reasons that staff are not attending the meetings D. Reduce the number of meetings the staff are required to attend - ...ANSWER...C. Explore the reasons the staff are not attending the meetings.
RATIONALE: According to evidence-based practice, the nurse should first identify the reasons that staff are not attending the meetings. This allows the nurse to address the specific problems identified by the staff.
A nurse walks into the nurses station and sees several staff members looking at the electronic medical record EMR record of a celebrity client on another unit. Which of the following actions should the nurse take first?
A. Remind the staff members that this is a breach of confidentiality B. Discuss the issue with the nurse manager C. Request that administrative restriction be placed on the clients record access D. Prepare a memo for facility ethics committee - ...ANSWER...A. Remind the staff members that this is a breach of confidentiality.
RATIONALE: When using the urgent vs nonurgent approach to client care, the nurse determines that the first action is to intervene immediately to prevent any further breach in confidentiality.
A nurse is providing preoperative teaching for a client who is scheduled for a total knee arthroplasty (TKA) and speaks a different language than the nurse. Which of the following inter-professional team members should the nurse include in the discussion? - ...ANSWER...Interpreter
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? A. The age of client B. Availability of community support groups C. Length of clients stay D. Type of insurance the client carries - ...ANSWER...C. The length of clients stay.
RATIONALE: The client's clinical pathway is a standardized approach to assist the nurse to provide cost-effective client care and shorten the length of stay.
A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following actions should the nurse plan to take? A. Assess clients incision Q8 hours for first 48 hours B. Inform AP of clients weight bearing status C. Instruct client to cross legs at ankles when sitting D. Teach clients partner to assist the client to flex the hip at least 120° each hour - ...ANSWER...B. Inform the AP of the clients weight bearing status.
RATIONALE: Assistive personnel can assist clients with ambulation in most cases with appropriate delegation from the nurse. The nurse should inform the AP of postoperative prescriptions for weight-bearing as part of safe care delegation. [Show Less]