ATI Leadership 2019 B

23 August 2022
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60 test answers

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question
Which of the following actions must be performed by RN?
answer
Initial admission assessment.
question
Which of the following actions should the nurse take to collect information?
answer
Conduct a retrospective audit for the past 6 months.
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Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (incident reports)
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"Incident reports are for unexpected client occurrences."
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Which of the following should the nurse recommend as a qualitative research method?
answer
Phenomenology.
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Which of the following conditions is considered a nationally notifiable infectious disease?
answer
Chlamydia.
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Which of the following actions should the charge nurse take? (delegating wound care)
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Delegate wound irrigation to LPN.
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Which of the following actions demonstrates that the nurse is practicing in an ethical manner when caring for the client?
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Discuss end-of-life care goals with the client.
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Which of the following actions should the nurse take? (alcohol on breath)
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Notify the charge nurse of the nurse's behavior.
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Which of the following actions should the RN take first? (LPN gets high BP reading)
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Recheck the patient's blood pressure.
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Which of the following actions should the nurse take to validate that the client understands the procedure? (informed consent)
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Ask the client to verbalize the purpose, risks, and benefits of the procedure.
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Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse?
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A client who is 2 days postoperative and has a urine output of 20 ml/hr.
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Which of the following responses displays client advocacy by the nurse?
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"Let's review what you understand about this test result."
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Which of the following interventions should the charge nurse ensure is part of the plan of care? (NG tube feeding)
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Use a 60 ml syringe to flush out a clogged tube.
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Which of the following statements by the nurse provides the right direction of communication with the AP?
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"Tell me what time the client in room 205 voids for the first time after the catheter is removed."
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Which of the following statements by the AP indicates an understanding of the teaching? (DNR)
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"I will call for the client's nurse to come to the room if I cannot detect the client's pulse."
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Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device? Select all that apply. (Aquathermia pad)
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Ask the client to report if the aquathermia pad gets too warm. Ensures that the client's call light is in reach.
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Which of the following referrals should the nurse recommend for the client? (Rheumatoid arthritis)
answer
Occupational therapy.
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Which of the following statements by the newly licensed nurse indicates understanding of the teaching? (restraints)
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"I should request the provider to examine the client within 1 hours of applying mechanical restraints."
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Which of the following communication tools should the nurse use for management of this complication? (adverse effects)
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SBAR framework.
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Which of the following actions should the nurse take next? (low potassium)
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Notify the nursing supervisor.
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Which of the following is the priority action by the charge nurse? (fire)
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Instruct ambulatory clients to go to a safe area.
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Which of the following clients should the nurse assess first?
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A client who has abdominal surgery 6 hours ago and has had a heart rate of 120/min for the last 2 hours.
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Which of the following actions should the case manager perform perform prior to discharge? (PICC line)
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Ensure that home infusion therapy has been arranged.
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Which of the following should the nurse manager include in the teaching? (promote client rights)
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Verify that a provider prescription is in the medical record for clients who have restraints.
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Which of the following statements by the client indicates an understanding of the teaching? (insurance)
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"My insurance coverage no longer has lifetime coverage limits."
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Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? (eMAR)
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"After I finish with the printout of my assignment, I'll put it in the shredder receptacle."
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Which of the following statements is an example of using the conflict resolution strategy known as smoothing?
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"You always complete your work on time and do a great job. I believe you can handle the assignment well."
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Which of the following actions should the nurse take? (overhears staff in elevator)
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Report the incident to the nurse manager.
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A nurse should identify that which of the following clients is safe to discharge?
answer
A client who has multiple sclerosis and reports ataxia.
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Which of the following statements should the charge nurse make? (new nurse doesn't finish client care tasks)
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"You should set aside time to plan your day at the beginning of each shift."
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Which of the following actions should the nurse take to ensure care is provided according to policy? (pain assessments)
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Report this issue to the nurse manager.
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Which of the following actions should the nurse implement first? (audit)
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Determine the factors that interfere with the documentation of client education.
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Which of the following statements by the client indicates an understanding of the teaching? (AD)
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"These will outline my wishes for medication treatment."
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Which of the following tasks should be delegates to an assistive personnel (AP)? Select all that apply.
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Ambulating a client who uses a walker. Adding thickener to thin liquids on a client's food tray.
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Which of the following strategies should the nurse use in the review process? Select all that apply. (annual performance review)
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Include peer evaluations completed by other staff nurses. Have the nurse conduct a self-appraisal prior to the review. Complete a performance checklist.
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Which of the following responses should the nurse give? (rotator cuff)
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"I will notify your provider of your decision."
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The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order?
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Latent conflict. Perceived conflict. Felt conflict. Manifest conflict. Conflict aftermath.
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When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict?
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"I'm not sure whether I want to apply for the unit manager's position or start a family this year."
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Which of the following responses should the nurse make? (adult child crying)
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"Let's discuss options for respite care."
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After notifying the surgeon, which of the following actions should the nurse take next?
answer
Inform the client about the risks she may encounter by leaving the facility.
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The nurse manager should verify that the nurse acted appropriately when they performed which of the following actions? (Smoke in wastebasket)
answer
Transported the client to the hallway.
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Which of the following clients should the nurse plan to assess first?
answer
A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds.
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Which of the following tasks should the charge nurse delegate to an assistive personnel (AP)?
answer
Assisting a client who had a hip arthroplasty to a chair.
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Which of the following actions is the nurse manager's priority?
answer
Assign client care to staff.
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Which of the following statements should the nurse include? (informed consent)
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"The nurse should ensure the client understands the information given by the surgeon."
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Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (telephone prescription)
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"I should repeat the prescription back to the provider."
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Which of the following tasks can the nurse assign to an assistive personnel (AP)?
answer
Perform chest compressions on a client who is in cardiac arrest.
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Which of the following actions should the nurse manager take? (chemically impaired)
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Set up a formal meeting with the nurse within 24 hours.
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Which of the following actions should the nurse take to maintain client confidentiality?
answer
Tell a client's partner that the client's laboratory tests cannot be disclosed without permission.
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Which of the following statements should the nurse make? (cancer treatment)
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"Let's talk about the benefits of each treatment."
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The nurse should instruct the staff that which of the following clients requires droplet precautions?
answer
A client who has pertussis.
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Which of the following information should the nurse include in the teaching? (critical pathways)
answer
Critical pathways prevent unnecessary expense.
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Which of the following leadership tasks is the nurse performing? (in-service)
answer
Advocacy.
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Which of the following should be the first step in the process? (UTI's)
answer
Establish best practice guidelines for reducing the incidence of UTI's.
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Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (newly licensed nurse and eMAR)
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"My access to client electronic records might be tracked by my nurse manager."
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Which of the following actions should the nurse take first? (warfarin)
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Check the client's last INR.
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Which of the following clients should the nurse request the provider assess first?
answer
A client who has arm contusions and manifests asymmetrical thoracic movement.
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Which of the following information should the nurse include? (health care law)
answer
The Patient Self-Determination Act (PSDA) requires a nurse to give clients information about end-of-life options.
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Which of the following actions should the nurse take to act in the role of an advocate for client? (hemodialysis)
answer
Support the client's decision regarding treatment.
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Which of the following actions should the nurse take? (PCA)
answer
Place the client in modified Trendelenburg position.