ATI Management Practice #2 Exam Questions and Answers

A nurse is caring for a client who has heart failure notices that the client did not receive his scheduled dose of furosemide. When filling out an incident report about the occurrence, which of the following information should the nurse include? SATA – -Clients breath sounds clear bilaterally. -The nurse documents the clients status as a result of the occurrence. -The clients statement about the occurrence. A nurse is preparing to administer a medication to a client. Which of the following actions by the nurse demonstrates advocacy for client rights? - Encouraging the client to verbalize questions or concerns A nurse is reinforcing teaching about legal issues with a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? - "I will ask permission from the client before observing a procedure the client is having" A nurse is delegating the collection of vital signs to an AP for group of clients. Which of the following clients vital signs should the nurse delegate to the AP for collection? - -A client who has a history of congestive heart failure -A young adult client who is 1 day postop following appendectomy -A client who is 2 days postop following laparoscopic cholecystectomy A nurse is caring for a group of clients on a medical-surgical unit. Which of the following actions jeopardize client confidentiality? - -Sharing a personal password with a coworker -Discussing clients at the table in the cafeteria -Disposing of written report sheet into the facility trash receptacle A nurse is caring for a client who is scheduled for a transurethral resection of the prostate (TURP). Which of the following statements by the client indicates that informed consent was provided? - "There is a chance I may become impotent." a nurse observes two APs arguing over who should go on break first. the nurse interrupts the conversation and states one AP can take break now, but the other AP will get to take an early lunch. which of the following types of conflict management is the nurse demonstrating? - compromising A client has been waiting for discharge medications from the pharmacy for more than 2 hr. Which of the following actions should the nurse identify as an opportunity for performance improvement in this area? - Participate on a work team that includes pharmacy and nursing staff A nurse is providing change of shift report to the oncoming nurse. Which of the following information should the nurse include in the report? - The client in room 108 has been prescribed a new pain medication speak with the other nurse privately. a nurse is reinforcing teaching with a group of newly licensed nurses about completing an incident report. for which of the following situations should the nurse complete an incident report? - a clients family member becomes short of breath and reports having chest pain. A nurse is delegating tasks to an assistive personnel (AP). Which of the following task should the nurse assign to the AP? - Obtaining vital signs on clients who are stable a nurse is caring for a client who asks if home oxygen will be provided to her after discharge. which of the following actions should the nurse take? - consult with the case manager. a LPN is receiving change-of-shift report. which of the following clients should cause the nurse to request a change of assignment? - a client who is to receive a unit of packed RBCs at the start of the shift. A nurse enters a client's room and finds the client on the floor. Which of the following actions should the nurse take first? - Collect data on the client A nurse is assigning care for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? SATA - Measure a client's intake and output Meningococcal pneumonia - droplet precautions Nurse caring for client who is scheduled for surgery and client states I have changed my mind and i dont want the surgery. Which of the following responses should the nurse give? - you can change your mind about the surgery at any time A nurse is caring for a client who signed an informed consent in preparation for a procedure. The client tells the nurse, " I have decided not to have the procedure." Which of the following actions should the nurse take? - Inform the provider that the client is withdrawing consent A nurse on a medical surgical unit is conducting a facility transfer with a client to an inpatient rehabilitation facility following a total hip replacement. Which of the following information should the nurse include in the transfer paperwork? - List of current medications A nurse is reinforcing teaching about interdisciplinary care plans with a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching? - "The care plan is designed to improve the continuity of client care." A charge nurse is observing a newly licensed nurse perform client care. Which of the following situations requires intervention by the charge nurse? - Administering an antibiotic medication to a client 1 hr prior to the prescribed time A nurse is assisting with revising a facility emergency response plan for tornado disasters in the community. The nurse should plan to collaborate with which of the following agencies? - federal emergency management agency (FEMA) A nurse is preparing to perform a urinary catheterization for an older client who speaks a different language than the nurse. Which of the following actions should the nurse take to explain the procedure to the client? - Provide an interpreter to explain the procedure A nurse tells another nurse that she thinks that he did not provide adequate care for a client who underwent a hip arthroplasty earlier that day which of the following responses by the accused nurse demonstrates assertiveness? - "I feel as though I met the standard of care. Would you tell me more about your concerns? A nurse observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse take? - approach the man and ask why he is making copies A nurse is caring for a group of clients for the upcoming shift. Which of the following actions by the nurse indicates effective time management? - Gathers supplies for a client scheduled for a procedure A nurse is assisting with implementing new actions designed to reduce medication errors on her unit. Which of the following should the nurse use to measure the effectiveness of these actions? - A comparison of the number of medication errors before and after the actions were implemented A home health nurse is providing care to a client whose partner reports needing more time to complete her errands. Which of the following referrals should the nurse identify as a resource for the client's partner? - Respite care A nurse in a long-term care facility is reinforcing teaching with a newly licensed nurse about methods to reduce the cost of client care. Which of the following statements indicates an understanding of the teaching? - "I should encourage clients to receive an annual influenza immunization" A nurse applies wrist restraints to a client who is confused and attempting to pull out a chest tube. Which of the following actions should the nurse take? - Document what less-restrictive interventions she tried A nurse is assisting with the care of a group of clients on a gynecology unit. Which of the following clients should the nurse attend to first? - A client who was admitted 1 hr ago for an ectopic pregnancy A nurse is caring for a client who is semi comatose. The client's adult son tells the nurse that the family does not want any heroic measures performed. How should the nurse respond? - "I will verify the status of the client's advance directives" A nurse is assigned four clients who are postoperative. Which of the following findings should the nurse identify as a priority to report to the charge nurse? - A client whose blood pressure was 138/86 mm Hg at 0800 and is 106/60 mm Hg at 1200