ATI LEADERSHIP VERSION 2 QUESTIONS AND ANSWERS
1. A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the
... [Show More] nurse identify as a need for referral to speech-language pathology?
a. Altered level of consciousness
b. Diminished hand-to-mouth coordination
c. Impaired voluntary cough
d. Unilateral ptosis
2. 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 raised vinyl seat on the toilet in the bathroom
b. A wheeled office chair at the client’s computer desk
c. A folding chair without arm rests
d. A two-wheeled walker used to assist the client with ambulation
e. A throw rug covering some cracked vinyl flooring in the kitchen
3. 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 healthcare decision?
a. The oldest adult child
b. The client
c. The partner
d. The provider
4. A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
a. Contact the client’s next of kin to obtain consent for treatment.
b. Notify risk management before initiating treatment.
c. Proceed with treatment without obtaining written consent.
d. Have the client sign a consent for treatment.
5. The charge nurse is evaluating a newly licensed nurse’s understanding of infection control procedures. Which of the following actions demonstrates that the nurse is following the appropriate protocol for a client to a streptococcal pharyngitis?
a. Wearing a mask when was in 1 m (3.3 ft) of the client.
b. Placing the client in a positive-airflow room with 12 air exchanges per hour.
c. Explaining to the client that he can have visitors until his manifestations resolve.
d. Donning sterile gloves when performing routine oral care.
6. A nurse is comparing the rate of medication errors on the medical unit to the rate of a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
a. Riskbenefit analysis
b. Root cause analysis
c. Benchmarking
d. Structure audit
7. 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. A code of ethics outlines the nurse’s scope of practice.
b. A code of ethics is a step-by-step approach to decision making.
c. A code of ethics is a set of principles for nursing practice.
d. A code of ethics is legally binding.
8. A charge nurse witnesses an assistive personnel (AP) giving an oral medication to a client who has dysphagia. Upon questioning, the AP states that a nurse poured the medication into a cup and asked the AP to give it to the client. Which of the following actions should the charge nurse take first?
a. Auscultate the client's breath sounds.
b. Complete the appropriate documentation of the incident.
c. Reinforce faculty policy regarding medication administration with the AP.
d. Discuss the situation with the nurse who poured the medication.
9. A nurse is evaluating care for a group of clients. The nurse should consult the provider for which of the following clients?
a. A client who requires an IV intermittent bolus dose of Vancomycin and has a creatinine level of 1.5 mg/dL.
b. A client who has a pacemaker and whose cardiac monitor shows sinus rhythm with intermittent periods of a wide QRS complex after each pacer spike.
c. A client who is ready for discharge after coronary artery stent placement and has a prescription for clopidogrel.
d. A client who has atrial fibrillation and a rapid ventricular rate of 105/min and is receiving diltiazem IV and weight-based heparin.
10. A nurse receives change-of-shift report for the following four clients. Which of the following clients or the nurse'sassess first?
a. An older adult client who has bacterial pneumonia and a new onset of restlessness.
b. A client who is 1-day postoperative following hip fracture repair and reports a pain level of 6 on a scale from 0 to 10.
c. A middle adult client who has diabetes mellitus in the morning blood glucose of 172 mg/dL.
d. A client who has myasthenia gravis with ptosis and has developed urinary incontinence.
11. A nurse is discussing advance directives with a client. Which of the following statements by the client indicates an understanding of advance directives?
a. I know I have the right to determine if I remain on the breathing machine.
b. I trust my doctor, so I'm going to leave it to him to do what's best for me.
c. By naming a health care proxy, I give up the right to make my own medical decisions.
d. I know I'll need a lawyer to change them later, so I want to get them right.
12. 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 for the unit manager is appropriate?
a. I think you have a right to be upset. I am tired of the changes, too.
b. So you're upset about all the changes on the unit?
c. Just stick with it a little longer. Things will get better soon.
d. You should file a written complaint with the hospital administration.
13. A nurse manager is reviewing isolation by lines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
a. I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile.
b. I will wear a cover gown when caring for a client was herpes simplex.
c. I will place a client requires protective isolation in negative air-flow room.
d. I will wear n95 respirator mask when caring for a client who is on contact precautions.
14. A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated. Which of the following actions should the nurse take first?
a. Reorient the client to his surroundings.
b. Offer reassurance to the family.
c. Measure the client’s vital signs.
d. Medicate the client with alprazolam.
15. A charge nurse is educating a group of newly licensed nurses about the case management approach to client care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?
a. Nurses delegate and supervise assigned tasks.
b. Each nurse completes one specific task for a group of clients.
c. Nurses use critical pathways when caring for clients.
d. Nurses who have advanced training provide direct care for select clients.
16. A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in-service?
a. A nurse can apply restraints on a PRN basis.
b. A nurse can administer medications without consent to a client as part of a research study.
c. A nurse can disclose information to a family member with the client’s permission.
d. A nurse is responsible for informing clients about treatment options.
17. A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?
a. No transport assistance is available to take a client to physical therapy.
b. A client is refusing care from an assistive personnel of the opposite gender.
c. Two nurses had a heated disagreement about a scheduling issue.
d. Three staff members have called to say they will be absent.
18. 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. Notify the provider.
b. Complete an incident report.
c. Place a faulty equipment tag on the pump.
d. Auscultate the client’s lungs.
19. 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. Remove the client’s clothing.
b. Report the incidence to OSHA.
c. Irrigate the exposed area with water.
d. Don personal protective equipment.
20. A client has a new permanent pacemaker inserted. Which of the following home care instructions should the nurse include?
a. Regular programming evaluation can be conducted by telephone.
b. The client should avoid using remote control devices to prevent dysrhythmias.
c. The client should avoid using a microwave oven to heat food.
d. Swimming could cause the unit to have an electrical short. [Show Less]