ATI RN LEADERSHIP PROCTORED
EXAM 2023
While auditing the medical records of clients currently on an
oncology unit, the nurse manager finds that six of the 15 records
lack documentation regarding advance directives. Which of the
following is the priority for the nurse to take? - ANS-Meet w...
ATI RN LEADERSHIP PROCTORED
EXAM 2023
While auditing the medical records of clients currently on an
oncology unit, the nurse manager finds that six of the 15 records
lack documentation regarding advance directives. Which of the
following is the priority for the nurse to take? - ANS-Meet with
nursing staff to review the policy regarding advance directive
A nurse is caring for a group of clients. Which of the following should
the nurse see first? - ANS-A client who has diabetes mellitus and is
diaphoretic
A nurse is receiving change-of-shift report for four clients. Which of
the following clients should the nurse care for first? - ANS-A client
who is 4 hr postoperative following a hernia repair and has pitting
edema of the right leg
A nurse manager discovers there is a conflict between nurses
working the day shift and nurses working on the night shift. Which of
the following actions should the nurse manager take first? - ANS-
Gather information regarding the situation
A nurse in an urgent care clinic is admitting a client who has been
exposed to a liquid chemical in an industrial setting. Which of the
following actions should the nurse take first? - ANS-Don personal
protective equipment
A newly licensed nurse realizes that she administered metoprolol
25 mg PO to the wrong client. Which of the following actions should
the nurse perform first? - ANS-Measure the client‟s vital signs
,A nurse is assessing a client who has meningitis. Which of the
following findings should the nurse report to the provider
immediately? - ANS-Decreased level of consciousness
A client is brought to the emergency department following a motor-
vehicle crash. Drug use is suspected in the crash, and a voided
urine specimen is ordered. The client repeatedly refuses to provide
the specimen. Which of the following is the appropriate action by
the nurse? - ANS-Document the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical
nurse? - ANS-Administer a nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s
competency in assisting with a sterile procedure. Which of the
following actions indicates the newly licensed nurse is maintaining
sterile technique? (SATA) - ANS-Opens the sterile pack by first
unfolding the top flap away from her body
Removes the outside packaging of a sterile instrument before
dropping it onto the sterile field
A nurse enters a client‟s room and identifies that the client is
receiving too much IV fluid because the IV pump is not working
properly. Which of the following actions should the nurse take first?
- ANS-Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care
to a licensed practical nurse (LPN) and an assistive personnel.
Which of the following tasks should the nurse assign to the LPN? -
ANS-Reinforcing teaching with a client who is learning to self-
administer insulin
, A nurse is supervising a newly licensed nurse who is performing
surgical asepsis. After donning a sterile gown and gloves, which of
the following actions by the newly licensed nurse demonstrates
correct aseptic technique? - ANS-The nurse holds her hands above
her waist.
A nurse who is caring for a group of clients delegates collection of
vital signs to an assistive personnel (AP). Which of the following
actions should the nurse take to evaluate the delegated task? -
ANS-Recheck vital signs that are outside the expected reference
range.
A nurse is caring for four clients. Which of the following tasks can be
delegated to an assistive personnel? - ANS-Obtaining a stool
sample from a client who has renal failure
A nurse is triaging a group of clients following a disaster. Which of
the following clients should the nurse recommend for treatment
first? - ANS-A client who has two open chest wounds with a left
tracheal deviation
A nurse manager is reviewing guidelines for informed consent with
the nursing staff. Which of the following statements by a staff nurse
indicates that the teaching was effective? - ANS-"Consent can be
given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients
should the nurse collaborate with the facility ethics committee? -
ANS-An adolescent client whose parents refuse a blood transfusion
for religious reasons
A nurse in an ambulatory care setting is orient a newly licensed
nurse who is preparing to return a call to a client. The nurse should
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