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ATI comprehensive predictor STUDY THIS ONE

1. - ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow
precautions) - positioning - bed making - specimen collection - I&O - VS (stable
clients: What can be delegated to Assistive personnel (AP)?
2. C: A nurse on a med surge unit has recieved change of shift report and will care
for 4 clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
3. B
C
D: A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days
ago to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning
4. D: An RN is making assignments for client care to an LPN at the beginning of the
shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the
previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
5. B
C
E: A nurse is preparing an inservice program about delegation. Which of the follow-
ing elements should she identify when presenting the 5 rights of delegation. Select
all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
6. B: A nurse manager of a med surge unit is assigning care responsibilities for the
oncoming shift. A client is waiting transfer back to the unit from the PACU following


, ATI comprehensive predictor STUDY THIS ONE

thoracic surgery. To which staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP
7. Ethics: What is the study of conduct and character?
8. Morals: What are the values and beliefs that guide behavior and decision mak-
ing?
9. Autonomy: What is the right to make ones own personal decisions, even tho
those decisions might not be in the persons best interest
10. Beneficience: What are positive actions to help others
11. Fidelity: What is an agreement to keep promises
12. Justice: What is fairness in care delivery and use of resources
13. Non-maleficence: What is avoidance of harm or injury
14. A: A nurse is caring for a client who decides not to have surgery despite
significant blockages in his coronary arteries. The nurse understands that this clients
choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience
15. D: A nurse offers pain meds to a client who is postop prior to ambulation. The
nurse understands that this aspect of care delivery is an example of which of the
following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience
16. C: A nurse is instructing a group of nursing students about the responsibilities
involved with organ donation and procurement. When the nurse explains that all
clients waiting for a kidney transplant have to meet the same qualifications, the
students should understand that this aspect of care delivery is an example of which
ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
17. D: A nurse questions a med prescription as too extreme and light of the clients
advanced age and unstable status. The nurse understands that this action is an


, ATI comprehensive predictor STUDY THIS ONE

example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence
18. C: Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay
in bed she will restrain him
C. A family has conflicting feelings about the initiation of enteral tube feedings of their
father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable power
of attorney form
19. authoritative, democratic, and laissez faire: Most managers can be catego-
rized as
20. Authoritative: makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and bureaucratic
settings
21. Democratic: includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and collabo-
ration is necessary
22. Laissez faire: makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group
members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation
23. - Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization: The nurse should consider the hierarchy of human needs when
prioritizing interventions, which are?
24. Airway
Breathing

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