ATI RN Leadership Online Practice 2019 A

A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial enteral nutrition as a life-sustaining measure, but the client's family has requested that the staff begin tube feedings. Which of the following actions should the nurse take? - Review the client's request with the family. A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? - The child has red fissures at the corners of the mouth. A nurse manager needs to address an increased rate of client medication errors. Which of the following strategies represents an authoritarian approach to managing this issue? - Inform the staff of the penalties that can result from medication errors. A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? - Determine goals and objectives. A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take? - Assist in weighing the options involved in the decision. A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take first? - Assist clients who are in immediate danger to a safe location. A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr. The nurse should identify that which of the following assessments is the priority? - Obtain the client's serum potassium level. A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) – The right to be treated with respect and dignity The right to refuse their medications The right to leave regardless of provider recommendations The right to be fully informed of their health conditions A nurse in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first? - A client who has a sucking chest wound A nurse manager is teaching about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the teaching? - "Change-of-shift report can be given at the client's bedside." A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the following actions should the newly licensed nurse take? - Pick up the first sterile glove by grasping the folded cuff edge. A nurse is caring for a client who is 3 days postoperative following open heart surgery and will be transferred to the medical-surgical unit. Which of the following information should the nurse plan to include in the verbal report? - The client's level of consciousness A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplants. Which of the following instructions should the nurse manager include in the teaching? - Place clients in positive-pressure airflow rooms. A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. Which of the following actions should the charge nurse expect the newly licensed nurse to take? - Place the client in a dorsal recumbent position for the examination. A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? - A nurse is photocopying their assigned client's diagnostic test results. A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist the nurse in evaluating the cost effectiveness of the care? - The length of the client's stay A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after discharge. Which of the following statements should the nurse make? - "Your case manager will coordinate the resources you will need." An assistive personnel (AP) tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent. Which of the following responses should the charge nurse make? - "I delegate tasks to personnel based on their job descriptions." A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions should the nurse take to verify the client gave informed consent? - Ask the client to explain the procedure that is being performed. A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? - "This is a procedure that does not require written informed consent." A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the following behaviors should the charge nurse identify as an indication that the staff nurse might be working while impaired? - Frequent use of restroom Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should approach this conflict in which of the following ways? - Explore alternative solutions to address unit workflow with the nurses. A client is considering having a tubal ligation and reports being uncertain about if it is the right thing to do. Which of the following actions should the nurse take? - Discuss the client's feelings about the procedure. A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure injuries in a long-term care facility. Which of the following actions should the team take to evaluate the effectiveness of the plan? - Compare data from client's records regarding skin integrity with established criteria. A nurse is caring for four clients. Which of the following assessment findings is the priority? - A client who has a femur fracture and reports feeling short of breath A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. Which of the following instructions should the nurse include? - Raise the footplates of the wheelchair before transferring the client. A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as demonstrating sterile technique? - The nurse places the sterile package with the top flap opening away from the body. A charge nurse is observing a newly licensed nurse's use of time-management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill? - Groups tasks that are in the same location A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To which of the following community agencies should the nurse anticipate referring the guardian of the newborn? - Home health A nurse is caring for a 19-year-old client who has just been informed that their cancer has metastasized. The client tells the nurse that they do not want to continue chemotherapy. Which of the following responses should the nurse make? - "I will gather information about palliative care for you." A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following clients should be assigned the medical nurse? - A client who had aright above-the-knee amputation 24 hr ago A client who has back pain presents to an emergency department and is provided a prescription for oxycodone. A staff nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress. Which of the following responses should the charge nurse make? - "Clients are the experts on their own pain."