ATI PN LEADERSHIP PROCTORED EXAM | Chamberlain College of Nursing | (Already Graded A)

ATI PN LEADERSHIP PROCTORED EXAM 1. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? A. A client who has a hip fr acture and is in Buck’s traction B. A client who has aspiration pneumonia and a respiratory rate of 28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot D. A client who has a C diff infection and needs a stool specimen collected 2. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min. Which of the following actions should the nurse take? A. Notify the nursing supervisor about the issues B. Contact the client’s physical therapist C. Apply a warm compress to the hip D. Reposition the client for comfort 3. The mother of a client with breast cancer states, it’s been hard for her, especially after losing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate client advocacy? A. The nurse investigates potential resources to help the client purchase wig B. The nurse explains to the mother that most clients with cancer lose their hair C. The nurse informs the next shift nurse regarding the mother’s concerns. D. The nurse suggests counseling for the client’s body image issues 4. Which of the following items must be discarded in a biohazard waste receptacle? A. A urinary catheter drainage bag from a client who is post-opt B. A bed sheet from a client with bacterial pneumonia C. A perineal pad from a client who is 24-hr post-vaginal delivery D. An empty IV bag removed from a client who has HIV 1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) D. Rescue the clients. A. Pull the fire alarm. B. Confine the fire. C. Extinguish the fire. 2.A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication? A. Utilitarianism Rationale:Utilitarianism refers to actions that are right when they contribute to the greatest good. B. Nonmaleficence Rationale:Nonmaleficence is the duty to do no harm. The ethical mandate of nonmaleficence is that health care workers refrain from intentionally inflicting harm to clients. C. Fidelity Rationale:Fidelity is the duty to keep one's promises or word. It refers to the obligation to be faithful to the agreements, commitments, and responsibilities that one has made to oneself and others. D. Veracity Rationale:Veracity is the duty to tell the truth. It means that one does not intentionally deceive or mislead clients. 3.A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? A. "I need to talk to you about unit expectations regarding delegating and completing tasks." Rationale:This statement opens the conversation in a nonthreatening way. The focus is on the issue of the equity of the assignment rather than on any personal characteristic of the individual. B. "Several staff members have commented that you don't do your fair share of the work." Rationale:This statement is accusatory. C. "If you don't do your share of the work, I will have to inform the nurse manager." Rationale:This statement is punitive. D. "You have been very inconsiderate of others by not completing your share of the work." Rationale:This statement is punitive. 4.A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon’s medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles? A. Utility Rationale:Utility is the ethical principle that the good of many people outweighs the good of one person. B. Paternalism Rationale:Paternalism is the belief that one individual has the right to make decisions for another. It negates the client’s right to autonomy. C. Justice Rationale:Justice is the ethical principled based on the belief that everyone should be treated fairly. D. Nonmaleficence Rationale:The nurse is obligated to protect the client’s confidential information. A breach of confidentiality can place the client at risk of harm. Nonmaleficence is the ethical duty to prevent harm to the client. 5. When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation? A. The AP's ability to prioritize Rationale:Although the nurse could determine the AP’s ability to prioritize, this is not one of the rights of delegation. B. The AP has the knowledge and skill to perform the task Rationale:The right person is one of the five rights of delegation. The nurse should seek information from the AP about his individual skill level before delegating the task. C. The AP's rapport with clients Rationale:Although a positive rapport with clients is important, this is not one of the five rights of delegation. D. The AP’s ability to complete the task without assistance Rationale: The nurse does not relinquish accountability for supervising the AP; therefore, this is not one of the five rights of delegation. 6. While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first? A. Complete an incident report. Rationale:The nurse should complete an incident report; however, there is another action the nurse should take first. B. Request the risk manager obtain consent for HIV testing from the client. Rationale:Although it is important that the client’s HIV status is determined, there is another action the nurse should take first. C. Wash the site of injury with soap and water. Rationale:The greatest risk to the nurse is infection transmission; therefore, the nurse should first wash the area with soap and water to reduce the risk of transmission. D. Consent to postexposure treatment with antiretroviral medications. Rationale:Although treatment with antiretroviral medications should be started within 1 to 2 hr after a needle stick injury and be continued for 28 days if the client’s HIV status is positive, there is another action the nurse should take first. 7.A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification? A. "I can change who I designate as my health care proxy at any time." Rationale:This is a correct statement regarding a health care proxy. B. "If I become incapacitated, end-of-life choices will be made by my proxy." Rationale:This is a correct statement regarding a health care proxy. C. "I have to choose a family member as my health proxy." Rationale:The client should choose someone he trusts and knows about his wishes for day-to-day and end-of-life care. It can be a family member, but it does not have to be a family member. D. "The health care proxy does not go into effect until I am incapable of making decisions." Rationale:This is a correct statement regarding a health care proxy. Show Less