ATI Leadership Form B Guide for 2023

ATI Leadership Form B Guide for 2023 1. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate to the nurse the need for referral to an occupational therapist? a. Facial drooping b. Receptive aphasia c. Unilateral neglect d. Memory loss 2. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? a. Show a new mother how to change the newborn’s diaper b. Inspect the skin of a newborn who is receiving phototherapy c. Obtain the weight of a newborn who is receiving formula d. Answer the parents’ questions about newborn circumcision 3. A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurse are available for staffing. Which of the following tasks should the nurse assign to a licensed practical nurse? a. Conduct the newborn hearing screening b. Perform a New Ballard screening c. Administer a hepatitis B vaccine d. Obtain vital signs 4. A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching? a. I need to have a TB skin test done once per year b. I need to take my prescribed medication for 3 months c. I should have a sputum culture done every 2 to 4 weeks d. I should wear a mask while around my family 5. A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take? a. Accept the assignment with help from assistive personnel on the unit b. Document the concern in the nurse’s notes c. Notify the risk manager d. Request that the charge nurse modify the assignment 6. A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy? a. Recommending a referral for a client who requires physical therapy b. Suggesting a client’s partner attend a support group for emotional support - check c. Completing an incident report following a medication error d. Evaluating a client’s home for safety hazards 7. A nurse is caring for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr b. A client who has diabetes mellitus and reports paresthesia in his fingers and toes c. A client who has a new diagnosis of Graves’ disease and a TSH level of 0.2 microunits/mL d. A client who has a nasogastric tube and has crackles in the lungs 8. A staff development nurse is giving an in-service presentation about advocacy in nursing. Which of the following statements by a nurse indicates an understanding of the role of a client advocate? a. As a client advocate, I will suggest the best course of action for clients who are indecisive b. In the role of client advocate, I should take responsibility for coordinating each client’s care c. My role as a client advocate is to empower the clients to make informed health care decisions d. As a client advocate, I will adhere to the provider’s prescribed treatments 9. A charge nurse in the emergency department is supervising a nurse who is floating from the medical-surgical unit. Which of the following assignments is appropriate for the float nurse? a. Set up a trauma room for an incoming client who was in a motor-vehicle crash b. Perform a urinary catheterization for a client who has experienced a stroke - check c. Administer IV nitroglycerin to a client who is experiencing chest pain d. Complete a SAD PERSONS assessment scale for a client who has attempted suicide 10. A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary? a. I will need assistance with bathing - check b. I am tired of having pain in my joints all the time c. I’m having difficulty climbing the stairs at my house d. I need some help planning my meals to maintain my weight 11. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique? a. The nurse turns her back to the sterile field b. The nurse puts on a face mask c. The nurse holds her hands above her waist d. The nurse applies goggles 12. A home health nurse finds piles of newspapers in the hallway of a client’s home. The nurse explains the need to discard the newspapers for safety reasons. The client agrees to move the newspapers into the living room. Which of the following conflict resolution strategies has the nurse used? a. Compromising b. Accommodating c. Collaborating d. Smoothing 13. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that preventing client injury by removing a fall hazard demonstrates which of the following ethical principles? a. Nonmaleficence b. Veracity c. Autonomy d. Utility 14. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client’s partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done? a. Whether the facility ethics committee reaches a consensus on the case b. Whether the client understands the risk of refusing the procedure c. Whether the client’s refusal is based on religious belief d. Whether the partner is the client’s durable power of attorney for health care 15. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the 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 will be inserted b. Assess the client for urinary retention c. Obtain a provider’s prescription for a blood alcohol level d. Document the client’s refusal in the chart