Leadership &
Management
Proctored Exam
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, ATI PN
Leadership &
Management
Proctored Exam
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ATI PN Leadership & Management Proctored Exam A nurse is supervising an assistive personnel (AP) fax a client’s morning laboratory results to a provider’s office. Which of the following actions by the AP requires intervention by the nurse? • Sends laboratory results from the past week The AP should only send the information requested by the provider. The amount of information sent by fax should not exceed what was requested or required for immediate clinical needs. A nurse is assisting with the care of a client who has terminal cancer and is receiving chemotherapy. the client tells the nurse that she is only continuing treatment for her familys sake. Which of the following responses should the nurse make? • "Lets talk about your reasons for continuing treatment" This response by the nurse is therapeutic because it focuses the conversation on the key components of the message and allows the client to discuss the treatment and any concerns she is having. The nurse also validates the client's feelings and thoughts, which enhances trust between the nurse and the client. A nurse is contributing to the plan of care for a client who has a prescription for a 24 hour urine specimen. Which of the following interventions should the nurse plan to include? • Begin the timed collection by discarding the first specimen Post the times for urine collection above the toilet in the clients bathroom Obtain a clean specimen collection container for use during the test A nurse is preparing to delegate assignments after receiving change of shift report. Which of the following tasks should the nurse assign to an assistive personnel (AP)? • Provide postmortem care The nurse should assign the AP to provide postmortem care because this task is within the AP's range of function. A nurse is contributing to the plan of care for a client who has acute hypothyroidism. Which of the following interventions should the nurse include in the plan? • Provide the client with a reduced-calorie diet The nurse should provide the client who has hypothyroidism with a reduced-calorie diet. Hypothyroidism causes the client's metabolism to decrease, which can result in weight gain. A reduced-calorie diet will help the client keep weight gain to a minimum and contribute to weight loss. A nurse arrives for her shift and is assigned more clients than she feels is safe. The charge nurse states there are no other options due to a shortage in nursing staff. Which of the following actions should the nurse take? • Submit a written complaint to the nursing supervisor The nurse should submit a written complaint to the nursing supervisor detailing her concern if she must accept an assignment for more clients than she feels is safe. This written complaint ensures that the facility is aware of the issue and indicates that the nurse made an attempt to address the situation. A nurse is caring for a client who received a skin tear during a routine dressing change. After completing an incident report, which of the following actions should the nurse take? • Submit the incident report to the nurse manager for review The nurse should complete an incident report for unusual occurrences or variances in client care. The nurse manager should have the opportunity to review the information in order to begin the quality review process. A nurse on a pediatric unit is assisting with the care of a group of clients. Which of the following clients would benefit most from an interprofessional care conference? • An infant who has cystic fibrosis and is continuing to lose weight When using Maslow's hierarchy of needs, the nurse should determine that this client is the priority for an interprofessional care conference to meet the client's need for food and fluids. This client is at risk for inadequate nutrition resulting in impaired growth. Addressing this problem requires a multidisciplinary approach, including a dietitian. A nurse is reinforcing teaching with a newly licensed nurse about the role of the nurse in informed consent. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? • "My signature on the consent form indicates the client gave consent for the procedure voluntarily" the nurse's signature on the consent form confirms that the client is com
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