lOMoARcPSD|19477839
1
ATI Leadership Management Exam
(Exam solutions, with updated complete resources for 2022
ATI Exams)
1.
A nurse manager witnesses an assistive personnel (AP) using incorrect
procedure when transferring a client using a mechanical lift. After reinforcing
proper procedure, which of the following methods should the nurse manager
use to evaluate the AP's understanding of the teaching?
Require the AP's attendance at an in-service about the lift.
This form of education gives a demonstration of the use of the equipment,
but it does not allow for the nurse manager to observe and assess the AP's
use of the equipment.
Assign the AP to work with a senior staff member when using the lift.
Working with another staff member can provide further education and
reinforce proper use of the lift, but it does not allow for the nurse manager to
observe and assess the AP's use of the equipment.
Observe the AP's technique with the lift at random times throughout the day.
Observing the AP is an effective way for the nurse manger to evaluate the
AP's use of the equipment. This method of assessment also assists in
determining the need for further education and staff development.
Enforce the staff's completion of skills modules about medical equipment.
MY A N S W ER
This form of education gives the AP a demonstration of the use of the
equipment, but it does not allow for the nurse manager to observe and
assess the AP's use of the equipment. Training should occur before task
delegation.
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2.
A nurse is caring for a client who received pain medication 1 hr ago. The
client tells the nurse the medication is not working because they are still
experiencing pain. Which of the following actions by the nurse demonstrates
client advocacy?
Provide the client with a back massage to help ease their pain.
Providing the client with a back massage can assist the client with pain
management. However, this is not a demonstration of client advocacy, which
involves intervening on the client's behalf.
Recommend the client watch television as a distraction from the pain.
Distraction, such as watching television, can assist a client with pain
management. However, this is not a demonstration of client advocacy, which
involves intervening on the client's behalf.
Attempt to obtain a prescription for a different analgesic medication.
MY A N S W ER
The role of the nurse as a client advocate involves directly intervening on
behalf of the client. The nurse should attempt to obtain a prescription from
the provider for a different analgesic medication to manage the client's pain.
Inform the client that they can receive their next dose in 3 hr.
The nurse should tell the client when they can receive their next dose of the
medication to keep the client informed of the treatment plan. However, this
is not a demonstration of client advocacy, which involves intervening on the
client's behalf.
3.
A charge nurse is teaching a newly licensed nurse about providing written
discharge instructions for a client who is postoperative following an
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arthroplasty. The charge nurse should identify that which of the following
discharge instructions written by the newly licensed nurse indicates
understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
The nurse should avoid using medical terminology when providing written
instructions to the client because the client can have difficulty understanding
the information.
Report pus-like drainage from the wound.
MY A N S W ER
The nurse should provide clear descriptions in terms the client can
understand when providing written discharge instructions. The nurse should
also ensure the client is aware of what complications to report to the
provider.
Resume Na-restricted diet.
The nurse should avoid using abbreviations in written discharge instructions
because the client can have difficulty understanding the information.
Perform quadriceps setting exercises when supine.
The nurse should provide step-by-step instructions on how to perform
quadriceps setting exercises when lying supine and avoid using vocabulary
that the client can have difficulty understanding in the written discharge
instructions.
4.
A nurse is using the SBAR communication tool for reporting a client's
condition to the provider. Which of the following information should the nurse
include in the "S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
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1
ATI Leadership Management Exam
(Exam solutions, with updated complete resources for 2022
ATI Exams)
1.
A nurse manager witnesses an assistive personnel (AP) using incorrect
procedure when transferring a client using a mechanical lift. After reinforcing
proper procedure, which of the following methods should the nurse manager
use to evaluate the AP's understanding of the teaching?
Require the AP's attendance at an in-service about the lift.
This form of education gives a demonstration of the use of the equipment,
but it does not allow for the nurse manager to observe and assess the AP's
use of the equipment.
Assign the AP to work with a senior staff member when using the lift.
Working with another staff member can provide further education and
reinforce proper use of the lift, but it does not allow for the nurse manager to
observe and assess the AP's use of the equipment.
Observe the AP's technique with the lift at random times throughout the day.
Observing the AP is an effective way for the nurse manger to evaluate the
AP's use of the equipment. This method of assessment also assists in
determining the need for further education and staff development.
Enforce the staff's completion of skills modules about medical equipment.
MY A N S W ER
This form of education gives the AP a demonstration of the use of the
equipment, but it does not allow for the nurse manager to observe and
assess the AP's use of the equipment. Training should occur before task
delegation.
Page 1 of 18
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, lOMoARcPSD|19477839
2
2.
A nurse is caring for a client who received pain medication 1 hr ago. The
client tells the nurse the medication is not working because they are still
experiencing pain. Which of the following actions by the nurse demonstrates
client advocacy?
Provide the client with a back massage to help ease their pain.
Providing the client with a back massage can assist the client with pain
management. However, this is not a demonstration of client advocacy, which
involves intervening on the client's behalf.
Recommend the client watch television as a distraction from the pain.
Distraction, such as watching television, can assist a client with pain
management. However, this is not a demonstration of client advocacy, which
involves intervening on the client's behalf.
Attempt to obtain a prescription for a different analgesic medication.
MY A N S W ER
The role of the nurse as a client advocate involves directly intervening on
behalf of the client. The nurse should attempt to obtain a prescription from
the provider for a different analgesic medication to manage the client's pain.
Inform the client that they can receive their next dose in 3 hr.
The nurse should tell the client when they can receive their next dose of the
medication to keep the client informed of the treatment plan. However, this
is not a demonstration of client advocacy, which involves intervening on the
client's behalf.
3.
A charge nurse is teaching a newly licensed nurse about providing written
discharge instructions for a client who is postoperative following an
Page 2 of 18
Downloaded by Steven Steve ()
, lOMoARcPSD|19477839
3
arthroplasty. The charge nurse should identify that which of the following
discharge instructions written by the newly licensed nurse indicates
understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
The nurse should avoid using medical terminology when providing written
instructions to the client because the client can have difficulty understanding
the information.
Report pus-like drainage from the wound.
MY A N S W ER
The nurse should provide clear descriptions in terms the client can
understand when providing written discharge instructions. The nurse should
also ensure the client is aware of what complications to report to the
provider.
Resume Na-restricted diet.
The nurse should avoid using abbreviations in written discharge instructions
because the client can have difficulty understanding the information.
Perform quadriceps setting exercises when supine.
The nurse should provide step-by-step instructions on how to perform
quadriceps setting exercises when lying supine and avoid using vocabulary
that the client can have difficulty understanding in the written discharge
instructions.
4.
A nurse is using the SBAR communication tool for reporting a client's
condition to the provider. Which of the following information should the nurse
include in the "S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
Page 3 of 18
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