1. Begin the timed collection by A nurse is contributing to the plan of care for a client who
discarding the first specimen has a perscription for a 24 hour urine specimen. Which of
Post the times for urine col- the following interventions should the nurse plan to include?
lection above the toilet in the SATA
clients bathroom
Obtain a clean specimen collec-
tion container for use during
the test
2. Stands with feet close together A charge nurse in a LTC facility is monitoring the activities of
while transferring a client from an assistive personnel. Which of the following actions by the
the bed to a char AP indicates that the charge nurse should intervene?
3. The client develops command A nurse in an outpatient clinic is caring for a client who
hallucinations has schizophrenia. For which of the following client actions
should the nurse recommend transfer to an acute care facil-
ity?
4. Have a second nurse witness A nurse is reinforcing teaching with newly licensed nurse
the disposal of the unused por- about the administration of opioid pain medication. Which
tion of the clients medication of the following instructions should the nurse include?
5. peer reviewed nursing journals A nurse is contributing to the development of a fall pre-
vention policy for clients who have dementia. Which of the
following sources of information should the nurse identify as
the primary guideline for the creation of the policy?
6. Inform the charge nurse and A nurse is caring for an adolescent client who requires a
recommend that social ser- blood transfusion. The client's parents will not consent to the
vices be contacted transfusion due to religious beliefs. Which of the following
actions should the nurse take?
7.
, ATI Management PN
You can take turns going to A charge nurse is talking with two assistive personnel (AP)
lunch first every other week who are angry about the way lunch breaks are scheduled
on the unit. Which of the following statements by the charge
nurse demonstrates the use of compromise?
8. submit a written complaint to A nurse arrives for her shift and is assigned more clients
the nursing superviser than she feels is safe. The charge nurse states there are no
other options due to a shortage in nursing staff. Which of the
following actions should the nurse take?
9. Nurses are assigned specific A nurse is discussing delivery models of care with a group
tasks to perform for each of the of newly licensed nurses. Which of the following should the
clients nurse include as an example of the functional nursing model
of care?
10. Invasion of privacy A nurse observes an assistive personnel (AP) taking a picture
of a client who has not given consent. The nurses should
identify the AP has committed which of the following torts?
11. registered dietitian A nurse is contributing to the plan of care for a client who
has a new diagnosis of type 2 diabetes mellitus. Which of the
following members of the interprofessional health care team
should the nurse consult to assist the client with glucose
management?
12. a capped bottle of sterile water A nurse enters a clients room at the beginning of a shift.
that was opened 36 hours ago Which of the following findings requires intervention by the
nurse?
13. Includes emesis and wound A nurse is monitoring an assistive personnel (AP) who is
drainage in the total recorded calculating I&O for a postoperative client. The client has a
output Jackson-Pratt drain and an indwelling urinary catheter. The
nurse should recognize that the clients output is calculated
, ATI Management PN
and recorded correctly when the AP performs which of the
following actions?
14. headaches A home health nurse is reinforcing teaching about the effects
of carbon monoxide poisoning. Which of the following man-
ifestations should the nurse include?
15. Explain to the client the risk in- A nurse is assisting with the care of a client who was ad-
volved in leaving the facility. mitted with deep vein thrombosis. The client has decided to
leave against medical advice. Which of the following actions
should the nurse take?
16. Postmortem care A nurse is preparing to delegate assignments after receiving
change of shift report. Which of the following tasks should
the nurse assign to an assistive personnel (AP)?
17. The supine position is the A community health nurse is reinforcing teaching with a
safest for sleeping infants. group of parents about home safety for children of various
age groups. Which of the following information should the
nurse plan to include?
18. A treatment that was refused A nurse is preparing to document client care in the electronic
by the client health record for a client who is postoperative. Which of the
following should the nurse include in the documentation?
19. Suggest that the client join an A nurse is assisting with the discharge of a client who has
ostomy support group is cor- a new permanent colostomy. the client expresses concern
rect. about learning to care for the appliance and obtaining sup-
plies discretely. Which of the following actions should the
Arrange a follow-up appoint- nurse take?
ment with an intrastromal ther-
apy nurse is correct.
Provide the client with the