NCLEX ATI Unit 2: Leadership and Management - Nursing In-Service Questions, Exams of Nursing

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NCLEX ATI Unit 2: Leadership and

Management

1. A nurse prepares a staff in-service on incident reports. Which of the following should the nurse include? Select all that apply.
2. Risk management investigates the incident.
3. A copy of report is placed in client's health record.
4. Reports include description of incident and actions taken
5. Reports are confidential and not shared with non-involved staff
6. Completion of report should be documented in the nurses' notes. - answers>1, 3, 4
7. Never in the client's chart. Only facts about the report go in the nurses' notes not a copy of the completed report.
8. A nurse plans an in-service on medication reconciliation to nursing staff on a medical unit. Which of the following should the nurse include? The process involves a
9. prescribed group of medications administered to the client during hospitalization.
10. documented list of all medications taken by the client
11. nurse instructing the client to resume home medications not prescribed by the provider
12. reconciliation at time of admission and discharge from a health care facility - answers>
13. A nurse cares for a client with terminal lung cancer. Which of the following actions should be delegated to the AP? Select all that apply.
14. Encourage client to express feelings about the terminal diagnosis
15. Assist the client to ambulate to the bedside chair twice a day
16. Demonstrate to client the proper use of a bronchodilator inhaler
17. Complete vital signs every 4 hours that include oxygen saturation
18. Obtain a urine specimen from the client's indwelling bladder catheter - answers>2, 4
19. Don't let them encourage feelings because they are not trained and may not say the correct thing.
20. Cannot obtain specimen from catheter because it's a sterile procedure.

7. A nurse cares for a group of clients on a med surg unit. Which of the following clients should be delegated to the PN? Select all that apply. A client with..
8. newly diagnosed diabetes mellitus type 2
9. facial lacerations and a subdural hematoma
10. bronchitis receiving bronchodilator treatments
11. exacerbation of myasthenia gravis admitted three hours ago
12. advanced regular diet 2 days postop cholecystectomy - answers>3, 5
13. Allowed to hang a secondary bag, NOT the maintenance fluid. They can monitor them but cannot hang them.
14. A nurse plans to administer the following meds. Which med should the nurse administer first?
15. A scheduled IV abx for a client with resolving pneumonia
16. Pain medication to a client who rates their pain a 4-5 on a 0-10 scale
17. An antidiarrheal for a client with one diarrhea stool in the last hour
18. An antipyretic to a client with a temperature of 100.7 F (38.2 C) - answers>
19. giving this around the clock always. want to keep them in the therapeutic range. this is the only scheduled range.
20. 100.7 is not a high fever. Before you give antipyretic try: take covers off, cool washcloth, and liquids.
21. 100.4 you start treating for a child.
22. After receiving morning report on an adult medical unit, which of the following clients should the nurse plan o assess first?
23. client with acute glomerulonephritis with urine output 160ml total on prior shift
24. Client with bubbling in the suction control chamber of closed chest drainage system
25. Client 3 days post op for left mastectomy who is tearful and withdrawn
26. Client with a wound infected with MRSA who wants to leave AMA - answers>
27. one should put out 30 ml. If 8 hours shift, should put out 240ml if 12 hours shift, should put out 360ml.
28. We bubble in the suction.
29. We tidal in the water seal.
30. And we do nothing but drain in the drainage chamber.
31. A nurse cares for a group of clients. Which of the following should be the nurse's initial action?

1. Ask the AP to assist the transfer of a client to radiology for an echocardiogram
2. Print a menu for family members of a client with newly diagnosed DM
3. Notify the provider of a normal HR that changes to atrial tachycardia with a rate of 110
4. Request a repeat potassium serum level for an asymptomatic client with a prior level of 5.7 mEq/L - answers>
5. both involve cardiac but 5.7 is high and can change rate and rhythm of heart.
6. 110 is not so problematic. Also, it's atrial so that's not as serious. Could go to 110's after running up flight of stairs.
7. fidelity - answers>the obligation to be faithful to an agreement and responsibilities, to keep promises
8. veracity - answers>obligation to tell the truth
9. A nurse administers a prescribed excessive dose of an IV antibiotic and the client experiences impaired renal function. Which of the following would be accountable? Select all that apply.
10. The FDA who approved use of medication
11. The pharmacist who dispensed medication
12. The company who designed the medication label
13. The nurse who verified prescription of medication
14. The healthcare provider who prescribed medication - answers>2, 4, 5
15. When an order is written by a provider, the pharmacist double checks weight and list of allergies. Nurse is last hope for client.
16. malpractice - answers>the failure of a person with professional training to act in a reasonable and prudent manner
17. negligence - answers>the omission to do something that a reasonable person would do, or doing something that a reasonable person would not do