ATI Leadership Proctored Exam questions and answers docx latest 2020 test solution

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A nurse manager is preparing to institute a new system for scheduling staff. Severalnurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropr... iate method to facilitate the adoption of the new schedulingsystem? Identify nurses who accept the change to help influence other staffnurses Provide a brief overview of the new scheduling system immediately beforeit implementation Introduce the new scheduling system by describing how it will save the institutionmoney Offer to reassign staff who do not support the change to anotherunit A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the carepathway? Antibiotic therapy was initiated 2 hr after implementation of the carepathway A blood culture was obtained after antibiotic therapy has beeninitiated The route of antibiotic therapy on the care pathway was changed from IV toPO An allergy to penicillin required an alternative antibiotic to beprescribed. A nurse should recognize that an incident report is requiredwhen A client refuses to attend physicaltherapy A visitor pinches his finger in the client‟s bedframe A client throws a box of tissues at anurse A nurse gives a med 30 min late Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality indicator. Which of the following data sources will be helpful in determine the reason why clients are not receiving adequate pain management aftersurgery? Prospective chartaudit Retrospective chartaudit Postoperative carepolicy Pain assessmentpolicy A nurse precepting a newly licenced nurse who is caring for a client who is confused and has an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent dislodging the IV catheter. Which of the following questions should the precepting nurseask? “Did you secure the restraints to the side rails of thebed?” “Are you able to insert two fingers between the restraint and the client‟sskin?” “Did you tie the restraints using doubleknot?” “Are you removing the client‟s restraints every 4hr?” A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse requesta consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with aconsultant? Arrange the consultation for time when the nurse is caring for the client is able to be present forconsultation Provide the consultant with subjective opinions and beliefs about the client‟s woundcare Request the consultation after several wound care treatmenttried Arrange for the wound care nurse specialist to see the client daily to provide the recommendedtreatment A client is admitted wit TB and placed in a negative pressure room. Which of thefollowing actions isappropriate? Notify the local health department of theadmission Place a sign on the client‟s door with thediagnosis Ensure that admitting staff undergo PPD skintests Determine who had contact with the client in the last 48hr A nurse is caring for a client who is unconscious and whose partner is health care proxy. The partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The providerstatesthenurse,“Iwillnotdiscontinuetheclient‟streatment.Hispartnerhasnorightto make decisions regarding the client‟s care. “Which of the following responses by the nurse is appropriate? Youshouldconsiderspeakingwiththefacility‟sethicscommitteebeforemakingyour decision You have the right to make decision, even if the partner is the client‟s health careproxy The client has designated his partner as health care proxy in his advancedirectives We‟ll need to have the nursing supervisor review the client‟s advancedirectives A nurse is caring for a client who has increased intracranial pressure and is receivingIV corticosteroids. Which of the following info is most important for the nurse to report at shift change? Gasglow Coma scalescore Most recent blood glucose reading Lab test scheduled for nextshift Reddened area on thecoccyx A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assessfirst? A client who has a hip fracture and is in Buck‟straction A client who has aspiration pneumonia and a respiratory rate of28/min A client who has diabetes mellitus stage 2 pressure ulcer on hisfoot A client who has a C diff infection and needs a stool specimencollected 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? Notify the nursing supervisor about theissues Contact the client‟s physicaltherapist Apply a warm compress to thehip Reposition the client forcomfort 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? The nurse investigates potential resources to help the client purchasewig The nurse explains to the mother that most clients with cancer lose theirhair The nurse informs the next shift nurse regarding the mother‟sconcerns. The nurse suggests counseling for the client‟s body imageissues Which of the following items must be discarded in a biohazard wastereceptacle? A urinary catheter drainage bag from a client who ispost-opt A bed sheet from a client with bacterialpneumonia A perineal pad from a client who is 24-hr post-vaginaldelivery An empty IV bag removed from a client who hasHIV 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? “So you are upset about all the changes on theUnit” “I think you have a right to be upset, I am tired of the changestoo” “Just stick with it a little longer. Things will get bettersoon “ You should file complaints with hospitaladministrator According to the HIPAA regulations, which of the following is a violation ofclient confidentiality? Telephone the pharmacy with a prescription for the spouse to pickup Providing a copy of the record to the transportingparamedic Reporting a client‟s disposition to the referringprovider Informing housekeeping staff that the client is in dialysisunit ANursepreceptorisevaluatinganewlylicensednurse‟scompetencyinassistingwitha sterile procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all thatapply.) Open the sterile pack by first unfolding the flap farthest from herbody Rests the cap of a solution container upside down on the sterilefield Removes the outside packaging of a sterile instrument before dropping into thesterile field Holds a bottle of a sterile solution 15 cm (6 inches) above the sterilefield Places sterile items within 1.25 cm (0.5 inch) border around the edge of the sterilefield A nurse is providing care for 4 post-opt clients. The nurse should first assess theclient Whose pulse has been steadily increasing during the pastshift Who is reporting a pain level of 8 on a scale of 0 to10. Whose urine output averaged 32 ml/hr for the past 24hr Who is reporting nausea after the prescribed antiemetic wasadministered A nurse is preparing to transcribe a client‟s med prescription in the medical record. Whichof the following should the nurse recognize as containing the essential components of a medication order? NPH insulin 10 Units before and atbedtime Haloperidol (Hadol) 1mg permouth Multivit every morning bymouth Aspirin 650 mg by mouth every4hr A nurse is assisting with orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which ofthe following interventions isappropriate? Recommend that he takes time to plan at the beginning ofshift Advise him to complete less time-consuming tasksfirst Ask other staff members to take over some of hisstaffs Offer to provide care for his clients while he takes abreak A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an industrial setting, which of the following actions should the nurse takefirst? Remove the client‟sclothing Irrigate the exposed area withwater Report the incident toOSHA Don personal protective equipment. A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors isobserved? A nurse refuses to actively participate during an elective abortion procedurescheduled for herclient. A nurse gives prescribed opioids to a client who has a terminal illness and respirationsof 8/min A nurse explains to a client‟s family that a DNR order includes withholdingcomfort measures A nurse informs a confused client who wants to go home that he is going to stay atthe facility until he isbetter A nurse is an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth? Assessing clientneeds Providing medreconciliation Establishing communication betweenproviders Developing client treatmentprotocols Which of the following put a hospital at the highest risk of infringement of clientrecord confidentiality? A nurse clusters documentation of care for multipleclients? A provider and nurse access client info using one accesscode Paper-based charts are stored at the nurse‟sstation A nurse performs electronic documentation outside a client‟sroom Which of the following observations requires a charge nurse to intervene anddemonstrate safe handlingtechniques? A nurse cleans up blood spill with a 1:10 bleachsolution A nurse uses googles to perform tracheostomysuctioning A nurse disconnects an indwelling urinary catheter from the drainage bag to collecta specimen A nurse places a mask on a client with TB before transport to the radiologydepartment Which of the following should lead a nurse to suspect abuse that must bereported? A school-age child has several bruises on her lowerlegs. A toddler cries whenever his parents enters the hospitalsroom. An Adolescent admitted to the emergency won‟t speak to hisparents A preschool child who was previously toilet trained now requires diapers in thehospital A parish nurse is making referral to a community meal delivery program for a member of the congregation. This is an example of which of the following functions of the parishnurse? Liaison Pastoral careprovider Health educator Personal Healthcounselor A nurse performing triage during a mass casualty incident should recognize that which ofthe following clients should be transported to the hospitalfirst? A client who reports substernal chest pain radiating to the neck????? A client who has an open fracture of thefemur A client who has a 4-inch laceration on theforearm A client who has a penetrating head injury and fixed dilatedpupils 29. A nurse manager overhears a provider and a staff nurse talking about a client‟s diagnosisin the cafeteria. Which of the following actions should the nurse takefirst? Provide a staff in-service about clientconfidentiality Report the incident to the nursingsupervisor Remind them that the client info is confidential???????? Fill out an incident report regarding thesituation A client has a substance use disorder is admitted to the mental health Unit and reports that he has been depressed lately. When preparing for discharge the next day, the client states: “It‟s Ok. Soon everything will be just fine.” Which of the following is the nurse‟s primary firstaction? Ask the client if he has considered hurting himself Provide the client with info about AlcoholicsAnonymous Encourage the client to participate in physicalactivities Reinforce the need to follow up with the dischargereferral A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administer the injection. This illustrate which of thefollowing? Falseimprisonment Battery Assault Libel A nurse manager smells alcohol on the breath of a nurse who is starting a shift. Which of the following actions should the nurse manager takefirst? Report the situation to the director ofnursing Have a blood alcohol level drawn from thenurse Document a factual description of thesituation Remove the nurse from theunit A nurse observes a paper bag at the bedside of a client. This finding suggest that the clientis receiving treatment for which of the respiratorydisorders Asthma Hyperventilation Stidor Atelectasis A nurse is preparing the discharge a client back to a long-term care facility after he was admitted to an acute care facility 2 days ago for pneumonia. Which of the followinginformation should the nurse include in the verbal transferreport? Lab results within the expected referencerange List of regularly prescribedmeds Date of last bowelmovement Level ofconsciousness [Show More]

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