Leadership ATI Proctored

Leadership ATI Proctored A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for conference? A. A client who is at 28 weeks gestation and has a negative Coombs titer B. A client who is 39 weeks of gestation and has a negative contraction stress test C. A client who is at 35 weeks of gestation and has a biophysical profile of 6 D. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1 C. A client who is at 35 weeks of gestation and has a biophysical profile of 6 To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict-resolution strategies is the nurse manager using? a. Competing b. Collaborating. c. Compromising. d. Cooperating. a. Competing A nurse is preparing an educational program for staff members regarding a new intravenous pump. Identify the sequence of actions the nurse should take when developing the program. (Move the steps into the box on the right, placing them in the selected order of the performance) Develop learning objectives for the program Identify what skills to teach the staff members Conduct program evaluation with staff members Schedule several sessions of the program Identify what skills to teach the staff members Develop learning objectives for the program Schedule several sessions of the program Conduct program evaluation with staff members A nurse is preparing to discharge a client who as end stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following action should the nurse take? a. Request another family member assist the client's partner with care b. Recommend the partner place the client in long term-care facility c. Contact the case manager to discuss discharge options d. Ask the provider to delay the clients discharge home for a few more days c. Contact the case manager to discuss discharge options A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? a. Social worker b. Pharmacist c. Respiratory therapist d. Child protective services a. Social worker A charge nurse is making staff assignments on a medical-surgical unit. Which of the following tasks should the nurse plan to delegate to an assistive personnel? A. Measuring oxygen saturation for a client who has dyspnea B. Inserting a rectal suppository for a client who is vomiting C. Performing nasal hygiene for a client who has an NG tube D. Pouching a client's ostomy bag for a new colostomy D. Pouching a client's ostomy bag for a new colostomy A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using? a) Structure audit b) Benchmarking c) Risk benefit analysis d) Root cause analysis Benchmarking A nurse is supervising an assistive personnel (AP) who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique? A. Elevating the head of the clients bed to 30 degrees during mealtime B. Withholding fluids until the end of the meal C. Providing a 10 min rest period prior to meals D. Instructing the client to place her chin toward her chest when swallowing D. Instructing the client to place her chin toward her chest when swallowing nurse is providing an in-service about client right for a group of nurses. Which of the following statements should the nurse include in the service? a. A nurse can disclose information to a family member with the client9s permission b. A nurse can apply restraints on a PRN basis c. A nurse can administer medications without consent to a client as a part of a research study d. A nurse is responsible for informing clients about treatment options a. A nurse can disclose information to a family member with the client9s permission A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take? a. Send an oxygen tank from the facility home with the client b. Instruct the client's family to contact the insurance provider about the oxygen equipment c. Contact social services about the delivery of the oxygen equipment d. Notify the provider about the delayed oxygen tank delivery c. Contact social services about the delivery of the oxygen equipment A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate? a) If you have the procedure now, you wont have to deal with pain and disability later. b) You'll be fine. You'll receive a prescription for pain medication. c) Why didn't you discuss your concerns with your provider? d) I understand and it's not too late to change your mind. d) I understand and it's not too late to change your mind. A nurse in a long-term care facility is caring for a client who reports the AP repositioned him in bed using excessive force. Which of the following actions should the nurse take? A. Document in the client's chart that an incident report has been filed. B. Contact the nurse manager. C. Reassure the client that the staff is well trained. D. Call risk management to interview the client. B. Contact the nurse manager. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately? a. A. Generalized rash over trunk B. Increased temperature C. Decreased level of consciousness D. Report of photophobia C. Decreased level of consciousness A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients, and visitors. Which of the following actions should the nurse take. a. A. Keep the client in her room with the door closed b. B. Contact a family member to come and sit with the client c. C. Place the client in a wheelchair with a lap tray d. D. Administer a sedative to the client b. B. Contact a family member to come and sit with the client A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty (completing?) care for his assigned clients. Which of the following interventions is appropriate? A. Offer to provide care for his clients while he takes a break B. Advise him to complete less time-consuming tasks first C. Ask other staff members to take over some of his tasks D. Recommend that he take time to plan at the beginning of his shift D. Recommend that he take time to plan at the beginning of his shift A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care? a. is the client's family present so the AP can show them how to turn the client? b. Has data been collected about specific client needs related to turning? c. Does the AP have time to change the client9s central IV line dressing after turning her? d. Has the AP checked the client9s pain level prior to turning her? b. Has data been collected about specific client needs related to turning? A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event? A. A mental health specialist on the response team b. a sufficient supply of ppe c. a system for tracking client information d. a network for communication between staff members and families b. a sufficient supply of ppe A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following should the nurse take first? a. Refer the AP to the facility procedure manual b. Demonstrate the proper client transfer technique for the AP? c. Instruct the AP to request assistance when unsure about a task d. Help the AP assist the client with the transfer d. Help the AP assist the client with the transfer A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first? A. Remove the restraints from the client's wrists B. Review the chart for nonrestraint alternatives for agitation C. Speak with the AP about the incident D. Inform the unit manager of the incident A. Remove the restraints from the client's wrists A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of ethical dilemma? a. A visitor experiences a minor burn after spilling coffee B. A client receives an operation on the wrong side of her body C. A parent wants her 14-year-old adolescent to receive radiation treatment against his will D. A nurse witnesses another nurse administer an incorrect medication C. A parent wants her 14-year-old adolescent to receive radiation treatment against his will A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information? A. The clients health care provider B. A Collaborative, user-edited website C. The facility's case manager D. An evidence-based nursing journal D. An evidence-based nursing journal A nurse is orientating a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?