ATI PN MANAGEMENT EXAM 2019 FORM A/ PN
MANAGEMENT ATI PROCTORED 2019
The healthcare provider describes a drug form change for an enteric-coated
medication to liquid form. What action should the practical nurse implement first? -
ANSWER: Ask healthcare provider if the same dose of liquid medication should be
the same as enteric-coated tablet.
-Liquid medications are absorbed more quickly than a pill form, so validating the
dose with the healthcare provider should be the first action.
An older male client refuses to take medication, stating that it burns his stomach.
Which action should the practical nurse implement? - ANSWER: Document the
reason for refusal and report to the charge nurse.
After an older client refuses to take bupropion (Wellbutrin XL), the practical nurse
crushes the tablet to disguise it in a chocolate pudding cup. The PN directs the
unlicensed assistive personnel to feed the client the pudding. Which actions should
the PN report as a medication error? Select all that apply. - ANSWER: 1) Violation of
the client's right to refuse medication
2) Assignment of medication administration to the UAP
3) Alteration of medication form without notifying the healthcare provider
4) Prior authorization not obtained before crushing extended-release medication
A resident in an assisted living community has experienced an unusual incident that
did not result in injury. When notifying the family, what action should the practical
nurse implement to provide the best information to the family? - ANSWER: Call
family as soon as possible after the incident to communicate current and accurate
information.
During an evaluation of an older female client for discharge from the hospital, the PN
documents a stage I pressure ulcer on the client's sacrum. Which healthcare team
member is best to monitor the client's care? - ANSWER: The Home Health Nurse
The home health nurse should monitor the client's skin integrity in the home
environment to prevent further skin breakdown.
The PN is caring for a frail elderly client who is recovering on the skilled nursing
facility unit for dehydration and confusion. Which task should the PN assign to the
UAP? - ANSWER: Assist the client to use urinal or bedpan while in bed.
The PN is evaluating a new client's risk for osteoporosis who has recently moved into
an assisted living community. Which task should the PN assign to the UAP? -
ANSWER: Take weekly height and weight measurements
, The PN receives a report for an older adult client who is transferred to the medical
surgical floor from the PACU. Which interventions should the PN assign to the UAP
to help prevent respiratory complications after surgery? - ANSWER: 1) Ambulate as
prescribed
2) Encourage use of the incentive spirometer
3) Keep a full pitcher of water at the bedside.
The PN is caring for a client with pruritus. Which task can the PN assign to the UAP? -
ANSWER: Rub warm lotion to soothe skin.
The PN is documenting weekly nutritional status on all the clients in the assisted
living community. Which activity can the PN assign to the UAP? - ANSWER: Obtain an
individual height and weight for each client.
The PN assigns the UAP to obtain the height measurement for a client who is seated.
Which method is most accurate for the PN to direct the UAP to use? - ANSWER: Use
a sliding blade knee height caliper.
The PN is working in an assisted-living community reviews the guidlines for
completing new resident paperwork. What amount of time is required to complete
the initial comprehensive plan of care by the interdisciplinary team? - ANSWER: 7
days.
The PN is working in a long term care facility is orienting a new staff member in the
facility who is gathering data for admission of a new resident. Which information by
the new staff demonstrates understanding of the guidelines required for a new
client? - ANSWER: Admissions assessment within 14 days of move in date,
reassessment within 1 year of most recent comprehensive assessment, change in
status assessment within 14 days of occurrence of change, and quarterly assessment
including minimum data set every 3 months from date of initial comprehensive
assessment.
The PN supervises UAPs during the implementation of standards of practice for
isolation precautions. Which organization's publications should the PN reference to
identify these standards and guidelines? - ANSWER: Center for Disease Control (CDC)
During a monthly staff meeting at a long term care facility, the PN who is acting in
the role of director of nursing presents concerns and plans for the facility. The staff
are invited to comment about the proposals and provide input throughout the
meeting. Which leadership style is the PN using during the meeting? - ANSWER:
Participative
Participative leadership is described as a blend of two types of management styles -
authoritarian and democratic - which includes presentation of information and
feedback is accepted and analyzed so the final decision can be made by the
supervising director.
MANAGEMENT ATI PROCTORED 2019
The healthcare provider describes a drug form change for an enteric-coated
medication to liquid form. What action should the practical nurse implement first? -
ANSWER: Ask healthcare provider if the same dose of liquid medication should be
the same as enteric-coated tablet.
-Liquid medications are absorbed more quickly than a pill form, so validating the
dose with the healthcare provider should be the first action.
An older male client refuses to take medication, stating that it burns his stomach.
Which action should the practical nurse implement? - ANSWER: Document the
reason for refusal and report to the charge nurse.
After an older client refuses to take bupropion (Wellbutrin XL), the practical nurse
crushes the tablet to disguise it in a chocolate pudding cup. The PN directs the
unlicensed assistive personnel to feed the client the pudding. Which actions should
the PN report as a medication error? Select all that apply. - ANSWER: 1) Violation of
the client's right to refuse medication
2) Assignment of medication administration to the UAP
3) Alteration of medication form without notifying the healthcare provider
4) Prior authorization not obtained before crushing extended-release medication
A resident in an assisted living community has experienced an unusual incident that
did not result in injury. When notifying the family, what action should the practical
nurse implement to provide the best information to the family? - ANSWER: Call
family as soon as possible after the incident to communicate current and accurate
information.
During an evaluation of an older female client for discharge from the hospital, the PN
documents a stage I pressure ulcer on the client's sacrum. Which healthcare team
member is best to monitor the client's care? - ANSWER: The Home Health Nurse
The home health nurse should monitor the client's skin integrity in the home
environment to prevent further skin breakdown.
The PN is caring for a frail elderly client who is recovering on the skilled nursing
facility unit for dehydration and confusion. Which task should the PN assign to the
UAP? - ANSWER: Assist the client to use urinal or bedpan while in bed.
The PN is evaluating a new client's risk for osteoporosis who has recently moved into
an assisted living community. Which task should the PN assign to the UAP? -
ANSWER: Take weekly height and weight measurements
, The PN receives a report for an older adult client who is transferred to the medical
surgical floor from the PACU. Which interventions should the PN assign to the UAP
to help prevent respiratory complications after surgery? - ANSWER: 1) Ambulate as
prescribed
2) Encourage use of the incentive spirometer
3) Keep a full pitcher of water at the bedside.
The PN is caring for a client with pruritus. Which task can the PN assign to the UAP? -
ANSWER: Rub warm lotion to soothe skin.
The PN is documenting weekly nutritional status on all the clients in the assisted
living community. Which activity can the PN assign to the UAP? - ANSWER: Obtain an
individual height and weight for each client.
The PN assigns the UAP to obtain the height measurement for a client who is seated.
Which method is most accurate for the PN to direct the UAP to use? - ANSWER: Use
a sliding blade knee height caliper.
The PN is working in an assisted-living community reviews the guidlines for
completing new resident paperwork. What amount of time is required to complete
the initial comprehensive plan of care by the interdisciplinary team? - ANSWER: 7
days.
The PN is working in a long term care facility is orienting a new staff member in the
facility who is gathering data for admission of a new resident. Which information by
the new staff demonstrates understanding of the guidelines required for a new
client? - ANSWER: Admissions assessment within 14 days of move in date,
reassessment within 1 year of most recent comprehensive assessment, change in
status assessment within 14 days of occurrence of change, and quarterly assessment
including minimum data set every 3 months from date of initial comprehensive
assessment.
The PN supervises UAPs during the implementation of standards of practice for
isolation precautions. Which organization's publications should the PN reference to
identify these standards and guidelines? - ANSWER: Center for Disease Control (CDC)
During a monthly staff meeting at a long term care facility, the PN who is acting in
the role of director of nursing presents concerns and plans for the facility. The staff
are invited to comment about the proposals and provide input throughout the
meeting. Which leadership style is the PN using during the meeting? - ANSWER:
Participative
Participative leadership is described as a blend of two types of management styles -
authoritarian and democratic - which includes presentation of information and
feedback is accepted and analyzed so the final decision can be made by the
supervising director.
