ATI RN LEADERSHIP 2021 PROCTORED EXAM – STUDY GUIDE

A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind signing the informed consent form for the procedure at this time?" A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)? Instruct a client how to take their blood pressure. Administer subcutaneous medications to a client. Determine a client's intake and output. • Provide a status update to a client's family member. A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the nurse anticipate referring the guardian of the newborn? Child protective services Public health • Home health Women, Infants, and Children 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. Set target dates for completion. Identify areas of support. Determine goals and objectives. • Implement recommended strategies A home health nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should first visit the client who has which of the following laboratory values? Digoxin 1.0 ng/mL • WBC 6,000/mm3 Platelets 100,000/mm3 Serum potassium 4.0 mEq/L A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? The child has red sores at the corners of the mouth. The child has several small bruises on both legs. The child sleeps for about 13 hr each night. The child is not regularly attending school A nurse manager is teaching about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the teaching? "Change-of-shift report can be given at the client's bedside." "I can provide client information over the phone if the caller identifies themselves as family." "A client cannot see their medical record because it is considered to be property of the facility." "Access to client information is limited to direct care providers." A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A nurse is photocopying their assigned client's diagnostic test results. • An assistive personnel (AP) documents a client's vital signs on the client's paper-based graphic record. The unit secretary faxes a client's laboratory results to the provider. An RN stays with a client who is reading the medical records that were requested. A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist the nurse in evaluating the cost effectiveness of the care? The age of the client The availability of community support groups • The length of the client's stay The type of insurance the client carries A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) The right to be treated with respect and dignity The right to full access of the facility The right to refuse their medications The right to leave regardless of provider recommendations The right to be fully informed of their health conditions A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks. Identify the sequence the nurse manager should follow when disciplining the employee. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) Schedule a meeting with the nurse. Provide a written reprimand. Temporarily remove the nurse from scheduled shifts. Terminate the nurse's employment. Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)? "Take vital signs every 2 hours for the client who had a cholecystectomy in room 6122." "Check the urinary output at 1100 for John Doe and report it to me immediately." "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438." "Please notify me of any clients whose vital signs or blood glucose levels are significant." ................................................................................CONTINUED