Leadership ATI Practice B PDF

Preview

Summary

Download Leadership ATI Practice B PDF

Description

Leadership ATI: Practice B

1. An RN is working on the surgical unit when a client who has abdominal pain is admitted. Which of the following activities must be performed by the RN?  Completing the client’s initial admission assessment. 2. A charge nurse has been asked to determine staff adherence to established standards for postoperative vital sign measurement. Which of the following actions should the nurse take to collect information?  Conduct a retrospective chart audit of all surgical clients for the past 6 months. 3. A nurse is teaching a newly licensed nurse about incident reports. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?  I should complete an incident report for an unexpected client occurrence. 4. A public health nurse is developing a list of recommendations for the supervisor about how to use evidence-based practice to improve community outcomes. Which of the following should the nurse recommend as a qualitative research method?  Phenomenology 5. A nurse in a community health clinic is caring for four clients who each have a communicable disease. Which of the following conditions is considered a nationally notifiable infectious disease?  Chlamydia trachomatis 6. A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice per day. Which of the following actions should the charge nurse take?  Assign the procedure to a licensed practical nurse (LPN). 7. A nurse on a medical-surgical unit is 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?  Discuss end-of-life care goals with the client. 8. A staff nurse detects alcohol on 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. 9. An RN delegates the task of obtaining the blood pressure of a client who is 2 hr postoperative following a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a blood pressure that is significantly higher than the client's previous reading. Which of the following actions should the RN take first?  Recheck the client's blood pressure.

Leadership ATI: Practice B 10.

A nurse is caring for a client who has an informed consent 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?  Ask the client to verbalize the purpose, risks, and benefits of the procedure. 11. A nurse is caring for a group of clients on a unit. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse?  A client who is 2 days postoperative and has a urine output of 20 ml/hr. 12. A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client states that he does not plan to tell his adult children about the diagnosis. Which of the following responses displays client advocacy by the nurse?  Let's review what you understand about this test result. 13. 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 the plan of care?  Use a 60-mL syringe to flush out a clogged tube. 14. A nurse is delegating tasks for a group of clients to an assistive personnel (AP). Which of the following statements by the nurse provides the right direction of communication with the AP?  Tell me what time the client in room 205 voids for the first time after the catheter is removed. 15. A nurse is teaching an assistive personnel (AP) about caring for a client who has a donot-resuscitate (DNR) order. Which of the following statements by the AP indicates an understanding of the teaching?  I will call for the client's nurse to come to the room if I cannot detect the client's pulse. 16. A charge nurse is observing a newly licensed nurse care for a client who has a prescription 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? (SATA)  Asks the client to report if the aquathermia pad gets too warm  Ensures that the client's call light is in reach 17. 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?  Occupational therapy 18. A nurse is receiving change-of-shift report. Which of the following clients should the nurse assess first?

Leadership ATI: Practice B A client who had abdominal surgery 6 hr ago and has had a heart rate of 120/min for the last 2 hr. 19. A nurse in a mental health facility is teaching a newly licensed nurse about the use of mechanical restraints. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?  I should request the provider to examine the client within 1 hour of applying mechanical restraints. 20. A nurse is caring for a client 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?  SBAR framework 21. A nurse is caring for a client who has a potassium level of 3.2 mEq/L. The nurse has been paging the provider for 1 hour to attempt to report the potassium level. Which of the following actions should the nurse take next?  Notify the nursing supervisor. 22. A charge nurse on a medical 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?  Instruct ambulatory clients to go to a safe area. 23. A client is being discharged with a postoperative infection, requiring daily home IV antibiotics through a peripherally inserted central catheter (PICC) line. Which of the following actions should the case manager perform prior to discharge?  Ensure that home infusion therapy has been arranged. 24. A nurse manager is developing a class for newly licensed nurses on strategies to promote client rights. Which of the following should the nurse manager include in the teaching?  Verify that a provider prescription is in the medical record for clients who have restraints. 25. A nurse is teaching a client about the Patient Protection and Affordable Care Act and their rights regarding insurance coverage. Which of the following statements by the client indicates an understanding of the teaching?  My insurance coverage no longer has lifetime coverage limits. 26. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions?  After I finish with the printout of my assignment, I put it in the shredder receptacle. 27. A charge nurse is managing conflict with a staff nurse who does not agree with the client care assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing? 

Leadership ATI: Practice B You always complete your work on time and do a great job. I believe you can handle the assignment well. 28. A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following actions should the nurse take?  Report the incident to the nurse manager. 29. There has been a massive community disaster and stable clients must be discharged from a facility to prepare for the influx of new casualties. A nurse should identify that which of the following clients is safe to discharge?  A client who has multiple sclerosis and reports ataxia 30. A charge nurse notices that a newly hired nurse consistently does not finish client care tasks by the end of the shift. Which of the following statements should the charge nurse make?  You should set aside time to plan your day at the beginning of each shift. 31. A nurse at an urgent care clinic notice 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?  Report this issue to the nurse manager. 32. A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark. Which of the following actions should the nurse implement first?  Determine the factors that interfere with the documentation of client education. 33. A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?  These will outline my wishes for medication treatment. 34. A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated to an assistive personnel (AP)? (SATA)  Ambulating a client who uses a walker  Adding thickener to thin liquids on a client's food tray 35. A nurse manager is conducting an annual performance review for a staff nurse. Which of the following strategies should the nurse use in the review process? (SATA)  Include peer evaluations completed by other staff nurses.  Have the nurse conduct a self-appraisal prior to the review.  Complete a performance checklist. 36. A nurse is caring for a client who is scheduled for rotator cuff surgery. The client tells the nurse, "My shoulder doesn't hurt that badly. I want to wait on the surgery." Which of the following responses should the nurse give?  I will notify your provider of your decision. 

Leadership ATI: Practice B 37.

A nurse manager is planning daily work and activities for the unit. Which of the following actions is the nurse manager's priority?  Assign client care to staff. 38. A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order?  Latent conflict  Perceived conflict  Felt conflict  Manifest conflict  Conflict aftermath 39. A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict?  I'm not sure whether I want to apply for the unit manager's position or start a family this year. 40. A nurse is speaking with the adult child of a client who has severe 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?  Let's discuss options for respite care. 41. A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2 hr. 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?  Inform the client about the risks she may encounter by leaving the facility. 42. A nurse manager is reviewing 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?  Transported the client to the hallway 43. A nurse has just received report on four clients on a medical-surgical unit. Which of the following clients should the nurse plan to assess first?  A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds. 44. A charge nurse is planning assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to an assistive personnel (AP)?  Assisting a client who had a hip arthroplasty to a chair

Leadership ATI: Practice B

45.

A nurse is reviewing the components of a surgical informed consent with a newly licensed nurse. Which of the following statements should the nurse include?  The nurse should ensure the client understands the information given by the surgeon. 46. A nurse is teaching a newly licensed nurse about telephone prescription guidelines. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?  I should repeat the prescription back to the provider. 47. A nurse is caring for four clients. Which of the following tasks can the nurse assign to an assistive personnel (AP)?  Perform chest compressions on a client who is in cardiac arrest. 48. A nurse manager sends home a nurse who is chemically impaired. Which of the following actions should the nurse manager take?  Set up a formal meeting with the nurse within 24 hr. 49. A nurse is caring for several clients. Which of the following actions should the nurse take to maintain client confidentiality?  Tell a client's partner that the client's laboratory tests cannot be disclosed without permission. 50. A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. Which of the following statements should the nurse make?  Let's talk about the benefits of each treatment. 51. A charge nurse is conducting an in-service with staff members about infection control precautions. The nurse should instruct the staff that which of the following clients requires droplet precautions?  A client who has pertussis 52. A nurse case manager is planning a teaching session on 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 prevent unnecessary expense. 53. A nurse manager is presenting an in-service about preventing readmission of clients due to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing?  Advocacy

Leadership ATI: Practice B

54.

A facility has identified an increase in health care-associated urinary tract infections (UTIS) on the medical-surgical unit. A nurse is participating in a quality improvement process to address this problem. Which of the following should be the first step in the process?  Establish best practice guidelines for reducing the incidence of UTIS. 55. A nurse is teaching a newly licensed nurse about using electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?  My access to client electronic records might be tracked by my nurse manager. 56. 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 should the nurse take first?  Check the client's last INR. 57. A nurse in the emergency department is performing triage for a group of clients following a motor-vehicle crash. Which of the following clients should the nurse request the provider assess first?  A client who has arm contusions and manifests asymmetrical thoracic movement 58. A nurse is presenting information on health care law to a group of newly licensed nurses. Which of the following information should the nurse include?  The Patient Self-Determination Act (PSDA) requires a nurse to give clients information about end-of-life options. 59. A nurse is caring for a client 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?  Support the client's decision regarding treatment. 60. A nurse is assessing a client who is postoperative and has a PCA. The client exhibits restlessness, an elevated pulse, and decreased blood Which of the following actions should the nurse take?  Place the client in a modified Trendelenburg position....