ATI RN LEADERSHIP PROCTORED EXAM(11 VERSIONS)

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10. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assessfirst? A. A client who has a hip fracture and is in Buck‟straction B. A client who has aspiration pneumonia and a respiratory rate of28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on hisfoot D. A client who has a C diff infection and needs a stool specimencollected 11. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min. Which of the following actions should the nursetake? A. Notify the nursing supervisor about theissues B. Contact the client‟s physicaltherapist C. Apply a warm compress to thehip D. Reposition the client forcomfort 12. The mother of a client with breast cancer states, it‟s been hard for her, especially afterlosing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate clientadvocacy? A. The nurse investigates potential resources to help the client purchasewig B. The nurse explains to the mother that most clients with cancer lose theirhair C. The nurse informs the next shift nurse regarding the mother‟sconcerns. D. The nurse suggests counseling for the client‟s body imageissues 13. Which of the following items must be discarded in a biohazard wastereceptacle? A. A urinary catheter drainage bag from a client who ispost-opt B. A bed sheet from a client with bacterialpneumonia C. A perineal pad from a client who is 24-hr post-vaginaldelivery D. An empty IV bag removed from a client who hasHIV 14. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don‟tget better, I‟m going to quit. “Which of the following responsesappropriate? A. “So you are upset about all the changes on theUnit” B. “I think you have a right to be upset, I am tired of the changestoo” C. “Just stick with it a little longer. Things will get bettersoon D. “ You should file complaints with hospitaladministrator 15. According to the HIPAA regulations, which of the following is a violation ofclient confidentiality? A. Telephone the pharmacy with a prescription for the spouse to pickup B. Providing a copy of the record to the transportingparamedic C. Reporting a client‟s disposition to the referringprovider D. Informing housekeeping staff that the client is in dialysisunit 16. ANursepreceptorisevaluatinganewlylicensednurse‟scompetencyinassistingwitha sterile procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all thatapply.) A. Open the sterile pack by first unfolding the flap farthest from herbody B. Rests the cap of a solution container upside down on the sterilefield C. Removes the outside packaging of a sterile instrument before dropping into thesterile field D. Holds a bottle of a sterile solution 15 cm (6 inches) above the sterilefield E. Places sterile items within 1.25 cm (0.5 inch) border around the edge of the sterilefield 17. A nurse is providing care for 4 post-opt clients. The nurse should first assess theclient A. Whose pulse has been steadily increasing during the pastshift B. Who is reporting a pain level of 8 on a scale of 0 to10. C. Whose urine output averaged 32 ml/hr for the past 24hr D. Who is reporting nausea after the prescribed antiemetic wasadministe

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