ATI NCLEX REVIEW LEADERSHIP AND MANAGEMENT UPDATED
QUIZLET STUDY GUIDE ALIGNED WITH CURRENT COURSE
EXAM FORMAT
1. a nurse is preparing a client who speaks limited English for surgery. which of the following is
the most appropriate nursing action in obtaining informed consent from this client?
a. do nothing as this is the provider's primary concern
b. the nurse should explain the procedure using pictures and hand gestures
c. have the nurse respond to the client's concerns so the provider can prepare for surgery
d. seek the assistance of a nurse on the floor who is fluent in the client's language - d.
2. a nurse is performing initial teaching with a client who will be receiving electroconvulsive
therapy (ECT). which statement by the client indicates a need for further teaching?
a. my dilantin dose will be increased several days before the procedure
b. i will stop taking my lithium for 2 weeks prior to my procedure
c. before the procedure i will have an EKG to assess for heart irregularities
d. i will need to continue taking my regular blood pressure med - a.
3. a daughter of a client with a terminal illness pulls a nurse to the side and says, "although my
mother's living will states she is not to be resuscitated, the family wants everything done to save
her if she has a cardiac arrest." how should the nurse respond?
a. since the living will is a legal document a lawyer will have to make the changes
b. i will contact the provider to make him aware of your request
c. if your mother has a cardiac arrest, we will begin resuscitation if you wish
d. the living will documents your mother's wishes and must be followed - d.
, 4. a provider informs the wife of a comatose client with terminal cancer that she will need to
sign the consent for insertion of a gastrostomy feeding tube. the nurse knows this is against the
client's wishes. what is the appropriate action by the nurse?
a. inform the wife she cannot sign the consent
b. consult the hospital's ethics committee
c. ask the provider for an order for a NG tube instead
d. prepare the consent for the wife to sign - b.
5. a client is seeking treatment for stress related to unexpected loss of employment and is
engaging in the stress management technique of cognitive reframing. which of the following
statements would indicate to the nurse that the client understands this stress management
technique?
a. i have excellent job skills; i just need to find a new employer
b. when i do my daily yoga exercises, i feel so much better
c. i can visualize the perfect interview and being offered a new job
d. once i decided what was most important to me, things got easier - a.
6. a nurse is preparing a client with terminal illness for discharge to a nursing home when he
states: I don't want to go to a nursing home to die, i would rather die at home. what would be
the most appropriate action by the nurse?
a. continue to make the discharge arrangements
b. assess the client's reasons for feeling this way
c. contact the client's case manager
d. inform the provider of the client's decision - c.
7. a client is hospitalized for multiple rib fractures following a motor vehicle accident. the results
of an ABG are pH 7.30, pCO2 48, HCO3 26, and pO2 91 on 2L/min of oxygen per nasal cannula.
which of the following interventions has the highest priority
a. increase the client's O2 delivery to 4L/min
QUIZLET STUDY GUIDE ALIGNED WITH CURRENT COURSE
EXAM FORMAT
1. a nurse is preparing a client who speaks limited English for surgery. which of the following is
the most appropriate nursing action in obtaining informed consent from this client?
a. do nothing as this is the provider's primary concern
b. the nurse should explain the procedure using pictures and hand gestures
c. have the nurse respond to the client's concerns so the provider can prepare for surgery
d. seek the assistance of a nurse on the floor who is fluent in the client's language - d.
2. a nurse is performing initial teaching with a client who will be receiving electroconvulsive
therapy (ECT). which statement by the client indicates a need for further teaching?
a. my dilantin dose will be increased several days before the procedure
b. i will stop taking my lithium for 2 weeks prior to my procedure
c. before the procedure i will have an EKG to assess for heart irregularities
d. i will need to continue taking my regular blood pressure med - a.
3. a daughter of a client with a terminal illness pulls a nurse to the side and says, "although my
mother's living will states she is not to be resuscitated, the family wants everything done to save
her if she has a cardiac arrest." how should the nurse respond?
a. since the living will is a legal document a lawyer will have to make the changes
b. i will contact the provider to make him aware of your request
c. if your mother has a cardiac arrest, we will begin resuscitation if you wish
d. the living will documents your mother's wishes and must be followed - d.
, 4. a provider informs the wife of a comatose client with terminal cancer that she will need to
sign the consent for insertion of a gastrostomy feeding tube. the nurse knows this is against the
client's wishes. what is the appropriate action by the nurse?
a. inform the wife she cannot sign the consent
b. consult the hospital's ethics committee
c. ask the provider for an order for a NG tube instead
d. prepare the consent for the wife to sign - b.
5. a client is seeking treatment for stress related to unexpected loss of employment and is
engaging in the stress management technique of cognitive reframing. which of the following
statements would indicate to the nurse that the client understands this stress management
technique?
a. i have excellent job skills; i just need to find a new employer
b. when i do my daily yoga exercises, i feel so much better
c. i can visualize the perfect interview and being offered a new job
d. once i decided what was most important to me, things got easier - a.
6. a nurse is preparing a client with terminal illness for discharge to a nursing home when he
states: I don't want to go to a nursing home to die, i would rather die at home. what would be
the most appropriate action by the nurse?
a. continue to make the discharge arrangements
b. assess the client's reasons for feeling this way
c. contact the client's case manager
d. inform the provider of the client's decision - c.
7. a client is hospitalized for multiple rib fractures following a motor vehicle accident. the results
of an ABG are pH 7.30, pCO2 48, HCO3 26, and pO2 91 on 2L/min of oxygen per nasal cannula.
which of the following interventions has the highest priority
a. increase the client's O2 delivery to 4L/min
