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ATI PRACTICE B LEADERSHIP AND MANAGEMENT – UPDATED QUESTIONS WITH CORRECT ANSWERS.
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ATI PRACTICE B LEADERSHIP AND MANAGEMENT – UPDATED QUESTIONS WITH CORRECT ANSWERS.
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ATI PRACTICE B LEADERSHIP ANDMANAGEMENT – UPDATED QUESTIONS
WITH CORRECT ANSWERS.
A nurse is caring for a client who is recovering from a stroke. The provider recommends
an extracranial-intracranial bypass, but the client tells the nurse that he will not have the
surgery. Which of the following actions should the nurse take?
A. Inform the client of the consequences of decreased cerebral circulation.
B. Initiate a mental health consultation to determine why the client refuses the surgery.
C. Discuss with the client his concerns about having the surgery.
D. Provide the client with information on additional treatment options. - ANSWER- C.
Discuss with the client his concerns about having the surgery.
A charge nurse notices a newly hired nurse consistently does not finish client care tasks
by the end of the shift. Which of the following statements should the charge nurse
make?
A. "You should set aside time to plan your day at the beginning of each shift."
B. "You should not take a break until all of your tasks are completed."
C. "You should leave your hardest task for the end of the shift."
D. "You should save your charting for the end of the shift." - ANSWER- A. " You should
set aside time to plan your day at the beginning of each shift."
Two nurses on a unit each contend that the other is not doing a fair share of work. The
conflict is affecting the functioning of the unit. A charge nurse should recognize that
which of the following is an appropriate approach to this conflict?
A. Schedule the nurses to work on alternating shifts.
B. Organize a task force to evaluate the situation.
C. Tell the nurses that it is their responsibility to cooperate with coworkers.
D. Explore alternative solutions to address unit workflow with the nurses. - ANSWER- D.
Explore alternative solutions to address unit workflow with the nurses.
A charge nurse is conducting an in-service with staff members about infection control
precautions. The nurse should instruct the staff that which of the following clients
requires droplet precautions?
A. A client who has shigella.
B. A client who has measles.
C. A client who has toxic shock syndrome
D. A client who has pertussis. - ANSWER- D. A client who has pertussis.
, A nurse in the emergency department is admitting clients following an eartquake. The
emergency disaster plan has been implemented due to the anticipated arrival of a large
number of casualities. Which of the following clients should the nurse recommend the
provider evaluate first?
A. A client who has a penetrating head injury and respirations of 4/min.
B. A client who has a comminuted fracture of the femur.
C. A client who has a 6-inch laceration to the scalp with clotted blood visible.
D. A client who has a sucking chest wound. - ANSWER- D. A client who has a sucking
chest wound.
A nurse is caring for a group of clients on a unit. Which of the following assessment
findings should the nurse recognize as the priority to report to the charge nurse?
A. A client who has heart failure and 2+ edema of her lower extremities.
B. A client who is 2 days postoperative and has a urine output of 20 mL/hr
C. A client who started taking verapamil and has a heart rate of 75/min.
D. A client who is receiving morphine and reports nausea. - ANSWER- B. A client who
is 2 days post operative and has a urine output of 20 mL/hr
A nursing unit is undergoing changes to accomodate new bariatric services that will be
available to the unit. Some staff members have verbalized displeasure with the
changes. Which of the following actions should the charge nurse take? (Select all that
apply)
A. Role model a positive approach to the changes.
B. Redirect the conversation when staff members make negative comments about the
changes.
C. Encourage staff members who support the changes to discuss the issue with
resistant staff.
D. Suggest that resistant staff members transfer to a different unit.
E. Reprimand staff members who are resistant to the changes. - ANSWER- A and C
A case manager is planning an interprofessional conference for a client who is 3 days
postoperative following an open reduction and internal fixation of the right hip. Which of
the following concerns is the priority for discussion at the confrence?
A. The client does not have transportation for discharge home.
B. The client refuses to attend physical therapy sessions.
C. The client's home health nurse has not completed the home assessment.
D. The client describes feelings of depression after his family visits. - ANSWER- B. The
client refuses to attend physical therapy sessions.
A charge nurse is evaluating a plan of care that a novice nurse developed for a client
who is to receive a continuous NG tube feeding. Which of the following interventions
should the charge nurse ensure is part of the plan of care?
A. Flush the tube every 8 hours with 0.9% sodium chloride irrigation.
B. Use an acidic juice to unclog a blocked tube.
C. Add dissolved medications to the enteral feeding.
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