ATI Questions 2
Terms in this set (497)
1 latent conflict The first stage of the conflict process is latent conflict, which involves awareness of
2 perceived conflict potential situations that can create conflict.
3 felt conflict Stage 2 is perceived conflict, where those who are affected discuss the situation in an
4 manifest conflict impersonal manner.
5 conflict aftermath Stage 3 is felt conflict, which occurs when those who are affected become personally
involved.
Stage 4 is manifest conflict and is signaled by those who are involved in taking action.
In stage 5, or conflict aftermath, those who are involved recognize the positive and negative
outcomes of how the situation was managed.
A charge nurse is making assignments for an oncoming shift. Correct Answer: B.
Which of the following clients should the charge nurse assign to A client who is disoriented will need observation and reality orientation, which is within the
a licensed practical nurse (LPN)? LPN's scope of practice. The client's condition can also be categorized as stable since
A. A client who is to be discharged with a peripherally inserted discharge to a long-term care facility is scheduled.
central catheter (PICC) line Incorrect Answers:
B. A client who is disoriented and awaiting a transfer to a long- A. A client who has a PICC line will require discharge teaching related to PICC line home
term care facility care. client teaching is not within the LPN's scope of practice.
C. A client who is 16 hours postoperative following a total C. A client who has a new tracheostomy is not considered stable and will require frequent
laryngectomy assessment, which is not within the LPN's scope of practice.
D. A client who is newly admitted for abdominal pain of D. A newly admitted client should be assessed by the nurse. This client will also be
unknown origin undergoing many diagnostic tests and will require frequent assessment, which is not within
the LPN's scope of practice.
, ATI Questions 2
A charge nurse is making daily assignments for a medical- Correct Answer: A.
surgical unit. Which of the following tasks should the nurse Examples of tasks a nurse can delegate to an AP are measuring and documenting vital signs,
delegate to an assistive personnel (AP)? performing postmortem care, and measuring and documenting intake and output.
A. Measuring vital signs Incorrect Answers:
B. Reinforcing an IV catheter dressing B. Caring for invasive lines, performing triage, and creating a nursing care plan are not
C. Conducting a preoperative admission assessment within an AP's range of function.
D. Showing a client how to use a walker C. Performing assessments, giving telephone advice, and interpreting data are not within an
AP's range of function.
D. Providing client education, evaluating the effectiveness of care, and inserting NG tubes
are not within an AP's range of function.
A charge nurse is observing a newly licensed nurse administer d. a solution of 5 mL heparin 1,000 units/mL has been prepared
an IV medication to a client who has an implanted venous access
port. Which of the following observations requires intervention
by the charge nurse?
a. a dressing is not applied to the port after use
b. a 22-gauge non coring needle is used to access the port
c. blood return is noted prior to administering the medication
d. a solution of 5 mL heparin 1,000 units/mL has prepared
A charge nurse is observing a newly licensed nurse irrigate a b. instilling 50 m: of fluid with each irrigation
client's ear, which is impacted with cerumen. Which of the
following actions requires the charge nurse to intervene?
a. visualizing the eardrum before irrigating
b. instilling 50 mL of fluid with each irrigation
c. using firm, continuous pressure while irrigating
d. warning the irrigation fluid to least 37
, ATI Questions 2
A charge nurse is observing a newly licensed nurse provide care c. borrowing a dosimeter film badge from another nurse before entering the client's room
for a client who is receiving internal radiation therapy for the a nurse should never borrow a dosimeter film badge from another staff member. nurses who
treatment of cervical cancer. For which of the following actions are caring for the client should each have a personal badge and wear it while in the client's
by the newly licensed nurse should the charge nurse intervene? room. the badge measures the radiation exposure that the nurse is receiving, and each film
badge will indicate the nurse's cumulative radiation exposure
a. leaving soiled linens in a container in the client's room
b. instructing visitors to remain 2 m away from the client
c. borrowing a dosimeter film badge from another nurse before
entering the client's room
d. removing an extra IV pole from the client's room to be used
for another client
A charge nurse on a pediatric unit is delegating tasks to an Correct Answer: D.
assistive personnel (AP) who is pregnant and reports that she is If the AP practices universal precautions, there is no risk of contracting impetigo. Impetigo
unsure of her immune status. Which of the following clients is a superficial skin infection caused by either Staphylococcus or Streptococcus.
should the charge nurse assign to the AP? Incorrect Answers:
A. A 9-year-old child who has fifth disease A. If the AP has never had fifth disease, the chance of contracting it is significant. Erythema
B. A 4-year-old child who has varicella (chicken pox) infectiosum is a communicable disease and has been associated with early fetal loss. There
C. A 6-year-old child who has rubella is no immunization for fifth disease.
D. A 2-year-old child who has impetigo contagiosa (impetigo) B. If the AP has never had varicella or been immunized against it, the chance of contracting
it is significant. Varicella is a communicable disease and a known teratogen.
C. If the AP has never had rubella or been immunized against it, the chance of contracting it
is significant. Rubella is a communicable disease and a known teratogen.
, ATI Questions 2
A charge nurse receives notification of the admission of the a. c.
client who is coughing frequently and whose sputum is pink, the client history an present status suggest tuberculosis, a communicable infection that
frothy, and copious. The client has a history of night sweats, mandates a private room with negative-pressure airflow. airborne precautions will be
anorexia, and weight loss. Which of the following actions should requires, including wearing an N95 respirator when entering the client's room
the nurse take?
(select all that apply)
a. assign the client to a private room with negative-pressure
airflow
b. add contact precautions to the client's plan of care
c. wear and N95 respirator when entering the client's room
d. ensure the client's environment provides 4 exchanges of fresh
air per minute
e. institute protective environment precautions as soon as the
client arrives on the unit
A client is admitted to the emergency department following a c. crepitus
motorcycle crash. the nurse notes a crackling sensation upon crepitus, also called subcutaneous emphysema, is a coarse crackling sensation that the nurse
palpation of the right side of the client's chest. After notifying can feel when palpating the skin surface over the client's chest. crepitus indicates an air leak
the provider, the nurse should document this finding as which of into the subcutaneous tissue, which is often a clinical manifestation of pneumothorax
the following?
a. friction rub
b. crackles
c. crepitus
d, tactile fremitus
Terms in this set (497)
1 latent conflict The first stage of the conflict process is latent conflict, which involves awareness of
2 perceived conflict potential situations that can create conflict.
3 felt conflict Stage 2 is perceived conflict, where those who are affected discuss the situation in an
4 manifest conflict impersonal manner.
5 conflict aftermath Stage 3 is felt conflict, which occurs when those who are affected become personally
involved.
Stage 4 is manifest conflict and is signaled by those who are involved in taking action.
In stage 5, or conflict aftermath, those who are involved recognize the positive and negative
outcomes of how the situation was managed.
A charge nurse is making assignments for an oncoming shift. Correct Answer: B.
Which of the following clients should the charge nurse assign to A client who is disoriented will need observation and reality orientation, which is within the
a licensed practical nurse (LPN)? LPN's scope of practice. The client's condition can also be categorized as stable since
A. A client who is to be discharged with a peripherally inserted discharge to a long-term care facility is scheduled.
central catheter (PICC) line Incorrect Answers:
B. A client who is disoriented and awaiting a transfer to a long- A. A client who has a PICC line will require discharge teaching related to PICC line home
term care facility care. client teaching is not within the LPN's scope of practice.
C. A client who is 16 hours postoperative following a total C. A client who has a new tracheostomy is not considered stable and will require frequent
laryngectomy assessment, which is not within the LPN's scope of practice.
D. A client who is newly admitted for abdominal pain of D. A newly admitted client should be assessed by the nurse. This client will also be
unknown origin undergoing many diagnostic tests and will require frequent assessment, which is not within
the LPN's scope of practice.
, ATI Questions 2
A charge nurse is making daily assignments for a medical- Correct Answer: A.
surgical unit. Which of the following tasks should the nurse Examples of tasks a nurse can delegate to an AP are measuring and documenting vital signs,
delegate to an assistive personnel (AP)? performing postmortem care, and measuring and documenting intake and output.
A. Measuring vital signs Incorrect Answers:
B. Reinforcing an IV catheter dressing B. Caring for invasive lines, performing triage, and creating a nursing care plan are not
C. Conducting a preoperative admission assessment within an AP's range of function.
D. Showing a client how to use a walker C. Performing assessments, giving telephone advice, and interpreting data are not within an
AP's range of function.
D. Providing client education, evaluating the effectiveness of care, and inserting NG tubes
are not within an AP's range of function.
A charge nurse is observing a newly licensed nurse administer d. a solution of 5 mL heparin 1,000 units/mL has been prepared
an IV medication to a client who has an implanted venous access
port. Which of the following observations requires intervention
by the charge nurse?
a. a dressing is not applied to the port after use
b. a 22-gauge non coring needle is used to access the port
c. blood return is noted prior to administering the medication
d. a solution of 5 mL heparin 1,000 units/mL has prepared
A charge nurse is observing a newly licensed nurse irrigate a b. instilling 50 m: of fluid with each irrigation
client's ear, which is impacted with cerumen. Which of the
following actions requires the charge nurse to intervene?
a. visualizing the eardrum before irrigating
b. instilling 50 mL of fluid with each irrigation
c. using firm, continuous pressure while irrigating
d. warning the irrigation fluid to least 37
, ATI Questions 2
A charge nurse is observing a newly licensed nurse provide care c. borrowing a dosimeter film badge from another nurse before entering the client's room
for a client who is receiving internal radiation therapy for the a nurse should never borrow a dosimeter film badge from another staff member. nurses who
treatment of cervical cancer. For which of the following actions are caring for the client should each have a personal badge and wear it while in the client's
by the newly licensed nurse should the charge nurse intervene? room. the badge measures the radiation exposure that the nurse is receiving, and each film
badge will indicate the nurse's cumulative radiation exposure
a. leaving soiled linens in a container in the client's room
b. instructing visitors to remain 2 m away from the client
c. borrowing a dosimeter film badge from another nurse before
entering the client's room
d. removing an extra IV pole from the client's room to be used
for another client
A charge nurse on a pediatric unit is delegating tasks to an Correct Answer: D.
assistive personnel (AP) who is pregnant and reports that she is If the AP practices universal precautions, there is no risk of contracting impetigo. Impetigo
unsure of her immune status. Which of the following clients is a superficial skin infection caused by either Staphylococcus or Streptococcus.
should the charge nurse assign to the AP? Incorrect Answers:
A. A 9-year-old child who has fifth disease A. If the AP has never had fifth disease, the chance of contracting it is significant. Erythema
B. A 4-year-old child who has varicella (chicken pox) infectiosum is a communicable disease and has been associated with early fetal loss. There
C. A 6-year-old child who has rubella is no immunization for fifth disease.
D. A 2-year-old child who has impetigo contagiosa (impetigo) B. If the AP has never had varicella or been immunized against it, the chance of contracting
it is significant. Varicella is a communicable disease and a known teratogen.
C. If the AP has never had rubella or been immunized against it, the chance of contracting it
is significant. Rubella is a communicable disease and a known teratogen.
, ATI Questions 2
A charge nurse receives notification of the admission of the a. c.
client who is coughing frequently and whose sputum is pink, the client history an present status suggest tuberculosis, a communicable infection that
frothy, and copious. The client has a history of night sweats, mandates a private room with negative-pressure airflow. airborne precautions will be
anorexia, and weight loss. Which of the following actions should requires, including wearing an N95 respirator when entering the client's room
the nurse take?
(select all that apply)
a. assign the client to a private room with negative-pressure
airflow
b. add contact precautions to the client's plan of care
c. wear and N95 respirator when entering the client's room
d. ensure the client's environment provides 4 exchanges of fresh
air per minute
e. institute protective environment precautions as soon as the
client arrives on the unit
A client is admitted to the emergency department following a c. crepitus
motorcycle crash. the nurse notes a crackling sensation upon crepitus, also called subcutaneous emphysema, is a coarse crackling sensation that the nurse
palpation of the right side of the client's chest. After notifying can feel when palpating the skin surface over the client's chest. crepitus indicates an air leak
the provider, the nurse should document this finding as which of into the subcutaneous tissue, which is often a clinical manifestation of pneumothorax
the following?
a. friction rub
b. crackles
c. crepitus
d, tactile fremitus
