ATI Management Practice A

1. A community health nurse is reinforcing teach with a group of parents about home safety for children of various age groups. Which of the following information should the nurse plan to include? - The supine position is the safety for sleeping infants. 2. A nurse is monitoring a client who is receiving IV fluids via an infusion pump and notes the pump is malfunctioning. Which of the following actions should the nurse take? - Place a tag on the IV pump. 3. A nurse is caring for an adolescent client who requires a blood transfusion. The client's parents will not consent to the transfusion due to religious beliefs. Which of the following actions should the nurse take? - Inform the charge nurse and recommend that social services be contacted. 4. A nurse is assigned to care for a client who is in isolation. Which of the following actions should the nurse take to manage time effectively while caring for this client? - Organize care into groups that can be performed at one time. 5. A nurse is assisting with the care of a client who has terminal cancer and is receiving chemotherapy. The client tells the nurse that she is only continuing treatment for her family's sake. Which of the following responses should the nurse make? - "Let's talk about your reasons for continuing treatment." 6. 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? - Submit the incident report to the nurse manager for review. 7. A nurse is reinforcing teaching with a newly licensed nurse about the role of the nurse in informed consent. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - "My signature on the consent form indicates the client gave consent for the procedure voluntarily." 8. A charge nurse is evaluating the documentation of care for four clients by a newly licensed nurse. Which of the following entries requires intervention by the charge nurse? - Administered 10.0 u of insulin SQ to client for elevated glucose level. 9. A charge nurse in a long-term care facility is reviewing message boards in various client rooms. Which of the following information should the charge nurse request one of the nurses remove from a client's board? - "Hospice nurse visit at 1600" 10. A nurse is discussing delivery models of care with a group of newly licensed nurses. Which of the following should the nurse include as an example of the functional nursing model of care? - Nurses are assigned specific tasks to perform for each of the clients. 11. A nurse is monitoring an assistive personnel (AP) who is calculating I&O for a postoperative client. The client has a Jackson-Pratt drain and an indwelling urinary catheter. The nurse should recognize that the client's output is calculated and recorded correctly when the AP performs which of the following actions? - Includes emesis and wound drainage in the total recorded output. 12. A nurse observes an assistive personnel (AP) taking a picture of a client who has not given consent. The nurse should identify the AP has committed which of the following torts? - Invasion of privacy. 13. A nurse has just received a change-of-shift report for a group of clients. Which of the following actions by the nurse demonstrates effective time management skills? - Keeps a client to-do list for the day. 14. A home health nurse is reinforcing teaching about the effects of carbon monoxide poisoning. Which of the following manifestations should the nurse include? - Headaches 15. A nurse is contributing to the plan of care for a client who has a prescription for a 24 hr urine specimen. Which of the following interventions should the nurse plan to include? (Select all that apply.) - Begin the timed collection by discarding the first specimen. 16. A nurse is participating on a committee that is revising the facility's policies and procedures for infection control. Which of the following statements should the nurse recommend to include in the facility's infection control manual? - Use a 1:10 bleach solution to clean blood spills. 17. A nurse is reinforcing discharge teaching with a client who is 2 days postpartum. The client expresses concern about a lack of family support and limited financial resources. Which of the following responses should the nurse make? - "How do you feel about discussing your concerns with a social worker?" 18. A nurse is contributing to the plan of care for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following members of the interprofessional health care team should the nurse consult to assist the client with glucose management? - Registered dietitian 19. A nurse arrives for her shift and is assigned more clients that she feels is safe. The charge nurse states there are no other options due to a shortage in nursing staff. Which of the following actions should the nurse take? - Submit a written complaint to the nursing supervisor.