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Leadership ATI Proctored Focus 2022/2023 with questions and well stated answers

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An older adult client who is on fall precautions is found lying on the floor of his hospital room. Which of the following actions is most appropriate for the nurse to take first?

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Document information

  • March 18, 2024
  • 17
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • reinforcing the teaching
  • tracheostomy care

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  • ATI
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Leadership ATI Proctored Focus 2022/2023 with questions and well stated answers
An RN has to teach the client initially but can delegate ________to an LPN. - correct answer-
reinforcing the teaching

An LPN can perform ______care. - correct answer-tracheostomy care

Can an RN delegate to an LPN to perform suctioning? - correct answer-yes

Can an RN delegate to an LPN to put in a urinary catheter? - correct answer-yes

Can an RN delegate to an AP to feed a client not on swallow precautions? - correct answer-
yes

Is an RN allowed to delegate to an AP to collect a urine sample? - correct answer-yes

A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who
required naloxone (narcan) for depressed respirations. Is this an appropriate task for the
AP? - correct answer-no

An older adult client who is on fall precautions is found lying on the floor of his hospital
room. Which of the following actions is most appropriate for the nurse to take first?



A. Call the client's provider

B. Ask a staff member for assistance getting the client back in bed

C. Inspect the client for injuries

D. Ask the client why he got out of bed w/out assistance - correct answer-C. Inspect the
client for injuries

An RN on a med-surg unit is making assignments at the beginning of the shift. Which of the
following tasks should the nurse delegate to the LPN?



A. Obtain vitals for a client who is 2 hr postop following a cardiac cath

B. Administering a unit of PRBCs

C. Instructing a client in the performance of wound care

D. Developing a plan of care for a newly admitted client - correct answer-A

,A nurse is caring for an older adult client who has left the unit for a radiology procedure.
The client's son asks the nurse what med is being given to the client. Which of the following
is an appropriate response by the nurse?



A. "I am sorry, but that is information you will need to ask your mother or her doctor."



B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam (Ativan) for
anxiety."



C. "You will need to ask the charge nurse for that info."



D. "Don't worry. We will give your mother all pertinent info before discharge." - correct
answer-A.

A nurse works in a mental health facility that uses a case management nursing model to
provide care. The nurse should recognize that which of the following describes a case
management approach to care?



A. A nurse provides total care for several clients

B. Collaboration between disciplines creates a multidisciplinary care plan for each client.

C. The focus of care is on detecting disorders at an early stage.

D. The team leader assigns care for a group of clients - correct answer-B

A nurse overhears a client talking with an attorney, reporting physical abuse, use of
restraints & denial of meals. What action should the nurse take?



A. Report the conversation to the nurse manager to allow for follow-up investigation.

B. Question the client about the allegations to identify staff who were allegedly involved.

C. Ignore the conversation unless the client brings it to the attention of the nurse.

, D. Recognize this as a privileged communication that cannot be discussed w/anyone. -
correct answer-A

A nurse manager is planning a department meeting to discuss client advocacy. Which of
the following situations should be included in the discussion? Select all that apply.



A. Discussing treatment options w/a client who was pancreatic cancer

B. Notifying the surgeon when a client signing a surgical consent form has questions about
the procedure

C. Helping a client make a list of questions she would like to ask the provider

D. Clarifying the dosage of a med prescribed for an older adult client who has impaired
liver function

E. Carrying out end-of-life wishes outlined in the living will of an older adult - correct
answer-B, C, D, E

A nurse is assessing a client's negligible progress in following a weight loss program.
Which of the following is a likely reason the client was unable to achieve a short-term goal
established during the planning phase of the nursing process?



A. The goals were realistic & formulated w/client input.

B. The underlying problem behind past weight gain was misidentified.

C. The implementation of the plan used flexibility in following the nursing actions

D. The nurse obtained objective & subjective data during the assessment. - correct
answer-B

A nurse has prepared an IM injection for a client who is preoperative, when another client
suddenly calls for assistance. The nurse asks an LPN to give the injection since an AP is
waiting to take the client to surgery. Which of the following is an appropriate action by the
LPN?



A. Prepare a new syringe for the client who is preop

B. Give the prepared med to the client who is preop

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