ATI RN Proctored Leadership Form A 2016

ATI RN Proctored Leadership Form A 2016 1. A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate? "So, you are upset about all the changes on the unit?" 2. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first? Determine the reasons the nurses are not taking scheduled breaks 3. A client has a new permanent pacemaker inserted. Which of the following home care instructions should the nurse include? Regular programming evaluations can be conducted by telephone 4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "I will wear a cover gown when caring for a client who has herpes simplex." 5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate? Checking residual volume before each feeding 6. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? A code of ethics is a set of principles for nursing practice 7. A nurse receives change-of-shift report for the following four clients. Which of the following clients should the nurse assess first? An older adult client who has bacterial pneumonia and a new onset of restlessness 8. A charge nurse is assessing staff knowledge about safety procedures regarding needlestick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures? "An incident report should be completed if a client receives a stick from her own used needle." 9. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? Libel 10. 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? Remove the restraints from the client's wrists 11. 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? Competing 12. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take? Remove the IV pump form the client's room 13. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states that she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? Social worker 14. A charge nurse is completing client care assignments. Which of the following assignments is appropriate for a licensed practical nurse? A client who is 1 day postoperative and has a continuous bladder irrigation 15. A nurse is caring for a client who is comatose and has advance directives designating his adult daughter as his health proxy. The client's partner instructs the nurse to institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take first? Inform the partner that the staff must follow the client's advance directives 16. A nurse from the labor and delivery unit is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take first? Request orientation to the medical-surgical unit 17. A nurse in the emergency department is preparing a married 17-year-old client for an appendectomy. The client's parents are enroute to the facility but have not spoken with the surgeon. Which of the following actions should the nurse take first? Have the client sign the consent form after the surgeon explains the procedure 18. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately relieved during the first 12 hours postoperatively. The unit manager decides to identify postoperative pain as a quality indicator. Which of the following data sources will be helpful in determining the reason why clients are not receiving adequate pain management after surgery? Pain assessment policy 19. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicates understanding of the teaching? (select all that apply) -"I can delegate the removal of an IV catheter to an LPN on the unit." -"I will attend continuing education classes for professional growth." -"I administer pain medication to my clients even if they have a history of narcotic addiction." 20. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report? The time the client received his last dose of pain medication 21. A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel? Using a pain rating scale to monitor a client's pain level 22. A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to assistive personnel? Pouching a client's established ostomy 23. A charge nurse is reviewing how to set up a sterile field with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the process? "I will keep the label of the solution bottle facing up when pouring solution into the sterile cup." 24. A nurse is providing care for four postoperative clients. The nurse should first assess the client Whose pulse has been steadily increasing during the past shift 25. A charge nurse overhe