ATI Management Practice B Questions and Answers.

ATI Management Practice B Questions and Answers. 1. A nurse is preparing to reinforce discharge teaching with a client who speaks a different language than the nurse. The client has a new diagnosis of diabetes and his partner is at the bedside. Which of the following actions should the nurse take ANS Contact an interpreting service via telephone to assist with the instructions. The nurse should contact an interpreting service to assist in communicating discharge information to the client if a medical interpreter is not available in person. The use of a medical interpreter ensures that medical information is accurately communicated to the client. 2. A nurse is collecting data from a client following abdominal surgery. The nurse should recognize which of the following client findings is the priority to report to the provider ANS Surgical dressing saturated with bloody drainage. When using the airway, breathing, and circulation approach to client care, the nurse determines that the priority finding to report to the provider is the surgical dressing saturated with bloody drainage. This finding indicates the client is possibly experi- encing postoperative hemorrhage, which can lead to hypovolemia and shock. 2 / 10 3. A nurse in a long-term care facility is caring for a client who is refusing his prescribed medications. Which of the following actions should the nurse take first ANS Identify the client's concerns about taking the medications. The first action the nurse should take when using the nursing process is to collect data from the client. By identifying the client's concerns and reasons for refusing the medications, the nurse can determine which actions to take next to prevent worsening of the client's condition. 4. A nurse is assisting with the discharge of a client who was in a motor-vehicle crash 24 hr ago. The client tells the nurse, "My vision seems blurry, and I am having difficulty speaking clearly." Which of the following actions should the nurse take first ANS Check the client for indications of increased intracranial pressure. The first action the nurse should take using the nursing process is to collect data from the client. By checking the client for indications of increased intracranial pressure, the nurse can determine if the client has any neurological deficits and identify findings to report to the charge nurse and the provider. 5. A nurse is delegating collection of a random stool specimen to an assistive personnel (AP). Which of the following information should the nurse provide ANS Wrap tongue blades used to retrieve the specimen in a paper towel prior to disposal. The nurses should instruct the AP to use one to two tongue blades to move the stool specimen to the collection container. After transferring the stool, the AP 3 / 10 should wrap the tongue blades in a paper towel before discarding them in the trash to prevent others from accidentally touching the contaminated surfaces. 6. A charge nurse is planning a discussion concerning scope of practice with newly licensed nurses. Which of the following tasks should the charge nurse identify as within the PN's scope of practice? (Select all that apply.): Participate in health promotion counseling for a client. It is within the PN's scope of practice to participate in counseling for client health promotion. Evaluate a client's response to nursing interventions. It is within the PN's scope of practice to participate in the evaluation of a client's responses to nursing interventions. Assist in the development of unit policies affecting client care. It is within the PN's scope of practice to assist in the development of policies and procedures. 7. A nurse is verifying informed consent with a client who is scheduled to have a total open abdominal hysterectomy with bilateral salpingooophorectomy for the treatment of uterine cancer. The nurse should notify the providerfor which of the following client statements ANS "I wish I knew if there was another way to treat this other than surgery." The nurse should contact the provider to clarify the procedure and other options with the client. It is the provider's responsibility to inform the client of any other treatment options.