ATI Leadership Practice A Exam

A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take? -Inform the client of the consequences of decreased cerebral circulation -Initiate a mental health consultation to determine why the client refuses the surgery -Discuss the client's concerns about having the surgery -Provide the client with information on additional treatment options - Discuss the client's concerns about having the surgery A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure injuries in a LTC facility. Which of the following actions should the team take to evaluate the effectiveness of the plan? -Compare data from clients' records regarding skin integrity with established criteria -Measure staff attendance at an educational program on managing pressure injuries -Interview clients regarding their satisfaction with their care -Monitor use of supplies used to prevent pressure injuries - Compare data from clients' regarding skin integrity with established criteria A nurse asks a newly hired assistive personnel to remove a client's indwelling catheter. Which of the following actions should the nurse take to ensure they are qualified to perform this task? -Show them how to remove an indwelling catheter -Review their skill competency checklist -Ask them if they know how to remove an indwelling catheter -Pair the newly hired AP with an experienced AP - Review their skill competency checklist A nurse is caring for 4 clients. Which of the following assessment findings is the priority? -A client who has facial drooping following a stroke 8hrs ago -A client who has a femur fracture and reports feeling short of breath -A client who had an appendectomy 12hr ago and reports pain as 5 -A client who had an open cholecystectomy 4 days ago and has serosanguineous drainage on the wound dressing - A client who has a femur fracture and reports feeling short of breath A home health nurse is planning her daily visits and receives labs for 4 clients. The nurse should first visit the client who has which of the following labs? -Digoxin 1.0 ng/mL -WBC 6,000 -Platelets 100,000 -Serum potassium 4.0 - Platelets 100,000 (answered wrong, put dig) A nurse is assigning care for 4 clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel? -Instruct a client how to take their BP -Administer subcutaneous medications to a client -Determine a client's I/O -Provide a status update to a client's family member - Determine a client's I/O A client who has back pain presents to an ED and is provided a prescription for oxycodone. A staff nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress. Which of the following responses should the charge nurse make? -It sounds like nonpharmacological interventions would be best for this client -Let's withhold the oxycodone until we can consult with the provider -Contact mental health services to arrange for a consultation -Clients are the experts on their own pain - Clients are the experts on their own pain A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the following actions should the newly licensed nurse take? -Open the top flap of the sterile package towards the body -Maintain a 0.5in border around the edges of the sterile field -Pick up the first sterile glove by grasping the folded cuff edge -Remove soiled dressings using sterile gloves - Pick up the first sterile glove by grasping the folded cuff edge A nurse is conducting an orientation class for new clients and their families at a LTC facility. Which of the following client rights should the nurse address at the orientation? -The right to be treated with respect and dignity -The right to full access of the facility -The right to refuse their medications -The right to leave regardless of provider recommendations -The right to be fully informed of their health conditions - The right to be treated with respect and dignity; The right to refuse their medications; The right to leave regardless of provider recommendations; The right to be fully informed of their health conditions