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Exam (elaborations)

ATI leadership Review

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ATI leadership Review

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ATI leadership Review
Study online at https://quizlet.com/_8bcc38

1. RN Duty: Informed Consent Review Previously provided info
about the procedure

2. Sealed Radiation Therapy Implant Visitors- max of 30min per day and
stay 6ft away from client
Keep Pt in a Private Room
RN to avoid turning back to pt when
wearing a lead apron

3. HC associated Infections on unit; Auditing Use Benchmarks to establish stan-
Quality Control Process RN's First Action to dards
Take:

4. E.D. admitting pt's after an earthquake. Emerg Crushing Chest Wound (Red Tag)
Disaster Plan is implemented; large number of
casualties. Which Pt needs immediate evalua- Massive Head Injury (Blk- little to no
tion by a provider? chance of survival)
Open compound fractures in both
legs (Yellow-can wait a short time)
6inch scalp laceration (Green-
non-emergent)

5. New RN & AP arguing over AP not restocking "I would like you to approach the AP
unit supplies. AP leaves, Nurse Mgr tells RN: to resolve the problem"

Encourage Face-to-face communica-
tion to resolve the conflict

6. An occupational health nurse is triaging pts at Facial Contusion- Green
the site of an industrial explosion. Example of Open Femur Fracture- Yellow
a Green Tag (Class III) Pt: Hypovolemic Shock- Red
Penetrating spinal Injury- Red




, ATI leadership Review
Study online at https://quizlet.com/_8bcc38

7. Med-Surg Acute care facility. Which event re- Med administered 45 min late be-
quires an incident report? cause it was unavailable. Acceptable
practice is 30 min before or after or-
dered time.

8. Presentation of "Role of the Nurse as a Client nfo about confidentiality disclosure is
Advocate;" What should nurse mgr include in an example of an RN being a pt ad-
presentation? vocate

9. Shift assignments: RN, LPN & AP; Which task Reinforcing Teaching to a client- LPN
can be delegated to an LPN? Vitals- AP
Post-mortem care- AP
Simple Dressing Change- AP

10. Annual performance review for a staff nurse; Include Peer Reviews by AP, Have
Strategies to be used in the review process: Nurse complete a self-appraisal prior
to the review, conduct a performance
checklist

11. Indicator of neglect: Older pt w/ dementia Meds brought to hospital are expired

12. Home Health RN teaching about online re- Website affiliated with a government
sources regarding validity of information; agency
Most credible source source of information:

13. Alzheimer's Pt's Daughter, "I don't know how RN Response, "Let's discuss options
much longer I can keep this up" for respite care"

14. LPN's & AP's; Charge nurse should intervene in LPN develops POC for a pt with pneu-
what situation: monia; This is not within the scope of
practice for an LPN

15. Immediate Intervention: Pt with Hx of esophageal varices
who has diaphoresis and pallor.


, ATI leadership Review
Study online at https://quizlet.com/_8bcc38

Diaphoresis and pallor indicate pt
may be hemorrhaging from ruptures
esophageal varices.

16. Which situation indicates a legal issue: phlebitis at IV site that was placed 4
days ago. IV has been in place too
long. Failure to meet the standard of
care and a possible long-lasting in-
jury to the client.

17. Advanced Directives: Must be documentation in the MR
about whether a client has AD's or not

18. Effective Communication regarding delega- "Check urinary output at 11am for
tion to AP John Doe and report to me immedi-
ately"

19. Massive Community Disaster; DC Stable pt's, Pt with MS that reports ataxia (Ataxia
Who is safe to DC? an expected finding with MS)

20. Terminally Ill pt; RN is participating in an ethi- Collaborate with client to establish re-
cal manner: alistic goals for her end-of-life care

21. Immediate Intervention: Substernal chest discomfort (4/10)

22. RN reprimanded by provider in front of client: Discuss situation with provider in pri-
vate

23. Pt recovering from a MVA & needs ADL's assis- OT
tance; RN to request a referral for:

24. Home Health RN gets labs for 4 pt's. Who Platelets of 100,000/mm3. De-
should she see first? creased platelet count labels pt as
unstable and is the highest priority.

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