INVESTIGATED ATI
LEADERSHIP FINAL EXAM
Which is a recommended guideline for safe computerized charting? - CORRECT ANSWER -Passwords to
the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing manager or
supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at the nurses' station for
other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, the nurse should type an
explanation into the computer file with ythe ydate, ytime, yand yhis yor yher yinitials. yThe ynurse yshould
yalso ycontact ythe ynursing ymanager yor ysupervisor ywith ya ywritten yexplanation yof ythe ysituation.
yOptions y1, y2, yand y4 yrepresent yunsafe ycharting yactions. yOnly yoption y3 yfollows ythe yguidelines yfor
ysafe ycomputer ycharting.
The ylicensed ypractical ynurse y(LPN) yenters ya yclient's yroom yand yfinds ythe yclient ysitting yon ythe yfloor.
yThe yLPN ycalls ythe yregistered ynurse, ywho ychecks ythe yclient ythoroughly yand ythen yassists ythe yclient
yback yinto ybed.
The yLPN ycompletes yan yincident yreport, yand ythe ynursing ysupervisor yand yhealth ycare yprovider
y(HCP) yare ynotified yof ythe yincident. yWhich yis ythe ynext ynursing yaction yregarding ythe yincident? y-
yCORRECT yANSWER y- yPlace ythe yincident yreport yin ythe yclient's ychart.
,2.
Make ya ycopy yof ythe yincident yreport yfor ythe yHCP.
3.
Document ya ycomplete yentry yin ythe yclient's yrecord yconcerning ythe yincident. y(correct)
4.
Document yin ythe yclient's yrecord ythat yan yincident yreport yhas ybeen ycompleted
RATIONALE: yThe yincident yreport yis yconfidential yand yprivileged yinformation, yand yit yshould ynot ybe
ycopied, yplaced yin ythe ychart, yor yhave yany yreference ymade yto yit yin ythe yclient's yrecord. yThe
yincident yreport yis ynot ya ysubstitute yfor ya ycomplete yentry yin ythe yclient's yrecord yconcerning ythe
yincident.
An yunconscious yclient, ybleeding yprofusely, yis ybrought yto ythe yemergency ydepartment yafter ya
yserious yaccident. ySurgery yis yrequired yimmediately yto ysave ythe yclient's ylife. yWith yregard yto
yinformed yconsent yfor ythe ysurgical yprocedure, ywhich yis ythe ybest yaction? y- yCORRECT yANSWER y-
Call ythe ynursing ysupervisor yto yinitiate ya ycourt yorder yfor ythe ysurgical yprocedure.
2.
Try ycalling ythe yclient's yspouse yto yobtain ytelephone yconsent ybefore ythe ysurgical yprocedure.
3.
Ask ythe yfriend ywho yaccompanied ythe yclient yto ythe yemergency ydepartment yto ysign ythe yconsent
yform.
4.
Transport ythe yclient yto ythe yoperating ydepartment yimmediately, yas yrequired yby ythe yhealth ycare
yprovider, ywithout yobtaining yan yinformed yconsent. y(CORRECT)
,RATIONALE: yGenerally ythere yare yonly ytwo yinstances yin ywhich ythe yinformed yconsent yof yan yadult
yclient yis ynot yneeded. yOne yinstance yis ywhen yan yemergency yis ypresent yand ydelaying ytreatment
yfor ythe ypurpose yof yobtaining yinformed yconsent ywould yresult yin yinjury yor ydeath yto ythe yclient.
yThe ysecond yinstance yis ywhen ythe yclient ywaives ythe yright yto ygive yinformed yconsent. yOptions y1,
y2, yand y3 yare yinappropriate
The ynurse yarrives yat ywork yand yis ytold yto yreport y(float) yto ythe ypediatric yunit yfor ythe yday ybecause
ythe yunit yis yunderstaffed yand yneeds yadditional ynurses yto ycare yfor ythe yclients. yThe ynurse yhas
ynever yworked yin ythe ypediatric yunit. yWhich yis ythe yappropriate ynursing yaction? y- yCORRECT
yANSWER y-.
Call ythe yhospital ylawyer.
2.
Call ythe ynursing ysupervisor.
3.
Refuse yto yfloat yto ythe ypediatric yunit.
4.
Report yto ythe ypediatric yunit yand yidentify ytasks ythat ycan ybe ysafely yperformed y(correct)
RATIONALE: yFloating yis yan yacceptable ylegal ypractice yused yby yhospitals yto ysolve ytheir yunderstaffing
yproblems. yLegally ythe ynurse ycannot yrefuse yto yfloat yunless ya yunion ycontract yguarantees ythat ythe
ynurse ycan yonly ywork yin ya yspecified yarea yor ythe ynurse ycan yprove ya ylack yof yknowledge yfor ythe
yperformance yof yassigned ytasks. yWhen yfaced ywith ythis ysituation, ythe ynurse yshould yidentify
ypotential yareas yof yharm yto ythe yclient
The ynurse yenters ya yclient's yroom yand ynotes ythat ythe yclient's ylawyer yis ypresent yand ythat ythe
yclient yis ypreparing ya yliving ywill. yThe yliving ywill yrequires ythat ythe yclient's ysignature ybe ywitnessed,
yand ythe yclient yasks ythe ynurse yto ywitness ythe ysignature. yWhich yis ythe yappropriate ynursing
yaction? y- yCORRECT yANSWER y- yDecline yto ysign ythe ywill. y(CORRECT)
2.
, Sign ythe ywill yas ya ywitness yto ythe ysignature yonly.
3.
Call ythe yhospital ylawyer ybefore ysigning ythe ywill.
4.
Sign ythe ywill, yclearly yidentifying ycredentials yand yemployment yagency.
RATIONALE: yLiving ywills yare yrequired yto ybe yin ywriting yand ysigned yby ythe yclient. yThe yclient's
ysignature yeither ymust ybe ywitnessed yby yspecified yindividuals yor ynotarized. yMany ystates yprohibit
yany yemployee yfrom ybeing ya ywitness, yincluding ythe ynurse yin ya yfacility yin ywhich ythe yclient yis
yreceiving ycare.
The ynurse yfinds ythe yclient ylying yon ythe yfloor. yThe ynurse ycalls ythe yregistered ynurse, ywho ychecks
ythe yclient yand ythen ycalls ythe ynursing ysupervisor yand ythe yhealth ycare yprovider yto yinform ythem
yof ythe yoccurrence. yThe ynurse ycompletes ythe yincident yreport yfor ywhich ypurpose? y- yCORRECT
yANSWER y-roviding yclients ywith ynecessary ystabilizing ytreatments
2.
A ymethod yof ypromoting yquality ycare yand yrisk ymanagement y(correct)
3.
Determining ythe yeffectiveness yof yinterventions yin yrelation yto youtcomes
4.
The yappropriate ymethod yof yreporting yto ylocal, ystate, yand yfederal yagencies
LEADERSHIP FINAL EXAM
Which is a recommended guideline for safe computerized charting? - CORRECT ANSWER -Passwords to
the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing manager or
supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at the nurses' station for
other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, the nurse should type an
explanation into the computer file with ythe ydate, ytime, yand yhis yor yher yinitials. yThe ynurse yshould
yalso ycontact ythe ynursing ymanager yor ysupervisor ywith ya ywritten yexplanation yof ythe ysituation.
yOptions y1, y2, yand y4 yrepresent yunsafe ycharting yactions. yOnly yoption y3 yfollows ythe yguidelines yfor
ysafe ycomputer ycharting.
The ylicensed ypractical ynurse y(LPN) yenters ya yclient's yroom yand yfinds ythe yclient ysitting yon ythe yfloor.
yThe yLPN ycalls ythe yregistered ynurse, ywho ychecks ythe yclient ythoroughly yand ythen yassists ythe yclient
yback yinto ybed.
The yLPN ycompletes yan yincident yreport, yand ythe ynursing ysupervisor yand yhealth ycare yprovider
y(HCP) yare ynotified yof ythe yincident. yWhich yis ythe ynext ynursing yaction yregarding ythe yincident? y-
yCORRECT yANSWER y- yPlace ythe yincident yreport yin ythe yclient's ychart.
,2.
Make ya ycopy yof ythe yincident yreport yfor ythe yHCP.
3.
Document ya ycomplete yentry yin ythe yclient's yrecord yconcerning ythe yincident. y(correct)
4.
Document yin ythe yclient's yrecord ythat yan yincident yreport yhas ybeen ycompleted
RATIONALE: yThe yincident yreport yis yconfidential yand yprivileged yinformation, yand yit yshould ynot ybe
ycopied, yplaced yin ythe ychart, yor yhave yany yreference ymade yto yit yin ythe yclient's yrecord. yThe
yincident yreport yis ynot ya ysubstitute yfor ya ycomplete yentry yin ythe yclient's yrecord yconcerning ythe
yincident.
An yunconscious yclient, ybleeding yprofusely, yis ybrought yto ythe yemergency ydepartment yafter ya
yserious yaccident. ySurgery yis yrequired yimmediately yto ysave ythe yclient's ylife. yWith yregard yto
yinformed yconsent yfor ythe ysurgical yprocedure, ywhich yis ythe ybest yaction? y- yCORRECT yANSWER y-
Call ythe ynursing ysupervisor yto yinitiate ya ycourt yorder yfor ythe ysurgical yprocedure.
2.
Try ycalling ythe yclient's yspouse yto yobtain ytelephone yconsent ybefore ythe ysurgical yprocedure.
3.
Ask ythe yfriend ywho yaccompanied ythe yclient yto ythe yemergency ydepartment yto ysign ythe yconsent
yform.
4.
Transport ythe yclient yto ythe yoperating ydepartment yimmediately, yas yrequired yby ythe yhealth ycare
yprovider, ywithout yobtaining yan yinformed yconsent. y(CORRECT)
,RATIONALE: yGenerally ythere yare yonly ytwo yinstances yin ywhich ythe yinformed yconsent yof yan yadult
yclient yis ynot yneeded. yOne yinstance yis ywhen yan yemergency yis ypresent yand ydelaying ytreatment
yfor ythe ypurpose yof yobtaining yinformed yconsent ywould yresult yin yinjury yor ydeath yto ythe yclient.
yThe ysecond yinstance yis ywhen ythe yclient ywaives ythe yright yto ygive yinformed yconsent. yOptions y1,
y2, yand y3 yare yinappropriate
The ynurse yarrives yat ywork yand yis ytold yto yreport y(float) yto ythe ypediatric yunit yfor ythe yday ybecause
ythe yunit yis yunderstaffed yand yneeds yadditional ynurses yto ycare yfor ythe yclients. yThe ynurse yhas
ynever yworked yin ythe ypediatric yunit. yWhich yis ythe yappropriate ynursing yaction? y- yCORRECT
yANSWER y-.
Call ythe yhospital ylawyer.
2.
Call ythe ynursing ysupervisor.
3.
Refuse yto yfloat yto ythe ypediatric yunit.
4.
Report yto ythe ypediatric yunit yand yidentify ytasks ythat ycan ybe ysafely yperformed y(correct)
RATIONALE: yFloating yis yan yacceptable ylegal ypractice yused yby yhospitals yto ysolve ytheir yunderstaffing
yproblems. yLegally ythe ynurse ycannot yrefuse yto yfloat yunless ya yunion ycontract yguarantees ythat ythe
ynurse ycan yonly ywork yin ya yspecified yarea yor ythe ynurse ycan yprove ya ylack yof yknowledge yfor ythe
yperformance yof yassigned ytasks. yWhen yfaced ywith ythis ysituation, ythe ynurse yshould yidentify
ypotential yareas yof yharm yto ythe yclient
The ynurse yenters ya yclient's yroom yand ynotes ythat ythe yclient's ylawyer yis ypresent yand ythat ythe
yclient yis ypreparing ya yliving ywill. yThe yliving ywill yrequires ythat ythe yclient's ysignature ybe ywitnessed,
yand ythe yclient yasks ythe ynurse yto ywitness ythe ysignature. yWhich yis ythe yappropriate ynursing
yaction? y- yCORRECT yANSWER y- yDecline yto ysign ythe ywill. y(CORRECT)
2.
, Sign ythe ywill yas ya ywitness yto ythe ysignature yonly.
3.
Call ythe yhospital ylawyer ybefore ysigning ythe ywill.
4.
Sign ythe ywill, yclearly yidentifying ycredentials yand yemployment yagency.
RATIONALE: yLiving ywills yare yrequired yto ybe yin ywriting yand ysigned yby ythe yclient. yThe yclient's
ysignature yeither ymust ybe ywitnessed yby yspecified yindividuals yor ynotarized. yMany ystates yprohibit
yany yemployee yfrom ybeing ya ywitness, yincluding ythe ynurse yin ya yfacility yin ywhich ythe yclient yis
yreceiving ycare.
The ynurse yfinds ythe yclient ylying yon ythe yfloor. yThe ynurse ycalls ythe yregistered ynurse, ywho ychecks
ythe yclient yand ythen ycalls ythe ynursing ysupervisor yand ythe yhealth ycare yprovider yto yinform ythem
yof ythe yoccurrence. yThe ynurse ycompletes ythe yincident yreport yfor ywhich ypurpose? y- yCORRECT
yANSWER y-roviding yclients ywith ynecessary ystabilizing ytreatments
2.
A ymethod yof ypromoting yquality ycare yand yrisk ymanagement y(correct)
3.
Determining ythe yeffectiveness yof yinterventions yin yrelation yto youtcomes
4.
The yappropriate ymethod yof yreporting yto ylocal, ystate, yand yfederal yagencies
