NCLEX ATI PRACTICE: LEADERSHIP
ASSESSMENT:
A rate nurse is watching a nurse insert an indwelling urinary catheter right into a girl patron. For
which of the subsequent actions need to the fee nurse intrude?
A) The nurse separates the patron's labia with her dominant hand
B) The nurse coats the indwelling urinary catheter with lubricant
C) The nurse gives perineal care prior to inserting the urinary catheter
D) The nurse applies the sterile drape previous to placing the urinary catheter
A) The nurse separates the purchaser's labia along with her dominant hand
- The nurse have to use her non-dominant hand to separate the labia, or to hold the penis in
male clients.
- The dominant hand is the hand that should cope with the catheter for the duration of insertion
and while filling the balloon.
- If the nurse separated the labia along with her dominant hand, it would be greater difficult to
insert the catheter in a sterile surroundings and could bring about creation of bacteria into the
urinary tract.
Nurse manager received a client request not to have a specific workforce nurse take care of her
while at the intense care facility. Which is the right movement via the nurse manager?
A) Ask other team of workers nurses approximately the level of care the unique staff nurse
presents
B) Address the concern with the specific workforce nurse
C) Recommend the particular staff nurse to be transferred to some other unit
D) Notify the human sources department about the request
B) Address the priority with the precise staff nurse
- The nurse supervisor need to use the conflict control talent collaborating to clear up the war.
- The nurse manager have to be assertive and ask the precise group of workers nurse
approximately the hassle.
While caring for a patron, the nurse reports a needle stick damage. Which movement have to
the nurse take first?
A) Complete an incident document
B) Request the chance manager gain consent for HIV testing from the client
C) Wash the web site of harm with cleaning soap and water
,D) Consent to publish-exposure remedy with antiretroviral meds.
C) Wash the website of damage with cleaning soap and water
- The greatest threat to the nurse is infection transmission; consequently, the nurse have to first
wash the location with cleaning soap and water to reduce the danger of transmission.
We have an expert-written strategy to this trouble!
Nurse is caring for 4 clients on a med-surg unit. Which clients ought to the nurse check first?
A) A purchaser who has NG tube for decompression and the gastric aspirate is inexperienced
with a pH of 5.Three
B) A customer who had an indwelling urinary catheter eliminated 5 hr. In the past and has no
longer voided
C) A client who has COPD and the capillary fill up time on each fingers is 4 seconds
D) A consumer who has late-level cirrhosis and whose breath has a fruity odor
B) A client who had an indwelling urinary catheter removed 5 hr. Ago and has not voided
- After elimination of an indwelling urinary catheter, the patron need to void within four hr.
- If the purchaser has not voided in 4 hr, the nurse can also need to reinsert the catheter;
therefore, whilst the use of the concern-setting framework of pressing vs. Nonurgent, this
consumer ought to be assessed first because he has now not voided for five hr.
Nurse tells every other nurse that she thinks he did no longer provide ok care for a consumer
who underwent hip arthroplasty. Which responses by using the nurse demonstrates
assertiveness?
A) "I sense as although I met the standard of care. Would you inform me more about your
issues?"
B) "You shouldn't make accusations. Your nursing care would not constantly set a great
example"
C) "I am puzzled. I continually do my fine to give true care to my customers"
D) "What do you have towards me? It should be some thing or you would not be criticizing my
care"
A) "I experience as although I met the usual of care. Would you inform me greater
approximately your worries?"
- Communicating assertively is expressing thoughts in an open, sincere, and direct way that
demonstrates recognize for self and others.
- The use of "I" statements, preserving eye touch, and congruent verbal and facial expressions
are all additives of assertiveness skills.
- The nurse demonstrates admire for the opinion of the alternative nurse by way of soliciting for
feedback and the cause for the issues.
,Nurse has numerous tasks to delegate to an AP. Which responsibilities have to the AP perform
first?
A) Take ABG specimen to lab
B) Transport a consumer to the radiology branch for an x-ray
C) Pass fresh water to customers at the unit
D) Obtain a ordinary urine sample from a newly-admitted client
A) Take ABG specimen to lab
- When the usage of the urgent vs. Nonurgent technique to purchaser care, the nurse ought to
determine the priority movement is to take the ABG blood sample to the laboratory.
- ABG samples are positioned on ice and must be transported to the laboratory immediately or
the specimen will go to pot, making any consequences misguided.
Nurse is triaging clients in an pressing care clinic. Which clients have to the nurse have the
provider care for immediately?
A) An adolescent lady consumer who is belligerent and has slurred speech
B) A infant who has a laceration on his forehead and is screaming
C) A middle person male who's diaphoretic and reports epigastric ache
D) A younger grownup with a painful sunburn on his face and palms
C) A center person male who is diaphoretic and reviews epigastric ache
- When using the pressing vs. Nonurgent method to client care, the nurse must decide that
being concerned for this customer is the highest priority because diaphoresis and epigastric
pain are manifestations of an acute myocardial infarction.
We have an expert-written option to this hassle!
An RN is making nursing workforce assignments for his crew including himself, 2 LPNs, and an
AP. Which customers must he count on responsibility for?
A) The client who calls for frequent ambulation
B) The customer who is in defensive isolation
C) The consumer who is actively demise and requires IV ache meds
D) The customer who's 3 days post-op and requires a dressing change
C) The customer who is actively dying and calls for IV pain meds
- The nurse must count on responsibility of this patron because IV pain medications need to be
administered by using RNs.
- Although this customer might also require much less bodily care, he may also require greater
emotional care.
- The nurse have to plan to spend extensive time with both the purchaser and his circle of
relatives.
, Charge nurse has assigned a set of customers to a LPN. The price nurse receives report from
her assigned clients about the LPN's loss of care. Which movement need to the fee nurse take?
A) Review the LPN's personnel document
B) Discuss the LPN's behavior with other nurses on the unit
C) Talk with the clients who've suggested the LPN's lack of care
D) Reassign a number of the LPN's client care to AP
C) Talk with the clients who've pronounced the LPN's lack of care
- The fee nurse need to inspect the allegations of misconduct to decide if disciplinary movement
is warranted.
Nurse is providing take care of a physician on a med-surg unit. A nurse from some other unit
asks the nurse approximately the health care provider's clinical analysis. The nurse responds
that he's not able to provide that data. Requested. The nurse is displaying which of the following
ethical principles?
A) Utility
B) Paternalism
C) Justice
D) Nonmaleficence
D) Nonmaleficence
- The nurse is obligated to guard the consumer's personal facts.
- A breach of confidentiality can vicinity the patron vulnerable to damage.
- Nonmaleficence is the moral obligation to prevent harm to the patron.
- Justice is the moral principled based totally on the perception that everyone should be dealt
with fairly.
Nurse is being concerned for a client who's confused and uncooperative. The consumer hit the
nurse when she attempted to present him his meds. The nurse asks the price nurse if she will
be able to restrain the purchaser. The charge nurse should inform the nurse this movement is a
violation of the client's rights and is an example of?
A) Slander
B) Invasion of privateness
C) Defamation of man or woman
D) False imprisonment
D) False imprisonment
- Unlawfully restraining a patron is fake imprisonment.
- Clients have the proper to refuse treatment.
ASSESSMENT:
A rate nurse is watching a nurse insert an indwelling urinary catheter right into a girl patron. For
which of the subsequent actions need to the fee nurse intrude?
A) The nurse separates the patron's labia with her dominant hand
B) The nurse coats the indwelling urinary catheter with lubricant
C) The nurse gives perineal care prior to inserting the urinary catheter
D) The nurse applies the sterile drape previous to placing the urinary catheter
A) The nurse separates the purchaser's labia along with her dominant hand
- The nurse have to use her non-dominant hand to separate the labia, or to hold the penis in
male clients.
- The dominant hand is the hand that should cope with the catheter for the duration of insertion
and while filling the balloon.
- If the nurse separated the labia along with her dominant hand, it would be greater difficult to
insert the catheter in a sterile surroundings and could bring about creation of bacteria into the
urinary tract.
Nurse manager received a client request not to have a specific workforce nurse take care of her
while at the intense care facility. Which is the right movement via the nurse manager?
A) Ask other team of workers nurses approximately the level of care the unique staff nurse
presents
B) Address the concern with the specific workforce nurse
C) Recommend the particular staff nurse to be transferred to some other unit
D) Notify the human sources department about the request
B) Address the priority with the precise staff nurse
- The nurse supervisor need to use the conflict control talent collaborating to clear up the war.
- The nurse manager have to be assertive and ask the precise group of workers nurse
approximately the hassle.
While caring for a patron, the nurse reports a needle stick damage. Which movement have to
the nurse take first?
A) Complete an incident document
B) Request the chance manager gain consent for HIV testing from the client
C) Wash the web site of harm with cleaning soap and water
,D) Consent to publish-exposure remedy with antiretroviral meds.
C) Wash the website of damage with cleaning soap and water
- The greatest threat to the nurse is infection transmission; consequently, the nurse have to first
wash the location with cleaning soap and water to reduce the danger of transmission.
We have an expert-written strategy to this trouble!
Nurse is caring for 4 clients on a med-surg unit. Which clients ought to the nurse check first?
A) A purchaser who has NG tube for decompression and the gastric aspirate is inexperienced
with a pH of 5.Three
B) A customer who had an indwelling urinary catheter eliminated 5 hr. In the past and has no
longer voided
C) A client who has COPD and the capillary fill up time on each fingers is 4 seconds
D) A consumer who has late-level cirrhosis and whose breath has a fruity odor
B) A client who had an indwelling urinary catheter removed 5 hr. Ago and has not voided
- After elimination of an indwelling urinary catheter, the patron need to void within four hr.
- If the purchaser has not voided in 4 hr, the nurse can also need to reinsert the catheter;
therefore, whilst the use of the concern-setting framework of pressing vs. Nonurgent, this
consumer ought to be assessed first because he has now not voided for five hr.
Nurse tells every other nurse that she thinks he did no longer provide ok care for a consumer
who underwent hip arthroplasty. Which responses by using the nurse demonstrates
assertiveness?
A) "I sense as although I met the standard of care. Would you inform me more about your
issues?"
B) "You shouldn't make accusations. Your nursing care would not constantly set a great
example"
C) "I am puzzled. I continually do my fine to give true care to my customers"
D) "What do you have towards me? It should be some thing or you would not be criticizing my
care"
A) "I experience as although I met the usual of care. Would you inform me greater
approximately your worries?"
- Communicating assertively is expressing thoughts in an open, sincere, and direct way that
demonstrates recognize for self and others.
- The use of "I" statements, preserving eye touch, and congruent verbal and facial expressions
are all additives of assertiveness skills.
- The nurse demonstrates admire for the opinion of the alternative nurse by way of soliciting for
feedback and the cause for the issues.
,Nurse has numerous tasks to delegate to an AP. Which responsibilities have to the AP perform
first?
A) Take ABG specimen to lab
B) Transport a consumer to the radiology branch for an x-ray
C) Pass fresh water to customers at the unit
D) Obtain a ordinary urine sample from a newly-admitted client
A) Take ABG specimen to lab
- When the usage of the urgent vs. Nonurgent technique to purchaser care, the nurse ought to
determine the priority movement is to take the ABG blood sample to the laboratory.
- ABG samples are positioned on ice and must be transported to the laboratory immediately or
the specimen will go to pot, making any consequences misguided.
Nurse is triaging clients in an pressing care clinic. Which clients have to the nurse have the
provider care for immediately?
A) An adolescent lady consumer who is belligerent and has slurred speech
B) A infant who has a laceration on his forehead and is screaming
C) A middle person male who's diaphoretic and reports epigastric ache
D) A younger grownup with a painful sunburn on his face and palms
C) A center person male who is diaphoretic and reviews epigastric ache
- When using the pressing vs. Nonurgent method to client care, the nurse must decide that
being concerned for this customer is the highest priority because diaphoresis and epigastric
pain are manifestations of an acute myocardial infarction.
We have an expert-written option to this hassle!
An RN is making nursing workforce assignments for his crew including himself, 2 LPNs, and an
AP. Which customers must he count on responsibility for?
A) The client who calls for frequent ambulation
B) The customer who is in defensive isolation
C) The consumer who is actively demise and requires IV ache meds
D) The customer who's 3 days post-op and requires a dressing change
C) The customer who is actively dying and calls for IV pain meds
- The nurse must count on responsibility of this patron because IV pain medications need to be
administered by using RNs.
- Although this customer might also require much less bodily care, he may also require greater
emotional care.
- The nurse have to plan to spend extensive time with both the purchaser and his circle of
relatives.
, Charge nurse has assigned a set of customers to a LPN. The price nurse receives report from
her assigned clients about the LPN's loss of care. Which movement need to the fee nurse take?
A) Review the LPN's personnel document
B) Discuss the LPN's behavior with other nurses on the unit
C) Talk with the clients who've suggested the LPN's lack of care
D) Reassign a number of the LPN's client care to AP
C) Talk with the clients who've pronounced the LPN's lack of care
- The fee nurse need to inspect the allegations of misconduct to decide if disciplinary movement
is warranted.
Nurse is providing take care of a physician on a med-surg unit. A nurse from some other unit
asks the nurse approximately the health care provider's clinical analysis. The nurse responds
that he's not able to provide that data. Requested. The nurse is displaying which of the following
ethical principles?
A) Utility
B) Paternalism
C) Justice
D) Nonmaleficence
D) Nonmaleficence
- The nurse is obligated to guard the consumer's personal facts.
- A breach of confidentiality can vicinity the patron vulnerable to damage.
- Nonmaleficence is the moral obligation to prevent harm to the patron.
- Justice is the moral principled based totally on the perception that everyone should be dealt
with fairly.
Nurse is being concerned for a client who's confused and uncooperative. The consumer hit the
nurse when she attempted to present him his meds. The nurse asks the price nurse if she will
be able to restrain the purchaser. The charge nurse should inform the nurse this movement is a
violation of the client's rights and is an example of?
A) Slander
B) Invasion of privateness
C) Defamation of man or woman
D) False imprisonment
D) False imprisonment
- Unlawfully restraining a patron is fake imprisonment.
- Clients have the proper to refuse treatment.
