leadership final ATI
A 13 year old female adolescent tells the charge nurse in the pediatric unit that she does not
want a male nurse assigned to care for her. which of the following responses should the nurse
make? - ANS-i'll change the assignment so a female nurse is caring for you today
\A charge nurse is providing teaching to a new staff nurse about the management of a team
consisting of a LPN and an assistive personnel. which of the following information should the
charge nurse include in the teaching? - ANS-the nurse should be familiar with the task she plan
to delegate
\A group of nurses on a telemetry unit informs a nurse manager that there is a need to update
the cardiac monitoring system to improve arrhythmia detection. which of the following responses
should the nurse manager make? - ANS-this purchase will need to be addressed in the capital
budget plan for the unit
\A home health care nurse is conducting a home hazard assessment. for which of the following
findings should the nurse intervene? - ANS-the clients household lamps have 40 watt light bulbs
installed
\A nurse enters a clients room and discovers a small fire in a trash can. which of the following
actions should the nurse take first? - ANS-move the client out of the room
\A nurse enters the room of an older adult client and finds him attempting to crawl over the side
rail. which of the following actions should the nurse take? - ANS-ask assistive personnel to sit
with the client
\A nurse finds a client standing next to his bed with the side rails up. the client is visibly
confused, not wearing an identification bracelet, and his IV is detached. the client states "i cant
remember my name." after assisting the client back to bed, which of the following actions should
the nurse take next? - ANS-- assess the client for injury
\A nurse from a facility's float pool receives an assignment to float to a nursing unit. the float
nurse tells the charge nurse on the unit that she has never worked on this unit before. which of
the following statements should the charge nurse make? - ANS-I will assign you to work with a
registered nurse on the unit who is experiences and will act as a resource for you.
\A nurse has several tasks to complete to prepare a client scheduled for surgery. which of the
following tasks can the nurse delegate to an assistive personnel (AP)? - ANS-assist with placing
the client onto the stretcher for transport to the surgical site
\A nurse in a mental health clinic is interviewing a client who has a history of substance use
disorder. the client reports his experiences from a pervious voluntary hospitalization. the nurse
should recognize that which of the following reported experiences by the client constitutes
assault? - ANS-i was threatened with a shot when i refused to take an oral medication i knew
would make me groggy
\a nurse in a providers office observes a newly licensed nurse taking a clients health history
while in the waiting area. which of the following actions should the nurse take? - ANS-speak to
the nurse immediately in private
\a nurse is administering medications to a client who is recovering from a stroke and has right
sided paralysis. the nurse places the clients medications on the left side of the mouth and
, administers pills one at a time. which of the following ethical principles is the nurse displaying? -
ANS-nonmaleficence
\A nurse is admitting a client who has active gastrointestinal bleeding. which of the following
tasks is appropriate for the nurse to delegate to an assistive personnel (AP)? - ANS-show the
client how to use the nurse call light
\A nurse is caring for a client who asks if the client in the next room is in pain because she cries
out frequently. which of the following statements should the nurse make? - ANS-does the crying
out bother you?
\A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse
about completing a living will. which of the following statements should the nurse make? - ANS-i
will provide you with the information you need to complete advanced directives
\A nurse is caring for a client who has breast cancer and is to have a mastectomy. the client tells
the nurse she is concerned about how her partner will react to the procedure. which of the
following responses should the nurse make? - ANS-would you like me to have a member of a
breast cancer support group visit you?
\A nurse is caring for a client who has cancer. the client tells the nurse he does not want
anymore chemotherapy treatments. which of the following responses should the nurse make? -
ANS-i will inform your provider of your decision to discontinue the treatments
\A nurse is caring for a client who is postoperative and has an Hgb level of 8.0. the nurse
delegates the administration of the unit of packed red blood cells to a nurse floating from a
psychiatric unit who is unfamiliar with blood administration. which of the following actions should
the float nurse take? - ANS-decline to hang the blood
\a nurse is delegating tasks to an assistive personnel (AP) for the care of a group of clients.
which of the following statements should the nurse make? - ANS-Transport the client in room
203 to the radiology department at 1000
\A nurse is participating in an ethics committee meeting about a client who has a history of
alcohol use disorder and is in need of a liver transplant. which of the following actions should
the committee take first? - ANS-collect information related to the issue
\A nurse is participating in continuous quality improvement program. the nurse is reviewing
medical records to determine the time of first postoperative ambulation of clients who has
abdominal surgery. in which of the following quality audits is the nurse participating -
ANS-process
\A nurse is participating on a facility committee charged with developing and implementing new
documentation forms. the nurse should recognize which of the following factors as a potential
restraining force from implementing this charge? - ANS-staff resistance to learning new forms
for documentation
\A nurse is planning care for a client following a coronary arterial bypass graft procedure. the
nurse places a referral for a case manager to visit with the client. which of the following
information should the nurse provide the client about the role of a case manager - ANS-the case
manager will coordinate and plan your care while you recover from your surgery
\A nurse is planning care for a client who has aphasia following a stroke. which of the following
actions should the nurse plan to take? - ANS-offer pictures the client can point to as an
alternative from of communication
A 13 year old female adolescent tells the charge nurse in the pediatric unit that she does not
want a male nurse assigned to care for her. which of the following responses should the nurse
make? - ANS-i'll change the assignment so a female nurse is caring for you today
\A charge nurse is providing teaching to a new staff nurse about the management of a team
consisting of a LPN and an assistive personnel. which of the following information should the
charge nurse include in the teaching? - ANS-the nurse should be familiar with the task she plan
to delegate
\A group of nurses on a telemetry unit informs a nurse manager that there is a need to update
the cardiac monitoring system to improve arrhythmia detection. which of the following responses
should the nurse manager make? - ANS-this purchase will need to be addressed in the capital
budget plan for the unit
\A home health care nurse is conducting a home hazard assessment. for which of the following
findings should the nurse intervene? - ANS-the clients household lamps have 40 watt light bulbs
installed
\A nurse enters a clients room and discovers a small fire in a trash can. which of the following
actions should the nurse take first? - ANS-move the client out of the room
\A nurse enters the room of an older adult client and finds him attempting to crawl over the side
rail. which of the following actions should the nurse take? - ANS-ask assistive personnel to sit
with the client
\A nurse finds a client standing next to his bed with the side rails up. the client is visibly
confused, not wearing an identification bracelet, and his IV is detached. the client states "i cant
remember my name." after assisting the client back to bed, which of the following actions should
the nurse take next? - ANS-- assess the client for injury
\A nurse from a facility's float pool receives an assignment to float to a nursing unit. the float
nurse tells the charge nurse on the unit that she has never worked on this unit before. which of
the following statements should the charge nurse make? - ANS-I will assign you to work with a
registered nurse on the unit who is experiences and will act as a resource for you.
\A nurse has several tasks to complete to prepare a client scheduled for surgery. which of the
following tasks can the nurse delegate to an assistive personnel (AP)? - ANS-assist with placing
the client onto the stretcher for transport to the surgical site
\A nurse in a mental health clinic is interviewing a client who has a history of substance use
disorder. the client reports his experiences from a pervious voluntary hospitalization. the nurse
should recognize that which of the following reported experiences by the client constitutes
assault? - ANS-i was threatened with a shot when i refused to take an oral medication i knew
would make me groggy
\a nurse in a providers office observes a newly licensed nurse taking a clients health history
while in the waiting area. which of the following actions should the nurse take? - ANS-speak to
the nurse immediately in private
\a nurse is administering medications to a client who is recovering from a stroke and has right
sided paralysis. the nurse places the clients medications on the left side of the mouth and
, administers pills one at a time. which of the following ethical principles is the nurse displaying? -
ANS-nonmaleficence
\A nurse is admitting a client who has active gastrointestinal bleeding. which of the following
tasks is appropriate for the nurse to delegate to an assistive personnel (AP)? - ANS-show the
client how to use the nurse call light
\A nurse is caring for a client who asks if the client in the next room is in pain because she cries
out frequently. which of the following statements should the nurse make? - ANS-does the crying
out bother you?
\A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse
about completing a living will. which of the following statements should the nurse make? - ANS-i
will provide you with the information you need to complete advanced directives
\A nurse is caring for a client who has breast cancer and is to have a mastectomy. the client tells
the nurse she is concerned about how her partner will react to the procedure. which of the
following responses should the nurse make? - ANS-would you like me to have a member of a
breast cancer support group visit you?
\A nurse is caring for a client who has cancer. the client tells the nurse he does not want
anymore chemotherapy treatments. which of the following responses should the nurse make? -
ANS-i will inform your provider of your decision to discontinue the treatments
\A nurse is caring for a client who is postoperative and has an Hgb level of 8.0. the nurse
delegates the administration of the unit of packed red blood cells to a nurse floating from a
psychiatric unit who is unfamiliar with blood administration. which of the following actions should
the float nurse take? - ANS-decline to hang the blood
\a nurse is delegating tasks to an assistive personnel (AP) for the care of a group of clients.
which of the following statements should the nurse make? - ANS-Transport the client in room
203 to the radiology department at 1000
\A nurse is participating in an ethics committee meeting about a client who has a history of
alcohol use disorder and is in need of a liver transplant. which of the following actions should
the committee take first? - ANS-collect information related to the issue
\A nurse is participating in continuous quality improvement program. the nurse is reviewing
medical records to determine the time of first postoperative ambulation of clients who has
abdominal surgery. in which of the following quality audits is the nurse participating -
ANS-process
\A nurse is participating on a facility committee charged with developing and implementing new
documentation forms. the nurse should recognize which of the following factors as a potential
restraining force from implementing this charge? - ANS-staff resistance to learning new forms
for documentation
\A nurse is planning care for a client following a coronary arterial bypass graft procedure. the
nurse places a referral for a case manager to visit with the client. which of the following
information should the nurse provide the client about the role of a case manager - ANS-the case
manager will coordinate and plan your care while you recover from your surgery
\A nurse is planning care for a client who has aphasia following a stroke. which of the following
actions should the nurse plan to take? - ANS-offer pictures the client can point to as an
alternative from of communication
