ATI Leadership Module 7 Capstone/Transition to Practice Quiz Graded A 2024

A nurse is observing client care provided by assistive personnel (AP). Which of the following actions should prompt the charge nurse to intervene? a. The AP puts on clean gloves prior to brushing a client's teeth. b. The AP attaches a client's urinary drainage bag to the bed frame. c. The AP instructs a client who needs assistance with turning to place his arms at his side before the turn. d. The AP applies moisturizing cream to the feet of a client who has diabetes mellitus. - c. The AP instructs a client who needs assistance with turning to place his arms at his side before the turn. A nurse is assessing an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect? a. Elevated mood b. Anxiety c. Emotional numbing d. Impulsivity - d. Impulsivity A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include? a. Make sure a family member is present to interpret for the staff b. Encourage the client to nod to indicates understanding c. Determine the client's level of fluency in his primary language d. Speak directly to the interpreter when teaching the client - b. Encourage the client to nod to indicates understanding A nurse has completed care procedures for client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove last? a. Gloves b. Gown c. Mask d. Goggles - c. Mask ATI Leadership Module 7 Capstone/Transition to Practice Quiz Graded A 2024 Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which of the following clients should the nurse recommend for discharge? a. An older adult who was admitted for diabetic ketoacidosis and his most recent ABGs show his pH is now 7.32 b. Middle adult who is 36hr postoperative from an open laminectomy c. An adolescent client who was admitted 24hr ago due to a spontaneous pneumothorax d. A young adult client who has Crohn's disease and is 1 day preoperative for an ileostomy - d. A young adult client who has Crohn's disease and is 1 day preoperative for an ileostomy A community mental health nurse is assessing client who has schizophrenia. Which of the following findings indicates the client might be relapsing? a. The client reports feelings of anger toward her provider b. The client states have started smoking again c. The client is wearing mismatched clothing d. The client reports difficulties with sleeping and concentrating - d. The client reports difficulties with sleeping and concentrating A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure. "Which of the following actions should the nurse take? a. Remind the client the consent form has already been signed b. Discuss alternatives to the procedure c. Explain why this procedure is necessary d. Inform the provider that the client is withdrawing consent - d. Inform the provider that the client is withdrawing consent A nurse in a mental health facility is caring for a client who is a client who is upset about the loss of privileges due to repetitive negative behaviour. Which of the following statements by the nurse demonstrates the effective use of assertive communication? a. "You need to calm down before discussing this matter any further" b. "I understand that you are angry. However, I followed the appropriate protocol c. "You were made aware of the consequences of negative behaviour" d. "Why did you make the choice to behave negatively?" - b. "I understand that you are angry. However, I followed the appropriate protocol A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following statements should the nurse make? a. "You said that you feel guilty about your daughter's diagnosis. Lets talk about what is causing you to feel this way". b. "Your provider has explained the causes of schizophrenia why you feel guilty about your daughter diagnosis?" c. "You should not feel guilty about your daughter's diagnosis. Schizophrenia is unpreventable". d. "I'm sure your daughter's diagnosis is very difficult to deal with, but everything will be all right once she receives the proper treatment". - a. "You said that you feel guilty about your daughter's diagnosis. Lets talk about what is causing you to feel this way". A nurse in the emergency department is assessing a client who has experienced intimate partner abuse. The nurse should monitor the client for which of the following behavioral findings? a. Body image disturbance b. Altered role performance c. Personal identity disturbance d. Self- esteem disturbance - d. Self- esteem disturbance A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier? (Select all that apply) a. Partner's full name b. Facility room number c. Client's full name d. Provider's name - c. Client's full name A nurse asks a client how he is feeling. The client states, "I'm feeling a bit nervous today". Which of the following responses should the nurse make? a. "Would a backrub ease your nervousness?" b. "What is making you feel nervous?" c. "Please explain what you mean by the word nervous" d. "You shouldn't feel nervous" - c. "Please explain what you mean by the word nervous" A nurse is caring for a client who is experiencing a normal grief reaction following the loss of her spouse. Which of the following finding should the nurse expect? a. Chest pain b. Insomnia c. Hypertension d. Dry month - a. Chest pain A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts? a. Negligence b. Assault c. Battery d. False imprisonment - c. Battery A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action? a. Document the occurrence in a personal log b. Complete an incident report c. Quietly tell the APs that this is not appropriate d. Ask the nurse manager to provide an in-service program about confidentiality to the staff on the unit. - c. Quietly tell the APs that this is not appropriate A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take? a. Wear a mask when providing care to the client b. Ensure the client's room has HEPA filtration c. Place the client in a room with negative airflow d. Wear a gown when providing care to the client - a. Wear a mask when providing care to the client A nurse sees assistive personnel (AP) entering the room of a client who requires transmission-based precautions without using the appropriate personal protective equipment (PPE). Which of the following actions should the nurse take first? a. Notify the charge nurse about the AP's need for training b. Provide the appropriate PPE to the AP c. Speak with AP when he exits the room about the appropriate protocol d. Volunteer to provide an in-service about infection control - c. Speak with AP when he exits the room about the appropriate protocol A charge nurse is reviewing guidelines for initiating airborne precautions. Which of the following clients should the nurse identify as requiring airborne precautions? a. A client who has measles b. A client who has pertussis c. A client who has streptococcal pharyngitis d. A client who has scabies - a. A client who has measles A nurse on a medical surgical unit is planning to delegate tasks to an adult volunteer. Which of the following task should the charge nurse avoid assignment to the volunteer? a. Observing a postoperative client who is confused b. Assisting a client who has difficult seeing the foods on the tray while eating c. Delivering a routine urine specimen to the laboratory d. Delivering meal trays to clients in their rooms - a. Observing a postoperative client who is confused A nurse on a medical surgical unit is assigning task to assistive personnel (AP). Which of the following task should the nurse delegate to the AP? (select all that apply) a. Irrigate a wound b. Transfer a client to a stretcher c. Demonstrate the technique to instill eye drops d. Ambulate client who has a cane e. Record urinary output - b. Transfer a client to a stretcher d. Ambulate client who has a cane e. Record urinary output A nurse is assessing the medical record of a female client who has anorexia nervosa. Which of the following findings should the nurse expect? a. Heat intolerance b. Low bone density c. Heavy monthly period d. Decreased cholesterol levels - b. Low bone density A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse include in the discussion as a health risk of heroin use? a. Nasal septum perforation b. Permanent short-term memory loss c. Slowed breathing d. Acute pancreatitis - c. Slowed breathing A nurse is caring for a client who is confused and has pulled out her peripheral IV catheter three times. Which of the following actions should the nurse consider? a. Move the client close to the nurses' station b. Administer a mild sedative to the client c. Place mitten restraints on the clients' hands d. Reorient the client to time, place, and person - c. Place mitten restraints on the clients' hands A nurse is planning care for a newly admitted client who has major depressive disorder following the loss of a child. Which of the following goals should the nurse identify as the priority? a. The client assumes an active role in her care planning process b. The client makes a contract not to harm herself c. The client identifies positive qualities about herself. d. The client exhibits expected grieving behaviors - b. The client makes a contract not to harm herself A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager is appropriate? a. "Good Samaritan laws prohibit the victim from filing lawsuit against the nurse". b. "If you render aid in an accident, do not leave the scene until another competent person can take over" c. "Federal laws require a licensed nurse to render aid in an emergency" d. "A nurse who volunteers at a summer camp for children is covered by Good Samaritan laws". - b. "If you render aid in an accident, do not leave the scene until another competent person can take over" A nurse is interviewing a female client who is Hispanic. The client's answers the questions and states. "she speaks only a little English." Which of the following actions should the nurse take? a. Ask the client's partner to translate questions and answer for the client b. Arrange to complete the assessment with only the client and a translator's present c. Use an internet website ending to translate for the client d. Ask a male student nurse to translate for the client - b. Arrange to complete the assessment with only the client and a translator's present A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide? a. Services are centered in long-term care facilities b. This service focuses on teaching the primary caregivers to meet the client's needs c. The emphasis is on the client's complete recovery from the illness or injury d. This service began with the client's admission to the hospital - c. The emphasis is on the client's complete recovery from the illness or injury A nurse is caring for a client who has dementia. The client is agitated and is have difficulty staying in his chair. Which of the following actions should the nurse take first? a. Place a seat alarm in the client's chair b. Place the client in bed with the two side rails raised c. Apply a vest restraint on the client d. Administer lorazepam the client - a. Place a seat alarm in the client's chair A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety a.The client pushes downward on the handgrip b.The client keeps the elbow in a flexed position c.The client stands in a tripod position prior to walking d.The client places partial weight on the affected leg - d.The client places partial weight on the affected leg A nurse manager is discussing suicide with nursing staff. Which of the following should the manager identify as risk factors for suicide? (Select all that apply). a. Diagnosis of schizophrenia, depressive, personality, bipolar, substance use disorders b. Bachelor's degree c. Male gender d. Recent marriage e.Military personnel/veterans f.Lesbians, gay, bisexual, transgender g.Age greater than 15 - a. Diagnosis of schizophrenia, depressive, personality, bipolar, substance use disorders c. Male gender e.Military personnel/veterans f.Lesbians, gay, bisexual, transgender g.Age greater than 15 A nurse is caring for four clients. The nurse should identify which of the following clients as having contraindication to receiving moist heat. a. A client who is T Day postoperative and has deep vein thrombosis b. A client who has osteoarthritis and has pain of lower extremity joints c. A client has a spinal cord injury and muscle spasm of the lower back d. A client who broke his ankle 2 hr ago and has swelling of the low extremity - d. A client who broke his ankle 2 hr ago and has swelling of the low extremity A nurse is assessing a client following a natural disaster who is having trouble sleeping due to nightmares, feelings of survivor guilt and difficulty concentrating. Which of the following diagnoses describe the client's symptoms? a. Dissociative identity syndrome b. Histrionic personality disorder c. Post-traumatic stress syndrome d. Generalized anxiety disorder - c. Post-traumatic stress syndrome A nurse is planning care for 4-year-old child who requires airborne precautions. Which of the following activities should the nurse plan for child? a.Constructing a model airplane b.Putting a large piece puzzle together c.Pulling a wagon with toys in the hallway d.Watching a video game in the playroom - b.Putting a large piece puzzle together A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition? a. "Postpartum depression usually begins 48 hours after childbirth" b. "Postpartum depression is more likely to occur in women who have a history of depression". c. "The most common manifestation of postpartum depression is harming the infant". d. "It is common for clients who have postpartum depression to exhibit psychotic behavior". - a. "Postpartum depression usually begins 48 hours after childbirth" A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching? a. " I will dress my baby in a one piece outfit so I can use the harness to secure her in the car seat". b. "I will place the infant safety seat in the middle of the back seat, away from the window". c. "We will need to go by the weight and height of the child when deciding to change to a booster seat". d. "My baby will be able to watch me drive while sitting in the back seat". - d. "My baby will be able to watch me drive while sitting in the back seat". A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take? a. Use sign language when communicating with the client b. Speak directly to the client in a normal, clear voice c. Sit by the client's side and speak very slowly. d. Speak loudly and into the client's good ear. - b. Speak directly to the client in a normal, clear voice A nurse is preparing to apply wrist restraints to a client to prevent them from pulling out an IV catheter. Which of the following actions should the nurse take? a. Ensure enough room to fit one finger between the restraint and the wrist b. Attach the ties of the restraint to a non-movable part of the bed frame. c. Use a knot that will tighten as the client moves d. Keep the padded portion of the restraints against the wrists. - d. Keep the padded portion of the restraints against the wrists. A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "The car seat is rear-facing in the front passenger seat". b. "Our car seat is an infant model and is anchored in the car" c. "I can fit my hand between the baby and the car seat harness" d. "Our car seat is front-facing in the back seat" - b. "Our car seat is an infant model and is anchored in the car" A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? a. Bradycardia b. Hypotension c. Hand tremors d. Stuporous level of consciousness - c. Hand tremors A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first? a. Obtain a blood specimen b. Insert an IV access site c. Implement seizure precautions d. Perform a neurological exam - c. Implement seizure precautions A nurse is caring for a client who has schizophrenia and is having difficulty with performing ADLs. The nurse should consult with which of the following members of the interdisciplinary team to assist the client? a. Recreational therapist b. Occupational therapist c. Psychiatric social worker d. Psychiatric clinical nurse specialist - b. Occupational therapist A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR? a. Plan of care changes for upcoming shift b. Glasgow results c. Intracranial pressure readings d. Code status - d. Code status