ATI Leadership Management Proctored Exam (Latest verified Versions) 2020 DOCS
1.
A nurse manager witnesses an assistive personnel (AP) using incorrect procedure when transferring a client using a mechanical lift. Af
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ATI Leadership Management Proctored Exam (Latest verified Versions) 2020 DOCS
1.
A nurse manager witnesses an assistive personnel (AP) using incorrect procedure when transferring a client using a mechanical lift. After reinforcing proper procedure, which of the following methods should the nurse manager use to evaluate the AP's understanding of the teaching?
Require the AP's attendance at an in-service about the lift.
Assign the AP to work with a senior staff member when using the lift.
Observe the AP's technique with the lift at random times throughout the day.
Enforce the staff's completion of skills modules about medical equipment.
2.
A nurse is caring for a client who received pain medication 1 hr ago. The client tells the nurse the medication is not working because they are still experiencing pain. Which of the following actions by the nurse demonstrates client advocacy?
Provide the client with a back massage to help ease their pain.
Recommend the client watch television as a distraction from the pain..
Attempt to obtain a prescription for a different analgesic medication.
Inform the client that they can receive their next dose in 3 hr.
.
3.
A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. The charge nurse should identify that which of the following discharge instructions written by the newly licensed nurse indicates understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
Report pus-like drainage from the wound.
MY ANSWER
Resume Na-restricted diet.
Perform quadriceps setting exercises when supine.
4.
A nurse is using the SBAR communication tool for reporting a client's condition to the provider. Which of the following information should the nurse include in the "S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
The client needs a change in pain medication prescription.
MY ANSWER
The client is reporting a pain level of 8 on a scale from 0 to 10.
The client has a heart rate of 110/min and a BP of 148/88 mm Hg.
5.
A nurse manager is anticipating a period when staffing will be especially short. The nurse manager decides to reorganize the delivery of care on the unit until staffing improves by appointing a charge nurse, a medication nurse, and a treatment nurse. Which of the following delivery systems is the nurse manager using?
Primary nursing
Team nursing
Functional nursing
Modular nursing
6.
A nurse manager is preparing a nurse's performance appraisal. Which of the following actions should the nurse manager take?
Avoid using specific examples of client care to maintain confidentiality.
The nurse manager should include specific examples that occur throughout the
Focus on the nurse's most recent performance just before the evaluation.
Present goals to the nurse at the initial meeting.
Use a formalized system to discuss important issues.
7.
A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Which of the following actions should the nurse take? (Select all that apply.)
Attempt to detain the client.
Request the client sign an AMA form.
Notify the provider of client's intent.
Sedate the client while waiting for the provider to arrive.
Advise the client about the dangers of leaving.
8.
A nurse is using the situation, background, assessment, recommendation (SBAR) format to provide hand-off report for a client. In which of the following components of the SBAR report should the nurse include information about the client's current vital signs?
Situation
Background
Assessment
Recommendation
9.
A charge nurse in an acute care facility is teaching a newly licensed nurse about caring for an adult client who is cognitively impaired. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I will let the client sit at the nurses' station during the day."
"I will assign the client to a room close to the nurses' station."
MY ANSWER
"I will elevate full-length bed rails while the client is in bed."
"I will place a red wrist band on the client to indicate fall risk."
10.
A nurse manager on a maternal newborn unit is completing a chart audit to determine the percentage of clients over the past 3 months who breastfed their newborns successfully prior to discharge. Which of the following standards is the nurse using to complete this audit?
Structure
Outcome
Process
Practice
11.
A nurse manager is changing the ratio of registered nurses (RNs) to licensed practical nurses (LPNs) on a unit to decrease costs. Which of the following strategies should the nurse manager implement to reduce resistance from the staff?
Send a memo to each staff member announcing the new RN/LPN ratio.
Assign the staff to read research articles about the process of change.
Formulate a sample staffing schedule covering 1 month.
Discuss the planned change with other nurse managers.
12.
A nurse is preparing a client for a surgical procedure to continue the revision of a large burn scar on the left arm. The client tells the nurse that they want to cancel the procedure. Which of the following responses should the nurse make?
"This procedure will improve the appearance of your arm."
"Why have you changed your mind about this procedure?"
"I will inform the provider of your decision."
MY ANSWER
"
13.
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse assess first?
A client who requests sumatriptan for a migraine
A client who is postoperative and has respiratory rate of 10/min
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