ATI RN LEADERSHIP PROCTORED EXAM UPGRAD A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the

ATI RN LEADERSHIP PROCTORED EXAM 2024- 2025 UPGRAD A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? - correct answer-B* Document the client‟s refusal in the chart.-Correct answer-A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse? - correct answer-Administer a nasogastric tube feeding.-Correct answer-A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a sterile procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA) - correct answer-b. Opens the sterile pack by first unfolding the top flap away from her body d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field-Correct answer-A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? - correct answer-Auscultate the client‟s lungs.-Correct answer-A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? - correct answer-Reinforcing teaching with a client who is learning to self-administer insulin-Correct answer-A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique? - correct answer-The nurse holds her hands above her waist.-Correct answer-A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel (AP). Which of the following actions should the nurse take to evaluate the delegated task? - correct answer-Recheck vital signs that are outside the expected reference range.-Correct answer-A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive personnel? - correct answer-Obtaining a stool sample from a client who has renal failure-Correct answer-A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first? - correct answer-A client who has two open chest wounds with a left tracheal deviation-Correct answer-A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following statements by a staff nurse indicates that the teaching was effective? - correct answer-"Consent can be given by a durable power of attorney."-Correct answer-A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee? - correct answer-An adolescent client whose parents refuse a blood transfusion for religious reasons-Correct answer-A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth? - correct answer-Establishing communication between providers-Correct answer-A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The client expresses concern about the cost of blood-glucose monitoring supplies. Which of the following actions should the nurse take? - correct answer-Refer the client to the social services department-Correct answer-A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first? - correct answer-The emergency department nurse is waiting to give report on a new admission.-Correct answer-A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management? - correct answer-Determine client care goals (set/plan goals)-Correct answer-A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding? - correct answer-"HIPAA allows clients to request a review of their own medical records."-Correct answer-A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client‟s partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done? - correct answer-Whether the client understands the risk of refusing the procedure-Correct answer-A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurse are available for staffing. Which of the following tasks should the nurse assign to a licensed practical nurse? - correct answer-Administer a hepatitis B vaccine.-Correct answer-During a staff meeting a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first? - correct answer-Determine factors that interfere with the documentation of client education.-Correct answer-A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventing client injury by removing a fall hazard demonstrates which of the following ethical principles? - correct answer-Nonmaleficence-Correct answer-A nurse is caring for a group of clients. Which of the following clients should the nurse plan to assess first? - correct answer-A client who has a nasogastric tube and has crackles in the lungs (ABC-- airway)-Correct answer-A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which of the following clients should the nurse evacuate first? - correct answer-A client who is receiving IV chemotherapy and is ambulatory-Correct answer-A nurse enters the room of a client who is unconscious and finds that the client‟s son is reading her electronic medical records from a monitor located at the bedside. Which of the following actions should the nurse take first? - correct answer-Log out the computer so that the client‟s son is unable to view his mother‟s information.- Correct answer-A nurse is preparing a client for cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take? - correct answer-Notify the provider about the client‟s concerns.-Correct answer-A nurse is prioritizing care after receiving change-of-shift report on four clients. Which of the following clients should the nurse assess first? - correct answer-A client who reports indigestion and pain in her jawCorrect answer-A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first? - correct answer-Determine the reasons the nurses are not taking scheduled breaks. Assess first-Correct answer-A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care? - correct answer-Has data been collected about specific client needs related to turning? (Assessment of holistic care r/t pt needs and what the experienced AP can do)-Correct answer-A nurse is preparing to transfer a client from the emergency department to a medicalsurgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report? - correct answer-The client‟s vital signs-Correct answer-A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupation therapist is necessary? - correct answer-"I will need assistance with bathing."-Correct answer-A nurse in the emergency