A.T.I Leadership: Graded Questions with Answers from Certified Global Sources, Exams of Nursing

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ATI Leadership: Graded Questions with Answers

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A nurse suspects that a coworker may be in an impaired state when providing care to clients. Which of the following actions should the nurse take? A. Ask other coworkers if they feel the same way. B. Speak directly with the impaired coworker. C. Report these observations to the nurse manager. D. Refuse to work with the impaired coworker. - - correct- - C A nurse is reviewing the medication administration record for a client and notes that the nurse from the previous shift gave double the dose of antihypertensive medication prescribed to the client. Which of the following actions should the nurse take first? A. File an incident report with factual information about the error B. Report the incident to the nursing supervisor C. Check the client's condition D. Notify the client's provider about the incident - - correct- - C Using high-quality monitoring tools, a facility committee identifies that clients who have congestive heart failure have an average length of stay of 5 days instead of the established standard of 3 days. Which step should the nurse implement next in the quality-improvement process? A.

Educate staff members on shortening the length of stay for these clients B. Collect data regarding the length of stay for these clients C. Determine which actions can be instituted to address this problem D. Research the accuracy of the standard of care that has been accepted - - correct- - C A nurse is preparing to attend a care plan conference for a client who has severe burns. Which of the following criteria should the nurse identify as part of an effective conference? A. The planning process for the conference is centered on the nursing staff. B. Other health care professionals are in attendance at the conference. C. Controversial opinions regarding the plan of care are not tolerated during the conference. D. The conference is focused on a discussion of the client's health care issues with minimal attention to resolving them. - - correct- - B A nurse is working with an assistive personnel (AP) who appears to be under the influence of alcohol during the night shift. Which of the following is the priority action for the nurse? A. Confront the AP regarding alcohol use and remove him from client care. B. Ask the nursing supervisor to observe the AP and validate these suspicions. C.

A nurse is teaching a newly licensed nurse about the informed consent process for a client who is scheduled for a surgical procedure. Which of the following pieces of information should the nurse include in the teaching? A. Clerical staff in the facility can witness the signature of a client on a consent form. B. The nurse caring for a client is responsible for explaining the procedure. C. A family member should be present when a client signs a consent form. D. The person who will perform the procedure is responsible for obtaining informed consent. - correct- - D 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? A. The Privacy Rule limits the client's rights to personal health information. B. The electronic transfer of information allows each provider to use his/her own electronic format for claim transactions. C. Standardized numbers can have a varied format for identifying health plans. D. The Security Rule provides a uniform level of security to protect client records. - - correct- - D A nurse is caring for a client who has recently been prescribed lithium carbonate. Which of the following assessment findings is the priority for this client? A. Fine hand tremors B.

Weight gain of 2.7 kg (6 lb) C. Report of nausea D. Poor motor coordination - - correct- - D A charge nurse is making shift assignments for a team that includes RNs, licensed practical nurses (LPNs), and assistive personnel. Which of the following clients should the nurse assign to an LPN? A. A client who was just admitted by the unit staff for recurring angina B. A client who has emphysema and pneumonia and is receiving oxygen C. A client who has breast cancer and is receiving chemotherapy D. A client who was just admitted by the unit staff for a cerebrovascular accident - - correct- - B

A

"I'll change the assignment so a female nurse is caring for you today." C. "A female assistive personnel will be helping with your bath." D. "The male nurse assigned is required to care for both male and female clients." - - correct- - B After a disaster plan is enacted, a nurse in a pediatric unit is asked to prepare a list of clients who can be discharged home due to a local incident involving many children. Which of the following clients should the nurse place on the potential discharge list? (Select all that apply.) A. A preschooler with asthma who has scattered wheezes that resolve with PRN albuterol B. A school-age child with a femur fracture in an external fixation device whose pain is controlled with PRN oral codeine C. An adolescent client who is developmentally delayed, has a PICC line, and needs 6 more weeks of antibiotics D. A toddler with a ventricular septal defect and bronchiolitis who is on 28% oxygen by oxyhood E. An adolescent client who is 1 day postoperative following scoliosis repair and is on a PCA pump -

• correct- - A,B,C nurse is planning care for a client who is newly admitted to the medical unit. Which of the following health care team members should the nurse plan to consult with regarding the benefit of chest physiotherapy for this client? A. Physical therapist B.

A

Occupational therapist C. Speech-language pathologist D. Respiratory therapist - - correct- - D A nurse is speaking with the family member of a client who has early Alzheimer's disease. The family member would like to keep the client living at home, but the client requires assistance while the family member is away at work. Which of the following services should the nurse include in the discussion? A. Hospice care B. Adult day care C. Assisted-living facility D. Long-term care facility - - correct- - B 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?

B.

Autocratic D. Transactional - - correct- - B A nurse is making a client's bed and finds a capsule of medication in the sheets. Which of the following actions by the nurse is consistent with safe nursing practice? (Select all that apply.) A. Administer the medication to the client. B. Notify the provider. C. Complete a variance report. D. Document the finding in the client's electronic medical record. E. Place the medication back in the medication drawer. - - correct- - B,C Which of the following tasks is appropriate for the nurse to delegate to an assistive personnel (AP)? A. Obtain the initial set of vital signs B. Listen for bowel sounds Show the client how to use the nurse call light D. Ask the client if he has any allergies - - correct- - C

C.

A nurse is planning care for a client who has COPD, requires continuous oxygen therapy, and is being discharged to return home. Which of the following referrals should the nurse recommend? A. Spiritual advisor B. Social worker C. Physical therapist D. Occupational therapist - - correct- - B A nurse is planning to delegate the postoperative care of a client following an appendectomy. Which of the following actions should the nurse assign to an assistive personnel (AP)? A. Showing the client how to use the patient-controlled analgesia pump. B. Recording urinary output after emptying the indwelling urinary catheter. C. Assisting the client out of bed and into a chair for the first time after surgery. D. Checking the client's abdominal wound dressing. - - correct- - B

Identify stable clients in the ICU to transfer to the medical-surgical unit. C. Ask family members to come to the hospital to provide support to clients. D. Make announcements of the status of the disaster on the public address system. - - correct- - B A group of providers is participating in a cardiopulmonary resuscitation effort for a client who is in cardiac arrest. Which of the following types of leadership is required for this group to function efficiently? A. Transformational B. Participative C. Autocratic D. Laissez-faire - - correct- - C A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients should the nurse attend to first? A. A client who is receiving metoclopramide and reports diarrhea B. A client who is receiving tamsulosin and reports feeling dizzy C. A client who is receiving cephalexin and reports dyspnea D. A client who is receiving erythromycin and reports epigastric pain - - correct- - C

A nurse on a medical-surgical unit is planning the care of assigned clients. Which of the following clients should the nurse attend to first? A. A client who is newly admitted and is scheduled for indwelling urinary catheter insertion B. A client who has kidney stones and reports flank pain of 6 on a pain scale of 0- 10 C. A client diagnosed with early stage chronic kidney disease with a serum creatinine level of 2. mg/dL D. A client who has a cast newly applied on the forearm and reports tingling of the fingers - correct-

• D A nurse manager is orientating newly licensed nurses to a facility and is emphasizing the importance of practicing within standards of care. To which of the following legal concepts is the nurse manager referring? A. Punitive damages B. Intentional torts C. Good Samaritan laws D. Professional negligence - - correct- - D A charge nurse is performing a quality-assurance audit on the documentation of several clients' charts. Which of the following documentation items should the charge nurse identify as a correct entry in the client's medical record? A. "The client appeared angry when family members were visiting." B.

A nurse is caring for a client who has cancer. The client tells the nurse he does not want any more chemotherapy treatments. Which of the following responses should the nurse provide? A. "I think you should finish this round of treatments and then see how you feel." B. "I will discuss this decision with the designee in your health care proxy." C. "I will inform your provider of your decision to discontinue the treatments." D. "I am so sorry to hear you are tired of fighting and have made this decision." - - correct- - C A nurse is admitting a client who has measles. This client should be placed in which of the following types of isolation? A. Airborne B. Contact C. Droplet D. Protective environment - - correct- - A A nurse is caring for a client who asks if the client in the next room is in pain because she cries out frequently. Which of the following statements should the nurse make? A. "That client has cancer and is quite uncomfortable." B.

"We are doing our best to keep that client as comfortable as possible." C. "Does the crying out bother you?" D. "Why don't you ask that client's family when they visit?" - - correct- - C 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.) A. Nurse B. Occupational therapist C. Speech therapist D. Physical therapist E. Respiratory therapist - - correct- - A,B,C,D A nurse enters the room of an older adult client and finds him attempting to crawl over the side rail of his bed. Which of the following actions should the nurse take? A. Tell the client that he will be put in restraints if he attempts to get out of bed again. B. Ask an assistive personnel to sit with the client. C. Remind the client to stay in bed. D.

A nurse is preparing a client for a lumbar puncture. The client has signed the consent 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? A. Page the provider stat to come and explain the procedure to the client. B. Remind the client that the doctor will insert a needle to get a sample of fluid from her spine. C. Explain how the assistant will position the client for the procedure. D. Tell the client that someone will explain the procedure when it is time to begin. - - correct- - B A charge nurse receives a call from the nursing supervisor about an explosion at a local factory and an urgent need for facility beds for newly admitted clients. Which of the following clients should the nurse recommend for discharge? A. A 60-year-old client with type 2 diabetes mellitus who was admitted 48 hr ago with uncontrolled glucose levels B. A 58-year-old client who is 12 hr postoperative following a total knee arthroplasty C. An 80-year-old client admitted 24 hr ago for vomiting and dehydration D. A 44-year-old client with asthma who was admitted for carpal tunnel surgery - - correct- - D A nurse is preparing to provide discharge teaching to an older adult client. Which of the following teaching considerations should the nurse include? A. Allow frequent rest periods during teaching B. Use colored paper with a glossy finish C.

Present the information at a tenth-grade reading level D. Use 12-point font size - - correct- - A A nurse is evaluating a client's understanding of discharge teaching about dressing changes. Which of the following actions by the client indicates an understanding of the teaching? A. The client nods and smiles in response to what is being said. B. The client restates the information in her own words. C. The client does not ask questions when given the opportunity. D. The client's body language shows that she is listening to the nurse. - - correct- - B 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? A. A clarification of a medication dosage prescribed by a provider B. The discovery that a preoperative client has received and eaten breakfast C. The identification of a safety concern with a piece of equipment D. A dispute with a coworker about client assignments - - correct- - B