NURS 510 LEADERSHIP ATI 70 QUESTIONS AND ANSWERS

4 – A nurse is teaching newly licensed nurses about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality? A- Calling the pharmacy with a prescription for the client’s partner to pick up. B- Providing a copy of the client’s medical record to the transporting paramedic C- Informing housekeeping staff that the client is in the dialysis unit. D- Reporting a client’s deposition to the referring provider. 5 – A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first? A- Low pain tolerance. B- Limited social support C- Decreased self-esteem D- Inadequate food supply. 6 – A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using? A- Root cause analysis. B- Benchmarking. C- Structure audit. D- Risk benefit analysis. 7- A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include? A- Accompany residents older than 85 years of age during ambulation. B- Institute rounds every 2 hours during the day to offer toileting ATI pg 53 C- Apply vest restraints on residents who are confused. D- Keep the four side rails up on beds at night. 8- A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client’s care? (Select all that apply) from A – Mental health counselor. B – Occupational therapist. C – Nutritional therapist. D – Case Manager E – Physical therapist. 9 – A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the following actions should the nurse take? A- File an incident report B- Treat and discharge the client. C- Ask the client’s son to go to the waiting room. D- Ask the client about his injuries with the son present. 10 – A nurse on a medical surgery unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? A- Obtaining a urine specimen from an older adult client AP role B- Reinforcing dietary teaching with a client who has heart disease. LPN role C- Accompanying a client who just had a wound debridement to physical therapy. D- Providing postmortem care for a client who has just died. AP role 11 – A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include. A- Provide an interpreter when obtaining consent from the client. B- Validate understanding by interpreting the client’s body language. Not culturally competent C- Involve the client’s partner to assist with the teaching session. D- Incorporate gesture and hand signals when presenting information. Not culturally competent 12 – A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines? A- I will have a client who is on airborne precautions wear a mask when out of the room. B- I will wear an N95 respirator mask when caring for a client who is on droplet precaution. C- I will place a client who has compromised immunity in a negative-pressure airflow room. D- I will instruct visitors to wear a mask when visiting a client who is on contact precaution. 13 – A nurse is assessing a client who is postoperative following a left leg below-the knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist? A- I hope I can adjust to using crutches while I am recovering. B- I am worried about taking care of my toddler at home. C- I am not sure how I will pay for all the therapy I will need. D- I just don’t think I can handle looking at my leg. 14- A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? A- Child protective services. B- Pharmacist. C- Social Worker. D- Respiratory therapist. 15 – A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in-service? A- A nurse can apply restraints on a PRN basis. B- A nurse can administer medications without consent. C- A nurse is responsible for informing clients about treatment options D- A nurse can disclose information to a family member with the client’s permission. 16 – A nurse is preparing to discharge a client who has end-stage heart failure. The client’s partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take? A- Recommend the partner place the client in a long-term care facility. B- Ask the provider to delay the client discharge home for a few days. C- Request another family member assist the client’s partner with care. D- Contact the case manager to discuss discharge options. 17 – A nurse is preparing an educational program for staff members regarding a new intravenous pump. Identify the sequence of actions thee nurse should take when developing the programs. (Move the steps into the box in the right, placing them in the selected order of performance. Use all steps). A,D,B,C A- Identify what skills to teach the staff members. 1 B- Schedule several sessions of the program. 3 C- Conduct program evaluation with staff members. 4 D- Develop learning objectives for the program. 2 18 – A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation (TENS). Which of the following members of the interdisciplinary team should the nurse contact for assistance? A- Occupational therapist. B- Respiratory therapist. C- Physical therapist. D- Pharmacist. 19 – A nurse is participating in the development of disaster management plans for a hospital. The nurse should recognize which of the following resources is the highest priority to have available in response to a bioterrorism event? A- A system for tracking client information. B- A sufficient supply of personal protective equipment. C- A mental health specialist on the response team. D- A network for communication between staff members and families. 20 - A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client’s partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done. A- Whether the facility ethics committee reaches a consensus on the case. B- Whether the client’s refusal is based on religious belief. C- Whether the client understands the risk of refusing the procedure. D- Whether the partner is the client’s durable power of attorney for health care. 21 – A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse? A- A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin. B- A client who has scheduled for endoscopy later today and requires an enema. C- A client who had a myocardial infarction and will be transferring to the unit from the ccu. D- A newly admitted client who has sickle cell anemia and request the development of an initial plan of care. 22- A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take? A- Document in the client’s chart that an incident report has been filed. B- Call risk management to interview the client. C- Contact the nurse manager. D- Reassure the client that the staff is well trained. 23 – A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make? A- You should contact the provider about your wishes for your family member. B- As the health care surrogate, the client’s partner can make this decision. C- We will need to have the nursing supervisor review the client’s advance directives. D- You should speak with the facility’s ethics committee about your concerns. 24 – A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first? A- Demonstrate the proper clients transfer technique for the AP. B- Instruct the AP to request assistance when unsure about a task. C- Help the AP assist the client with the transfer. D- Refer the AP to the facility procedure manual. 25 – A charge nurse witnesses an assistive personal (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first? A- Discuss the issue with the AP. B- Reinforce facility protocol at the next staff meeting. C- Notify the unit manager about the incident. D- Alert the infection control department. 26- A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take? A- Notify risk management before initiating treatment. B- Contact the client’s next of kin to obtain consent for treatment. C- Proceed with treatment without obtaining written consent. D- Have the client sign a consent for treatment. 27 – A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the client’s medical record. A- MS 10 mg IV every 4* pm for pain. B- Morphine sulfate 10 mg IV q 4 h IV prn for pain C- MSO4 10 mg ivP q 4* pm for pain. D- Morphine sulfate 10.0 mg every 4 hours iv prn for pain. 28- Nurses in an inpatient care are working to help reduce unit cost. Which of the following actions is appropriate to include in the cost-containment plan? A- Store opened bottles of normal saline in a refrigerator for up to 48 hr. B- Return unused supply from the bedside to the unit’s supply stock. C- Use clean gloves rather than sterile gloves for colostomy care. (You already use clean gloves for colostomy care, not sterile ones.) D- Wait to dispose of sharps containers until they are completely full. 29 – A nurse in an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain which of the following is an objective of telehealth? A- Establishing communication between providers. B- Assessing chart record.,, (ASSESSING CLIENT NEEDS) TYPED WRONG C- Providing medication reconciliation. D- Developing chart treatment protocol. 30 – A nurse is working in a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process? A- Review current literature regarding client fall. B- Notify staff of the incre ased fall rate. C- Identify clients who are at risk for falls. D- Implement a fall prevention plan. 31 – A nurse is caring for a client who wanders through the hall yelling obscenities at staff, other clients, and visitors. Which of the following actions should the nurse take? A- Place the client in a wheelchair with a lap tray. B- Contact a family member to come and sit with the client.?? C- Administer a sedative to the client. D- Keep the client in her room with the door closed. 32 – A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information? A- An evidence based nursing journal. B- A collaborative user-edited website. C- The facility’s case manager. D- The client’s health care provider. 33 - A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority. A- A client who reported right sided back pain and is diaphoretic. B- A client who reports shortness of breath and left neck and shoulder pain. C- A client who has active bleeding from a puncture wound of the left groin area. D- A client who has a raised red skin rash on his arm, neck, and face. 34 - A nurse has just completed assessment charting on the electronic record for an assigned client. An assistive personnel (AP) who just measured the client’s vital signs ask to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take? A- Offer to chart the vital signs for the AP. B- Recommend the AP come back later when the record is available. C- Allow the AP to document the vital signs prior to logging out. D- Log out so the AP can log in to document the vital signs. 35 – A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching. A- I can post the client’s vital signs in the client’s room. B- I should discard personal health information documents in the trash before leaving the unit. C- I should encrypt personal health information when sending mails. D- I can use another nurse’s password as long as I log off after using the computer. 36 – A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which of the following assessments by the newly licensed nurse indicates an understanding of the teaching? A- I will check that the room has a high efficiency particular air filtration system. B- I will wear a surgical mask within 3 feet of the client. C- I will assign the client to a room with positive airflow. D- I will wear an N95 respirator when providing care for the client. 37 – A staff nurse is making staff assignments on a medical-surgical unit. Which of the following tasks should the nurse plan to delegate to an assistive personnel. A- Measuring oxygen saturation for a client who has dyspnea. B- Inserting a rectal suppository for a client who is vomiting. C- Performing nasal hygiene for a client who has an NG tube. D- Pouching a client’s ostomy bag for a new colostomy. 38 – A nurse enters a client’s room to witness an informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take? A- Educate the client about the risk of refusing the procedure. B- Complete an incident report. C- Inform the provider that the client requires clarification about the procedure. D- Answer the client’s questions concerning the procedure. 39 – A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of –shift report? A- The client preferred time for bathing. B- The belief that the client has a difficult relationship with his son. C- The steps to follow when providing wound care. D- The time the client received his last dose of pain medication.