exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Management 2019, leadership 7 version
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ATI Leadership, VATI RN
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ATI Leadership, VATI RN
exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Management 2019, leadership 7 version
A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate?
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leadership 7 version a nurse tells the unit manager
i am tired of all the changes on the unit if things dont
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exam prep, leadership 1, ATI Leadership, VATI
RN Leadership and Management 2019,
leadership 7 version
A nurse tells the unit manager, "I am tired of all the changes on the unit. If things
don't get better, I'm going to quit." Which of the following responses by the unit
manager is appropriate?
"So you are upset about all the changes on the unit?"
A charge nurse notices that two staff nurses are not taking meal breaks during
their shifts. Which of the following actions should the nurse take first?
Determine the reasons the nurses are not taking scheduled breaks.
A client has a new permanent pacemaker inserted. Which of the following home
care instructions should the nurse include?
Regular programming evaluations can be conducted by telephone
A nurse manager is reviewing isolation guidelines with a newly licensed nurse
indicates an understanding of the teaching?
I will wear a cover gown when caring for a client who has herpes simplex.
A staff nurse is supervising a newly licensed nurse who is preparing to
administer an intermittent tube feeding to a client. Which of the following actions
by the newly licensed nurse is appropriate?
Checking residual volume before each feeding
A nurse is preparing an education program about professional codes of ethics for
nurses. Which of the following information should the nurse plan to include?
A code of ethics a set of principles for nursing practice
The nurse receives change-of-shift report for the following 4 clients. Which
patient should the nurse assess first?
An older adult client who has bacterial pneumonia and a new onset of restlessness
A charge nurse is assessing staff knowledge about safety procedures regarding
needle stick injuries. Which of the following statements by a nurse indicates
appropriate understanding of these safety procedures?
"An incident report should be completed if a client receives a stick from her own used
needle"
A case manager is reviewing documentation on several clients and notes a
progress report that falsely identifies a client as HIV+ due to multiple sexual
partners. The CM should identify that which of the following torts has occurred?
Libel
A charge nurse making rounds observes that an AP has applied wrist restraints
to a client who is agitated and does not have a prescription for restraints. Which
of the following actions should the nurse take first?
Remove restraints
To resolve a conflict between staff members regarding potential changes in
policy, a nurse manager decides to implement the changes she prefers
regardless of the feelings of those who oppose those changes. Which of the
following conflict resolution strategies is the nurse manager using?
,Competing
A nurse is caring for a client and notices fraying on the electrical cord of the
client's IV pump. Which of the following actions is priority?
Remove IV pump from the client's room
A nurse is providing discharge teaching to the parent of a toddler who has a new
diagnosis of asthma. The parent states that she is unable to afford the nebulizer
prescribed for the child. Which of the following referrals should the nurse
recommend?
Social worker
A charge nurse is completing client care assignments. Which of the following
assignments is appropriate for a LPN?
A client who is 1 day postoperative and has a continuous bladder irrigation
A nurse is caring for a client who is comatose and has advanced directives
designating his adult daughter as his healthy proxy. The client's partner instructs
the nurse to institute CPR if the client experiences cardiac arrest. Which of the
following actions should the nurse take first?
Inform the partner that the staff must follow the client's advance directives
A L&D nurse is assigned to float to a med-surg unit. Which of the following
actions should the nurse take first?
Request orientation to the med-surg unit
A nurse in the ED is preparing a married 17 y/o client for an appendectomy. The
client's parents are enroute to the facility but have not spoken with the surgeon.
Which of the following actions should the nurse take first?
Have the client sign the consent form after the surgeon explains the procedure.
Client satisfaction surveys from a surgical unit indicate that pain is not being
adequately relieved during the first 12 hours postoperatively. The unit manager
decides to identify postoperative pain as a quality indicator. Which of the
following data sources will be helpful in determining the reason why clients are
not receiving adequate pain management after surgery?
Pain assessment policy
A nurse manager is reviewing the nursing code of ethics with the staff nurses.
Which of the following statements by a staff nurse indicate understanding of the
teaching? SATA:
"I can delegate the removal of an IV catheter to an LPN on the unit"
"I will attend continuing education classes for professional growth."
"I administer pain medication to my clients even if they have a history of narcotic
addiction."
A nurse on a surgical unit is preparing to transfer a client to a rehab facility.
Which of the following information should the nurse include in the change-of-
shift report?
The time the client received his last dose of pain medication
A nurse on a med-surg unit is delegating client care. Which of the following tasks
should the nurse delegate to the AP?
Using a pain rating scale to monitor a client's pain leve
,A nurse on a med-surg unit is making staff assignments. Which of the following
tasks should the nurse delegate to an AP?
Pouching a client's established ostomy
A charge nurse is reviewing how to set up a sterile field with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates
an understanding of the process?
"I will keep the label of the solution bottle facing up when pouring solution into the sterile
cup"
A nurse is providing care for 4 post-op clients. The nurse should first assess the
client -
Whose pulse has been steadily increasing during the past shift
A charge nurse overhears a provider and a nurse talking about a client's
diagnosis in the cafeteria. Which of the following actions should the nurse take
first?
Remind them that client information is confidential
A facility provides annual staff education regarding ethical practice. A charge
nurse recognizes a need for further education when which of the following
behaviors is observed?
A nurse explains to a client's family that a DNR oder includes withholding comfort
measures
The family members of an older adult client are expressing conflict over whether
the client should have surgery that is recommended by the provider. The oldest
adult child has durable POA for health care for the client. The client is orientated
to person, place, and time. Which of the following people has the legal authority
to make this health decision?
The client
A nurse is preparing to discharge a client who requires home oxygen. The
equipment company has not yet delivered the oxygen tank. Which of the
following actions should the nurse take?
Contact social services about the delivery of the oxygen equipment
A nurse at a LTC facility is assessing a client who has returned from an acute
care facility following a brief illness. The nurse observes that the client is
confused and agitated. Which of the following actions should the nurse take
first?
Reorient the client to his surroundings
A nurse is caring for the client who is scheduled for a procedure. Which of the
following is an appropriate when the nurse is witnessing the client signing the
consent form? SATA:
Ensure the client gives consent voluntarily
Verify that the client affirms understanding of the procedure
Confirm the authenticity of the client's signature
A nurse is documenting and completing an incident report after a client falls out
of bed. Which of the following actions should the nurse take when completing the
documentation?
, Document in the incident report, "entered room and discovered client laying prone on
the floor."
The nurse provides discharge instructions to a client who is 2 hr post-op
following cataract surgery on the left eye. Which of the following instructions
should the nurse include in the teaching?
Sleep on your right side
A client is admitted with TB and placed in a negative-pressure room. Which of the
following actions is appropriate?
Notify the local health dept of the admission
A nurse in the ED is preparing to care for a client who arrived via ambulance. The
client is disoriented and has a cardiac arrhythmia. Which of the following actions
should the nurse take?
Proceed with treatment without obtaining written consent
A nurse is preparing a client for surgery. The client has signed the consent form
but tells the nurse that she has reconsidered because she is worried about the
pain. Which of the following responses by the nurse is appropriate?
"I understand, and it's not too late to change your mind"
A charge nurse is evaluating a newly licensed nurse's understanding of infection
control procedures. Which of the following actions demonstrates that the nurse is
following the appropriate protocol for a client who has streptococcal pharyngitis?
Wearing a man when within 1 m of the client
A nurse is planning to delegate client care assignments. Which of the following
tasks should the nurse plan to delegate to an AP?
Performing postmortem care prior to transferring the client to the morgue
A nurse is caring for a client who has increased intracranial pressure and is
receiving IV corticosteroids. Which of the following information is the most
important for the nurse to report at shift change?
Glasgow Coma Scale score
A nurse in an urgent care clinic is admitting a client who has been exposed to a
liquid chemical in an industrial setting. Which of the following actions should the
nurse take first?
Don personal protective equipment
A nurse is evaluating care for a group of clients. The nurse should consult the
provider for which of the following clients?
A client who requires an IV intermittent bolus dose of vancomycin and has a creatinine
level of 1.5 mg/dL
A nurse is planning care for 4 clients who were classified using a disaster triage
tag system following a mass casualty event. Which of the following clients should
the nurse identify as the priority?
A client who has a red tag
A nurse is delegating tasks to an AP. Which of the following tasks should the
nurse assign to the AP?
Tag a malfunctioning piece of equipment as broken
A nurse is assessing a client who has a stroke 2 days ago. Which of the following
findings should the nurse identify as a need for a referral to speech-language
pathology?
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