Leadership ATI Dynamic Quiz question test bank with Answers
A nurse is preparing a client for a lumbar puncture. The client has signed the consent
... [Show More] form but tells the nurse that she does not remember what the doctor will do during the procedure. Which of the following actions should the nurse take?
Remind the client that the doctor will insert a needle to get a sample of fluid from her spine.
A signed consent form indicates that the provider informed the client about the procedure and that at the time the client understood what to expect. If the client states she does not remember what to expect, the nurse should clarify any details the provider previously gave the client. However, if the client expresses a further lack of understanding or states that the provider did not inform her, the nurse should either notify the charge nurse or call the provider directly.
A nurse manager is implementing a team nursing approach on his unit, hiring licensed practical nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions should the nurse manager take to facilitate acceptance of this change?
Introduce the new approach and facilitate the development of a task force to plan implementation.
This appropriate approach involves the staff in the planning and will give them a feeling of control over their practice and enhance acceptance of the change.
A group of providers is participating in a resuscitation effort for a client who is in cardiac arrest.
Which of the following types of leadership is required for this group to function most efficiently?
Autocratic
Autocratic leadership is most effective in an emergency situation. An autocratic leader will direct and issues commands that are necessary for successful cardiopulmonary resuscitation.
A nurse is having difficulty completing care and documentation without staying past the end of the shift. The nurse manager suggests focusing on time- management skills. Which of the following strategies should the nurse plan to use? Identify tasks in order of their priority.
Prioritizing is an important time-management strategy. The nurse should prioritize each client's needs and tasks and attend to the highest priority client first.
A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is pregnant and reports that she is unsure of her immune status. Which of the following clients should the charge nurse assign to the AP?
A 2-year-old child who has impetigo contagiosa (impetigo).
This is a safe assignment. If the AP practices universal precautions, there is no risk of contracting impetigo. Impetigo is a superficial skin infection caused by either Staphylococcus or Streptococcus.
A nurse is assisting a provider with an amniotomy on a client who is in labor. Which of the following is the priority nursing assessment following the procedure?
Fetal heart rate.
The greatest risk to this client is an injury from umbilical cord prolapse following artificial rupture of the membranes; therefore, the nurse should monitor the fetal heart rate for bradycardia, which can indicate an increased risk of umbilical cord prolapse.
A nurse is preparing to transfer an older adult client to a long-term care facility. To promote continuity of care, which of the following actions should the nurse plan to take?
Give a written summary of the client's nursing plan of care to the long-term care facility.
A written summary of the client's nursing plan of care will convey his needs to the nurses who will be working with him in the long-term care facility.
A nurse in the emergency department is preparing to obtain informed consent for surgery from a client who received a meperidine hydrochloride IV during transport from a rural hospital. Which of the following actions should the nurse take to obtain consent for surgery?
Obtain consent from a relative of the client.
A client who has received meperidine cannot give consent because the medication can alter the ability to understand the consent process. The nurse should obtain consent from a relative of the client. If a relative is unavailable and the surgery is determined to be critical, the surgery can proceed without client consent.
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a client who had a left hemispheric stroke. Which of the following members of the interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
Nurse
Occupational therapist Speech therapist Physical therapist
A nurse on a medical-surgical unit is caring for a group of clients. For which of the following situations should the nurse complete a variance report?
The discovery that a preoperative client has received and eaten breakfast.
This situation represents a variation from the standard of care. A change in the client's plan of care is necessary because the surgical procedure will need to be delayed. The nurse should complete a variance report for this situation.
A nurse is selecting clients for discharge following an environmental disaster. Which of the following clients should the nurse select?
A client who is 1 day postoperative following an inguinal hernia repair.
The nurse should select the client who had an inguinal hernia repair for discharge because this client is stable.
An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform?
Assess for bowel sounds every 2 hours.
Assessments are within the scope of practice for the RN only. While the LPN can also auscultate the client's abdomen for the presence of sounds, only the RN is qualified to evaluate the sounds and qualify them as hypoactive, normal, or hyperactive.
A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents?
"I want to give you some information about an option that you have regarding donating your child's organs to others who are in need."
This is an appropriate statement to begin the discussion. It clearly conveys the nurse's intention to give the family factual information and does not make any emotionally-laden statements.
A charge nurse is conducting an in-service training session on ethics to a group of newly licensed nurses. Which of the following situations should the charge nurse include as an example of the ethical principle of veracity?
A nurse truthfully answers the client's questions about upcoming chemotherapy. A nurse who truthfully answers the client's questions about treatment, such as chemotherapy, is demonstrating the ethical principle of veracity. Veracity refers to telling the truth and being straightforward and clear with clients about the treatment being delivered.
A nurse is completing an incident report after administering an incorrect dose of medication to a client, even though the client experienced no ill effects from the error. What is the purpose of completing the incident report?
Identifying situations that contribute to the occurrence of medication errors.
The purpose of completing incident reports is to identify factors that contribute to the occurrence of the problem. This is one aspect of quality-improvement efforts in health care facilities.
A charge nurse in an emergency department is making assignments for an assistive personnel (AP) during a shift with unexpected staff absences. Which of the following assignments should the charge give to a float AP from the medical- surgical unit?
Escorting clients from the emergency department to other areas of the facility for tests.
Clients in the emergency department often require transport to other departments. Typically, transporting stable clients is a task that may be delegated to an AP, and escorting clients is likely a normal part of the AP's regular routine.
A nurse is receiving report on a client who has Clostridium difficile and is being transferred from another unit. Which of the following precautions should the nurse take?
Perform hand hygiene with nonantimicrobial soap and water after client care.
The nurse should perform hand hygiene with nonantimicrobial soap and water after providing care for a client who has C. difficile. This spore-forming organism is resistant to alcohol-based soaps and sanitizers.
A nurse receives the morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to perform first?
Obtain the morning capillary blood glucose tests.
The nurse should apply the urgent vs nonurgent priority-setting framework when delegating tasks. The nurse should prioritize urgent needs because they pose more of a threat to the client. The nurse may need to use Maslow's hierarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which finding is the most urgent. Insulin administration is dependent on the blood glucose levels; therefore, the most urgent task the AP should complete is obtaining the morning capillary blood glucose tests.
A nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. The provider is notified and reports that the medication the client received will not cause any harm. Which of the following actions should the nurse take?
Complete an incident report documenting the occurrence.
An incident report should be initiated whenever an error is made involving a client, even if no injury occurred. Incident reports are also used for statistical purposes in determining the types of incidents that occur. These reports may help administrators recognize if a particular type of incident is occurring at an undesired frequency to determine if intervention is needed.
A nurse is teaching a group of unit nurses about the Health Insurance Portability and Accountability Act (HIPAA). Which of the following pieces of information should the nurse include in the teaching?
The Security Rule provides a uniform level of security to protect client records. The security rule provides a uniform level of protection of clients' records, which includes maintaining the confidentiality, integrity, and availability of the client's records.
A nurse is caring for a client who is scheduled for a bilateral mastectomy. The client states, "I don't think I can go through with the surgery after all." Which of the following responses should the nurse provide?
"I will let the surgeon know about your decision."
The nurse should notify the client's surgeon about her decision regarding the procedure. It is the responsibility of the nurse to be the client's advocate and respect the client's wishes. The client has the right to refuse or change her mind at any time regarding the treatment offered.
A nurse is assisting with the informed consent process for a client who is scheduled for a below-the-knee amputation. The client asks the nurse, "Why are they making me have this surgery today? I don't understand why they are doing this." Which of the following actions should the nurse take?
Notify the provider of the client's comments.
It is the nurse's responsibility to notify the provider if the client has questions or appears not to understand the procedure. The provider is responsible for providing clarification. Informed consent is a legal process by which a client gives written permission for a procedure or treatment
A nurse is planning care for a group of clients. Which of the following actions should the nurse plan to take?
Delegate the administration of an intermittent tube feeding to a licensed practical nurse (LPN).
Administering a tube feeding is within the scope of practice for an LPN.
A nurse in a community health clinic is planning an in-service staff training session on nationally notifiable infectious conditions. Which of the following conditions should the nurse include in the teaching?
Varicella.
The nurse should identify that varicella is a nationally notifiable infectious condition.
Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. This nurse has limited experience with children. Which of the following actions should the nurse manager take?
Assign a unit nurse to act as a resource for the medical-surgical nurse. Assigning a nurse who usually works on the pediatric unit to assist the medical- surgical nurse will provide consistent support.
A nurse is updating the plan of care for a client who has celiac disease. Which of the following dietary selections should the nurse recommend for the client?
Baked chicken and rice.
The nurse should recommend baked chicken and rice as a dietary selection for a client who has celiac disease. Clients who have celiac disease should avoid foods containing gluten.
A nurse is tracking the outcomes of clients on the unit who have received postoperative pain management. This activity demonstrates which of the following competencies of the Quality and Safety Education for Nurses (QSEN) initiative?
Quality improvement.
This QSEN competency involves using data to track outcomes with the goal of devising processes to improve clients' outcomes.
A nurse overhears two other nurses discussing a conflict they are having about who should complete certain client-care tasks. The nurses agree that they are tired of the conflict and will let the nurse manager decide who should complete the tasks. The nurse should identify this outcome as which of the following approaches to conflict management?
Win-yield.
A win-yield approach involves both parties no longer trying to resolve the conflict. Instead of taking the initiative to end the conflict, they agree to honor whatever the nurse manager decides.
A nurse is delegating a task to an assistive personne [Show Less]