PN ATI LEADERSHIP AND MANAGEMENT
EXAM LATEST EXAM | QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES |
ALREADY GRADED A+ | VERIFIED
ANSWERS
A nurse in a long-term care facility is caring for a client who has heart
failure and is refusing to take a new medication. Which of the following
responses should the nurse make?
"You need to take this medication to feel better."
"Many clients take this medication for your condition."
"I will come back later to give you the medication."
"You have the right to refuse the medication." ------CORRECT ANSWER----
-----------"You have the right to refuse the medication."
MY ANSWER
The nurse should recognize the client's right to refuse the medication
to support the client's autonomy. The nurse should document this in
the client's medical record and notify the provider.
A charge nurse is talking with two assistive personnel (AP) who are angry
about the order in which lunch breaks are scheduled on the unit. Which of
the following statements by the charge nurse demonstrates the use of
compromise?
"You can take turns going to lunch first every other week."
"Whoever has seniority should go to lunch first."
"You should try to work out the lunch schedule between the two of you."
"Can we discuss this tomorrow? I need some time to think about the
schedule." ------CORRECT ANSWER---------------"You can take turns going
to lunch first every other week."
MY ANSWER
,Successful negotiation through compromise requires that each party
give up something. The charge nurse should suggest an alternating
lunch schedule, in which each party gives up what they want only part
of the time. This use of compromise results in a win-win outcome for
all parties.
A nurse is using a critical pathway while providing care to a client who is 3
days postoperative. Which of the following events should the nurse
document as a variance?
The nurse on the prior shift administered the client's twice-daily antibiotic 1
hr after it was due.
The nurse hears two assistive personnel discussing the client in a public
elevator.
The client reports they do not have advance directives.
The client has a circular area of nonblanchable redness on their left heel. --
----CORRECT ANSWER---------------The client has a circular area of
nonblanchable redness on their left heel.
A variance occurs when expected outcomes of the critical pathway
are not met. The nurse should document that the client has a circular
area of nonblanchable redness on their left heel as a variance
because this indicates the initial stage of a pressure injury and is not
an expected outcome.
A nurse on a facility's performance improvement team is assisting to
develop practice guidelines for performing bladder scans. Which of the
following actions should the nurse take prior to developing a policy and
procedure for this task?
Review evidence-based practice data related to bladder scanner use.
Compare the cost of indwelling urinary catheters with that of a bladder
scanner.
Conduct a chart audit to determine previous outcome trends in bladder
scanner use.
,Gather a consensus of provider opinions about the use of bladder scanners
at the facility. ------CORRECT ANSWER---------------Review evidence-based
practice data related to bladder scanner use.
MY ANSWER
To facilitate the best client outcomes, the performance improvement
team should review available evidence-based practice data related to
this task. This should provide the most accurate and comprehensive
information on which to base policy and procedure decisions.
A charge nurse in a long-term care facility is monitoring the activities of an
assistive personnel (AP). Which of the following actions by the AP indicates
that the charge nurse should intervene?
Returns unopened supplies from a client's room to the storage room
Obtains assistance when lifting an object that weighs 18.1 kg (40 lb)
Double-bags a biohazard bag that is contaminated on the outside
Stands with feet close together while transferring a client from the bed to a
chair ------CORRECT ANSWER---------------Stands with feet close together
while transferring a client from the bed to a chair
MY ANSWER
The AP should stand with feet wide apart while transferring a client
from the bed to a chair to increase stability and prevent self-injury.
A home health nurse is reinforcing teaching about the effects of carbon
monoxide poisoning. Which of the following manifestations should the
nurse include?
Diarrhea
Ringing in the ears
Headaches
Irritability ------CORRECT ANSWER---------------Headaches
The nurse should reinforce in the teaching that headaches, dizziness,
nausea, vomiting, loss of muscle control, and muscle weakness are
manifestations of carbon monoxide poisoning.
, A nurse in a long-term care facility is caring for a client who had a stroke 1
week ago. The client is experiencing left-sided weakness, difficulty
swallowing, drooping of the mouth, inarticulate speech, and memory loss.
Which of the following referrals is the priority for the nurse to make?
Physical therapy
Speech therapy
Cognitive therapy
Occupational therapy ------CORRECT ANSWER---------------Speech therapy
When using the airway, breathing, circulation approach to client care,
the priority referral is to the speech therapist. Difficulty swallowing
indicates that this client is at risk for aspiration. Therefore, a referral
for speech therapy is the priority.
A nurse is caring for a client who received a skin tear during a routine
dressing change. After completing an incident report, which of the following
actions should the nurse take?
Document the completion of the incident report in the client's medical
record.
Submit the incident report to the nurse manager for review.
Mail a copy of the incident report to the facility's attorney.
Obtain the client's signature on the incident report. ------CORRECT
ANSWER---------------Submit the incident report to the nurse manager for
review.
MY ANSWER
The nurse should complete an incident report for unusual
occurrences or variances in client care. The nurse manager should
have the opportunity to review the information in order to begin the
quality review process.
A nurse is assisting with the discharge planning for a client. Which of the
following actions should the nurse plan to take?
Include the client's vital sign record in the discharge instructions.
EXAM LATEST EXAM | QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES |
ALREADY GRADED A+ | VERIFIED
ANSWERS
A nurse in a long-term care facility is caring for a client who has heart
failure and is refusing to take a new medication. Which of the following
responses should the nurse make?
"You need to take this medication to feel better."
"Many clients take this medication for your condition."
"I will come back later to give you the medication."
"You have the right to refuse the medication." ------CORRECT ANSWER----
-----------"You have the right to refuse the medication."
MY ANSWER
The nurse should recognize the client's right to refuse the medication
to support the client's autonomy. The nurse should document this in
the client's medical record and notify the provider.
A charge nurse is talking with two assistive personnel (AP) who are angry
about the order in which lunch breaks are scheduled on the unit. Which of
the following statements by the charge nurse demonstrates the use of
compromise?
"You can take turns going to lunch first every other week."
"Whoever has seniority should go to lunch first."
"You should try to work out the lunch schedule between the two of you."
"Can we discuss this tomorrow? I need some time to think about the
schedule." ------CORRECT ANSWER---------------"You can take turns going
to lunch first every other week."
MY ANSWER
,Successful negotiation through compromise requires that each party
give up something. The charge nurse should suggest an alternating
lunch schedule, in which each party gives up what they want only part
of the time. This use of compromise results in a win-win outcome for
all parties.
A nurse is using a critical pathway while providing care to a client who is 3
days postoperative. Which of the following events should the nurse
document as a variance?
The nurse on the prior shift administered the client's twice-daily antibiotic 1
hr after it was due.
The nurse hears two assistive personnel discussing the client in a public
elevator.
The client reports they do not have advance directives.
The client has a circular area of nonblanchable redness on their left heel. --
----CORRECT ANSWER---------------The client has a circular area of
nonblanchable redness on their left heel.
A variance occurs when expected outcomes of the critical pathway
are not met. The nurse should document that the client has a circular
area of nonblanchable redness on their left heel as a variance
because this indicates the initial stage of a pressure injury and is not
an expected outcome.
A nurse on a facility's performance improvement team is assisting to
develop practice guidelines for performing bladder scans. Which of the
following actions should the nurse take prior to developing a policy and
procedure for this task?
Review evidence-based practice data related to bladder scanner use.
Compare the cost of indwelling urinary catheters with that of a bladder
scanner.
Conduct a chart audit to determine previous outcome trends in bladder
scanner use.
,Gather a consensus of provider opinions about the use of bladder scanners
at the facility. ------CORRECT ANSWER---------------Review evidence-based
practice data related to bladder scanner use.
MY ANSWER
To facilitate the best client outcomes, the performance improvement
team should review available evidence-based practice data related to
this task. This should provide the most accurate and comprehensive
information on which to base policy and procedure decisions.
A charge nurse in a long-term care facility is monitoring the activities of an
assistive personnel (AP). Which of the following actions by the AP indicates
that the charge nurse should intervene?
Returns unopened supplies from a client's room to the storage room
Obtains assistance when lifting an object that weighs 18.1 kg (40 lb)
Double-bags a biohazard bag that is contaminated on the outside
Stands with feet close together while transferring a client from the bed to a
chair ------CORRECT ANSWER---------------Stands with feet close together
while transferring a client from the bed to a chair
MY ANSWER
The AP should stand with feet wide apart while transferring a client
from the bed to a chair to increase stability and prevent self-injury.
A home health nurse is reinforcing teaching about the effects of carbon
monoxide poisoning. Which of the following manifestations should the
nurse include?
Diarrhea
Ringing in the ears
Headaches
Irritability ------CORRECT ANSWER---------------Headaches
The nurse should reinforce in the teaching that headaches, dizziness,
nausea, vomiting, loss of muscle control, and muscle weakness are
manifestations of carbon monoxide poisoning.
, A nurse in a long-term care facility is caring for a client who had a stroke 1
week ago. The client is experiencing left-sided weakness, difficulty
swallowing, drooping of the mouth, inarticulate speech, and memory loss.
Which of the following referrals is the priority for the nurse to make?
Physical therapy
Speech therapy
Cognitive therapy
Occupational therapy ------CORRECT ANSWER---------------Speech therapy
When using the airway, breathing, circulation approach to client care,
the priority referral is to the speech therapist. Difficulty swallowing
indicates that this client is at risk for aspiration. Therefore, a referral
for speech therapy is the priority.
A nurse is caring for a client who received a skin tear during a routine
dressing change. After completing an incident report, which of the following
actions should the nurse take?
Document the completion of the incident report in the client's medical
record.
Submit the incident report to the nurse manager for review.
Mail a copy of the incident report to the facility's attorney.
Obtain the client's signature on the incident report. ------CORRECT
ANSWER---------------Submit the incident report to the nurse manager for
review.
MY ANSWER
The nurse should complete an incident report for unusual
occurrences or variances in client care. The nurse manager should
have the opportunity to review the information in order to begin the
quality review process.
A nurse is assisting with the discharge planning for a client. Which of the
following actions should the nurse plan to take?
Include the client's vital sign record in the discharge instructions.
