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ATI LEADERSHIP PRACTICE QUESTIONS WITH CORRECT DETAILED ANSWERS.
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ATI LEADERSHIP PRACTICE QUESTIONS WITH CORRECT DETAILED ANSWERS.
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ATI LEADERSHIP PRACTICEQUESTIONS WITH CORRECT DETAILED
ANSWERS.
A nurse is working w/ an assistive personnel (AP) in a long-term care facility. According
to the 5 rights of delegation, which of the following determinations should the nurse
make prior to assigning tasks?
A. Whether the AP has consented to the performance of delegated tasks
B. the pt's willingness to consent to care from the AP
C. Whether the task can be more efficiently completed by the nurse
D. The degree of supervision that the AP will required to complete the task - ANSWER-
D. The degree of supervision that the AP will require to complete the task
Rationales....
Successful delegation involves assigning the right task to the right person under the
right circumstances. The person who will perform the task must be given adequate
direction & specification regarding the amount of supervision that will be provided. The
right communication of expectations & the right feedback about performance must also
be supplied.
A. The nurse does not have to obtain consent from the AP when delegating tasks w/in
the scope of practice & job descriptions for APs
B. Tasks that can be delegated to an AP do not require the pt's consent
C. One of the barriers to successful delegation is the belief that no one can do a tasks
as efficiently & effectively as the nurse. Due to the time constraints on nurses, tasks that
can be done by an AP should be duly delegated
A home health nurse is caring for a pt who asks about the purpose of a living will. Which
of the following statements should the nurse include in the teaching?
A. "It est. who will make health care decisions for the pt if the pt is not about to do so"
B. "it allows the pt to express personal wishes regarding health care decisions"
C. "It serves as an informed consent form for any procedure prescribed by a provider"
D." It is only valid when a pt is lucid & able to make informed decisions independently" -
ANSWER- B. It allows the pt to express personal wishes regarding health care
decisions
Rationales...
A living will allows the pt to specify what aspects of care & tx are to be accepted /
refused in the event that the pt can no longer communicate those decisions
,A. this described a health care proxy document, which frequently accompanies a living
will but is not considered a part of it
C. A living will does not serve the same function as informed consent. Prior to any
procedure, consent must always be obtained form the pt, a family member, or a
designated health care proxy
D. A living will is not valid / necessary when a pt is able to make informed health care
decisions independently
A nurse manager notes that a full-time nurse has been absent from work 6 times over
the last 6 weeks. Using a nonpunitive approach, which of the following actions should
the nurse manager take?
A. verbally remind the employee about the facility's employment standards
B. recommend that the employee review the facility's policy regarding absences
C. Inform the employee in writing about the facilities employment policy
D. ask the employee for a written action plan after discussing the reasons for these
absences - ANSWER- A. verbally remind the employee about the facility's employment
standards
Rationales...
Verbal admonishment is the first step in the disciplinary process for this type of
infraction. The employee might not know or remember the existing standard, and a
verbal reminder may be sufficient to change the employee's behavior
B. Recommending that the employee reviews the policy does not ensure that the
employee will read & fully understand the employment standards
C. written admonishment is the second step in the disciplinary process for this type of
infraction. If the employee fails to make a positive behavioral change after being
verbally reminded by the manager about the facility's employment standards, the nurse
manager should inform the employee writing
D. this is an example of performance-deficiency coaching, which the nurse manager
should use to correct unacceptable behaviors over time
A charge nurse on a med surg unit is making assignments for the oncoming shift. Which
of the following pts should the charge nurse assign to a LPN?
A. a pt who requires an updated plan of care following a dx of cancer
B. a pt who is postop following a total hip replacement & requires discharge teaching
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
,D. a pt who has just arrived from PACU & requires a head-to-toe assessment -
ANSWER- C. a pt who has a prescription for irrigation of an indwelling urinary catheter
Rationales...
It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter when
prescribed by a provider
A. an RN should develop & update a pt's plan of care
B. an RN should provide discharge teaching to a pt
D. an RN should perform an assessment of a pt
A nurse is speaking w/ the family member of a pt who has early Alzheimer's disease.
The family member would like to keep the pt living at home, but the pt requires
assistance whole the family member is away at work. Which of the following services
should the nurse include in the discussion?
A. hospice care
B. adult day care
C. assisted-living facility
D. long-term care facility - ANSWER- B. adult day care
Rationales...
Adult day care personnel can proivde constant assistance w/ ADLs while the family
member is at work; the pt can live at home during the night & evening hours
A. hospice care is only appropriate for a tp who has a terminal illness & a life
expectancy of <6 months
C. pts who live in an assisted living facility need to be able to live independently &
require minimal assistance. Pts can receive assistance w/ med & are offered one
prepared meal a day if needed. An assisted living facility is not an option at this time
since the family member wishes to keep the pt at home
D. a long-term care facility is not an option at this time since the family member wishes
to keep the pt at home
A nurse on a med surg unit is planning the care of assigned pts. Which of the following
pt's should the nurse attend to first?
A. a pt who is newly admitted & is scheduled for indwelling urinary catheter insertion
B. a pt who has kidney stones & reports flank pain of 6 on a pain scale of 0-10
, C. a pt dx w/ early stage chronic kidney disease w/ a serum creatinine level of 2.0
mg/dL
D. a pt who has a cast newly applied on the forearm & reports tingling on the fingers -
ANSWER- D. a pt who has a cast newly applied on the forearm & reports tingling of the
fingers
Rationales...
When using the ABC approach to pt care, the nurse should first assess the pt who has
a newly applied cast. Tingling, numbness, pallor, paresthesia, and pain are clinical s/s
associated w/ compartment syndrome, a serious development in which increased tissue
pressure in a confined anatomical space reduces blood flow, leading to ischemia,
dysfunction, and eventual necrosis. The nurse should report this finding to the provider
immediately
A charge nurse in an ED is making assignments for an AP during a shift w/ unexpected
staff absences. Which of the following assignments should the charge give to a float AP
from the med surg unit?
A. escorting pts from the ED to other areas of the facility for tests
B. sitting at the reception desk answering telephones & directing pts
C. restocking the exam rooms after each pt is discharged
D. shadowing an AP who is regularly assigned to the ED - ANSWER- A. escorting pts
from the ED to other areas of the facility for tests
Rationales...
Pts in the ED often require transport to other departments. Typically, transporting stable
pts is a task that may be delegated to an AP, & escorting pts is likely a normal part of
the AP's regular routine
A nurse is planning care for several pts. Which of the following pts should the nurse
refer to a case manager?
A. a pt who has neurological deficits following a stroke
B. a married female pt who has delivered a full-term newborn
C. a pt who is postop following a cholecystectomy
D. a child who has a fracture of the dominant arm - ANSWER- A. a pt who has
neurological deficits following a stroke
Rationales...
The nurse should refer this pt to the cast manager for care. A pt who had a stroke will
likely require long-term tx. A pt who has ongoing needs for care / rehab should receive
care that is directed by a case manager due to the complexity & cost of the pt's needs
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