LEADERSHIP AND MANAGEMENT ATI COMPREHENSIVE
EXAM STUDYGUIDE QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
Which is a recommended guideline for safe computerized charting?
ANS >>> Passwords 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 the nurses' station for other nurses to access.
rationale: After any inadvertent deletions of permanent computerized
records, the nurse should type an explanation into the computer file
with the date, time, and his or 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.
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 action regarding the incident? ANS >>> 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 the client's record concerning the
incident.
An unconscious client, bleeding profusely, is brought to the emergency
department after a serious accident. Surgery is required immediately to
save the client's life. With regard to informed consent for the surgical
procedure, which is the best action? ANS >>> Call the nursing
supervisor to initiate a court order for the 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 sign the consent form.
4.
, Transport the client to the operating department immediately, as
required by the health care provider, without obtaining an informed
consent. (CORRECT)
RATIONALE: Generally, there are only two instances in which the
informed consent of 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 result in 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
The nurse arrives at work and is told to report (float) to the paediatric
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
paediatric unit. Which is the appropriate nursing action? ANS >>>.
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the paediatric unit.
4.
EXAM STUDYGUIDE QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
Which is a recommended guideline for safe computerized charting?
ANS >>> Passwords 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 the nurses' station for other nurses to access.
rationale: After any inadvertent deletions of permanent computerized
records, the nurse should type an explanation into the computer file
with the date, time, and his or 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.
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 action regarding the incident? ANS >>> 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 the client's record concerning the
incident.
An unconscious client, bleeding profusely, is brought to the emergency
department after a serious accident. Surgery is required immediately to
save the client's life. With regard to informed consent for the surgical
procedure, which is the best action? ANS >>> Call the nursing
supervisor to initiate a court order for the 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 sign the consent form.
4.
, Transport the client to the operating department immediately, as
required by the health care provider, without obtaining an informed
consent. (CORRECT)
RATIONALE: Generally, there are only two instances in which the
informed consent of 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 result in 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
The nurse arrives at work and is told to report (float) to the paediatric
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
paediatric unit. Which is the appropriate nursing action? ANS >>>.
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the paediatric unit.
4.
