LEADERSHIP AND MANAGEMENT ATI
COMPREHENSIVE EXAM STUDYGUIDE
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS (RATIONALE) ALREADY
GRADED A+!
1. Which is a recommended guideline for safe computerized charting?: Pass-words to
the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing
manager or supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at thenurses'
station for other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, thenurse
should type an explanation into the computer file with the date, time, and hisor her initials.
The nurse should also contact the nursing manager or supervisor with a written
explanation of the situation. Options 1, 2, and 4 represent unsafe charting actions. Only
option 3 follows the guidelines for safe computer charting.
2. The licensed practical nurse (LPN) enters a client's room and finds the client
sitting on the floor. The LPN calls the registered nurse, who checks the client
thoroughly and then assists the client back into bed. The LPN completes an
incident report, and the nursing supervisor and health care provider (HCP) are
notified of the incident. Which is the next nursing actionregarding the incident?:
Place the incident report in the client's chart.
2.
,Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident. (correct)
4.
Document in the client's record that an incident report has been completed
RATIONALE: The incident report is confidential and privileged information, and it
should not be copied, placed in the chart, or have any reference made to it in the
,client's record. The incident report is not a substitute for a complete entry in theclient's
record concerning the incident.
3. An unconscious client, bleeding profusely, is brought to the emergency
department after a serious accident. Surgery is required immediately to savethe
client's life. With regard to informed consent for the surgical procedure,which is the
best action?: Call the nursing supervisor to initiate a court order forthe surgical
procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical
procedure.
3.
Ask the friend who accompanied the client to the emergency department to signthe
consent form.
4.
Transport the client to the operating department immediately, as required by thehealth
care provider, without obtaining an informed consent. (CORRECT)
RATIONALE: Generally there are only two instances in which the informed consentof an
adult client is not needed. One instance is when an emergency is present and delaying
treatment for the purpose of obtaining informed consent would resultin injury or death to
the client. The second instance is when the client waives the right to give informed
consent. Options 1, 2, and 3 are inappropriate
4. The nurse arrives at work and is told to report (float) to the pediatric unit for the
day because the unit is understaffed and needs additional nurses to care for the
clients. The nurse has never worked in the pediatric unit. Which is the appropriate
nursing action?: .
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric unit.4.
, Report to the pediatric unit and identify tasks that can be safely performed (correct)
RATIONALE: Floating is an acceptable legal practice used by hospitals to solve their
understaffing problems. Legally the nurse cannot refuse to float unless a unioncontract
guarantees that the nurse can only work in a specified area or the nursecan prove a lack of
knowledge for the performance of assigned tasks. When facedwith this situation, the nurse
should identify potential areas of harm to the client
5. The nurse enters a client's room and notes that the client's lawyer is present and
that the client is preparing a living will. The living will requiresthat the client's
signature be witnessed, and the client asks the nurse to witness the signature.
Which is the appropriate nursing action?: Decline tosign the will. (CORRECT)
2.
Sign the will as a witness to the signature only.
3.
Call the hospital lawyer before signing the will.
4.
Sign the will, clearly identifying credentials and employment agency.
RATIONALE: Living wills are required to be in writing and signed by the client. The
client's signature either must be witnessed by specified individuals or notarized.
Many states prohibit any employee from being a witness, including the nurse in afacility
in which the client is receiving care.
6. The nurse finds the client lying on the floor. The nurse calls the registerednurse,
who checks the client and then calls the nursing supervisor and the health care
provider to inform them of the occurrence. The nurse completesthe incident report
for which purpose?: roviding clients with necessary stabiliz-ing treatments
2.
A method of promoting quality care and risk management (correct)
3.
Determining the effectiveness of interventions in relation to outcomes
COMPREHENSIVE EXAM STUDYGUIDE
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS (RATIONALE) ALREADY
GRADED A+!
1. Which is a recommended guideline for safe computerized charting?: Pass-words to
the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing
manager or supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at thenurses'
station for other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, thenurse
should type an explanation into the computer file with the date, time, and hisor her initials.
The nurse should also contact the nursing manager or supervisor with a written
explanation of the situation. Options 1, 2, and 4 represent unsafe charting actions. Only
option 3 follows the guidelines for safe computer charting.
2. The licensed practical nurse (LPN) enters a client's room and finds the client
sitting on the floor. The LPN calls the registered nurse, who checks the client
thoroughly and then assists the client back into bed. The LPN completes an
incident report, and the nursing supervisor and health care provider (HCP) are
notified of the incident. Which is the next nursing actionregarding the incident?:
Place the incident report in the client's chart.
2.
,Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident. (correct)
4.
Document in the client's record that an incident report has been completed
RATIONALE: The incident report is confidential and privileged information, and it
should not be copied, placed in the chart, or have any reference made to it in the
,client's record. The incident report is not a substitute for a complete entry in theclient's
record concerning the incident.
3. An unconscious client, bleeding profusely, is brought to the emergency
department after a serious accident. Surgery is required immediately to savethe
client's life. With regard to informed consent for the surgical procedure,which is the
best action?: Call the nursing supervisor to initiate a court order forthe surgical
procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical
procedure.
3.
Ask the friend who accompanied the client to the emergency department to signthe
consent form.
4.
Transport the client to the operating department immediately, as required by thehealth
care provider, without obtaining an informed consent. (CORRECT)
RATIONALE: Generally there are only two instances in which the informed consentof an
adult client is not needed. One instance is when an emergency is present and delaying
treatment for the purpose of obtaining informed consent would resultin injury or death to
the client. The second instance is when the client waives the right to give informed
consent. Options 1, 2, and 3 are inappropriate
4. The nurse arrives at work and is told to report (float) to the pediatric unit for the
day because the unit is understaffed and needs additional nurses to care for the
clients. The nurse has never worked in the pediatric unit. Which is the appropriate
nursing action?: .
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric unit.4.
, Report to the pediatric unit and identify tasks that can be safely performed (correct)
RATIONALE: Floating is an acceptable legal practice used by hospitals to solve their
understaffing problems. Legally the nurse cannot refuse to float unless a unioncontract
guarantees that the nurse can only work in a specified area or the nursecan prove a lack of
knowledge for the performance of assigned tasks. When facedwith this situation, the nurse
should identify potential areas of harm to the client
5. The nurse enters a client's room and notes that the client's lawyer is present and
that the client is preparing a living will. The living will requiresthat the client's
signature be witnessed, and the client asks the nurse to witness the signature.
Which is the appropriate nursing action?: Decline tosign the will. (CORRECT)
2.
Sign the will as a witness to the signature only.
3.
Call the hospital lawyer before signing the will.
4.
Sign the will, clearly identifying credentials and employment agency.
RATIONALE: Living wills are required to be in writing and signed by the client. The
client's signature either must be witnessed by specified individuals or notarized.
Many states prohibit any employee from being a witness, including the nurse in afacility
in which the client is receiving care.
6. The nurse finds the client lying on the floor. The nurse calls the registerednurse,
who checks the client and then calls the nursing supervisor and the health care
provider to inform them of the occurrence. The nurse completesthe incident report
for which purpose?: roviding clients with necessary stabiliz-ing treatments
2.
A method of promoting quality care and risk management (correct)
3.
Determining the effectiveness of interventions in relation to outcomes
