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Leadership ATI Dynamic Quiz Test bank

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Leadership ATI Dynamic Quiz question test bank A nurse is preparing a client for a lumbar puncture. The client has signed the consent form but tells the nurse that she does not remember what the doctor will do during the procedure. Which of the following actions should the nurse take? Remind th...

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Leadership ATI Dynamic Quiz question test bank
A nurse is preparing a client for a lumbar puncture. The client has signed the
consent form but tells the nurse that she does not remember what the doctor will
do during the procedure. Which of the following actions should the nurse take?
Remind the client that the doctor will insert a needle to get a sample of fluid from
her spine.
A signed consent form indicates that the provider informed the client about the
procedure and that at the time the client understood what to expect. If the client
states she does not remember what to expect, the nurse should clarify any details
the provider previously gave the client. However, if the client expresses a further
lack of understanding or states that the provider did not inform her, the nurse
should either notify the charge nurse or call the provider directly.

A nurse manager is implementing a team nursing approach on his unit, hiring
licensed practical nurses (LPNs) and assistive personnel (AP) as additional staff.
Which of the following actions should the nurse manager take to facilitate
acceptance of this change?
Introduce the new approach and facilitate the development of a task force to plan
implementation.
This appropriate approach involves the staff in the planning and will give them a
feeling of control over their practice and enhance acceptance of the change.
A group of providers is participating in a resuscitation effort for a client who is in
cardiac arrest.

Which of the following types of leadership is required for this group to function
most efficiently?
Autocratic
Autocratic leadership is most effective in an emergency situation. An autocratic
leader will direct and issues commands that are necessary for successful
cardiopulmonary resuscitation.

A nurse is having difficulty completing care and documentation without staying
past the end of the shift. The nurse manager suggests focusing on time-
management skills. Which of the following strategies should the nurse plan to use?
Identify tasks in order of their priority.
Prioritizing is an important time-management strategy. The nurse should prioritize
each client's needs and tasks and attend to the highest priority client first.

A charge nurse on a pediatric unit is delegating tasks to an assistive personnel
(AP) who is pregnant and reports that she is unsure of her immune status. Which
of the following clients should the charge nurse assign to the AP?
A 2-year-old child who has impetigo contagiosa (impetigo).
This is a safe assignment. If the AP practices universal precautions, there is no risk
of contracting impetigo. Impetigo is a superficial skin infection caused by either
Staphylococcus or Streptococcus.

A nurse is assisting a provider with an amniotomy on a client who is in labor.
Which of the following is the priority nursing assessment following the procedure?

,2

Fetal heart rate.
The greatest risk to this client is an injury from umbilical cord prolapse following
artificial rupture of the membranes; therefore, the nurse should monitor the fetal
heart rate for bradycardia, which can indicate an increased risk of umbilical cord
prolapse.

A nurse is preparing to transfer an older adult client to a long-term care facility. To
promote continuity of care, which of the following actions should the nurse plan to
take?
Give a written summary of the client's nursing plan of care to the long-term care
facility.
A written summary of the client's nursing plan of care will convey his needs to the
nurses who will be working with him in the long-term care facility.

A nurse in the emergency department is preparing to obtain informed consent for
surgery from a client who received a meperidine hydrochloride IV during transport
from a rural hospital. Which of the following actions should the nurse take to
obtain consent for surgery?
Obtain consent from a relative of the client.
A client who has received meperidine cannot give consent because the medication
can alter the ability to understand the consent process. The nurse should obtain
consent from a relative of the client. If a relative is unavailable and the surgery is
determined to be critical, the surgery can proceed without client consent.

A nurse working at a rehabilitation facility is attending an interdisciplinary team
meeting for a client who had a left hemispheric stroke. Which of the following
members of the interdisciplinary team should the nurse recommend to assist this
client? (Select all that apply.)
Nurse
Occupational therapist
Speech therapist
Physical therapist

A nurse on a medical-surgical unit is caring for a group of clients. For which of the
following situations should the nurse complete a variance report?
The discovery that a preoperative client has received and eaten breakfast.
This situation represents a variation from the standard of care. A change in the
client's plan of care is necessary because the surgical procedure will need to be
delayed. The nurse should complete a variance report for this situation.

A nurse is selecting clients for discharge following an environmental disaster.
Which of the following clients should the nurse select?
A client who is 1 day postoperative following an inguinal hernia repair.
The nurse should select the client who had an inguinal hernia repair for discharge
because this client is stable.

,3

An RN and a licensed practical nurse (LPN) are caring for a client who has a small
bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous
suction. Which of the following tasks should the RN perform?
Assess for bowel sounds every 2 hours.
Assessments are within the scope of practice for the RN only. While the LPN can
also auscultate the client's abdomen for the presence of sounds, only the RN is
qualified to evaluate the sounds and qualify them as hypoactive, normal, or
hyperactive.

A nurse is caring for a child who has sustained extensive head injuries. The
provider has diagnosed brain death. Which of the following statements should the
nurse use to begin a conversation about the option of organ and tissue donation
with the child's parents?
"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."
This is an appropriate statement to begin the discussion. It clearly conveys the
nurse's intention to give the family factual information and does not make any
emotionally-laden statements.

A charge nurse is conducting an in-service training session on ethics to a group of
newly licensed nurses. Which of the following situations should the charge nurse
include as an example of the ethical principle of veracity?
A nurse truthfully answers the client's questions about upcoming chemotherapy.
A nurse who truthfully answers the client's questions about treatment, such as
chemotherapy, is demonstrating the ethical principle of veracity. Veracity refers to
telling the truth and being straightforward and clear with clients about the
treatment being delivered.

A nurse is completing an incident report after administering an incorrect dose of
medication to a client, even though the client experienced no ill effects from the
error. What is the purpose of completing the incident report?
Identifying situations that contribute to the occurrence of medication errors.
The purpose of completing incident reports is to identify factors that contribute to
the occurrence of the problem. This is one aspect of quality-improvement efforts in
health care facilities.

A charge nurse in an emergency department is making assignments for an
assistive personnel (AP) during a shift with unexpected staff absences. Which of
the following assignments should the charge give to a float AP from the medical-
surgical unit?
Escorting clients from the emergency department to other areas of the facility for
tests.
Clients in the emergency department often require transport to other departments.
Typically, transporting stable clients is a task that may be delegated to an AP, and
escorting clients is likely a normal part of the AP's regular routine.

A nurse is receiving report on a client who has Clostridium difficile and is being
transferred from another unit. Which of the following precautions should the nurse
take?

, 4

Perform hand hygiene with nonantimicrobial soap and water after client care.
The nurse should perform hand hygiene with nonantimicrobial soap and water
after providing care for a client who has C. difficile. This spore-forming organism is
resistant to alcohol-based soaps and sanitizers.

A nurse receives the morning change-of-shift report and delegates several tasks to
an assistive personnel (AP) on the team. Which of the following tasks should the
nurse instruct the AP to perform first?
Obtain the morning capillary blood glucose tests.
The nurse should apply the urgent vs nonurgent priority-setting framework when
delegating tasks. The nurse should prioritize urgent needs because they pose more
of a threat to the client. The nurse may need to use Maslow's hierarchy of needs,
the ABC priority-setting framework, and/or nursing knowledge to identify which
finding is the most urgent. Insulin administration is dependent on the blood
glucose levels; therefore, the most urgent task the AP should complete is obtaining
the morning capillary blood glucose tests.

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 reports that the medication the client received will not cause any
harm. Which of the following actions should the nurse take?
Complete an incident report documenting the occurrence.
An incident report should be initiated whenever an error is made involving a client,
even if no injury occurred. Incident reports are also used for statistical purposes in
determining the types of incidents that occur. These reports may help
administrators recognize if a particular type of incident is occurring at an
undesired frequency to determine if intervention is needed.

A nurse is teaching a group of unit nurses about the Health Insurance Portability
and Accountability Act (HIPAA). Which of the following pieces of information
should the nurse include in the teaching?
The Security Rule provides a uniform level of security to protect client records.
The security rule provides a uniform level of protection of clients' records, which
includes maintaining the confidentiality, integrity, and availability of the client's
records.

A nurse is caring for a client who is scheduled for a bilateral mastectomy. The
client states, "I don't think I can go through with the surgery after all." Which of
the following responses should the nurse provide?
"I will let the surgeon know about your decision."
The nurse should notify the client's surgeon about her decision regarding the
procedure. It is the responsibility of the nurse to be the client's advocate and
respect the client's wishes. The client has the right to refuse or change her mind at
any time regarding the treatment offered.

A nurse is assisting with the informed consent process for a client who is
scheduled for a below-the-knee amputation. The client asks the nurse, "Why are
they making me have this surgery today? I don't understand why they are doing
this." Which of the following actions should the nurse take?

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