ATI LEADERSHIP PROCTORED EXAM-STUDY GUIDE (LATEST)

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1. A nurse in the emergency department is performing triage for a group of clients following a motor crash. Which of the following should the nurse request the provider assess first? • A client who... has arm contusions and manifests asymmetrical thoracic movement. 2. A nurse is caring for a client who has acute diverticulitis for surgery with the next 2 hr. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next. • Inform the client about the risk she may encounter by leaving the facility 3. A nurse case manager is planning a teaching session on the use of critical pathways with a group of newly license nurses. Which of the following information should the nurse include in the teaching • Critical pathways prevent unnecessary expenses. 4. A nurse is caring for a client who has an informed consent form for an upcoming procedure in his health record. Which of the following actions should the nurse tale to validate that the client understands the procedure. • Ask the client to verbalize the purpose, risks, and benefits of the procedure. 5. A nurse at an urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take to ensure care is provided according to policy. • Report this issue to the nurse manager 6. A client is being discharge with a postoperative infection, requiring daily IV antibiotics through a peripheral inserted catheter. Which of the following actions should the case manager perform prior to discharge. • Ensure that home infusion therapy has been arranged. 7. A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark, which of the following actions should the nurse implement first. • Determine the factors that interfere with the documentation of client education. 8. A charge nurse is orienting a newly licensed nurse to the facility’s policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions. • After I finish with the printout of my assignment. I’ll put in the shredder receptable. 9. A nurse is delegating task on a nursing unit that is short staffed. A client has a prescription of a wound irrigation twice per day. Which of the following actions should the charge nurse take. • Assign the procedure to a license practical nurse (LPN) 10. A staff nurse detects alcohol on the breach of another nurse working in the unit. The staff nurse observes that the nurse’s speech is slurred, and their gate is unsteady. Which of the following actions should the nurse take. • Notify the charge nurse of the nurse’s behavior 11. An RN delegates the teaks of obtaining the blood pressure of a client who is 2 hr. postoperative a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a blood pressure that is significantly higher than the client’s previous reading. Which of the following actions should the RN take first. • Recheck the client’s blood pressure 12. A nurse is caring for several clients. Which of the following actions should the nurse take to maintain confidentiality. • Tell a client’s partner that the client’s laboratory test cannot be disclosed without permission. 13. A nurse manager is conducting an annual performance review for a staff nurse. Which of the following strategies should the nurse use in the review process. Select all that apply • Include peer evaluation completed by other staff nurses • Have the nurse conduct a self-appraisal prior to the review • Complete a performance checklist 14. A nurse is teaching a newly license nurse about using electronic medical records. Which of the following statements by the newly licensed nurse indicates understanding of the teaching. • My access to client electronic records might be tracked by nurse manager 15. A nurse is delegating task for a group of clients to an assistive personnel. Which of the following statements by the nurse provides the right direction of communication with the AP. • Tell me what time client in room 205 voids for the first time after the catheter is removed. 16. A nurse is reviewing client’s medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. Which of following actions should the nurse take first. • Check the client’s last INR 17. A charge nurse has been asked to determine staff adherence to established standards for postoperative vital sign measurement. Which of the following actions should the nurse take to collect information. • Conduct a retrospective chart audit of all surgical clients for the past months. 18. A charge nurse is discussing issues with staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflicts. • I’m not sure whether I want to apply for the unit manager’s position or start a family this year. 19. A charge nurse is observing a newly licensed nurse care for a client who has a prescription for application of an aquathermia pad t the right lower leg. Which of following actions should indicate to the charge nurse that the nurse understands how to use the device. Select all that apply. • Ask the client to report if the aquathermia pad gets too warm • Ensures that the client’s call light is in reach 20. A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty clotting. Which of the following referrals should the nurse recommend for the client. • Occupational Therapy 21. A nurse is presenting information on health care law to a group of newly licensed nurses. Which of the following information should the nurse include? • The patient self-determination act (PSDA) requires a nurse to give clients information about end-of-life options. ..........................................................................................................................................................................................................................CONTINUED [Show More]

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