ATI Capstone Leadership already Graded
A+
a nurse is conducting a home visit with an older adult client, what observation should the nurse address to promote safe
environment - anslow chairs without armrests
a nurse is discussing organ donation with a newly license nurse, should the nurse include in the teaching - ansa donor needs to use
his signature to agree to the gift of donation
upon admission to the hospital it is required that all clients over 18 be questioned about organ donation
documentation about giving permission or refusing to donate is placed in the EMR
a nurse is planning a staff education program to review nursing interventions for pts who have kidney failure, what sources should
the nurse identify as the best source for obtaining EBP info - ansa recent peer reviewed nursing research article
a nurse is planning care for a pt who follows the mormon belief system, what modifications should the nurse include to meet
mormon dietary practices - ansoffer noncaffeinated beverage options
a nurse is planning discharge teaching for a pt who has multiple sclerosis, what action should the nurse plan to include - ansteach
the pt to avoid extremes in hot and cold temps
a nurse is preparing an in-service about family violence for a group of newly licensed nurse, what statement should the nurse
include in the teaching - ansthe victim's risk for homicide is greatest when she decides to leave the relationship
a nurse is preparing to administer the initial dose of ceftriaxone to a pt who has endometritis, what statements by the pt should
cause the nurse to hold the medication and consult the provider - ansI have a severe allergy to amoxicillin
a nurse is receiving change of shift report on a group of clients, which of the following pts should the nurse assess first - ansthe
client who has a fractured femur and reports sharp chest pain
a nurse is reviewing the med record of an older adult pt who has a new prescription for cimetidine, what lab findings should the
nurse identify as the priority to report to the provider - ansaspartate aminotransferase 50 units/L
a nurse is using the ecologic model for population health to develop interventions to address HIV in a community, what interventions
should the nurse include to address financial factors affecting community health - ansdistribute condoms through remote community
clinics
a nurse manager is discussing EMR with a new nurse, what should the nurse to maintain client confidentiality - anslog off computer
terminal before leaving
change computer access passwords on a regular basis
avoid accessing information about pts admitted to other units
shred computer generated client worksheets after use
a nurse manager is implementing a quality improvement project to to reduce the number of MRSA infections, what action should the
nurse manager take first - ansconduct a chart review to evaluate precepting factors of clients who develop MRSA
a nurse manager is preparing to complete staff performance appraisals. which of the following principles should the nurse manger
consider when completing the appraisals - ansperformance appraisals should be written in measurable terms
a nurse manager is teaching a class about proper body mechanics during a facility's annual competency event. which of the
following statements by one staff member in attendance indicates the use of proper body mechanics - ansi should bend my knees
when lifting objects off the floor
a nurse manager is teaching a group of employees about QSEN, what statements by an employee should the nurse manager
identify as quality improvement - answe should start tracking how soon pts are discharged after laparoscopic versus open surgery
a nurse manager of a rural clinic is orienting a new employee on characteristics of residents in the area, what facts about rural
health should the nurse manager include - ansincreased rates of chronic illness
a nurse manager on the acute care unit is preparing a staff presentation about promoting cost-effective care, what strategies should
the nurse plan to include in the presentation - anseducate staff about the correct use of PPE for isolation precautions
a nurse on a rehab unit is creating a plan of care for a newly admitted pt who has difficulty swallowing following a stroke, what
interprofessional team members should the nurse anticipate consulting the pts condition - ansSLP
OT
,ATI Capstone Leadership already Graded
A+
dietician
a nurse working in a mobile health clinic is assessing a migrant farm worker, what finding should the nurse identify as priority -
ansreport of muscle twitching and skin rash
a parent of a child who is terminally ill tells a nurse that she wants to take her child home, what response should the nurse make -
anstell me more about your desires
a PH nurse is developing guidelines for management of botulism outbreak, what info should the nurse include - ansrinse skin with
soap and water following exposure to the botulism toxin
a school nurse is developing a teaching plan about testicular cancer for a group of adolescents. what info should the nurse include
in the teaching? - ansexpect testicles to be uniform in consistency when performing a testicular self-examination
a school nurse is providing care for students in an elementary education facility, what interventions by the nurse addresses the
primary level of prevention - ansteach students about healthy food choices
a staff nurse is challenging a shift assignment with the charge nurse, what statement made by the charge nurse is an example of
smoothing to resolve conflict - ansyou have been a nurse a long time, so I'm sure you're capable of the tasks
after signing a informed consent form, a client states, "i have changed my mind and do not want to have the procedure" which of the
following actions should the nurse take? - ansnotify the surgeon that the client wishes to withdraw informed consent for the
procedure
during an initial visit, a home health nurse is assessing a pt who has different cultural beliefs than her own, what questions should
the nurse ask to determine the pts beliefs about environmental control - answhat do you think you can do to affect your health status
clients should avoid taking their medications with which of the following? - ansGrapefruit juice
A nurse is to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following position's
while in bed? - ansSim's position
A nurse observes a parent of an infant administer a prescribed oral medication. Which of the following actions by the parent
indicates a need for further instruction? - ansPositions infant in a supine position
A nurse who has just admitted a client to an inpatient medical unit notices that the client brought a container of ginkgo biloba with
him. When the nurse asks him about it, he says he takes it every day to "help his brain." Which of the following is an appropriate
nursing response? - ans"For now, let's just make sure your doctor is okay with you taking it while you're in the hospital."
A provider prescribes a transfusion of one unit of packed RBC for a client who has a low hemoglobin level. The provider also
prescribes diphenhydramine (Benadryl) for administration before the transfusion to prevent - ansurticaria.
An older adult client's provider prescribes aspirin, 650 mg/q6h PO to treat rheumatoid arthritis. The nurse should teach the client that
a possible adverse effect of aspirin therapy is - ansbleeding.
Following surgery, a client has a prescription for nalbuphine (Nubain) for moderate to severe pain. The nurse caring for the client
should check for possible adverse reactions by assessing for which of the following findings? - ansBlurred vision
Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that
apply.) - ans- Published journals
- Pharmacists
- Physicians' Desk Reference
a nurse is assessing a newborn and observes a bluish tinged area on the buttocks, the nurse should document as - ansmongolian
spots
a nurse is assessing a newborn who is 10hr old, what clinical findings should the nurse report to the provider - ansnasal flaring
a nurse is assessing a newborn who was born vaginally with vacuum extractor assistance, the nurse notes swelling over the
newborn's head that crosses the suture lines, the nurse should identify the swelling as what finding - anscaput succedaneum
a nurse is assessing a pt who gave birth 1 week ago, the client states "i don't know what's wrong , i love my baby, but i feel so let
down, and i seem to cry for no reason" the nurse should identify that this is - anspostpartum blues
, ATI Capstone Leadership already Graded
A+
(1-10 days after the birth, depression is 1-12 months after birth)
a nurse is assessing a pt who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm
labor, what finding should the nurse report - ansrespiratory rate 11/min
a nurse is assessing a pt who is receiving oxytocin via continuous IV infusion for labor induction, what actions is the nurse's priority -
ansperform electronic fetal monitoring
a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should the nurse take - ansencourage the mother
to breastfeed the newborn
a nurse is caring for a newborn whose father voices concerns about his ability to bond with his baby, what action should the nurse
take to facilitate bonding - anspoint out to the father that the newborn turns toward his voice
encourage the father to touch and stroke the newborn's skin
demonstrate diapering and swaddling techniques for the father
a nurse is caring for a postpartum pt who has DVT and is receiving heparin therapy via subcutaneous injections, what action should
the nurse take - ansadminister the injection in the pt's abdomen
a nurse is caring for a pt at 39 weeks of gestation who is in active labor and had a positive GBS culture at 36 weeks of gestation,
what action should the nurse take - ansadminister prophylactic antibiotics
a nurse is caring for a pt who had a vaginal birth 2 hours ago and has soaked 2 perineal pads in the past 30 min, what action should
the nurse take - ansassess the pt's uterine tone
a nurse is caring for a pt who has a prescription for ibuprofen for postpartum cramping, what question should the nurse ask prior to
admin - ansare you taking OTC meds
do you have a history of gastric problems
are you being treated for high BP
a nurse is caring for a pt who has placenta previa, what interventions should the nurse implement for this pt - ansfrequently assess
the maternal HR
initiate bed rest with bathroom privileges
have O2 equipment available
a nurse is caring for a pt who is at 14 weeks of gestation and has hyperemesis gravidarum, what med should the nurse plan to
administer - ansvitamin B6
a nurse is caring for a pt who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding, the pt
has a history of cocaine use, the nurse should identify that the pt is likely experiencing what complication - ansabruptio placentae
a nurse is caring for a pt who is experiencing preterm labor and has a new prescription for terbutaline, what finding is a
contraindication to administration of this medication - ansheart disease
a nurse is caring for a pt who is in active labor and notes early decels of the FHR on the fetal monitor tracing, the nurse should
identify that which of the following conditions causes early decels in the FHR - anshead compression
a nurse is caring for a pt who is in active labor and notes late decelerations in the FHR on the external fetal monitor, what actions is
the nurse's priority - anschange the pt's positions
a nurse is caring for a pt who is in labor and has a diagnosis of strep B hemolytic group B infection, what med should the nurse plan
to administer - ansampicillin
a nurse is caring for a pt who is in labor and has an epidural for pain control, what clinical manifestation is an adverse effect of
epidural anesthesia - anspruritus
a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation should the nurse expect - anstalkative
a nurse is caring for a pt who is in the third stage of labor, what actions should the nurse take - ansclean the pt's perineum with
warm water
A+
a nurse is conducting a home visit with an older adult client, what observation should the nurse address to promote safe
environment - anslow chairs without armrests
a nurse is discussing organ donation with a newly license nurse, should the nurse include in the teaching - ansa donor needs to use
his signature to agree to the gift of donation
upon admission to the hospital it is required that all clients over 18 be questioned about organ donation
documentation about giving permission or refusing to donate is placed in the EMR
a nurse is planning a staff education program to review nursing interventions for pts who have kidney failure, what sources should
the nurse identify as the best source for obtaining EBP info - ansa recent peer reviewed nursing research article
a nurse is planning care for a pt who follows the mormon belief system, what modifications should the nurse include to meet
mormon dietary practices - ansoffer noncaffeinated beverage options
a nurse is planning discharge teaching for a pt who has multiple sclerosis, what action should the nurse plan to include - ansteach
the pt to avoid extremes in hot and cold temps
a nurse is preparing an in-service about family violence for a group of newly licensed nurse, what statement should the nurse
include in the teaching - ansthe victim's risk for homicide is greatest when she decides to leave the relationship
a nurse is preparing to administer the initial dose of ceftriaxone to a pt who has endometritis, what statements by the pt should
cause the nurse to hold the medication and consult the provider - ansI have a severe allergy to amoxicillin
a nurse is receiving change of shift report on a group of clients, which of the following pts should the nurse assess first - ansthe
client who has a fractured femur and reports sharp chest pain
a nurse is reviewing the med record of an older adult pt who has a new prescription for cimetidine, what lab findings should the
nurse identify as the priority to report to the provider - ansaspartate aminotransferase 50 units/L
a nurse is using the ecologic model for population health to develop interventions to address HIV in a community, what interventions
should the nurse include to address financial factors affecting community health - ansdistribute condoms through remote community
clinics
a nurse manager is discussing EMR with a new nurse, what should the nurse to maintain client confidentiality - anslog off computer
terminal before leaving
change computer access passwords on a regular basis
avoid accessing information about pts admitted to other units
shred computer generated client worksheets after use
a nurse manager is implementing a quality improvement project to to reduce the number of MRSA infections, what action should the
nurse manager take first - ansconduct a chart review to evaluate precepting factors of clients who develop MRSA
a nurse manager is preparing to complete staff performance appraisals. which of the following principles should the nurse manger
consider when completing the appraisals - ansperformance appraisals should be written in measurable terms
a nurse manager is teaching a class about proper body mechanics during a facility's annual competency event. which of the
following statements by one staff member in attendance indicates the use of proper body mechanics - ansi should bend my knees
when lifting objects off the floor
a nurse manager is teaching a group of employees about QSEN, what statements by an employee should the nurse manager
identify as quality improvement - answe should start tracking how soon pts are discharged after laparoscopic versus open surgery
a nurse manager of a rural clinic is orienting a new employee on characteristics of residents in the area, what facts about rural
health should the nurse manager include - ansincreased rates of chronic illness
a nurse manager on the acute care unit is preparing a staff presentation about promoting cost-effective care, what strategies should
the nurse plan to include in the presentation - anseducate staff about the correct use of PPE for isolation precautions
a nurse on a rehab unit is creating a plan of care for a newly admitted pt who has difficulty swallowing following a stroke, what
interprofessional team members should the nurse anticipate consulting the pts condition - ansSLP
OT
,ATI Capstone Leadership already Graded
A+
dietician
a nurse working in a mobile health clinic is assessing a migrant farm worker, what finding should the nurse identify as priority -
ansreport of muscle twitching and skin rash
a parent of a child who is terminally ill tells a nurse that she wants to take her child home, what response should the nurse make -
anstell me more about your desires
a PH nurse is developing guidelines for management of botulism outbreak, what info should the nurse include - ansrinse skin with
soap and water following exposure to the botulism toxin
a school nurse is developing a teaching plan about testicular cancer for a group of adolescents. what info should the nurse include
in the teaching? - ansexpect testicles to be uniform in consistency when performing a testicular self-examination
a school nurse is providing care for students in an elementary education facility, what interventions by the nurse addresses the
primary level of prevention - ansteach students about healthy food choices
a staff nurse is challenging a shift assignment with the charge nurse, what statement made by the charge nurse is an example of
smoothing to resolve conflict - ansyou have been a nurse a long time, so I'm sure you're capable of the tasks
after signing a informed consent form, a client states, "i have changed my mind and do not want to have the procedure" which of the
following actions should the nurse take? - ansnotify the surgeon that the client wishes to withdraw informed consent for the
procedure
during an initial visit, a home health nurse is assessing a pt who has different cultural beliefs than her own, what questions should
the nurse ask to determine the pts beliefs about environmental control - answhat do you think you can do to affect your health status
clients should avoid taking their medications with which of the following? - ansGrapefruit juice
A nurse is to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following position's
while in bed? - ansSim's position
A nurse observes a parent of an infant administer a prescribed oral medication. Which of the following actions by the parent
indicates a need for further instruction? - ansPositions infant in a supine position
A nurse who has just admitted a client to an inpatient medical unit notices that the client brought a container of ginkgo biloba with
him. When the nurse asks him about it, he says he takes it every day to "help his brain." Which of the following is an appropriate
nursing response? - ans"For now, let's just make sure your doctor is okay with you taking it while you're in the hospital."
A provider prescribes a transfusion of one unit of packed RBC for a client who has a low hemoglobin level. The provider also
prescribes diphenhydramine (Benadryl) for administration before the transfusion to prevent - ansurticaria.
An older adult client's provider prescribes aspirin, 650 mg/q6h PO to treat rheumatoid arthritis. The nurse should teach the client that
a possible adverse effect of aspirin therapy is - ansbleeding.
Following surgery, a client has a prescription for nalbuphine (Nubain) for moderate to severe pain. The nurse caring for the client
should check for possible adverse reactions by assessing for which of the following findings? - ansBlurred vision
Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that
apply.) - ans- Published journals
- Pharmacists
- Physicians' Desk Reference
a nurse is assessing a newborn and observes a bluish tinged area on the buttocks, the nurse should document as - ansmongolian
spots
a nurse is assessing a newborn who is 10hr old, what clinical findings should the nurse report to the provider - ansnasal flaring
a nurse is assessing a newborn who was born vaginally with vacuum extractor assistance, the nurse notes swelling over the
newborn's head that crosses the suture lines, the nurse should identify the swelling as what finding - anscaput succedaneum
a nurse is assessing a pt who gave birth 1 week ago, the client states "i don't know what's wrong , i love my baby, but i feel so let
down, and i seem to cry for no reason" the nurse should identify that this is - anspostpartum blues
, ATI Capstone Leadership already Graded
A+
(1-10 days after the birth, depression is 1-12 months after birth)
a nurse is assessing a pt who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm
labor, what finding should the nurse report - ansrespiratory rate 11/min
a nurse is assessing a pt who is receiving oxytocin via continuous IV infusion for labor induction, what actions is the nurse's priority -
ansperform electronic fetal monitoring
a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should the nurse take - ansencourage the mother
to breastfeed the newborn
a nurse is caring for a newborn whose father voices concerns about his ability to bond with his baby, what action should the nurse
take to facilitate bonding - anspoint out to the father that the newborn turns toward his voice
encourage the father to touch and stroke the newborn's skin
demonstrate diapering and swaddling techniques for the father
a nurse is caring for a postpartum pt who has DVT and is receiving heparin therapy via subcutaneous injections, what action should
the nurse take - ansadminister the injection in the pt's abdomen
a nurse is caring for a pt at 39 weeks of gestation who is in active labor and had a positive GBS culture at 36 weeks of gestation,
what action should the nurse take - ansadminister prophylactic antibiotics
a nurse is caring for a pt who had a vaginal birth 2 hours ago and has soaked 2 perineal pads in the past 30 min, what action should
the nurse take - ansassess the pt's uterine tone
a nurse is caring for a pt who has a prescription for ibuprofen for postpartum cramping, what question should the nurse ask prior to
admin - ansare you taking OTC meds
do you have a history of gastric problems
are you being treated for high BP
a nurse is caring for a pt who has placenta previa, what interventions should the nurse implement for this pt - ansfrequently assess
the maternal HR
initiate bed rest with bathroom privileges
have O2 equipment available
a nurse is caring for a pt who is at 14 weeks of gestation and has hyperemesis gravidarum, what med should the nurse plan to
administer - ansvitamin B6
a nurse is caring for a pt who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding, the pt
has a history of cocaine use, the nurse should identify that the pt is likely experiencing what complication - ansabruptio placentae
a nurse is caring for a pt who is experiencing preterm labor and has a new prescription for terbutaline, what finding is a
contraindication to administration of this medication - ansheart disease
a nurse is caring for a pt who is in active labor and notes early decels of the FHR on the fetal monitor tracing, the nurse should
identify that which of the following conditions causes early decels in the FHR - anshead compression
a nurse is caring for a pt who is in active labor and notes late decelerations in the FHR on the external fetal monitor, what actions is
the nurse's priority - anschange the pt's positions
a nurse is caring for a pt who is in labor and has a diagnosis of strep B hemolytic group B infection, what med should the nurse plan
to administer - ansampicillin
a nurse is caring for a pt who is in labor and has an epidural for pain control, what clinical manifestation is an adverse effect of
epidural anesthesia - anspruritus
a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation should the nurse expect - anstalkative
a nurse is caring for a pt who is in the third stage of labor, what actions should the nurse take - ansclean the pt's perineum with
warm water
