ATI Proctored leadership Exam QA

A nurse is caring for a client who has a tumor, the provider recommends surgery. the client refuses but clients partner wants it. Which of the following determines if the surgery will be done The clients partner is the ...

A nurse is caring for a client who has a tumor, the provider recommends surgery. the client refuses but clients partner wants it. Which of the following determines if the surgery will be done The clients partner is the durable power of attorney Client understands risk and refusing Clients refusal Ethics commity - ANSWER client understands risk and refusing New diagnosis of chlamydia Report to local health department Initiate contact precaution Use condoms Apply antiviral - ANSWER report to local health department A nurse is caring for a client who has cancer, the client's adult child asks the nurse for info about treatment plan. How should nurse respond? Speak to mother Provider will speak with you I cannot provide without consent What would you like to know about it? - ANSWER i cannot provide without consent A nurse is assessing an older adult client who was brought to the ER by his adult son, reports he fell at home. Nurse suspects abuse, action to take? Treat / discharge File incident report Ask client about injuries while son is present Ask son to go to waiting area - ANSWER ask son to go to waiting area A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct to apply to a client who has full thickness burns over side of body a. Red b. Yellow c. Green d. Black - ANSWER black A nurse on a med surg unit is caring for a client who asks about advance directives and wants to appoint a health care proxy. Which of the following responses should the nurse make? Choose a family member Attorney Decisions when you are unable to do so Appoint before undergoing procedure - ANSWER decisions when you are unable to do so A hospice nurse is caring for a client who has a terminal illness. Reports severe pain, prescribed meds, difficult to arouse. Nurse should a. Continue opioid Contact provider Administer benzo Without opioid Continue the medication dosages - ANSWER continue the medication dosages A nurse is orienting a newly licensed nurse about confidentiality. Which indicates an understanding? Use another's password as long as I log off after Discard personal info in trash before leaving Post clients signs in room Encrypt when sending emails - ANSWER encrypt when sending emails A nurse is delegating care for a group of clients. Which of the following should be assigned to an LVN? Scheduled endoscopy, enema DM requires teaching Client who has MI, transferring to unit from CCU New client with sickle cell - ANSWER scheduled enema A nurse on a med surg unit is caring for 4 clients. Highest priority? MRSA Absent pedal pulse in the right foot Post op, able to void Pancreatic cancer new dx - ANSWER absent pedal pulse in the right foot manager, cna incorrectly transferring to bedside commode, actions for nurse refer to procedure manual Help AP assist client with transfer instruct to request assist when unsure with a task - ANSWER help ap assist client with transfer Nurse in ER admits clients exposed to anthrax a. Prepare to administer abx to client b. Antiviral - ANSWER prepare to administer antibiotics to client A nurse is caring for a client who is unconscious, partner is health care surrogate, partner wants to dc feeding tube, another family wants to continue tx Contact provider Speak with ethics committee Nursing supervisor - ANSWER speak with ethiccs committee a nurse is preparing to discontinue client with end stage heart failure, partner can no longer care a. ask another family member to assist ask provider to delay dc contact case manager recommend long term facility - ANSWER contact case manager A nurse is providing COS report for oncoming nurse. Nurse should include Local banks Vital signs as prescribed Radiology for xray Clients partner came 2 hours ago - ANSWER Clients partner came 2 hours ago A nurse in er is preparing for client who arrived via ambulance, disoriented, cardiac arrythmia, action for nurse High risk manager Clients next of kin Client sign Proceed with procedure without consent - ANSWER proceed with procedure with consent A nurse is preparing to dc client who requires home oxygen, company has not delivered tank Notify provider about delay Contact social services Instruct family to contact insurance provider Send one home from facility - ANSWER contact social services A nurse from med surg caring for group of clients, delegate to LPN? Urine specimen from older adult client Wound debridement to PT Postmortem care Reinforce dietary teaching for heart disease - ANSWER urine specimen from older adult client Manager leading discussion on ethical dilemmas, example Minor burn from coffee Operation on wrong side of body Parent wants teen to receive radiation against will Rn witnesses another rn give incorrect med - ANSWER parents wants teen to receive radiation against will nurse develops dc plan for postop and needs wheel chair. refferral? - ANSWER home health caring for client who asks about prevalence of disease, rn obtains info by - ANSWER evidence based journal rn completed electronic record, ap finished vitals - ANSWER log out so ap can log in nurse is preparing teaching for a different language, intervention - ANSWER interpreter a nurse is preparing to transfer to facility, include what info for cos report - ANSWER the time the client received last pain med dose nurse on inpatient care unit work to reduce costs, cost containment plan - ANSWER use clean gloves rather than sterile gloves for colostomy care incident report for medication error - ANSWER include time med occurred preparing client for elective mastectomoy, want to wear wedding band - ANSWER place with clothing med surg unit, evaluating ap infection control actions, correct use of precautions - ANSWER removes gloves before leaving room mrsa education program for staff regarding new iv pump, sequence of actions - ANSWER schedule different sessions client rights inservice - ANSWER responsible for informing client about tx options receiving rx from provider for client with increased pain, add to medical record - ANSWER iv prn for pain rn caring for client who reports acute pain but refuses im medication, distracts client and quickly administers med, illustrates which of the following - ANSWER battery dc teaching to parents of toddler with asthma, unable to afford nebulizer for client, recommend - ANSWER social worker newly licensed nurse on isolation precautions, understanding - ANSWER ambulatory client wear mask when outside charge nurse on ob unit, client for rn floating from med surg - ANSWER primigravida, 1 day post op c section er nurse performing triage, priority - ANSWER soot markings around nasal after house fire tag as emergent - ANSWER deep partial thickness burn on lower extremities comparing rate of med errors on unit, quality improvement methods - ANSWER benchmarking improvement charge making rounds, ap applied restraints without prescription - ANSWER remove restraints from wrists er priority patient - ANSWER sob active bleeding left should pain transcutaneous electrical nerve stimulation, nurse should contact who for assistance - ANSWER physical therapy development of disaster management plan for hospital. highest priority available for bioterrorism event - ANSWER supply of ppe to resolve conflict between staff when changing policy, manager implements changes regardless of feelings of changes, strategy that the nurse manager is using - ANSWER competing new licensed nurse droplet precautions understanding - ANSWER surg mask within 3 feet charge witness ap failing protocol when discarding contaminated linens, action to take - ANSWER discuss with ap rn supervising ap feeding client with dysphagia, nurse is correct technique - ANSWER instruct client to place chin to rest when swallowing manager receives report, which requires intervention first - ANSWER 3 staff members call out nurse in ambulatory care setting, orienting newly licensed nurse, preparing to return a call to a client, explain objective - ANSWER assessing clients needs assessing client who had meningitis, tell provider immediately - ANSWER decreased loc preparing client for surgery, client signed consent but is not concerned about the pain - ANSWER i understand and its not too late to change caring for client with anorexia, disciplinary teams for consultation sata - ANSWER nutritional therapist mental health case manager assessing client post op following left leg below the knee amputation, statement showing need for referral for occupational theapist - ANSWER taking care of a toddler at home nurse is caring for client who wanders halls, action nurse to take - ANSWER administer sedative preparing delegation for bathing end stage lung cancer - ANSWER data collected specific needs related to turning nurse in a long term care facility fall prevention includes - ANSWER institute rounds q2 hours to offer toileting nurse enters hallway and sees visitor looking at client medical record info - ANSWER close tab teaching new nurse about confidentiality, nurse should include which of the following that represents violation of confidentiality - ANSWER providing copy of client's medical record to paramedic A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend the provider see first? - ANSWER d. 39 has negative contraction stress test nurse working on quality improvement team that is assessing an increase in client falls at facility, nurse should include as quality improvement - ANSWER id those at risk for falls med surg unit caring for 4 clients, schedule interdisciplinary conference for the following - ANSWER fluid risk new nurse has trouble focusing and difficulty completing care for assigned clients - ANSWER take time to plan at beginning of shift case manager preparing dc for client with coronary artery bypass surgery - ANSWER limited social support nurse enters client room for witness of signed consent - ANSWER inform provider that client needs additional clarification charge notices 2 staff aren't taking meal breaks, action to take - ANSWER determine reasons the nurses are not taking scheduled breaks client reports ap positioned him with excessive force - ANSWER contact nurse manager client with type 1 dm, client wants to go home - ANSWER sign an ama charge making staff assignments on med surg unit, delegate to ap - ANSWER measuring 02 er nurse assessing client unconscious following mv crash, client requires immediate surgery, action to take - ANSWER transport to operating room without verifying informed consent 4 clients, assess first - ANSWER post op