ATI Leadership RN 2019

ATI Leadership RN 2019 1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuse s to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted. b. Document the client's refusal in the chart. c. Assess the client for urinary retention. d. Obtain a provider's prescription for a blood alcohol level Answer: b-Document the client's refusal in the chart. If the client is repeatedly refusing to provide specimen for drug test then nurse can just documented his refusal. That document can be used against the client regarding the motor vehicle accident. 2. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse? a. Pick up the meal trays after lunch. b. Administer a nasogastric tube feeding. c. Plan break times for assistive personnel. d. Determine adequacy of ventilator settings Answer: b. Administer a nasogastric tube feeding 3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA) a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field b. Opens the sterile pack by first unfolding the top flap away from her body c. Prepares a container of sterile solution on the field after putting on sterile gloves d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field e. Holds the sterile solution bottle with the label facing up b. Opens the sterile pack by first unfolding the top flap away from her body Answer: d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field 4. A nurse enters a client's room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? a. Auscultate the client's lungs. b. Notify the provider. c. Place a faulty equipment tag on the pump. d. Complete an incident report. Answer: a. Auscultate the client's lung