CORRECT WELL DETAILED ANSWERS|LATEST
ATI ch 1...
A nurse enters the room of a client who is on contact precautions and finds the client lying
on the floor. Which of the following actions should the nurse take first?
a. call the provider
b. ask a staff member for assistance getting client back in bed
c. inspect the client for injuries
d. instruct the client to ask for help if he needs to get out of bed - ANSWER A. Notify
the provider to determine whether the
client needs further examination and treatment,
but there is another action to take first.
B. Seek assistance in returning the client to bed
to prevent further harm to the client, but
there is another action to take first.
C. CORRECT: The first action to take using the nursing
process is to assess the client in order to determine
which interventions the client will need.
D. Instruct the client to ask for help before getting
out of bed to help prevent future falls, but
there is another action to take first.
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which
of the following tasks should the nurse delegate to the PN?
a. obtain vital signs for a client who is 2 hr post-procedure following a cardiac catheterization
1
,b. administer a unit of packed red blood cell (RBCs) to a client who has cancer
c. instruct a client who is scheduled for discharge in the performance of wound care
d. develop a plan of care for a newly admitted client who has pneumonia - ANSWER A.
CORRECT: It is within the scope of practice of the PN to
monitor a client who is 2 hr post procedure for a cardiac
catheterization, because this client is considered stable.
B. T he RN is responsible for administering blood
components, including packed RBCs, because this
outside of the scope of practice for the PN.
C. T he RN is responsible for client education. It is
within the scope of practice of the PN to reinforce
but not provide initial client education.
D. T he RN is responsible for developing a plan of care for
a client. It is within the scope of practice for the PN to
suggest additions to but not develop the plan of care.
A PN ending her shift reports to the RN that a newly hired AP has not calculated the intake
and output for several clients. Which of the following actions should the RN take?
a. complete an incident report
b. delegate this task to the PN
c. ask the AP if she needs assistance
d. notify the nurse manager - ANSWER A. A n incident report is indicated when a
critical
incident has occurred. It is not necessary to complete
an incident report in this situation.
B. Do not redelegate this task.
C. CORRECT: Find out what the AP knows about performing
2
, the task and provide education for the AP if indicated.
D. T he RN is capable of handling the situation. It is
not necessary to notify the nurse manager.
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the
following information should the manager include in the plan? (Select all that apply)
a. skill proficiency
b. assignment to a preceptor
c. budgetary principles
d. computerized charting
e. socialization into unit culture
f. facility policies and procedures - ANSWER A. CORRECT: The purpose of orientation is
to assist
the newly licensed nurse to transition from the role
of student to the role of employee and licensed
nurse. Include evaluation of skill proficiency and
provide additional instruction as indicated.
B. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the
role of employee and licensed nurse. Include assignment of a
preceptor to ease the transition of the newly licensed nurse.
C. Budgetary principles are an administrative skill that
is usually the responsibility of the unit manager.
D. CORRECT: The purpose of orientation is to assist
the newly licensed nurse to transition from the role
of student to the role of employee and licensed
nurse. Include computerized charting, which is an
3
ATI ch 1...
A nurse enters the room of a client who is on contact precautions and finds the client lying
on the floor. Which of the following actions should the nurse take first?
a. call the provider
b. ask a staff member for assistance getting client back in bed
c. inspect the client for injuries
d. instruct the client to ask for help if he needs to get out of bed - ANSWER A. Notify
the provider to determine whether the
client needs further examination and treatment,
but there is another action to take first.
B. Seek assistance in returning the client to bed
to prevent further harm to the client, but
there is another action to take first.
C. CORRECT: The first action to take using the nursing
process is to assess the client in order to determine
which interventions the client will need.
D. Instruct the client to ask for help before getting
out of bed to help prevent future falls, but
there is another action to take first.
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which
of the following tasks should the nurse delegate to the PN?
a. obtain vital signs for a client who is 2 hr post-procedure following a cardiac catheterization
1
,b. administer a unit of packed red blood cell (RBCs) to a client who has cancer
c. instruct a client who is scheduled for discharge in the performance of wound care
d. develop a plan of care for a newly admitted client who has pneumonia - ANSWER A.
CORRECT: It is within the scope of practice of the PN to
monitor a client who is 2 hr post procedure for a cardiac
catheterization, because this client is considered stable.
B. T he RN is responsible for administering blood
components, including packed RBCs, because this
outside of the scope of practice for the PN.
C. T he RN is responsible for client education. It is
within the scope of practice of the PN to reinforce
but not provide initial client education.
D. T he RN is responsible for developing a plan of care for
a client. It is within the scope of practice for the PN to
suggest additions to but not develop the plan of care.
A PN ending her shift reports to the RN that a newly hired AP has not calculated the intake
and output for several clients. Which of the following actions should the RN take?
a. complete an incident report
b. delegate this task to the PN
c. ask the AP if she needs assistance
d. notify the nurse manager - ANSWER A. A n incident report is indicated when a
critical
incident has occurred. It is not necessary to complete
an incident report in this situation.
B. Do not redelegate this task.
C. CORRECT: Find out what the AP knows about performing
2
, the task and provide education for the AP if indicated.
D. T he RN is capable of handling the situation. It is
not necessary to notify the nurse manager.
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the
following information should the manager include in the plan? (Select all that apply)
a. skill proficiency
b. assignment to a preceptor
c. budgetary principles
d. computerized charting
e. socialization into unit culture
f. facility policies and procedures - ANSWER A. CORRECT: The purpose of orientation is
to assist
the newly licensed nurse to transition from the role
of student to the role of employee and licensed
nurse. Include evaluation of skill proficiency and
provide additional instruction as indicated.
B. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the
role of employee and licensed nurse. Include assignment of a
preceptor to ease the transition of the newly licensed nurse.
C. Budgetary principles are an administrative skill that
is usually the responsibility of the unit manager.
D. CORRECT: The purpose of orientation is to assist
the newly licensed nurse to transition from the role
of student to the role of employee and licensed
nurse. Include computerized charting, which is an
3
