ATI: RN Leadership Online Practice 2019 A
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1. A nurse on a med-surge unit is caring for B. A client who has peripheral vascular dis-
four clients. The nurse should recognize that ease and has an absent pulse in the right
which of the following clients is the priority? foot
A. a client who is scheduled for a tubal liga-
tion in 2 hours and is crying When using ABCs approach to client care,
B. A client who has peripheral vascular dis- the nurse determines that the priority
ease and has an absent pulse in the right finding is an absent pulse, which indicates
foot no blood flow to the extremity.
C. A client who has type 1 diabetes and
needs the first dressing change for an ulcer
D. A client who has MRSA and has an axillary
temperature of 100.4F
2. Which of the following instructions provided B. "Check the urinary output at 1100 for
by a nurse reflects effective communication John Doe and report it to me immediate-
regarding delegation of a task to an AP? ly"
A. "Take vitals every 2 hours for the client
who had a cholecystectomy in room 6122' Follows the Five Rights of Delegation by
B. "Check the urinary output at 1100 for John including the requirements for right direc-
Doe and report it to me immediately" tion/communication: the data to collect,
C. "Report to me if the chest drainage is client-specific information, a timeline for
excessive for Jane Doe in room 2438" collection, and the expectation for com-
D. "Please notify me of any clients whose municating the findings back to the nurse.
vital signs of blood glucose levels are signif-
icant"
3. A client on a general surgical unit tells a D. Ask the client to verbalize their expecta-
nurse that staff members are not answering tions
the call light properly. The client requests
to be transferred to another unit. Which of The first action the nurse should take using
the following actions should the nurse take the nursing process is to assess; therefore,
first? the first action the nurse should take is
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
A. notify the charge nurse of the client's re- to assess the client's feelings and clarify
quest for transfer expectations.
B. Assure the client that their concern has
been shared with staff
C. Tell the client that future calls will be an-
swered in a timely manner
D. Ask the client to verbalize their expecta-
tions
4. A nurse is caring for a client who is recov- C. Discuss the client's concerns about hav-
ering from a stroke. The provider recom- ing the surgery
mends an extracranial-intracranial bypass,
but the client tells the nurse that he will not The nurse should ask the client relevant
have the surgery. Which of the following ac- questions to determine their concerns re-
tions should the nurse take? garding having the surgery. By asking rel-
A. Inform the client of the consequences of evant, open-ended questions, the nurse
decreased cerebral circulation can help the client clarify their thoughts
B. Initiate a mental health consultation and feelings about the surgery. The nurse
to determine why they client refuses the can then relay concerns to the provider for
surgery further discussion if needed.
C. Discuss the client's concerns about having
the surgery
D. Provide the client with information on ad-
ditional treatment options
5. A charge nurse is supervising the care of A. A nurse is photocopying their assigned
several clients. Which of the following ac- client's diagnostic results
tions requires intervention by the charge
nurse? Photocopying diagnostic test results is a
A. A nurse is photocopying their assigned breach of the clients confidentiality and
client's diagnostic results privacy
B. A CNA documents a client's vitals on the
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
client's paper-based graphic record
C. The unit secretary faxes a client's lab re-
sults to the provider
D. An RN stays with a client who is reading
the medical records that were requested
6. A nurse is receiving report from the CNA as- C. "The client who had an indwelling cath
signed to the nurse's group of clients. Which removed 8 hours ago reports inability to
of the following statements from the CNA void"
indicates the client the nurse should assess
first? Not voiding for 6-8 hours after indwelling
A. "The client who has abdominal surgery 3 urinary catheter removal indicates this
days ago is reporting feeling constipated' client is at risk for urinary retention, which
B. "The client who had the hip replacement can cause a UTI. Overdistention of the
reports pain as a 4 on a scale of 0-10" bladder can cause damage to the mu-
C. "The client who had an indwelling cath re- cosa. Therefore, the nurse should assess
moved 8 hours ago reports inability to void" this client first and report findings to the
D. "The client who is scheduled for discharge provider.
today states they are ready to sign their pa-
perwork"
7. A nurse manager is planning an in-service D. Place clients in positive pressure airflow
for a group of nurses about caring for clients rooms
following stem cell transplants. Which of
the following instructions should the nurse The nurse should place a client who re-
manager include in the teaching? quires protective environment precautions
A. Assign two clients who have had a stem following a stem cell transplant in a pri-
cell transplant to the same room vate, positive-pressure airflow room. The
B. Obtain a rectal temp on client's q4 hours room air is filtered through a HEPA filter
C. Wear an N95 respirator mask while caring and the airflow rate is set at more than 12
for these clients air exchanges each hour.
Study online at https://quizlet.com/_e409py
1. A nurse on a med-surge unit is caring for B. A client who has peripheral vascular dis-
four clients. The nurse should recognize that ease and has an absent pulse in the right
which of the following clients is the priority? foot
A. a client who is scheduled for a tubal liga-
tion in 2 hours and is crying When using ABCs approach to client care,
B. A client who has peripheral vascular dis- the nurse determines that the priority
ease and has an absent pulse in the right finding is an absent pulse, which indicates
foot no blood flow to the extremity.
C. A client who has type 1 diabetes and
needs the first dressing change for an ulcer
D. A client who has MRSA and has an axillary
temperature of 100.4F
2. Which of the following instructions provided B. "Check the urinary output at 1100 for
by a nurse reflects effective communication John Doe and report it to me immediate-
regarding delegation of a task to an AP? ly"
A. "Take vitals every 2 hours for the client
who had a cholecystectomy in room 6122' Follows the Five Rights of Delegation by
B. "Check the urinary output at 1100 for John including the requirements for right direc-
Doe and report it to me immediately" tion/communication: the data to collect,
C. "Report to me if the chest drainage is client-specific information, a timeline for
excessive for Jane Doe in room 2438" collection, and the expectation for com-
D. "Please notify me of any clients whose municating the findings back to the nurse.
vital signs of blood glucose levels are signif-
icant"
3. A client on a general surgical unit tells a D. Ask the client to verbalize their expecta-
nurse that staff members are not answering tions
the call light properly. The client requests
to be transferred to another unit. Which of The first action the nurse should take using
the following actions should the nurse take the nursing process is to assess; therefore,
first? the first action the nurse should take is
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
A. notify the charge nurse of the client's re- to assess the client's feelings and clarify
quest for transfer expectations.
B. Assure the client that their concern has
been shared with staff
C. Tell the client that future calls will be an-
swered in a timely manner
D. Ask the client to verbalize their expecta-
tions
4. A nurse is caring for a client who is recov- C. Discuss the client's concerns about hav-
ering from a stroke. The provider recom- ing the surgery
mends an extracranial-intracranial bypass,
but the client tells the nurse that he will not The nurse should ask the client relevant
have the surgery. Which of the following ac- questions to determine their concerns re-
tions should the nurse take? garding having the surgery. By asking rel-
A. Inform the client of the consequences of evant, open-ended questions, the nurse
decreased cerebral circulation can help the client clarify their thoughts
B. Initiate a mental health consultation and feelings about the surgery. The nurse
to determine why they client refuses the can then relay concerns to the provider for
surgery further discussion if needed.
C. Discuss the client's concerns about having
the surgery
D. Provide the client with information on ad-
ditional treatment options
5. A charge nurse is supervising the care of A. A nurse is photocopying their assigned
several clients. Which of the following ac- client's diagnostic results
tions requires intervention by the charge
nurse? Photocopying diagnostic test results is a
A. A nurse is photocopying their assigned breach of the clients confidentiality and
client's diagnostic results privacy
B. A CNA documents a client's vitals on the
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
client's paper-based graphic record
C. The unit secretary faxes a client's lab re-
sults to the provider
D. An RN stays with a client who is reading
the medical records that were requested
6. A nurse is receiving report from the CNA as- C. "The client who had an indwelling cath
signed to the nurse's group of clients. Which removed 8 hours ago reports inability to
of the following statements from the CNA void"
indicates the client the nurse should assess
first? Not voiding for 6-8 hours after indwelling
A. "The client who has abdominal surgery 3 urinary catheter removal indicates this
days ago is reporting feeling constipated' client is at risk for urinary retention, which
B. "The client who had the hip replacement can cause a UTI. Overdistention of the
reports pain as a 4 on a scale of 0-10" bladder can cause damage to the mu-
C. "The client who had an indwelling cath re- cosa. Therefore, the nurse should assess
moved 8 hours ago reports inability to void" this client first and report findings to the
D. "The client who is scheduled for discharge provider.
today states they are ready to sign their pa-
perwork"
7. A nurse manager is planning an in-service D. Place clients in positive pressure airflow
for a group of nurses about caring for clients rooms
following stem cell transplants. Which of
the following instructions should the nurse The nurse should place a client who re-
manager include in the teaching? quires protective environment precautions
A. Assign two clients who have had a stem following a stem cell transplant in a pri-
cell transplant to the same room vate, positive-pressure airflow room. The
B. Obtain a rectal temp on client's q4 hours room air is filtered through a HEPA filter
C. Wear an N95 respirator mask while caring and the airflow rate is set at more than 12
for these clients air exchanges each hour.
