ATI Leadership Exam 2016 A

Exam (elaborations) ATI Leadership Exam 2016 A behaviors indicates the nurse is using effective time management skills? The nurse will develop a list of non-essential tasks that can wait until more urgent tasks are complete and demonstrate effective time management. A nurse is receiving change-of-shift report at the start of the shift. Which of the following clients should the nurse assess first? A client who had abdominal surgery 6 hr ago and has a heart rate of 120/min for the last 2 hr When using the airway, breathing, circulation (ABC) approach to client care, the nurse determines the priority finding is an elevated heart rate following surgery; therefore, the nurse should assess this client first. A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. Some staff members have verbalized displeasure with the changes. Which of the following should the charge nurse do? (Select all that apply.) Role model a positive approach to the changes is correct. It is important for the charge nurse to role model positive behaviors and demonstrate support of the change. Redirect the conversation when negative comments about the changes are made is incorrect.The charge nurse should give staff members who oppose the change the opportunity to verbalize their objections and thereby discuss possible solutions. Encourage staff members who support the changes to discuss the issue with resistant staff is correct. Peers can serve as change agents and encourage others to embrace the changes. Suggest that resistant staff members transfer to a different unit is incorrect. This approach avoids conflict rather than attempting to resolve it. Reprimand staff members who are resistant to the changes is incorrect. Resistance to change is a normal part of the change process. The charge nurse should use positive strategies to aid in acceptance of the proposed change. A nurse is caring for a client who is 3 days postoperative following open heart surgery and is to transfer to the medical-surgical unit. Which of the following should the nurse plan to include in the verbal report? The client's level of consciousness A nurse case manager is planning a teaching session on use of critical pathways with a group of newly licensed nurses. The nurse should include which of the following in the teaching about critical pathways? Critical pathways prevent unnecessary expense. Nurses use critical pathways to implement evidence-based strategies for clients who have a specific, common diagnosis. A charge nurse is planning client care assignments for the unit. Which of the following clients should the nurse assign to a licensed practical nurse (LPN)? A client who has Crohn’s disease and requires an enteral feeding This study source was downloaded by from CourseH on :52:51 GMT -05:00 This study resource was shared via CourseH A nurse manager is presenting an inservice about preventing readmission of clients due to complications after joint replacement surgery. Which of the following leadership tasks is the nurse performing? Advocacy A staff nurse at a long-term care facility is evaluating an assistive personnel (AP) caring for a group of clients who require restraints. Which of the following is an appropriate action by the AP? Placing the restraint tie on a moveable part of the bed frame not the side rails, to prevent constriction when changing the position of the bed. The nurse should secure mitten restraints at the client’s wrist. An older adult client is being discharged with a postoperative infection, requiring daily home IV antibiotics through a PICC line. Which of the following actions should the case manager perform prior to discharge? Ensure that home infusion therapy has been arranged. A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated to an assistive personnel (AP)? (Select all that apply.) Flushing a client's saline lock is incorrect. This is not within the AP's scope of practice. Ambulating a client who uses a walker is correct. This is within the AP's scope of practice. Adding thickener to thin liquids on a client's food tray is correct. This is within the AP's scope of practice. Showing a client how to use an incentive spirometer is incorrect. This is not within the AP's scope of practice. Evaluating a client's gag reflex before mealtime is incorrect. This is not within the AP's scope of practice. A nurse is reviewing facility data on hand hygiene adherence and finds that nurses are not performing hand hygiene after client contact 28% of the time. Which of the following is the first action the nurse should take when developing a plan to increase employee hand hygiene adherence? Set a goal for improvement in adherence. A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following clients should be assigned to the medical nurse? A client who had a right above-the-knee amputation 24 hr ago A nurse manager is coordinating staff assignments for RNs and licensed practical nurses (LPNs) following a local disaster. Which of the following is an appropriate assignment by the nurse manager to provide safe and effective client care? LPNs provide care to class III (green tag) clients. LPNs can provide care for class III clients, who have nonurgent, minor injuries. Class IV clients are expected to die or have died. This would be an appropriate assignment fo