ATI Leadership Practice B Flashcards Quizlet PDF

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ATI Leadership Practice B Terms in this set (60) A nurse in the ED is performing

A client who has arm contusions and manifests

triage for a group of clients

asymmetrical thoracic movement

following a MVC. Which of the following clients should the nurse request the provider assess first? -A client who has a closed leg fracture and reports peripheral paresthesia -A client who reports a sprained ankle and has a laceration over the medial ankle -A client who has arm contusions and manifests asymmetrical thoracic movement -A client who has abrasions to the face and is requesting medication for severe pain

ATI Leadership Practice B

A nurse is caring for a client

Inform the client about the risks she may encounter

who has acute diverticulitis and

by leaving the facility

is scheduled for surgery within the next 2 hrs. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next? -Have the client sign the AMAM form -Inform the client about the risks she may encounter by leaving the facility -Document the client's statements in the medical record -Notify the risk manager

A nurse case manager is

Critical pathways prevent unnecessary expense

planning a teaching session on

(answered wrong)

the use of critical pathways with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching? -Critical pathways promote individualized care -Critical pathways decrease administrative work time -Critical pathways prevent unnecessary expense -Critical pathways incorporate

ATI Leadership Practice B

A nurse is caring for a client

Ask the client to verbalize the purpose, risks, and

who has an informed consent

benefits of the procedure

form for an upcoming procedure in his health record. Which of the following actions should the nurse take to validate that the client understands the procedure? -Review documentation by the provider of discussing the procedure with the client -Verify that the client's signature is on the informed consent form -Ask the client to verbalize the purpose, risks, and benefits of the procedure -Document the client's completed pre-procedure checklist in the medical record

ATI Leadership Practice B

A nurse at an urgent care clinic

Report this issue to the nurse manager

notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take to ensure care is provided according to policy? -Check client satisfaction surveys for feedback on this issue -Post an article on pain assessment on the bulletin board -Document this finding on an incident report -Report this issue to the nurse manager

A client is being discharged

Ensure that home infusion therapy has been

with a post-op infection,

arranged (answered wrong)

requiring daily home IV antibiotics through a PICC line. Which of the following actions should the case manager perform prior to discharge? -Assess the client's home environment for possible reservoirs of infection -Verify the patency of the PICC line -Provide dressing change and wound assessment teaching -Ensure home infusion therapy

ATI Leadership Practice B

A nurse manager is completing

Determine the factors that interfere with the

a performance improvement

documentation of client education

audit and determines documentation of client discharge teaching is below the expected benchmark. Which of the following actions should the nurse implement first? -Offer incentives for the staff once the unit's benchmark is above average -Train specific nurses to use a standard discharge teaching plan -Determine the factors that interfere with the documentation of client education -Include client discharge teaching as part of the annual performance evaluation

ATI Leadership Practice B

A charge nurse is orienting a

After I finish with the printout of my assignment, I'll

newly licensed nurse to the

put it in the shredder

facility's policies regarding EMRs. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? -I will make sure the monitor is turned off when I have to leave the computer terminal -I can share my password with nursing students assigned to my unit -I will allow a client to make changes directly to their medical record -After I finish with the printout of my assignment. I'll put it in the shredder

A charge nurse is delegating tasks on a unit that is short staffed. A client has a prescription for a wound irrigation bid. Which of the following actions should the charge nurse take? -Perform the wound irrigation during rounds -Delegate the procedure to an AP -Assign the procedure to a LPN

ATI Leadership Practice B

Assign the procedure to a LPN

A staff nurse detects ETOH on

Notify the charge nurse of the nurse's behavior

the breath of another nurse working on the unit. The staff nurse observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions should the nurse take? -Notify the charge nurse of the nurse's behavior -Confront the nurse about the behavior -Wait to see if the behavior occurs again before acting -Suggest the nurse request sick leave for the rest of the shift

An RN delegates the task of obtaining the BP of a client who is 2hr post-op following a cholecystectomy to a LPN. The LPN reports a BP that is significantly higher than the previous reading. Which of the following actions should the RN take first? -Recheck the client's BP -Treat the client's BP with a prescribed antihypertensive -Ask the LPN to review the technique for obtaining BP -Review the client's medical record for other episodeds of elevated BP

ATI Leadership Practice B

Recheck the client's BP

A nurse is caring for several

Tell the client's partner that the client's lab tests

clients. Which of the following

cannot be disclosed without permission (answered

actions should the nurse take

wrong)

to maintain client confidentiality?

A nurse manager is conducting

Include the peer evaluations completed by other

an annual performance review

staff nurses; Have the nurse conduct a self-appraisal

for a staff nurse. Which of the

prior to the review; complete a performance

following strategies should the

checklist

nurse use in the review process?

A nurse is teaching a newly

My access to client records might be tracked by my

licensed nurse about using

nurse manager

EMRs. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is delegating tasks for

Tell me what time the client in room 205 voids for

a group of clients to an AP.

the first time after the catheter is reomved

Which of the following statements provides the right direction of communication with the AP?

A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. Which of the following actions

ATI Leadership Practice B

Check the client's last INR

A charge nurse has been asked

Conduct a retrospective chart audit of all surgical

to determine staff adherence

clients for the past 6 months

to established standards for post-op VS measurement. Which of the following actions should the nurse take to collect information?

A charge nurse is discussing

I'm not sure whether I want to apply for the unit

issues with a staff nurse. When

manager's position or start a family this year

evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict?

A charge nurse is observing a

ask the client to report if the aquathermia pad gets

newly licensed nurse care for a

too warm; Ensure that the client's call light is in

client who has a prescription

reach

for application of an aquathermia pad to the right lower leg. Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device?

A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing. Which of the following referrals should the nurse recommend for the client?

ATI Leadership Practice B

Occupational therapy

A nurse is presenting

The patient self determination act requires a nurse

information on health care law

to give clients information about end-of life options

to a group of newly licensed nurses. Which of the following information should the nurse include?

A nurse is caring for 4 clients.

Perform chest compressions on a client who is in

Which of the following tasks

cardiac arrest

can the nurse assign to an AP?

A nurse is caring for a client

Notify the nursing supervisor

who has a potassium level of 3.2. The nurse has been paging the provider for 1 hr to attempt to report the potassium level. Which of the following actions should the nurse take next?

A charge nurse is planning

Assisting a client who had a hip arthroplasty to a

assignments for the upcoming

chair

shift. Which of the following tasks should the charge nurse delegate to an AP?

A charge nurse is evaluating a plan of care that a newly licensed nurse developed for a client who is to receive a continuous NG tube feeding. Which of the following interventions should the charge nurse ensure is part of

ATI Leadership Practice B

Use a 60mL syringe to flush out a clogged tube

A nurse has just received

A client who is post-op following a total knee

report on 4 clients on a med-

arthroplasty and has a cap refill of 4 seconds

surg unit. Which of the

(answered wrong)

following clients should the nurse plan to assess first?

A nurse is assessing a client

Place the client in a modified Trendelenburg

who is post-op and has a PCA.

position

The client exhibits restlessness, an elevated pulse, and decreased BP. Which of the following actions should the nurse take?

A nurse is caring for a client

SBAR framework

who is experiencing adverse effects after receiving a new medication. Which of the following communication tools should the nurse use for management of this complication?

A nurse in a mental health

I should request the provider to examine the client

facility is teaching a newly

within 1 hr of applying mechanical restraints

licensed nurse about the use of mechanical restraints. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?

ATI Leadership Practice B

A RN is working on the surgical

Completing the client's initial admission assessment

unit when a client who has abdominal pain is admitted. Which of the following activities must be performed by the RN?

A nurse manager is reviewing

Transported the client to the hallway

the actions a staff nurse took when they observed smoke coming from a wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when they performed which of the following actions first?

A nurse manager is reviewing

Latent

the stages of conflict

Perceived

resolution with the nursing

Felt

staff. The nurse manager

Manifest

should instruct the staff to

Conflict aftermath

expect the stages of the conflict to occur in what order?

ATI Leadership Practice B

A public health nurse is

Phenomenology

developing a list of recommendations for the supervisor about how to use EBP to improve community outcomes. Which of the following should the nurse recommend as a qualitative research method?

A nurse is teaching a client

My insurance coverage no longer has lifetime

about PPACA and their rights

coverage limits

regarding insurance coverage. Which of the following statements by the client indicated an understanding of the teaching?

A nurse is caring for a client

Let's talk about the benefits of each treatment

who has breast cancer and is deciding on a plan of treatment. Which of the following statements should the nurse make?

A nurse is reviewing the

The nurse should ensure the client understands the

components of a surgical

information given by the surgeon

informed consent with a newly licensed nurse. Which of the following statements should the nurse include?

ATI Leadership Practice B

A nurse us teaching a newly

I should complete an incident report for an

licensed nurse about incident

unexpected client outcome (answered wrong)

reports. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is speaking with the

Let's discuss options for respite care

adult child of a client who has sever Alzheimer's disease. The child is crying and tells the nurse, "I don't know how much longer I can keep this up". Which of the following responses should the nurse make?

A nurse is caring for a group of

A client who is 2 days post-op and has a urine

clients on a unit. Which of the

output of 20mL/hr

following assessment findings should the nurse recognize as the priority to report to the charge nurse?

A charge nurse notices that a

You should set aside time to plan your day at the

newly hired nurse consistently

beginning of each shift

does not finish client care tasks by the end of the shift. Which of the following statements should the charge nurse make?

ATI Leadership Practice B

A nurse manager is presenting

Advocacy

an in-service about preventing readmission of clients due to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing?

A charge nurse is planning care

Ambulating a client who uses a walker; Adding

for a group of clients. Which of

thickener to thin liquids on a client's food tray

the following tasks should be delegated to an AP?

A charger nurse on a medical

Instruct ambulatory clients to go to a safe area

unit hears the fire alarm and announcement that a fire is occurring on the unit. Which of the following is the priority action by the charge nurse?

A nurse manager sends home a

Set up a formal meeting with the nurse within 24hrs

nurse who is chemically

(answered wrong)

impaired. Which of the following actions should the nurse manager take?

A nurse is receiving change of

A client who had abdominal surgery 6hrs ago and

shift report. Which of the

has had a HR of 120 for the last 2 hrs

following clients should the nurse assess first?

ATI Leadership Practice B

A nurse is caring for a client

Support the client's decision regarding treatment

who has renal failure. The client tells the nurse that they have decided to stop hemodialysis treatment. Which of the following actions should the nurse take to act in the role of an advocate for the client?

A nurse manager is planning

Assign client care to staff

daily work and activities for the unit. Which of the following actions is the nurse manager's priority?

A nurse is teaching an AP

I will call for the client's nurse to come to the room

about caring for a client who

if I cannot detect the client's pulse

has a DNR order. Which of the following statements by the AP indicates an understanding of the teaching?

A nurse manager is developing

Verify that a provider prescription is in the medical

a class for newly licensed

record for clients who have restraints

nurses on strategies to promote client rights. Which of the following should the nurse manager include in the teaching?

ATI Leadership Practice B

There has been a massive

A client who has MS and reports ataxia (answered

community disaster and stable

wrong)

clients must be discharged to prepare for the influx of casualties. A nurse should identify that which of the following clients is safe to discharge?

A nurse overhears 2 staff

Report the incident to the nurse manager

members in the elevator discussing a client's care. Which of the following actions should the nurse take?

A charge nurse is managing

You always complete your work on time and do a

conflict with a staff nurse who

great job. I believe you can handle the assignement

does not agree with the client

well

care assignment. Which of the following statements is an ex. of using conflict resolution strategy known as smoothing?

A nurse is teaching a newly

I should repeat the prescription back to the

licensed nurse about

provider (answered wrong)

telephone prescription guidelines. Which of the following statements by the newly licensed nurse indicates an understandign of the teaching?

ATI Leadership Practice B

A nurse in a med-surg unit is

Discuss end of life care goals with the client

caring for a client who is terminally ill. Which of the following actions demonstrates that the nurse is practicing in an ethical manner when caring for the client?

A charge nurse is conducting

A client who has pertussis

an in-service with staff members about the infection control precautions. The nurse should instruct the staff that which of the following clients requires droplet precautions?

A nurse is caring for a client

Let's review what you understand about this test

who recently learned he has a

result

mutation of the BRCA2 gene. The client stated that he does not plan to tell his adult children about the diagnosis. W...