ATI Comprehensive Predictor
What can be delegated to Assistive personnel (AP)?
ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) -
positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
C. Reapplying a condom catheter for a client who has urinary incontinence
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to
an AP. Which of the following info should the nurse share with the AP?
Select all:
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
An RN is making assignments for client care to an LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
D. Replacing the cartridge and tubing on a PCA pump
A nurse is preparing an inservice program about delegation. Which of the following elements
should she identify when presenting the 5 rights of delegation. Select all:
B. Right supervision/evaluation
C. Right direction/communication
E. Right circumstances
A nurse manager of a med surge unit is assigning care responsibilities for the oncoming
shift. A client is waiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign the client?
B. RN
What is the study of conduct and character? Ethics
What are the values and beliefs that guide behavior and decision making?-Morals What is the
right to make ones own personal decisions, even tho those decisions might not be in the
persons best interest-Autonomy What are positive actions to help others-Beneficience
What is an agreement to keep promises-Fidelity
What is fairness in care delivery and use of resources-Justice
What is avoidance of harm or injury-Non-maleficence
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what
principles?
A. Fidelity
,A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands
that this aspect of care delivery is an example of which of the following ethical principles?
D. Beneficience-D
A nurse is instructing a group of nursing students about the responsibilities involved with organ
donation and procurement. When the nurse explains that all clients waiting for a kidney
transplant have to meet the same qualifications, the students should understand
that this aspect of care delivery is an example of which ethical principle
C. Justice
A nurse questions a med prescription as too extreme and light of the clients advanced age and
unstable status. The nurse understands that this action is an example of which ethical principle
D. Nonmalificence
Which of the following situations can be identified as an ethical dilemma?
C. A family has conflicting feelings about the initiation of enteral tube feedings of their father
who is terminally ill
Most managers can be categorized as-authoritative, democratic, and laissez faire
Authoritative
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and
bureaucratic settingsDemocratic
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and
collaboration is necessaryLaissez faire
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group
members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation-
The nurse should consider the hierarchy of human needs when prioritizing interventions,
which are?—
-Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
, - Love and belonging
- Self esteem
-
Self actualization
The ABC framework identifies, in order, the three basic needs
for sustaining life-
Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning tasks-
ANA codes of standards
What values would a nurse possess to be a client advocate?- CARE
- caring
- autonomy
- respect
- empowerment
What do the nurse need to keep in mind about the client when being their advocate?
Client's religion & culture
When should planning discharge process begin?
a. at time of admission
What is an interdisciplinary team?-
A group of health care professionals from different disciplines
Fill in the blank:
1. collaboration is used by interdisciplinary team to make health care decisions about
clients with multiple problems.
2. collaboration, which may take place at team meetings, allows the achievement of
results that the participants would be incapable of accomplishing if working alone
What is the nurse's contribution to an interdisciplinary team?-
knowledge of nursing care & its management
- a holistic understanding of the client, her/his healthcare needs & healthcare
systems.
A four-month-old infant is admitted to the pediatric intensive care unit with a temperature of
105°F (40.5 °C). The infant is irritable, and the nurse observes nuchal rigidity. Which assessment
finding would indicate an increase in intracranial pressure?
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