ATI Leadership Questions and Answers Form B,100% CORRECT

ATI Leadership Questions and Answers Form B 1. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate to the nurse the need for referral to an occupational therapist? a. Facial drooping b. Receptive aphasia c. Unilateral neglect d. Memory loss 2. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? a. Show a new mother how to change the newborn’s diaper b. Inspect the skin of a newborn who is receiving phototherapy c. Obtain the weight of a newborn who is receiving formula d. Answer the parents’ questions about newborn circumcision 3. A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurse are available for staffing. Which of the following tasks should the nurse assign to a licensed practical nurse? a. Conduct the newborn hearing screening b. Perform a New Ballard screening c. Administer a hepatitis B vaccine d. Obtain vital signs 4. A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching? a. I need to have a TB skin test done once per year b. I need to take my prescribed medication for 3 months c. I should have a sputum culture done every 2 to 4 weeks d. I should wear a mask while around my family 5. A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take? a. Accept the assignment with help from assistive personnel on the unit b. Document the concern in the nurse’s notes c. Notify the risk manager d. Request that the charge nurse modify the assignment 6. A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy? a. Recommending a referral for a client who requires physical therapy b. Suggesting a client’s partner attend a support group for emotional support - check c. Completing an incident report following a medication error d. Evaluating a client’s home for safety hazards 7. A nurse is caring for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr b. A client who has diabetes mellitus and reports paresthesia in his fingers and toes c. A client who has a new diagnosis of Graves’ disease and a TSH level of 0.2 microunits/mL d. A client who has a nasogastric tube and has crackles in the lungs 8. A staff development nurse is giving an in-service presentation about advocacy in nursing. Which of the following statements by a nurse indicates an understanding of the role of a client advocate? a. As a client advocate, I will suggest the best course of action for clients who are indecisive b. In the role of client advocate, I should take responsibility for coordinating each client’s care c. My role as a client advocate is to empower the clients to make informed health care decisions d. As a client advocate, I will adhere to the provider’s prescribed treatments 9. A charge nurse in the emergency department is supervising a nurse who is floating from the medical-surgical unit. Which of the following assignments is appropriate for the float nurse? a. Set up a trauma room for an incoming client who was in a motor-vehicle crash b. Perform a urinary catheterization for a client who has experienced a stroke - check c. Administer IV nitroglycerin to a client who is experiencing chest pain d. Complete a SAD PERSONS assessment scale for a client who has attempted suicide 10. A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary? a. I will need assistance with bathing - check b. I am tired of having pain in my joints all the time c. I’m having difficulty climbing the stairs at my house d. I need some help planning my meals to maintain my weight 11. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique? a. The nurse turns her back to the sterile field b. The nurse puts on a face mask c. The nurse holds her hands above her waist d. The nurse applies goggles 12. A home health nurse finds piles of newspapers in the hallway of a client’s home. The nurse explains the need to discard the newspapers for safety reasons. The client agrees to move the newspapers into the living room. Which of the following conflict resolution strategies has the nurse used? a. Compromising b. Accommodating c. Collaborating d. Smoothing 13. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventing client injury by removing a fall hazard demonstrates which of the following ethical principles? a. Nonmaleficence b. Veracity c. Autonomy d. Utility 14. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client’s partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done? a. Whether the facility ethics committee reaches a consensus on the case b. Whether the client understands the risk of refusing the procedure c. Whether the client’s refusal is based on religious belief d. Whether the partner is the client’s durable power of attorney for health care 15. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted b. Assess the client for urinary retention c. Obtain a provider’s prescription for a blood alcohol level d. Document the client’s refusal in the chart 16. A charge nurse is teaching a newly licensed nurse about proper cleaning of equipment used for a client who has C. dif. Which of the following solutions should the nurse recommend to clean the equipment? a. Chlorine bleach b. Isopropyl alcohol c. Triclosan d. Chlorhexidine 17. A nurse is prioritizing care after receiving change-of-shift report on four clients. Which of the following clients should the nurse assess first? a. A client who reports a headache with sensitivity to light b. A client who reports feeling lightheaded when he stands up from a lying position c. A client who reports indigestion and pain in her jaw d. A client who reports an urge to void but has not urinated during the prior shift 18. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care? a. Does the AP have time to change the client’s central IV-line dressing after turning her? b. Is the client’s family present so the AP can show them how to turn the client? c. Has the AP checked the client’s pain level prior to turning her? d. Has data been collected about specific client needs related to turning? 19. A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of this client’s ring? a. Place the client’s ring in the facility safe b. Tape the ring securely to the client’s finger c. Place the ring in the bag with the client’s clothing d. Agree to keep the ring for the client until after surgery 20. A nurse is planning care for a client who has Addison’s disease. Which of the following tasks should the nurse plan to delegate to assistive personnel? a. Explain to the client about a 24-hr urine specimen collection b. Remind the client to change positions slowly c. Decide how often to measure vital signs d. Determine the client’s muscle strength prior to ambulation 21. A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take? a. Check to see if the medical record indicates the provider explained the procedure to the client b. Explain the risks of the procedure to the client c. Notify the provider about the client’s concerns d. Convey the client’s request to the nurse who witnessed the consent 22. MISSING 23. A nurse is providing information to a client about advance directives. The nurse should explain that advance directives include which of the following? a. Information regarding organ donation b. A form with directions for contacting next of kin c. Instructions regarding treatments the client desires or does not desire d. Information regarding the disposition of the client’s body upon death 24. A nurse is prioritizing postpartum care for four clients. Which of the following actions should the nurse take first? a. Instruct a client who has an episiotomy about a sitz bath b. Check uterine tone for a client who received methylergonovine c. Assist a client who requests help breastfeeding her 4-hr-old newborn d. Administer Rh immune globulin to a client who is Rh-negative and 6 hr postpartum 25. A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN? a. Admitting a new client who has chronic back pain to the unit b. Ambulating a client who is scheduled for discharge later in the day c. Administering morphine IV bolus to a client who is 4 hr postoperative d. Reinforcing teaching with a client who is learning to self-administer insulin 26. A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority? a. A client who has peripheral vascular disease and has an absent pedal pulse in the right foot b. A client who has MRSA and has an axillary temperature of 38 C (101 F) c. A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy d. A client who is postoperative following a laminectomy 12 hr ago and is unable to void 27. A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding? a. HIPAA allows clients to request a review of their own medical records b. HIPAA prohibits the uploading of photographs of client’s providers to social medical sites c. HIPAA allows facility-specific coding of client health care information to ensure privacy d. Clients who participate in research studies forfeit their HIPAA right to privacy 28. An infection control nurse is planning an education program for a group of newly licensed nurses. Which of the following infections should the nurse include when discussing illnesses requiring droplet precautions? a. Rotavirus b. Varicella c. Mumps d. Rubeola 29. A nurse in the emergency department is caring for a 16-year-old client who reports abdominal pain and is accompanied by an adult neighbor. The provider diagnoses a ruptured appendix and states that the client requires an emergency appendectomy. Which of the following actions should the nurse take? a. Obtain consent from the hospital administrator b. Witness the client signing the consent form c. Attempt to notify the client’s guardian to obtain consent d. Ask the adult neighbor to sign the consent form 30. A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? a. Complete an incident report b. Notify the provider c. Place a faulty equipment tag on the pump d. Auscultate the client’s lungs 31. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. I will remove a client’s restraints every 4 hours b. A provider can write a prescription for restraints as needed c. I need to tie the restraint to the part of the bed frame that moves d. I should tie the restraints using a square knot 32. A charge nurse suspects that a staff nurse is chemically impaired. Which of the following actions should the charge nurse take? a. Report the staff nurse to the facility ethics committee b. Counsel the staff nurse about substance use c. Collect data about the staff nurse to support further action - check d. Assign clients who are not prescribed narcotics to the staff nurse 33. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse? a. Administer a nasogastric tube feeding b. Pick up the meal trays after lunch c. Determine adequacy of ventilator settings d. Plan break times for assistive personnel 34. A nurse is observing an assistive personnel (AP) administer a 0.9% sodium chloride enema to an adult client. For which of the following actions by the AP should the nurse intervene? a. Inserts the tubing 8 cm (3.1 in) into the rectum b. Positions the client on her left side with knees flexed c. Administers the solution at room temperature d. Points tubing in the direction of the umbilicus during insertion 35. A nurse is planning to discharge a client who has terminal cancer and suggests that the family might benefit from respite services. When the client’s partner asks how this service can help, which of the following responses by the nurse is appropriate? a. This service delivers meals and supplies to reduce your errands away from home b. The clinicians help reduces the severity of your wife’s physical problems c. It makes it possible for you to have some time away from caring for your wife d. This service offers psychological interventions during and after your wife’s illness 36. A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to assistive personnel? a. Teaching a client to perform a finger-stick for testing blood glucose levels b. Performing postmortem care prior to transferring the client to the morgue c. Informing a family of a client’s progress in physical therapy d. Advising a client on self-administration of acetaminophen 37. A nurse is caring for four clients. Which of the following tasks can be delegated to assistive personnel? a. Reviewing dietary instructions for a client who has kidney stones b. Monitoring a client who has a fluid restriction c. Assessing a client who just returned from hemodialysis d. Obtaining a stool sample from a client who has renal failure 38. A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The client expresses concern about the cost of blood-glucose monitoring supplies. Which of the following actions should the nurse take? a. Refer the client to the social services department b. Provide the client with a week’s worth of supplies from the hospital c. Recommend the client reuse the testing lancets d. Ask the provider about the possibility of less frequent monitoring 39. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? a. Slander b. Negligence c. Libel d. Battery 40. During a staff meeting, a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first? a. Include documentation of client education as part of unit nurses’ annual performance evaluation b. Offer incentives for the staff once the unit’s results are back in adherence with the benchmark c. Determine factors that interfere with the documentation of client education d. Train LPNs to reinforce teaching with clients using a standardized teaching plan 41. An older adult client is awaiting surgery for a fractured right hip. The nurse should recognize that which of the following can be delegated to assistive personnel? a. Checking the pulses of the client’s right foot b. Determining the client’s pain level c. Recording the client’s vital signs d. Turning the client 42. A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first? a. The emergency department nurse is waiting to give report on a new admission b. Transport assistance is unavailable to take a client to occupational therapy c. Two staff members have called to say they will be absent d. A nurse on the previous shift wrote an incident report about a medication error 43. A home health nurse is assessing the home environment during an initial visit to a client who has a history of falls. Which of the following findings should the nurse identify as increasing the client’s risk for falls? (Select all that apply.) a. A raised vinyl seat on the toilet in the bathroom b. A folding chair without arm rests c. A two-wheeled walker used to assist the client with ambulation d. A wheeled office chair at the client’s computer desk e. A throw rug covering some cracked vinyl flooring in the kitchen 44. A nurse is providing discharge teaching to a client following a total knee arthroplasty. Which of the following information should the nurse include? (Select all that apply.) a. Advance directives information b. Medication guideline information c. Insurance information d. Contact information for the physical therapist e. Information about follow-up care 45. A nurse at the local health department is caring for four clients who have communicable diseases. Which of the following infections should the nurse report to the state health department? a. Pediculosis capitis b. Candida albicans c. Impetigo contagiosa d. Chlamydia trachomatis 46. A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take? a. Proceed with treatment without obtaining written consent b. Notify risk management before initiating treatment c. Have the client sign a consent for treatment d. Contact the client’s next of kin to obtain consent for treatment 47. A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following statements by a staff nurse indicates that the teaching was effective? a. Guardian consent is required for an emancipated minor b. Consent can be given by a durable power of attorney c. A family member can interpret to obtain informed consent from a client who is deaf d. The nurse can answer any questions the client has about the procedure 48. A nurse is caring for a client who has cancer. The client and her partner are asking the nurse about hospice care. Which of the following statements by the nurse is appropriate? a. Hospice care is a multidisciplinary program for clients who are terminally ill b. Hospice care will prolong the life expectancy of clients who are terminally ill c. Hospital access is no longer available for clients who are in hospice care d. Hospice care is helpful for clients at various stages of chronic illness 49. A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take? a. Administer the benzodiazepine but withhold the opioid b. Contact the provider about replacing the opioid with an NSAID c. Continue the medication dosages that relieve the client’s pain d. Withhold the benzodiazepine but continue the opioid 50. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first? a. Review facility policies for taking scheduled breaks b. Discuss time management strategies with the nurses c. Determine the reasons the nurses are not taking scheduled breaks d. Provide coverage for the nurses’ breaks 51. A nurse on a medical-surgical unit is caring for four clients. Which of the following findings is the highest priority? a. A client whose TPN was discontinued 4 hr ago and is requesting clear liquids b. A client who has COPD and has an oxygen saturation of 90% c. A client who had a cholecystectomy 6 hr ago and is requesting pain medication d. A client who had a cardiac catheterization whose capillary refill in the great toe is 4 seconds 52. A nurse who is caring for a group of clients delegates collection of vital signs to assistive personnel (AP). Which of the following actions should the nurse take to evaluate the delegated task? a. Recheck vital signs that are outside the expected reference range b. Ask the AP to write a summary of the delegated tasks during the shift c. Review vital sign trends at the end of the shift d. Compare the vital signs the AP obtained with those taken by another AP on a previous shift 53. A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department? a. Rotavirus b. Group B streptococcal disease c. Pertussis d. Respiratory syncytial virus 54. A nurse in a long-term care facility should identify that which of the following will provide security for clients who have dementia? a. Setting alarms on exits b. Turning off room lights at night c. Restricting space to reduce pacing d. Using a facility-wide paging system 55. A nurse enters the room of a client who is unconscious and finds that the client’s son is reading her electronic medical records from a monitor located at the bedside. Which of the following actions should the nurse take first? a. Report the possible violation of client confidentiality to the nurse manager b. Complete an incident report regarding the breach of the client’s confidentiality c. Recommend the son meet the provider to get information about his mother’s condition d. Log out the computer so that the client’s son is unable to view his mother’s information 56. A nurse is preparing to transfer a client from the emergency department to a medical- surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report? a. A prescribed consultation b. The client’s vital signs c. The client’s name d. The client’s code status 57. A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management? a. Determine client care goals b. Complete required tasks c. Document assessment data d. Review the client’s new laboratory values 58. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event? a. A sufficient supply of personal protective equipment b. A network for communication between staff members and families c. A system for tracking client information d. A mental health specialist on the response team 59. A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile techniques? (Select all that apply.) a. Holds the sterile solution bottle with the label facing up b. Prepares a container of sterile solution on the field after putting on sterile gloves c. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field d. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field e. Opens the sterile pack by first unfolding the top flap away from her body 60. A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the following actions should the nurse take? a. Ask the client about his injuries with the son present b. Ask the client’s son to go to the waiting area c. File an incident report d. Treat and discharge the client 61. A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first? a. Notify the provider b. Inform the nursing supervisor c. Observe the client’s condition d. Complete an incident report 62. A charge nurse discovers that a staff nurse on the unit has made repeated medication errors. Which of the following actions should the charge nurse take first? a. Identify education opportunities for the nurse regarding safe medication administration b. Review with the nurse the principles of medication administration c. Notify the risk management department of the situation d. Ask the nurse to describe her medication administration procedure 63. A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee? a. A middle adult client who leaves the facility against medical advice b. A young adult client who is participating in a medical research study c. An adolescent client whose parents refuse a blood transfusion for religious reasons d. An older adult client who has advance directives on file 64. A nurse in an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth? a. Developing client treatment protocols b. Establishing communication between providers c. Assessing client needs d. Providing medication reconciliation 65. A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatments first? a. A client who has a neck injury and is unable to breathe spontaneously b. A client who has major burns over 75% of her body surface area c. A client who has bipolar disorder and is exhibiting signs of hallucination d. A client who has two open chest wounds with a left tracheal deviation 66. A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which of the following clients should the nurse evacuate first? a. A client who is in Buck’s traction for a left hip fracture b. A client who is confused and restrained for safety c. A client who is receiving IV chemotherapy and is ambulatory d. A client who is 1-day postoperative following thoracic surgery and has a chest tube 67. A nurse is assessing a client’s comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure? a. I will be given contrast dye during this test b. I will run on a treadmill during this test c. I might have to wear a nose clip during this test d. I might have a tube inserted into my airway during this test 68. A charge nurse witnesses two nurses having a loud discussion at the nurses’ station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take? a. Recommend that both nurses be terminated b. Contact the house supervisor to mediate the conflict - check c. Make arrangements to take over the client’s care d. Escort the nurses to the nurses’ lounge to continue the discussion 69. A nurse in the emergency department is triaging four clients. Which of the following clients should the nurse recommend to be examined first? a. An adolescent client who has an injured ankle and reports a pain level of 8 on a scale from 0 to 10 b. An adult client who has large ecchymosis on both legs c. A toddler who has a 2 cm (0.79 in) head laceration oozing dark red blood d. An older adult client who has dyspnea and a respiratory rate of 26/min 70. A nurse is teaching a client how to use a finger-stick glucometer at home. Which of the following instructions should the nurse include? a. Warm the hands prior to piercing the skin b. Obtain the blood sample from the finger pads c. Cap the lancet prior to putting it in the trash d. Elevate the arm for 1 min before taking the blood sample