ATI Leadership Final Exam – Questions & Solutions (100% Accurate)
A nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. The provider is notified and states that the medication the client received will not cause any harm, so nothing needs to be done. Which of the following actions should the nurse take? Correct Ans - Complete a variance (or incident) report documenting the occurrence.
Two nurses on the same shift request the same weekend off, and no other nurses are available to cover the request. The nurse manager decides the nurse who put in the request first will be granted time off, and the other nurse
will need to work. Using this conflict resolution strategy, the nurse manager's actions should produce which of the following outcome results? Correct Ans - Win-lose
A nurse is concerned that some of the behaviors of the night charge nurse seem to be unprofessional. The charge nurse repeatedly asks the nurse for assistance with client care and brushes up against the nurse during the completion of the task. One night, the charge nurse asks the nurse to go out on
a date and indicates that a sexual relationship between them would mean a better schedule for the nurse. The first action that the nurse should take in this situation is to Correct Ans - tell the charge nurse in clear terms that this conduct is causing feelings of discomfort and that the behaviors are to stop immediately.
A nurse is caring for a child who has sustained extensive head injuries and is declared brain dead. Which of the following statements is appropriate for the nurse to use to begin a conversation about the option of organ and tissue donation with the child's parents? Correct Ans - "i want to give you some
information about an option that you have regarding donating your child's organs to others who are in need."
A nurse is caring for several clients who require diagnostic testing, and is delegating tasks to the assistive personnel (AP). Which of the following tasks should the nurse direct the AP to perform first? Correct Ans - Take an arterial blood gas specimen to the laboratory. A client in a long term care facility falls out of bed, fracturing the left hip. The side rails on the bed were not raised at bedtime, although this client was identified to be at risk for falling. The nurse recognizes this incident as an example of Correct Ans - negligence.
A charge nurse is making assignments for the oncoming shift. Which of the following clients is appropriate for the charge nurse to assign to a licensed practical nurse (LPN)? Correct Ans - A client who is disoriented and awaiting transfer to a long-term care facility
A nurse obtains blood samples for type and cross match from two clients who are both scheduled for surgical procedures in the morning. Later in the shift, the nurse becomes concerned that the labels on the specimens may have been accidentally switched. Due to the nature of the procedures, the nurse believes that neither client is likely to require a transfusion. Which of the following is an appropriate nursing action at this time? Correct Ans - Redraw both specimens, label them, and inform the blood bank of the possible error.
A nurse who is preparing a client teaching session is interrupted to admit a new client. By the end of the shift, the nurse still has not completed the teaching and reports this to the night shift nurse. The day shift nurse expresses frustration at not meeting the client's needs due to workload. The night shift nurse recognizes this nurse is most likely experiencing which of the
following? Correct Ans - Intrapersonal conflict is the tension or stress that exists within an individual as a result of unmet needs, expectations, or goals.
A nurse is ambulating a client who has an IV with an infusion pump. Upon returning and plugging the infusion pump back in, the nurse notices a slight tingling in his hand. Which of the following is an appropriate nursing action at this time? Correct Ans - Turn the pump off immediately.
A nurse is completing a variance (or incident) report after administering an incorrect dose of medication to a client, even though the client experienced no
ill effects from the error. The nurse should understand that the purpose of completing the variance report is to Correct Ans - identify situations that
contribute to the occurrence of medication errors.
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