leadership ati proctored TEST QUESTIONS WITH COMPLETE SOLUTIONS

leadership ati proctored TEST QUESTIONS WITH COMPLETE SOLUTIONS A nurse is caring for a client who has a tumor, the provider recommends surgery. the client refuses but clients partner wants it. Which of the following determines if the surgery will be done The clients partner is the durable power of attorney Client understands risk and refusing Clients refusal Ethics commity - ANSWERS client understands risk and refusing New diagnosis of chlamydia Report to local health department Initiate contact precaution Use condoms Apply antiviral - ANSWERS report to local health department A nurse is caring for a client who has cancer, the client's adult child asks the nurse for info about treatment plan. How should nurse respond? Speak to mother Provider will speak with you I cannot provide without consent What would you like to know about it? - ANSWERS i cannot provide without consent A nurse is assessing an older adult client who was brought to the ER by his adult son, reports he fell at home. Nurse suspects abuse, action to take? Treat / discharge File incident report Ask client about injuries while son is present Ask son to go to waiting area - ANSWERS ask son to go to waiting area A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct to apply to a client who has full thickness burns over side of body a. Red b. Yellow c. Green d. Black - ANSWERS black A nurse on a med surg unit is caring for a client who asks about advance directives and wants to appoint a health care proxy. Which of the following responses should the nurse make? Choose a family member Attorney Decisions when you are unable to do so Appoint before undergoing procedure - ANSWERS decisions when you are unable to do so A hospice nurse is caring for a client who has a terminal illness. Reports severe pain, prescribed meds, difficult to arouse. Nurse should a. Continue opioid Contact provider Administer benzo Without opioid Continue the medication dosages - ANSWERS continue the medication dosages A nurse is orienting a newly licensed nurse about confidentiality. Which indicates an understanding? Use another's password as long as I log off after Discard personal info in trash before leaving Post clients signs in room Encrypt when sending emails - ANSWERS encrypt when sending emails A nurse is delegating care for a group of clients. Which of the following should be assigned to an LVN? Scheduled endoscopy, enema DM requires teaching Client who has MI, transferring to unit from CCU New client with sickle cell - ANSWERS scheduled enema A nurse on a med surg unit is caring for 4 clients. Highest priority? MRSA Absent pedal pulse in the right foot Post op, able to void Pancreatic cancer new dx - ANSWERS absent pedal pulse in the right foot manager, cna incorrectly transferring to bedside commode, actions for nurse refer to procedure manual Help AP assist client with transfer instruct to request assist when unsure with a task - ANSWERS help ap assist client with transfer Nurse in ER admits clients exposed to anthrax a. Prepare to administer abx to client b. Antiviral - ANSWERS prepare to administer antibiotics to client A nurse is caring for a client who is unconscious, partner is health care surrogate, partner wants to dc feeding tube, another family wants to continue tx Contact provider Speak with ethics committee Nursing supervisor - ANSWERS speak with ethiccs committee a nurse is preparing to discontinue client with end stage heart failure, partner can no longer care a. ask another family member to assist ask provider to delay dc contact case manager recommend long term facility - ANSWERS contact case manager A nurse is providing COS report for oncoming nurse. Nurse should include Local banks Vital signs as prescribed Radiology for xray Clients partner came 2 hours ago - ANSWERS Clients partner came 2 hours ago A nurse in er is preparing for client who arrived via ambulance, disoriented, cardiac arrythmia, action for nurse High risk manager Clients next of kin Client sign Proceed with procedure without consent - ANSWERS proceed with procedure with consent A nurse is preparing to dc client who requires home oxygen, company has not delivered tank Notify provider about delay Contact social services Instruct family to contact insurance provider Send one home from facility - ANSWERS contact social services A nurse from med surg caring for group of clients, delegate to LPN? Urine specimen from older adult client Wound debridement to PT Postmortem care Reinforce dietary teaching for heart disease - ANSWERS urine specimen from older adult client Manager leading discussion on ethical dilemmas, example Minor burn from coffee Operation on wrong side of body Parent wants teen to receive radiation against will Rn witnesses another rn give incorrect med - ANSWERS parents wants teen to receive radiation against will nurse develops dc plan for postop and needs wheel chair. refferral? - ANSWERS home health caring for client who asks about prevalence of disease, rn obtains info by - ANSWERS evidence based journal rn completed electronic record, ap finished vitals - ANSWERS log out so ap can log in nurse is preparing teaching for a different language, intervention - ANSWERS interpreter a nurse is preparing to transfer to facility, include what info for cos report - ANSWERS the time the client received last pain med dose nurse on inpatient care unit work to reduce costs, cost containment plan - ANSWERS use clean gloves rather than sterile gloves for colostomy care incident report for medication error - ANSWERS include time med occurred preparing client for elective mastectomoy, want to wear wedding band - ANSWERS place with clothing med surg unit, evaluating ap infection control actions, correct use of precautions - ANSWERS removes gloves before leaving room mrsa education program for staff regarding new iv pump, sequence of actions - ANSWERS schedule different sessions client rights inservice - ANSWERS responsible for informing client about tx options receiving rx from provider for client with increased pain, add to medical record - ANSWERS iv prn for pain rn caring for client who reports acute pain but refuses im medication, distracts client and quickly administers med, illustrates which of the following - ANSWERS battery dc teaching to parents of toddler with asthma, unable to afford nebulizer for client, recommend - ANSWERS social worker newly licensed nurse on isolation precautions, understanding - ANSWERS ambulatory client wear mask when outside charge nurse on ob unit, client for rn floating from med surg - ANSWERS primigravida, 1 day post op c section er nurse performing triage, priority - ANSWERS soot markings around nasal after house fire tag as emergent - ANSWERS deep partial thickness burn on lower extremities comparing rate of med errors on unit, quality improvement methods - ANSWERS benchmarking improvement charge making rounds, ap applied restraints without prescription - ANSWERS remove restraints from wrists