LEADERSHIP AND MANAGEMENT ATI COMP
EXAM STUDYGUIDE!
Which cis ca crecommended cguideline cfor csafe ccomputerized ccharting? c- cCORRECT cANS✔✔Pas
csystem cshould conly cbe cchanged cif clost.
c2.
Computer cterminals cmay cbe cleft cunattended cduring cclient-care cactivities.
c3.
Accidental cdeletions cfrom cthe ccomputerized cfile cneed cto cbe creported cto cthe cnursing cmanager
c4.
Copies cof cprintouts cfrom ccomputerized cfiles cshould cbe ckept con ca cclipboard cat cthe cnurses' csta
caccess.
rationale: cAfter cany cinadvertent cdeletions cof cpermanent ccomputerized crecords, cthe cnurse cshou
cthe ccomputer cfile cwith cthe cdate, ctime, cand chis cor cher cinitials. cThe cnurse cshould calso ccontact
csupervisor cwith ca cwritten cexplanation cof cthe csituation. cOptions c1, c2, cand c4 crepresent cunsafe
c3 cfollows cthe cguidelines cfor csafe ccomputer ccharting.
The clicensed cpractical cnurse c(LPN) centers ca cclient's croom cand cfinds cthe cclient csitting con cthe c
cregistered cnurse, cwho cchecks cthe cclient cthoroughly cand cthen cassists cthe cclient cback cinto cbed
cincident creport, cand cthe cnursing csupervisor cand chealth ccare cprovider c(HCP) care cnotified cof cth
cnursing caction cregarding cthe cincident? c- cCORRECT cANS✔✔Place cthe cincident creport cin cthe c
c2.
Make ca ccopy cof cthe cincident creport cfor cthe cHCP.
c3.
Document ca ccomplete centry cin cthe cclient's crecord cconcerning cthe cincident. c(correct) c
c4.
Document cin cthe cclient's crecord cthat can cincident creport chas cbeen ccompleted
RATIONALE: cThe cincident creport cis cconfidential cand cprivileged cinformation, cand cit cshould cnot
cchart, cor chave cany creference cmade cto cit cin cthe cclient's crecord. cThe cincident creport cis cnot ca c
cin cthe cclient's crecord cconcerning cthe cincident.
An cunconscious cclient, cbleeding cprofusely, cis cbrought cto cthe cemergency cdepartment cafter ca cs
crequired cimmediately cto csave cthe cclient's clife. cWith cregard cto cinformed cconsent cfor cthe csurgic
,Call cthe chospital clawyer.
c2.
Call cthe cnursing csupervisor.
c3.
Refuse cto cfloat cto cthe cpediatric cunit.
c4.
Report cto cthe cpediatric cunit cand cidentify ctasks cthat ccan cbe csafely cperformed c(correct)
RATIONALE: cFloating cis can cacceptable clegal cpractice cused cby chospitals cto csolve ctheir cunders
cnurse ccannot crefuse cto cfloat cunless ca cunion ccontract cguarantees cthat cthe cnurse ccan conly cwo
cnurse ccan cprove ca clack cof cknowledge cfor cthe cperformance cof cassigned ctasks. cWhen cfaced cw
cshould cidentify cpotential careas cof charm cto cthe cclient
The cnurse centers ca cclient's croom cand cnotes cthat cthe cclient's clawyer cis cpresent cand cthat cthe c
cThe cliving cwill crequires cthat cthe cclient's csignature cbe cwitnessed, cand cthe cclient casks cthe cnurs
cWhich cis cthe cappropriate cnursing caction? c- cCORRECT cANS✔✔Decline cto csign cthe cwill. c(COR
c2.
Sign cthe cwill cas ca cwitness cto cthe csignature conly.
c3.
Call cthe chospital clawyer cbefore csigning cthe cwill.
c4.
Sign cthe cwill, cclearly cidentifying ccredentials cand cemployment cagency.
RATIONALE: cLiving cwills care crequired cto cbe cin cwriting cand csigned cby cthe cclient. cThe cclient's
cwitnessed cby cspecified cindividuals cor cnotarized. cMany cstates cprohibit cany cemployee cfrom cbei
cnurse cin ca cfacility cin cwhich cthe cclient cis creceiving ccare.
The cnurse cfinds cthe cclient clying con cthe cfloor. cThe cnurse ccalls cthe cregistered cnurse, cwho cchec
cthe cnursing csupervisor cand cthe chealth ccare cprovider cto cinform cthem cof cthe coccurrence. cThe c
creport cfor cwhich cpurpose? c- cCORRECT cANS✔✔roviding cclients cwith cnecessary cstabilizing ctre
c2.
A cmethod cof cpromoting cquality ccare cand crisk cmanagement c(correct) c
c3.
Determining cthe ceffectiveness cof cinterventions cin crelation cto coutcomes
c4.
The cappropriate cmethod cof creporting cto clocal, cstate, cand cfederal cagencies
RATIONALE: cProper cdocumentation cof cunusual coccurrences, cincidents, caccidents, cand cthe cnu
cof cthe coccurrence care cinternal cto cthe cinstitution cor cagency. cDocumentation con cthe cincident cre
cadministration cto creview cthe cquality cof ccare cand cdetermine cany cpotential crisks cpresent. cOptio
The cnurse cobserves cthat ca cclient creceived cpain cmedication c1 chour cago cfrom canother cnurse, cb
cpain. cThe cnurse chas cpreviously cobserved cthis csame coccurrence. cBased con cthe cnurse cpractic
cshould cplan cto ctake cwhich caction? c- cCORRECT cANS✔✔Report cthe cinformation cto cthe cpolice
,c3.
Taking cphotographs cof cthe cclient cwithout cconsent c(CORRECT) c
c4.
Telling cthe cclient cthat che cor cshe ccannot cleave cthe chospital
RATIONALE: cInvasion cof cprivacy ctakes cplace cwhen can cindividual's cprivate caffairs care cintruded
cThreatening cto cplace ca cclient cin crestraints cconstitutes cassault. cPerforming ca csurgical cprocedu
cexample cof cbattery. cNot callowing ca cclient cto cleave cthe chospital cconstitutes cfalse cimprisonmen
An colder cwoman cis cbrought cto cthe cemergency cdepartment. cWhen ccaring cfor cthe cclient, cthe cnu
cecchymotic careas con cboth cof cthe cclient's carms cand cbuttocks. cThe cnurse casks cthe cclient chow
cThe cclient, calthough creluctant, ctells cthe cnurse cin cconfidence cthat cher cdaughter cfrequently chits
cWhich cis cthe cappropriate cnursing cresponse? c- cCORRECT cANS✔✔I chave ca clegal cobligation ct
c(CORRECT) c
c2.
"I cpromise cI cwon't ctell canyone, cbut clet's csee cwhat cwe ccan cdo cabout cthis."
c3.
"Let's ctalk cabout cways cthat cwill cprevent cyour cdaughter cfrom chitting cyou."
c4.
"This cshould cnot cbe chappening. cIf cit chappens cagain, cyou cmust ccall cthe cemergency cdepartmen
RATIONALE: cConfidential cissues care cnot cto cbe cdiscussed cwith cnonmedical cpersonnel cor cwith
cwithout cthe cclient's cpermission. cClients cshould cbe cassured cthat cinformation cis ckept cconfidentia
cunder ca clegal cobligation. cThe cnurse cmust creport csituations crelated cto cchild, colder cadult cabuse
cdepending con cstate claws; cgunshot cwounds; cstabbings; cand ccertain cinfectious cdiseases.
The cnurse cis crecording ca cnursing chands-off c(end-of-shift) creport cfor ca cclient. cWhich cinformatio
cCORRECT cANS✔✔As-needed cmedications cgiven cthat cshift c(correct) c
c2.
Normal cvital csigns cthat chave cbeen cnormal csince cadmission
c3.
All cof cthe ctests cand ctreatments cthe cclient chas chad csince cadmission
c4.
Total cnumber cof cscheduled cmedications cthat cthe cclient creceived con cthat cshift
RATIONALE: cThe cnursing chands-off c(end-of-shift) creport cneeds cto cbe can cefficient cand caccurat
ccondition cduring cthe clast cshift. cIt cneeds cto cinclude cpertinent cinformation cabout cthe cclient, csuc
needed cmedications cgiven cor ctherapies cperformed cduring cthe cpast c24 chours, cincluding cthe ccli
cchanges cin cthe cclient's ccondition; cscheduled ctests cand ctreatments; ccurrent cproblems; cand cany
cnot cnecessary cto cinclude cthe ctotal cnumber cof cmedications cgiven cor ca clist cof call cthe ctests cand
chas chad csince cadmission. cOnly csignificant cvital csigns cneed cto cbe cincluded.
The cnurse cis cplanning cthe cclient cassignments cfor cthe cday. cWhich cis cthe cmost cappropriate cass
cassistive cpersonnel c(UAP)? c- cCORRECT cANS✔✔A cclient cwho crequires cwound cirrigation
, c2.
A cclient cwho crequires ctwice-daily cdressing cchanges
c3.
A cclient cwho cis con ca cbowel cmanagement cprogram cand crequires crectal csuppositories cand ca cd
c4.
A cclient cwith cdiabetes cmellitus cwho crequires cdaily cinsulin cand cthe creinforcement cof cdietary cme
RATIONALE: c
The cnurse cmust cdetermine cthe cmost cappropriate cassignment con cthe cbasis cof cthe cskills cof cthe
cof cthe cclient. cThe cassignment cof ctasks cneeds cto cbe cimplemented con cthe cbasis cof cthe cjob cde
cindividual's clevel cof cclinical ccompetence, cand cstate claw. cOptions c2, c3, cand c4 cinvolve ccare ctha
clicensed cnurse. cA cUAP cis cnot clicensed
The cnurse cis cassigned cto ccare cfor cfour cclients. cWhen cplanning cclient crounds, cwhich cclient csho
cCORRECT cANS✔✔A cclient con ca cventilator c(CORRECT) c
c2.
A cclient cin cskeletal ctraction
c3.
A cpostoperative cclient cpreparing cfor cdischarge
c4.
A cclient cadmitted con cthe cprevious cshift cwho chas ca cdiagnosis cof cgastroenteritis
RATIONALE: c
The cairway cis calways ca cpriority, cand cthe cnurse cfirst cchecks cthe cclient con ca cventilator. cThe ccli
c3, cand c4 chave cneeds cthat cwould cbe cidentified cas cintermediate cpriorities
The cnurse cemployed cin can cemergency cdepartment cis cassigned cto cassist cwith cthe ctriage cof ccl
cemergency cdepartment. cThe cnurse cshould cassign cpriority cto cwhich cclient? c- cCORRECT cANS✔
cmuscle caches, ca cheadache, cand cmalaise
c2.
A cclient cwho ctwisted cher cankle cwhen cshe cfell cwhile cin-line cskating
c3.
A cclient cwith ca cminor claceration con cthe cindex cfinger csustained cwhile ccutting can ceggplant
c4.
A cclient cwith cchest cpain cwho cstates cthat che cjust cate cpizza cthat cwas cmade cwith ca cvery cspicy
RATIONALE: cIn can cemergency cdepartment, ctriage cinvolves cclassifying cclients caccording cto cthe
cincludes cestablishing cpriorities cof ccare. cThe ctype cof cillness, cthe cseverity cof cthe cproblem, cand
cgovern cthe cprocess. cClients cwith ctrauma, cchest cpain, csevere crespiratory cdistress, ccardiac carre
cneurological cdeficits cand cthose cwho csustained ca cchemical csplash cto cthe ceyes care cclassified c
cclients care cthe cnumber c1 cpriority. cClients cwith cconditions csuch cas csimple cfractures, casthma cw
EXAM STUDYGUIDE!
Which cis ca crecommended cguideline cfor csafe ccomputerized ccharting? c- cCORRECT cANS✔✔Pas
csystem cshould conly cbe cchanged cif clost.
c2.
Computer cterminals cmay cbe cleft cunattended cduring cclient-care cactivities.
c3.
Accidental cdeletions cfrom cthe ccomputerized cfile cneed cto cbe creported cto cthe cnursing cmanager
c4.
Copies cof cprintouts cfrom ccomputerized cfiles cshould cbe ckept con ca cclipboard cat cthe cnurses' csta
caccess.
rationale: cAfter cany cinadvertent cdeletions cof cpermanent ccomputerized crecords, cthe cnurse cshou
cthe ccomputer cfile cwith cthe cdate, ctime, cand chis cor cher cinitials. cThe cnurse cshould calso ccontact
csupervisor cwith ca cwritten cexplanation cof cthe csituation. cOptions c1, c2, cand c4 crepresent cunsafe
c3 cfollows cthe cguidelines cfor csafe ccomputer ccharting.
The clicensed cpractical cnurse c(LPN) centers ca cclient's croom cand cfinds cthe cclient csitting con cthe c
cregistered cnurse, cwho cchecks cthe cclient cthoroughly cand cthen cassists cthe cclient cback cinto cbed
cincident creport, cand cthe cnursing csupervisor cand chealth ccare cprovider c(HCP) care cnotified cof cth
cnursing caction cregarding cthe cincident? c- cCORRECT cANS✔✔Place cthe cincident creport cin cthe c
c2.
Make ca ccopy cof cthe cincident creport cfor cthe cHCP.
c3.
Document ca ccomplete centry cin cthe cclient's crecord cconcerning cthe cincident. c(correct) c
c4.
Document cin cthe cclient's crecord cthat can cincident creport chas cbeen ccompleted
RATIONALE: cThe cincident creport cis cconfidential cand cprivileged cinformation, cand cit cshould cnot
cchart, cor chave cany creference cmade cto cit cin cthe cclient's crecord. cThe cincident creport cis cnot ca c
cin cthe cclient's crecord cconcerning cthe cincident.
An cunconscious cclient, cbleeding cprofusely, cis cbrought cto cthe cemergency cdepartment cafter ca cs
crequired cimmediately cto csave cthe cclient's clife. cWith cregard cto cinformed cconsent cfor cthe csurgic
,Call cthe chospital clawyer.
c2.
Call cthe cnursing csupervisor.
c3.
Refuse cto cfloat cto cthe cpediatric cunit.
c4.
Report cto cthe cpediatric cunit cand cidentify ctasks cthat ccan cbe csafely cperformed c(correct)
RATIONALE: cFloating cis can cacceptable clegal cpractice cused cby chospitals cto csolve ctheir cunders
cnurse ccannot crefuse cto cfloat cunless ca cunion ccontract cguarantees cthat cthe cnurse ccan conly cwo
cnurse ccan cprove ca clack cof cknowledge cfor cthe cperformance cof cassigned ctasks. cWhen cfaced cw
cshould cidentify cpotential careas cof charm cto cthe cclient
The cnurse centers ca cclient's croom cand cnotes cthat cthe cclient's clawyer cis cpresent cand cthat cthe c
cThe cliving cwill crequires cthat cthe cclient's csignature cbe cwitnessed, cand cthe cclient casks cthe cnurs
cWhich cis cthe cappropriate cnursing caction? c- cCORRECT cANS✔✔Decline cto csign cthe cwill. c(COR
c2.
Sign cthe cwill cas ca cwitness cto cthe csignature conly.
c3.
Call cthe chospital clawyer cbefore csigning cthe cwill.
c4.
Sign cthe cwill, cclearly cidentifying ccredentials cand cemployment cagency.
RATIONALE: cLiving cwills care crequired cto cbe cin cwriting cand csigned cby cthe cclient. cThe cclient's
cwitnessed cby cspecified cindividuals cor cnotarized. cMany cstates cprohibit cany cemployee cfrom cbei
cnurse cin ca cfacility cin cwhich cthe cclient cis creceiving ccare.
The cnurse cfinds cthe cclient clying con cthe cfloor. cThe cnurse ccalls cthe cregistered cnurse, cwho cchec
cthe cnursing csupervisor cand cthe chealth ccare cprovider cto cinform cthem cof cthe coccurrence. cThe c
creport cfor cwhich cpurpose? c- cCORRECT cANS✔✔roviding cclients cwith cnecessary cstabilizing ctre
c2.
A cmethod cof cpromoting cquality ccare cand crisk cmanagement c(correct) c
c3.
Determining cthe ceffectiveness cof cinterventions cin crelation cto coutcomes
c4.
The cappropriate cmethod cof creporting cto clocal, cstate, cand cfederal cagencies
RATIONALE: cProper cdocumentation cof cunusual coccurrences, cincidents, caccidents, cand cthe cnu
cof cthe coccurrence care cinternal cto cthe cinstitution cor cagency. cDocumentation con cthe cincident cre
cadministration cto creview cthe cquality cof ccare cand cdetermine cany cpotential crisks cpresent. cOptio
The cnurse cobserves cthat ca cclient creceived cpain cmedication c1 chour cago cfrom canother cnurse, cb
cpain. cThe cnurse chas cpreviously cobserved cthis csame coccurrence. cBased con cthe cnurse cpractic
cshould cplan cto ctake cwhich caction? c- cCORRECT cANS✔✔Report cthe cinformation cto cthe cpolice
,c3.
Taking cphotographs cof cthe cclient cwithout cconsent c(CORRECT) c
c4.
Telling cthe cclient cthat che cor cshe ccannot cleave cthe chospital
RATIONALE: cInvasion cof cprivacy ctakes cplace cwhen can cindividual's cprivate caffairs care cintruded
cThreatening cto cplace ca cclient cin crestraints cconstitutes cassault. cPerforming ca csurgical cprocedu
cexample cof cbattery. cNot callowing ca cclient cto cleave cthe chospital cconstitutes cfalse cimprisonmen
An colder cwoman cis cbrought cto cthe cemergency cdepartment. cWhen ccaring cfor cthe cclient, cthe cnu
cecchymotic careas con cboth cof cthe cclient's carms cand cbuttocks. cThe cnurse casks cthe cclient chow
cThe cclient, calthough creluctant, ctells cthe cnurse cin cconfidence cthat cher cdaughter cfrequently chits
cWhich cis cthe cappropriate cnursing cresponse? c- cCORRECT cANS✔✔I chave ca clegal cobligation ct
c(CORRECT) c
c2.
"I cpromise cI cwon't ctell canyone, cbut clet's csee cwhat cwe ccan cdo cabout cthis."
c3.
"Let's ctalk cabout cways cthat cwill cprevent cyour cdaughter cfrom chitting cyou."
c4.
"This cshould cnot cbe chappening. cIf cit chappens cagain, cyou cmust ccall cthe cemergency cdepartmen
RATIONALE: cConfidential cissues care cnot cto cbe cdiscussed cwith cnonmedical cpersonnel cor cwith
cwithout cthe cclient's cpermission. cClients cshould cbe cassured cthat cinformation cis ckept cconfidentia
cunder ca clegal cobligation. cThe cnurse cmust creport csituations crelated cto cchild, colder cadult cabuse
cdepending con cstate claws; cgunshot cwounds; cstabbings; cand ccertain cinfectious cdiseases.
The cnurse cis crecording ca cnursing chands-off c(end-of-shift) creport cfor ca cclient. cWhich cinformatio
cCORRECT cANS✔✔As-needed cmedications cgiven cthat cshift c(correct) c
c2.
Normal cvital csigns cthat chave cbeen cnormal csince cadmission
c3.
All cof cthe ctests cand ctreatments cthe cclient chas chad csince cadmission
c4.
Total cnumber cof cscheduled cmedications cthat cthe cclient creceived con cthat cshift
RATIONALE: cThe cnursing chands-off c(end-of-shift) creport cneeds cto cbe can cefficient cand caccurat
ccondition cduring cthe clast cshift. cIt cneeds cto cinclude cpertinent cinformation cabout cthe cclient, csuc
needed cmedications cgiven cor ctherapies cperformed cduring cthe cpast c24 chours, cincluding cthe ccli
cchanges cin cthe cclient's ccondition; cscheduled ctests cand ctreatments; ccurrent cproblems; cand cany
cnot cnecessary cto cinclude cthe ctotal cnumber cof cmedications cgiven cor ca clist cof call cthe ctests cand
chas chad csince cadmission. cOnly csignificant cvital csigns cneed cto cbe cincluded.
The cnurse cis cplanning cthe cclient cassignments cfor cthe cday. cWhich cis cthe cmost cappropriate cass
cassistive cpersonnel c(UAP)? c- cCORRECT cANS✔✔A cclient cwho crequires cwound cirrigation
, c2.
A cclient cwho crequires ctwice-daily cdressing cchanges
c3.
A cclient cwho cis con ca cbowel cmanagement cprogram cand crequires crectal csuppositories cand ca cd
c4.
A cclient cwith cdiabetes cmellitus cwho crequires cdaily cinsulin cand cthe creinforcement cof cdietary cme
RATIONALE: c
The cnurse cmust cdetermine cthe cmost cappropriate cassignment con cthe cbasis cof cthe cskills cof cthe
cof cthe cclient. cThe cassignment cof ctasks cneeds cto cbe cimplemented con cthe cbasis cof cthe cjob cde
cindividual's clevel cof cclinical ccompetence, cand cstate claw. cOptions c2, c3, cand c4 cinvolve ccare ctha
clicensed cnurse. cA cUAP cis cnot clicensed
The cnurse cis cassigned cto ccare cfor cfour cclients. cWhen cplanning cclient crounds, cwhich cclient csho
cCORRECT cANS✔✔A cclient con ca cventilator c(CORRECT) c
c2.
A cclient cin cskeletal ctraction
c3.
A cpostoperative cclient cpreparing cfor cdischarge
c4.
A cclient cadmitted con cthe cprevious cshift cwho chas ca cdiagnosis cof cgastroenteritis
RATIONALE: c
The cairway cis calways ca cpriority, cand cthe cnurse cfirst cchecks cthe cclient con ca cventilator. cThe ccli
c3, cand c4 chave cneeds cthat cwould cbe cidentified cas cintermediate cpriorities
The cnurse cemployed cin can cemergency cdepartment cis cassigned cto cassist cwith cthe ctriage cof ccl
cemergency cdepartment. cThe cnurse cshould cassign cpriority cto cwhich cclient? c- cCORRECT cANS✔
cmuscle caches, ca cheadache, cand cmalaise
c2.
A cclient cwho ctwisted cher cankle cwhen cshe cfell cwhile cin-line cskating
c3.
A cclient cwith ca cminor claceration con cthe cindex cfinger csustained cwhile ccutting can ceggplant
c4.
A cclient cwith cchest cpain cwho cstates cthat che cjust cate cpizza cthat cwas cmade cwith ca cvery cspicy
RATIONALE: cIn can cemergency cdepartment, ctriage cinvolves cclassifying cclients caccording cto cthe
cincludes cestablishing cpriorities cof ccare. cThe ctype cof cillness, cthe cseverity cof cthe cproblem, cand
cgovern cthe cprocess. cClients cwith ctrauma, cchest cpain, csevere crespiratory cdistress, ccardiac carre
cneurological cdeficits cand cthose cwho csustained ca cchemical csplash cto cthe ceyes care cclassified c
cclients care cthe cnumber c1 cpriority. cClients cwith cconditions csuch cas csimple cfractures, casthma cw
