University of California :NURSING 496A Management ATI Latest Updated 2021/2022
1) A nurse is caring for a client who has tested positive for
... [Show More] Vancomycin Resistant Entrococci of the urine. Which of the following actions by the nurse demonstrates an understanding of infection control
- Bagging soiled linens before exiting the room
2) A nurse is caring for a client who has pancreatic cancer. The client tells the nurse that she does not want the chemotherapy her provider recommended. Which of the following responses should the nurse make
- You have the right to forego chemotherapy, but you should understand the risks
3) A nurse in a long-term care facility is caring for a group of clients. Which of the following clients should the nurse attend to first
- A client who has coronary artery disease and has diaphoresis
4) A nurse smells alcohol on the breath of another nurse during walking rounds. Which of the following actions should the nurse take
- Notify the charge nurse of the situation
5) A nurse is contributing to the plan of care for a client who is agitated and has been placed on wrist restraints while in bed. Which of the following actions should the nurse include in the plan
- Remove the clients wrist restraints one at a time
6) A nurse is contributing to the plan of care for a client who has CDiff infection. Which of the following precautions should the nurse suggest for this situation
- The nurse should wear a gown when providing care for the client
7) A home health nurse is visiting a client who has a new diagnosis of Parkinson’s Disease. Which of the following findings should the nurse plan to address first
- The clients medication are missing
8) A nurse is assisting with the plan of care for a group of clients. Which of the following actions by the nurse demonstrates an effective use of time management skills
- Creating a list of tasks to be preformed
9) A nurse is assisting with the transfer of a client who had a C7 spinal cord injury to a rehab unit. Which of the following findings should the nurse identify as the priority to include in the transfer report
- Autonomic dysreflexia
10) A nurse is assisting with the admission of a client who is planning to have surgery. The client has severe hearing loss and is unable to hear the preop instructions. Which of the following actions should the nurse take
- Offer the client sign-language interpreter
11) A newly licensed nurse has been encountering resistance from an assistive personnel to whom he has been delegating task. Which of the following actions should the nurse take
- Report the APs behavior to the charge nurse
12) A nurse is assisting in assigning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel
- Measure Vital Signs on a client who is 24hr postop following a cholecystectomy
13) A nurse is discussing advantages of the nursing information system with a newly licensed nurse. Which of the following advantages should be included in the discussion
- Reduces error of Omission
- Enhances ability to track medical record
- Provides immediate access to members of the interprofessional team
14) A nurse is changing the tube feeding bag for a client who is receiving continuous feedings and sees that the feeding pumps electrical cord is frayed. Which of the following personnel should the nurse notify
- Clinical Engineer
15) A nurse is preparing assignments for an upcoming shift. Which of the following task should the nurse delegate to an assistive personnel
- Obtain a scheduled blood glucose reading for a client who is stable
16) A nurse working on a med-surge unit has concerns about on-going staffing shortages, which compromises client safety and delivery of care. Which of the following actions should the nurse take
- Notify the nursing supervisor
17) A nurse is caring for a client whose daughter request to read her mother’s medical record. Which of the following statements should the nurse make
- I cannot allow you access to her medical record unless your mother gives her consent
18) A nurse on a med-surge unit is expecting an immediate admission of multiple clients due to a mass casualty incident. The nurse should recommend that the charge nurse discharge which of the following clients to accommodate new admission
- A client who is taking oral analgesics 1 day after cholecystectomy
19) A nurse is reviewing an incident reporting with a newly licensed nurse. For which of the following situations should the nurse plan to complete an incident report
- A visitor closed the restroom door on his hand
20) A nurse is reviewing the medication administration record of a client and notes that the client received an incorrect dose of medication. After collecting data from the client, which of the following actions should the nurse take
- Complete an incident report about the medication error
21) A nurse is contributing to the plan of care for a client who has heart failure. The client is instructed to limit sodium and fluid intake. The nurse should request which of the following referrals
- Dietician
22) A nurse is assisting with the informed consent process with a client who is about to undergo surgery. Which of the following actions should the nurse take
- Inform the client of her right to refuse procedure
- Verify that the client understands the procedure
23) A nurse enters a client’s room and overhears the assistive personnel talking with the client about the condition of another client who is in the room next door. Which of the following actions should the nurse take
- Report the incident to the charge nurse
24) A nurse is assisting with an interdisciplinary team to use clinical data to improve outcomes. Which of the following competencies of quality and safety for nurses is the nurse demonstrating
- Quality improvement
25) A nurse is caring for a client who is considering surgery. The client asks the surgeon about alternative holistic therapies, but the surgeon does not want to discuss those options with the clients. Which of the following actions should the nurse take?
- Notify the nurse manager about the situation
26) A nurse enters a client’s room and finds that smoke is coming from an electrical outlet. After assisting the client out the room, which of the following actions should the nurse take next
- Pull the nearest fire alarm
27) A nurse is contributing to the plan of care for a client who has dementia and follows a kosher diet. Which of the following food choices should the nurse select for the client
- Salmon
28) A newly licensed nurse has just completed orientation on a medical surgical unit. The nursing supervisor asks the nurse to float to the labor and delivery unit. Which of the following actions should the newly licensed nurse take
- Request to float to an adult medical surge unit instead
29) A nurse providing care for an assigned group of clients. Which of the following clients should the nurse see first?
- A client who develops tachycardia
30) A nurse is reinforcing discharge teaching with a client following a vasectomy. Which of the following statements by the client indicates an understanding of the teaching
- I should use ice packs to decrease swelling
31) A nurse in a long term care facility assisting with the preparation of an interprofessional care conference for a client who has Parkinson’s disease. Which of the following findings should the nurse identify as the priority to report at the conference
- The client is displaying a more pronounced propulsive gait
32) A charge nurse is encouraging two nurses who have conflict about the vacation schedule to use conflict management strategies to resolve their issue. The nurse agree to select vacation days that do not overlap. The nurses demonstrating which of the following approaches to conflict management
- Win/Win
33) 33) [Show Less]