ATI Practice B Leadership and Management – Update 2023/2024

ATI Practice B Leadership and Management – Update 2023/2024 A nurse caring for a client recovering from a stroke. The provider recommends extracranial-intracranial bypass, but client tells nurse he wont have surgery. Which actions should nurse take? C. Discuss with client his concerns about having the surgery. A charge nurse notices a newly nurse consistently not finishing client care tasks by end of shift. Which statements should charge nurse make? A. " You should set aside time to plan your day at the beginning of each shift." 2 nurses on unit each say the other not doing fair share of work. Conflict is affecting unit. charge nurse should recognize which is an appropriate approach to conflict? D. Explore alternative solutions to address unit workflow with the nurses. Charge nurse conducting in-service with staff about infection control precautions. RN should instruct staff that which client requires droplet precautions? D. A client who has pertussis. A nurse in ED is admitting clients following an earthquake. Emergency disaster plan has been implemented due to large # of anticipated casualties. Which clients should nurse recommend provider see first? D. A client who has a sucking chest wound. A nurse is caring for group of clients. Which assessment findings should nurse recognize as priority to report to charge nurse? B. A client 2 days post operative & urine output of 20 mL/hr A nursing unit undergoing changes. Some staff members have verbalized displeasure with changes. Which actions should nurse take? Role model a positive approach to changes. Encourage staff members who support changes to discuss with resistant staff. interprofessional conference for a client 3 days post-op following ORIF right hip. Which concern is the priority ? B. The client refuses to attend physical therapy sessions. Charge nurse evaluating plan of care novice nurse developed for a client to receive continuous NG tube feed. Which intervention should charge ensure part of care? D. Use a 60 mL syringe to flush out a clogged tube A nurse just received report on 4 clients med-surg unit. Which client should nurse assess first? B. A client postop following a total knee arthroplasty & a cap refill of 4 seconds. A nurse teaching new nurse about obtaining a telephone prescription from provider. Which statement indicates understanding of teaching? A. I should repeat prescription back to provider for verification." A nurse receives notification of fire on unit. Which action should nurse take first? A. Assist clients in immediate danger to a safe location. Hospice nurse planning care & client does not have advance directives. Which intervention should nurse include in plan of care? A. Provide client with information about advance directives. Nurse manager completing a performance improvement audit & determines documentation of client discharge teaching is < expected. Which actions should nurse implement first? C. Determine factors that interfere with documentation of client education Nurse overheard staff discussing a client's care. Which intervention should nurse take? Report incident to nurse manager. A nurse manager planning teaching on use of critical pathways with a group of new nurses. Nurse should include which info in teaching? C. Critical pathways prevent unnecessary expense A nurse is providing change-of-shift report to the oncoming nurse. Which of the following information should the nurse include? D. The time of the client's last pain medication Nurse caring for older client with renal failure. Client tells nurse he has decided to stop hemodialysis. Which actions should nurse take to act in role of advocate for client?