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NSG ATI Leadership Final Exams – Questions & Answers
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NSG ATI Leadership Final Exams – Questions & Answers
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NSG ATI Leadership Final Exams – Questions & AnswersA nurse is caring for a client who is 1 day postoperative following an abdominal hysterectomy. The assistive personnel (AP) reports to the nurse that the client's dressing is saturated with blood. Which of the following tasks should the nurse delegate to the AP? ✔ Ans - Obtain dressing supplies.
The unit secretary is transcribing a healthcare provider's written order and
asks the nurse to interpret an illegible phrase. Which of the following is the
most appropriate action by the nurse in response? ✔ Ans - Clarify the order by calling the healthcare provider
A nurse has just received a report on a group of clients for the upcoming shift. Which of the following actions by the nurse demonstrates effective time management skills ✔ Ans - Identify tasks there are times-specific
A nurse manager is discussing when to complete an incident report with a newly licensed nurse. For which of the following situations should the nurse complete an incident report? ✔ Ans - The client discovers his dentures are missing
A nurse has assigned client care activities to an assistive personnel. Which of the following statements about the AP indicates a need for assistance with time management ✔ Ans - I will start working with the client in room 1, then work my way to room 10.
A nurse providing dietary teaching to a client who has dysphasia following a stroke. Which of the following instruction should the nurse include in the teaching? ✔ Ans - Flex your head with your chin tucked down to assist with swallowing
A nurse is documenting in the medical record information of a client in suspects opioid use disorder. Which of the following manifestation shit the nurse expect and document in the clients record? ✔ Ans - Euphoria While administering medications to a group of clients on a medical-surgical
unit, a client who is postoperative from an accidental above-the-knee amputation indicates to the nurse that he is ready to talk about his feelings.
The nurse keeps her promise and returns to talk with the client as soon as she finishes administering medications. Which of the following ethical principles is the nurse demonstrating? ✔ Ans - Fidelity
A staff nurse asks an assistive personnel (AP) to ambulate a client and the AP refuses. Which of the following actions should the nurse take? ✔ Ans - Ask the AP about her concerns with the assignment.
A nurse is conducting an education session about maintaining confidentiality of the electronic medical record (EMR) with a group of newly hired nurses. Which of the following statements by a newly hired nurse demonstrates an understanding of the information? ✔ Ans - "I should log off the EMR on the client's in-room computer if I need to leave the room to collect supplies."
A nurse manager is teaching a group of nurses about the civil judicial process. The nurse manager should include that witness depositions take place during which of the following steps? ✔ Ans - Discovery step
A charge nurse is providing a staff inservice on care of the agitated or confused client. Which of the following alternatives to physical restraints will the nurse include in the information provided to the staff ? (Select all that apply.) ✔ Ans - A. Involve family with monitoring the patient's activities
B. Place a confused patient in a room closest to the nurses' station
E. Use visual cues for distraction
Which of the following points relating to personal hygiene and the activities of daily living should you emphasize during an educational session for a group of newly employed nursing assistants? ✔ Ans - C. Culture and cultural practices greatly affect the client's personal hygiene and activities of daily living
A charge nurse in the intensive care unit is assigning clients. Which of the following clients should be assigned to the most experienced nurse? ✔ Ans - A. A client with a potassium level of 6.0 mEq/L who has peaked T waves
A nurse is caring for a client who is scheduled for surgery. The nurse should identify that which of the following actions is the responsibility of the nurse? ✔ Ans - D. Determine the client's level of understanding about the procedure
A nurse and an assistive personnel (AP) are providing care to a group of clients. The nurse should delegate assisting which of the following clients with their meal to the AP? ✔ Ans - A client who has a lumbosacral spinal tumor
A charge nurse is teaching a newly licensed nurse about the quality improvement process in the acute care setting. The charge nurse should include which of the following in the teaching? ✔ Ans - Employees at all
levels of the organization should be involved in quality improvement
A nurse is presenting an in-service on legal issues affecting nurses. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts? ✔ Ans - D. Battery
Which of the following is most likely utilized by an RN case manager? (Select all that apply) ✔ Ans - C. Software for client data entry that integrates with predesigned templates to track care
D. Integration of changes in regulations that affect reporting requirements by payer agencies or eligibility for healthcare benefits
A charge nurse is making assignments for the oncoming shift. Which of the following considerations should the charge nurse consider when making the assignments? ✔ Ans - D. The physiologic status of the clients on the unit
A nurse and an unlicensed assistive personnel (UAP) are working together to care for a group of clients on the pediatric unit. Which of the following actions should the nurse request the UAP perform first? ✔ Ans - D. Ensure the elbow restraint is in place for an infant who is postoperative following surgical correction of a cleft palate. A nurse is providing teaching to a client who has been newly diagnosed with schizophrenia and is being discharged from an inpatient facility. Which of the following community resources should the nurse include for continued mental health care? ✔ Ans - A. Partial hospitalization program
A nurse is caring for a client who has pneumonia. Which of the following tools should the nurse use to assist with providing cost-effective care? ✔ Ans - D. Critical pathway
A nurse is caring for a client who is actively dying. Which of the following actions by the nurse demonstrates the ethical principle of nonmaleficence? ✔ Ans - C. Withholding a dose of pain medication when the client has respiratory depression
A nurse is observing a newly licensed nurse insert an indwelling urinary catheter for an adult client. Which of the following actions by the newly licensed nurse requires intervention? ✔ Ans - A. The nurse keeps the urine collection bag resting on the client's lap.
A nurse is caring for a client who is newly diagnosed with metastatic lung cancer and declines treatment. Which of the following responses would indicate paternalism? ✔ Ans - B. You should undergo the treatment recommended by your healthcare provider.
An RN and a licensed practical nurse (LPN) are receiving change-of-shift report on an assigned group of clients. Which of the following statements by the nurse giving report should indicate to the RN that she should assume total care for a client rather than assigning tasks to the LPN? ✔ Ans - B. "The client's blood pressure and pulse have been fluctuating throughout the day."
An RN is preparing assignments for a licensed practical nurse (LPN) and an
assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN? ✔ Ans - D. Inserting an indwelling urinary catheter for a client
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