ATI - LEADERSHIP Proctored Test Bank With 1050 Questions and Answers

Document Content and Description Below

ATI - LEADERSHIP Proctored Test Bank With 1050 Questions and Answers:Which of the following puts a hospital at the highest risk for infringement of client record confidentiality? a. Paper-based charts... are stored at the nurses’’ station. b. A provider and nurse access client information using once access code. c. A nurse performs electronic documentation outside a client’s room. d. A nurse clusters documentation of care for multiple clients. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected inthe crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter willbe inserted. b. Documentthe client’s refusal in the chart. c. Assess the client for urinary retention. d. Obtain a provider’s prescription for a blood alcohol level. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to alicensed practical nurse? a. Pick upthe meal trays after lunch. b. Administer a nasogastric tube feeding. c. Planbreak times for assistive personnel. d. Determine adequacy of ventilator settings. A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA) a. Places sterile items within a 1.25 cm (0.5 in)border around the edges of the sterile field b. Opens the sterile pack by first unfolding the top flap away from her body c. Prepares a container of sterile solution on the field after putting on sterile gloves d. Removes the outside packaging of a sterile instrument before dropping it onto the sterilefield e. Holds the sterile solutionbottle with the label facing up A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because the IVpump is not working properly. Which of the following actions should the nurse take first? a. Auscultate the client’s lungs. b. Notify theprovider. c. Place a faulty equipment tag on thepump. d. Complete an incident report. 6. A nurse isplanning care for a group of clients and can delegate care to a licensed practical nurse (LPN) andan assistive personnel. Which of the following tasks should the nurse assign to the LPN? a. Reinforcing teaching with a client who is learning to self-administer insulin b. Ambulating a client who is scheduled for discharge later in the day c. Administering morphine IVbolus to a client who is hrpostoperative d. Admitting a new client who has chronic back pain to the unit A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actionsby the newly licensed nurse demonstrates correct aseptictechnique? a. The nurse applies goggles. b. The nurse turns herback to the sterile field. c. The nurse holds her hands above her waist. d. The nurse puts on a face mask. 8. A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel(AP). Which of the following actions should the nurse take to evaluate the delegated task? a. Review vital sign trends at the end of the shift. b. Recheck vital signs that are outside the expected reference range. c. Ask the AP to write a summary of the delegated tasks during the shift. d. Compare the vital signs the AP obtained with those taken by anotherAP on a previous shift. A nurse is caring for four clients. Which of the following tasks canbe delegated to an assistive personnel? a. Obtaining a stool sample from a client who has renal failure b. Monitoring a client who has a fluid restriction c. Assessing a client who just returned from hemodialysis d. Reviewing dietary instructions for a client who has kidney stones 10. A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurserecommend for treatment first? a. A client who has a neck injury and is unable to breathe spontaneously b. A client who has two open chest wounds with a left tracheal deviation c. A client who has major burns over 75% of herbody surface area d. A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3) A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of thefollowing statementsby a staff nurse indicates that the teaching was effective? a. “A family member can interpret to obtain informed consent from a client who is deaf.” b. “Consent can be given by a durable power of attorney.” c. “Guardian consent is required for an emancipated minor.” d. “The nurse can answer anyquestions the client has about theprocedure.” A nurse is caring for four clients. For which of the following clients should the nurse collaborate with thefacility ethics committee? a. A middle adult client who leaves the facility against medical advice b. An older adult client who has advanced directives on file c. A young adult client who isparticipating in a medical research study d. An adolescent client whose parents refuse a blood transfusion for religious reasons A nurse in an ambulatory care setting is orient a newly licensed nurse who ispreparing to return a call to aclient. The nurse should explain that which of the following is an objective of telehealth? a. Assessing client needs b. Developing client treatment protocols c. Providing medication reconciliation d. Establishing communication between providers (Community Health pg. 75) A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The client expresses concern about the cost ofblood-glucose monitoring supplies. Which of the following actionsshould the nurse take? a. Referthe client to the social services department. b. Provide the client with a week’s worth of supplies from the hospital (still needs helppaying after) c. Ask the provider about the possibility of less frequent monitoring (pt needs to monitor often) d. Recommend the client reuse the testing lancets (breaks the safety & infectionprotocol) 15. A charge nurse is receiving change-of-shift report. Which of the following situations should the chargenurse address first? a. A nurse on theprevious shift wrote an incident report about a medication error. b. Two staff members have called to say they willbe absent. c. Transport assistance is unavailable to take a client to occupational therapy. d. The emergency department nurse is waiting to give repo [Show More]

Last updated: 1 year ago

Preview 1 out of 127 pages