2023/2024 PN VATI Management Test (Answered 2023)

A nurse is caring for a client who is scheduled for an arthroplasty. The client states, "I changed my mind. I don't want the surgery now." Which of the following responses should the nurse make? - "I will let your surgeon know that you have decided to cancel," The nurse should respect the client's right to refuse treatment. It is the responsibility of the nurse to notify the surgeon that the client has changed their mind about the surgery. A nurse enters a client's room and finds that smoke is coming from an electrical outlet. After assisting the client out of the room, which of the following actions should the nurse take next? - Pull the nearest fire alarm. The greatest risk to this dlient is injury from burns and smoke inhalation. Therefore, when using the RACE method for fire response, the next action the nurse should take is to sound the alarm. Then, the nurse should attempt to contain the fire by sealing off the doors and windows and turning off all electrical equipment. Lastly, the nurse should attempt to extinguish the fire. A nurse smells alcohol on the breath of another nurse while discussing a client's condition. Which of the following actions should the nurse take? - Notify the charge nurse of the situation. The nurse has an ethical responsibility to protect clients report suspected substance use. The nurse should notify the charge nurse of the incident, which would allow the charge nurse to investigate further and take actions to maintain the safety of clients. A nurse is assisting with an interdisciplinary team to use clinical data to improve outcomes. Which of the following competencies of Quality and Safety Education for Nurses (QSEN) is the nurse demonstrating? - Quality improvement This QSEN competency involves the use of data to track outcomes and improvement processes to devise a plan to improve the safety of health care services and improve clients' outcomes. The partner of a client who has been receiving dialysis tells the nurse that the client has stated a desire to end treatment. The client's partner is upset and asks the nurse for help. Which of the following responses should the nurse make? - "You seem upset. Tell me more about their reasons for making this decision." This is a therapeutic response that demonstrates that the nurse recognizes the partner's feelings and respects the client's autonomy. A nurse is reinforcing discharge teaching with a client who is recovering from a stroke and has hemiparesis along with dysphagia. Which of the following instructions should the nurse include in the teaching? - Place food in the stronger side of mouth. The nurse should instruct the client to place food in the unaffected side of their mouth. This aids in the chewing and swallowing of food and reduces the risk for aspiration. A nurse in a long-term care facility is preparing assignments for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? - Provide postmortem care for a client. The nurse should delegate postmortem care to the AP. This task is within the range of function of an AP. A nurse is assisting in assigning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? - Measure the vital signs of a client who is 24 hr postoperative following a cholecystectomy. Measuring vital signs is within the AP's range of function. The nurse should collect data from the client to ensure the client is stable prior to assigning this task to the AP. After collection, the AP should report the vital signs to the nurse. A newly licensed nurse is delegating tasks to an assistive personnel (AP). The AP refuses to perform the delegated tasks. Which of the following actions should the nurse take? - Report the AP's behavior to the nurse manager. The nurse should address the conflict with the AP and report the actions of the AP to the nurse manager. The nurse manager is responsible for the resolution of workplace conflicts. A nurse is contributing to the plan of care for a client who has a Clostridium difficile infection. Which of the following precautions should the nurse suggest for this client? - The nurse should wear a gown when providing care to the client. The nurse should plan to implement contact precautions for a client who has a C difficile infection, which includes wearing a gown when providing care to the client, to reduce the risk for transmission of the infection. A nurse is assisting with planning care for a group of clients. Which of the following tasks should the nurse recommend for delegation to an assistive personnel (AP)? (Select all that apply.) - Feeding a client who has had casts on both arms for 48 hr is correct. The nurse can delegate feeding a client who has had casts on both arms for 48 hr because this client is stable and the task is routine. Obtaining the vital signs of a client who is stable and arrived from the PACU 2 hr ago is correct. The nurse can delegate measuring the vital signs of clients who are postoperative to an AP if the client is stable. Transporting a client's clean-voided urine specimen to the laboratory is correct. The nurse can delegate transporting specimens to the laboratory because it is a routine task that does not require technical knowledge. A nurse is caring for a client who has just received a diagnosis of stage I lung cancer. The client tells the nurse that she is unsure about sharing the information with her brother. Which of the following responses should the nurse make? - "You can choose to keep your health care information private." It is the nurse's responsibility to inform the client of their rights, including their right to confidentiality. A client's health care information should not be shared with others without the client's consent. A nurse is contributing to the plan of care for a client who has dementia and follows a kosher diet. Which of the following food choices should the nurse select for the client? - Salmon Most clients who follow a kosher diet consume only fish with fins and scales; therefore, salmon is a good food choice for this client. kosher diet. NOTE:Most clients who follow a kosher diet consume dairy and meat or poultry separately. They do not consume dairy products until 1 to 6 hr after consuming meat or poultry. A nurse is discussing advantages of using the nursing clinical information system (NCIS) with a newly licensed nurse. Which of the following advantages should the nurse include? (Select all that apply.) - Reduces errors of omission is correct. An advantage of computerized documentation is a reduction in errors of omission. Data, such as prior shift assessment information, can be copied, allowing a nurse to quickly document updates without potentially forgetting to document other information. Enhances ability to track medical records is correct. Computerized documentation enhances the ability to track the client's medical records. Records are easily organized and stored and can be retrieved quickly when a client is readmitted from a previous encounter. Provides immediate access to members of the interprofessional team is correct. Computerized documentation provides immediate access to members of the interprofessional team, Important information, such as allergies and current medications, can be retrieved by health care team members in other departments prior to providing care to a client. A nurse is preparing to administer a breathing treatment to a client who has COPD. The client states, "I don't want to have this done. I don't like blowing in my face." Which of the following responses should the nurse give? - "Let's discuss the importance of your breathing treatment." The nurse should verify that the client understands the reasons for the breathing treatment along with the benefits and risks. However, the nurse should respect the client's right to refuse. A nurse is caring for a client who has pancreatic cancer. The client tells the nurse that they do not want the chemotherapy the provider recommended. Which of the following responses should the nurse make? - "You have the right to refuse chemotherapy, but you should understand the risks." The nurse should recognize the client's right to refuse treatment and notify the provider to discuss the risks of refusing treatment with the client. A nurse working on a medical-surgical unit has concerns about ongoing staffing shortages that compromise client safety and delivery of care. Which of the following actions should the nurse take? - Notify the nursing supervisor. It is the responsibility of the nurse to report situations that create the potential for unsafe practice, such as staffing shortage, to the nursing supervisor. A nurse is assisting with triage following a bus crash that caused multiple casualties. The nurse should identify which of the following clients as the priority? - A client who has asymmetrical lung expansion and dyspnea When using the survival approach to client care, the nurse should give priority immediate transport. A client who has asymmetrical lung expansion and dyspnea has airway compromise, which requires immediate intervention for survival. A nurse is caring for a client who is 2 days postoperative following a bowel resection. Which of the following information should the nurse communicate to the next nurse caring for this client? - A new prescription for PO analgesics When giving t, the nurse should include any changes in the treatment plan, such as switching the client from parenteral to oral pain medication. A nurse is assisting with the admission of a client who has a Clostridium difficile infection. Which of the following precautions should the nurse take? (Select all that apply.) - Clean the client's room using a bleach solution is correct. The nurse should clean the client's room using a bleach solution to kill the bacterial spores, Wear clean gloves while performing client care is correct. The nurse should wear clean gloves while caring for a client who has a C. difficile infection. Place the client in a private room is correct. The nurse should place the client in a private room to isolate the infection from other clients. If a private room is not available, the nurse should place this client in a room with another client who is infected with the same bacteria. A nurse is reviewing the medication administration record of a client and notes that the client received an incorrect dose of medication. After ensuring that the client is safe, which of the following actions should the nurse take? - Complete an incident report about the medication error. Once the nurse ensures the client is safe, the nurse who discovered the error should complete an incident report in a timely manner. An incident report allows the facility to analyze collected information to improve client safety and prevent future errors. A nurse is preparing assignments for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? - Obtain a scheduled blood glucose reading is stable. The nurse should assign the AP to obtain a scheduled blood glucose reading on a stable client. This task is within the range of function for an AP. However, if a client's condition is unstable, a licensed nurse should obtain the client's blood glucose reading. A nurse is delegating a task to an assistive personnel (AP). The AP states he is unsure about performing the task. Which of the following actions should the nurse take first? - Determine the AP's level knowledge about the task The first action the nurse should use when using the nursing process is to collect data from the AP to determine their level of knowledge of the task. A nurse is contributing to the plan of care for a client who has heart failure. The client has been instructed to limit their sodium and fluid intake. Which of the following referrals should the nurse suggest? - Dietitian The nurse should suggest a referral for a dietitian who is specialized to consult the client about low-sodium food selections and fluid restrictions.