ATI Leadership RN 2019
1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is
suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuse s to
...
ATI Leadership RN 2019
1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is
suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuse s to
provide the specimen. Which of the following is the appropriate action by the nurse?
a. Tell the client that a catheter will be inserted.
b. Document the client's refusal in the chart.
c. Assess the client for urinary retention.
d. Obtain a provider's prescription for a blood alcohol level
Answer: b-Document the client's refusal in the chart.
If the client is repeatedly refusing to provide specimen for drug test then nurse can just
documented his refusal. That document can be used against the client regarding the motor
vehicle accident.
2. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate
to assign to a licensed practical nurse?
a. Pick up the meal trays after lunch.
b. Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
d. Determine adequacy of ventilator settings
Answer: b. Administer a nasogastric tube feeding
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile
procedure. Which of the following actions indicates the newly licensed nurse is maintaining
sterile technique? (SATA)
a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field
b. Opens the sterile pack by first unfolding the top flap away from her body
c. Prepares a container of sterile solution on the field after putting on sterile gloves
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field
e. Holds the sterile solution bottle with the label facing up b. Opens the sterile pack by first
unfolding the top flap away from her body
Answer: d. Removes the outside packaging of a sterile instrument before dropping it onto the
sterile field
4. A nurse enters a client's room and identifies that the client is receiving too much IV fluid
because the IV pump is not working properly. Which of the following actions should the nurse
take first?
a. Auscultate the client's lungs.
b. Notify the provider.
c. Place a faulty equipment tag on the pump.
d. Complete an incident report.
Answer: a. Auscultate the client's lungs.
5. A nurse is planning care for a group of clients and can delegate care to a licensed practical
nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to
the LPN?
a. Reinforcing teaching with a client who is learning to self-administer insulin
b. Ambulating a client who is scheduled for discharge later in the day
c. Administering morphine IV bolus to a client who is __ hr postoperative
d. Admitting a new client who has chronic back pain to the unit
Answer: a. Reinforcing teaching with a client who is learning to self-administer insulin
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown and gloves, which of the following actions by the newly licensed nurse
demonstrates correct aseptic technique?
a. The nurse applies goggles.
b. The nurse turns her back to the sterile fiel
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 Chamberlain College Of Nursing (100 Correct Q & A.png)
