EVALUATED ATI LEADERSHIP QUESTIONS AND ANSWERS

EVALUATED ATI LEADERSHIP QUESTIONS AND ANSWERS Nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include? - CORRECT ANSWER -The purpose of medication reconciliation is to prevent adverse medication reactions. Caring for a client who falls in his room. Nurse assesses the client, notifies provider, and completes incident report, which action should the nurse take next? - CORRECT ANSWER -Submit the incident report to the risk manager. Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which client should be recommended for discharge? - CORRECT ANSWER -A young adult client who has Crohn's disease and is 1 day preoperative for an ileostomy. AP comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following is appropriate? - CORRECT ANSWER -There is a higher risk of infection for our clients associated with artificial nails. Nurse has several tasks to delegate to an assistive personnel. Which of the following tasks should the nurse ask the AP to perform first? - CORRECT ANSWER -Take an arterial blood gas specimen to the laboratory. Nurse manager is reviewing the admission history of four adults who were admitted to the med/surg unit during the shift. which situation is the nurse required to disclose information to an outside agency about the client & circumstances? - CORRECT ANSWER -A dependent adult admitted for the treatment of a spiral fracture. An AP tells the manager that she observed a nurse on the unit removing morphine from syringes prior to administering the medication to clients. Which action should the manager take first? - CORRECT ANSWER -Gather data about the nurse's work performance and attendance history. Client with severe head injury and is declared brain dead. Transplant coordinator has spoken to family about organ donation. Client's spouse is confused and doesn't know what to do. What is the appropriate response? - CORRECT ANSWER -What do you think your spouse would have wanted ? Which lab finding requires follow up? BUN 15 mg/dL Platelet count 60,000/mm3 WBC 6,000/mm3 Hemoglobin 14 g/dL - CORRECT ANSWER -Platelet count 60,000/mm3 Older client with terminal illness and ventilator dependent. Client is A&O and wants to discontinue ventilator. Continued treatment against the client's wishes is a violation of? Veracity Autonomy Fidelity Justice - CORRECT ANSWER -Autonomy Nurse prepares a soap suds enema to a client with constipation. Nurse explains procedure and client states "Doctor didn't tell me I was supposed to receive an enema." Which of the following nursing actions is appropriate at this time? - CORRECT ANSWER -Check the client's medical record for the providers prescription. Manager is reviewing Good Samaritan laws with a group of newly licensed nurses. Which statement is appropriate? - CORRECT ANSWER -"If you render aid in an accident, do not leave the scene until another competent person can take over." Nurse overhears two APs from med/surg discussing a client in the cafeteria. Which of the following is the priority nursing action? - CORRECT ANSWER -Quietly tell the APs that this is not appropriate. Nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following? - CORRECT ANSWER -Keeping an appointment with a client. Nurse suspects that a coworker is diverting opioid analgesics. Which is the adverse effect of opioid medications? Euphoria Rhinorrhea Hallucinations Dilated pupils - CORRECT ANSWER -Euphoria A coworker puts an arm around a nurse and says "I bet you are a great lover." Which of the following is an appropriate response by the nurse? - CORRECT ANSWER -"Speaking to me like that makes me uncomfortable." Caring for clients at urgent care. Which should be seen immediately? - CORRECT ANSWER -A middle adult male who is diaphoretic and reports epigastric pain. (Manifestations of acute MI) Client in ER with compression fracture of spinal vertebra. Client given IV morphine in transport. Neuro determined urgent surgery needed. Staff is unable to reach family. Which action should the nurse anticipate neurosurgeon taking? - CORRECT ANSWER -Invoking implied consent. Caring for a client scheduled for surgery. What is the nurse role in regards to informed consent? - CORRECT ANSWER -Determining the client's level of understanding about the procedure.