CORRECT
A case manager is planning interprofessional conference for a client who is three days
postop following ORIF of right hip. Which of the following concerns is the priority for
discussion at the conference?
A. Client does not have transportation for DC home
B. Client refuses to attend PT sessions
C. Clients home health nurse has not completed the home assessment
D. Client describes feelings of depression after family visits - ansB. Client refuses to attend
PT sessions.
The greatest risk to this client is postoperative complications due to immobility, such as
atelectasis or pneumonia
A charge nurse is leading a committee that is revising the policy for client discharge. After
developing the initial plan, which of the following actions should the nurse take next?
A. Set target dates for completion
B. Identify areas of support
C. Determine goals and objectives
D. Implement recommended strategies - ansC. Determine goals and objectives
A charge nurse is observing a newly licensed nurse who is caring for a client who has
pulmonary tuberculosis. The charge nurse should expect the newly licensed nurse to take
which of the following actions?
Place the client on droplet precautions.
Place the client in a room with positive-pressure
airflow. Wear a surgical mask when taking the client
out of the room.
Wear an N95 respirator mask when in the client's room. - answhere an N 95 respirator mask
when in the clients room
A charge nurse is observing a newly licensed nurses use of time management skills. Which
of the following actions by the newly licensed nurse indicates effective use of the skill?
A. Documents client tasks at end of shift
B. Gather supplies as needed while completing activity
C. Groups tasks that are in same location
D. Skips breaks throughout the day to complete work on time - ansC. Groups tasks that are
in same location
The newly licensed nurse should group tasks that are in the same location to effectively
use time. This prevents the nurse from going back and forth from one area to another.
This action promotes effective time-management skills.
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment. Which of the following action should the charge nurse expect the newly
licensed nurse to take?
Place the client in a dorsal recumbent position for the
examination. Auscultate for vascular bruits with the
diaphragm of the stethoscope. Begin the assessment by using
light palpation over the abdomen.
Ensure that the client has a full bladder before beginning the procedure. - ansPlace the
client in a dorsal recumbent position for the exam or supine position and ensure that the
client relaxes her abdominal muscles
A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were requested - ansA. Nurse
photocopying their assigned clients diagnostic test results
,ATI Leadership RN 2022|ALL ANSWERED | 100%
CORRECT
A charge nurse observes that a staff nurse's behavior has changed over the past few weeks.
Which of the following behavior should the charge nurse identify as an indication that the
staff nurse might be working while impaired?
Spends free time conversing with other staff at the nurses'
station Frequent use of restroom
Asks other nurses to administer pain medication for their
clients Delegates tasks to assistive personnel - ansFrequent
use of restroom
Frequent use of the restroom can indicate that the nurse might be working while
impaired. Other indications can include frequent errors, mood swings, inability to
focus, and excessive wasting of controlled substances.
A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address
this issue, which of the following actions should the nurse charge nurse take first?
A. Write a memorandum emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend - ansC. Explore the
reasons the staff are not attending the meetings
A client is considering having a tubal ligation and reports being uncertain about if it is the
right thing to do. Which of the following actions should the nurse take?
Provide information about alternate birth control
methods. Ask if the client has discussed the decision
with their partner. Emphasize the benefits of having
the procedure.
Discuss the client's feelings about the procedure. - ansDiscuss the clients feelings about the
procedure
A client on a general surgical unit tells the nurse that staff members are not answering the
call light promptly. The client request to be transferred to another unit. Which of the
following actions should the nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely manner
D. Ask client to verbalize their expectations - ansD. Ask client to verbalize their expectations
A client who has back pain presented to the ER 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? - ansClients are the experts on their own pain
A home health nurse is planning her daily visits and receives lab results for four clients. The
nurse should first visit the client who has which of the following lab values?
Digoxin 1.0 ng/mL
WBC 6,000/mm3
Platelets 100,000/mm3
Serum potassium 4.0 mEq/L - ansPlatelets 100,000
A hospice nurse is planning care for a client who does not have advance directives. Which
of the following intervention should the nurse include in the plan of care - ansProvide the
client with information about advance directives
A nurse asks a newly hired a P to remove a clients indwelling urinary catheter. Which of the
following actions should the nurse take to ensure the AP is qualified to perform this task
,ATI Leadership RN 2022|ALL ANSWERED | 100%
CORRECT
Show the AP how to remove an indwelling urinary
catheter. Review the AP's skill competency checklist.
Ask the AP if they know how to remove an indwelling urinary catheter.
Pair the newly hired AP with an experienced AP. - ansReview the AP skill competency
checklist
A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has
no orthopedic experience. Which of the following client should be assigned to the medical
nurse?
A client who is in balanced skeletal traction
A client who had a total hip arthroplasty 3
days ago A client who has a fractured femur
with a new cast
A client who had a right above-the-knee amputation 24 hr ago - ansClient you had a right
above the knee amputation 24 hours ago
-- A nurse from a medical unit can care for this client because the surgical dressing is usually
left in place for 48 to 72 hr, so the residual limb does not require special care at this time.
A nurse in ER is admitting client following earthquake. Emergency disaster plan has been
implemented due to the anticipated arrival of a large number of casualties. Which of the
following clients are the nurse recommend the provider evaluate first?
A client who has a penetrating head injury and respiratory
rate of 4/min A client who has a comminuted fracture of the
femur
A client who has a 15.2-cm (6-in) laceration to the scalp with clotted blood visible
A client who has a sucking chest wound - ansThe client who has a sucking chest wound;
A nurse is assigning care for for clients. Which of the following task for the Nurse plan to
tailgate to AP? - ansDetermine the client intake and output
A nurse is caring for a 19-year-old client who has just been informed that her cancer has
metastasized. The client tells the nurse that they do not want to continue chemotherapy.
Which of the following responses should the nurse make?
"I will have the provider discuss treatment options with your
parents." "I will gather information about palliative care for
you."
"I will contact your spiritual advisor to discuss this decision with you."
"I will contact your parents about becoming your designees in your durable power of
attorney." - ansI will gather information about palliative care for you
A nurse is caring for a client who has a terminal illness and voice his concern about
performing self-care after discharge. Which of the following statement should the nurse me
"A social worker will address your concerns after
discharge." "You should plan to go to a skilled nursing
facility after discharge." "Your case manager will
coordinate the resources you will need."
"You will need hospice care until you feel stronger." - ansYour case manager will coordinate
the resources you will need
A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning their
clothes. The nurse should recommend a referral for the client to which of the following
members of the inter-professional team?
A. Podiatrist
B. Social worker
C. Para medical technologist
, ATI Leadership RN 2022|ALL ANSWERED | 100%
CORRECT
D. Occupational therapist - ansD. Occupational therapist