Nursing Leadership & Management - Mod 1-4, ATI Exam 1 with || || || || || || || || || || ||
verified detailed answers || ||
ATI ch 1... || ||
A nurse enters the room of a client who is on contact precautions and finds the client
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lying on the floor. Which of the following actions should the nurse take first?
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a. call the provider
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b. ask a staff member for assistance getting client back in bed
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c. inspect the client for injuries
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d. instruct the client to ask for help if he needs to get out of bed
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A. Notify the provider to determine whether the
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client needs further examination and treatment,
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but there is another action to take first.
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B. Seek assistance in returning the client to bed
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to prevent further harm to the client, but
|| || || || || || ||
there is another action to take first.
|| || || || || ||
C. CORRECT: The first action to take using the nursing
|| || || || || || || || ||
process is to assess the client in order to determine
|| || || || || || || || ||
which interventions the client will need.
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D. Instruct the client to ask for help before getting
|| || || || || || || || ||
out of bed to help prevent future falls, but
|| || || || || || || ||
there is another action to take first.
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,An RN on a medical-surgical unit is making assignments at the beginning of the shift.
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Which of the following tasks should the nurse delegate to the PN?
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a. obtain vital signs for a client who is 2 hr post-procedure following a cardiac
|| || || || || || || || || || || || || || ||
catheterization
b. administer a unit of packed red blood cell (RBCs) to a client who has cancer
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c. instruct a client who is scheduled for discharge in the performance of wound care
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d. develop a plan of care for a newly admitted client who has pneumonia
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A. CORRECT: It is within the scope of practice of the PN to
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monitor a client who is 2 hr post procedure for a cardiac
|| || || || || || || || || || ||
catheterization, because this client is considered stable. || || || || || ||
B. T he RN is responsible for administering blood
|| || || || || || || ||
components, including packed RBCs, because this || || || || ||
outside of the scope of practice for the PN. || || || || || || || ||
C. T he RN is responsible for client education. It is
|| || || || || || || || || ||
within the scope of practice of the PN to reinforce
|| || || || || || || || ||
but not provide initial client education.
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D. T he RN is responsible for developing a plan of care for
|| || || || || || || || || || || ||
a client. It is within the scope of practice for the PN to
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suggest additions to but not develop the plan of care.
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A PN ending her shift reports to the RN that a newly hired AP has not calculated the
|| || || || || || || || || || || || || || || || || ||
intake and output for several clients. Which of the following actions should the RN
|| || || || || || || || || || || || || ||
take?
a. complete an incident report
|| || || ||
, b. delegate this task to the PN
|| || || || || ||
c. ask the AP if she needs assistance
|| || || || || || ||
d. notify the nurse manager
|| || || ||
A. A n incident report is indicated when a critical
|| || || || || || || || ||
incident has occurred. It is not necessary to complete
|| || || || || || || ||
an incident report in this situation.
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B. Do not redelegate this task.
|| || || || ||
C. CORRECT: Find out what the AP knows about performing
|| || || || || || || || ||
the task and provide education for the AP if indicated.
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D. T he RN is capable of handling the situation. It is
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not necessary to notify the nurse manager.
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A nurse manager is developing an orientation plan for newly licensed nurses. Which of
|| || || || || || || || || || || || ||
the following information should the manager include in the plan? (Select all that
|| || || || || || || || || || || || || ||
apply)
a. skill proficiency
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b. assignment to a preceptor
|| || || ||
c. budgetary principles
|| ||
d. computerized charting
|| ||
e. socialization into unit culture
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f. facility policies and procedures
|| || || ||
A. CORRECT: The purpose of orientation is to assist
|| || || || || || || ||
the newly licensed nurse to transition from the role
|| || || || || || || ||
of student to the role of employee and licensed
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verified detailed answers || ||
ATI ch 1... || ||
A nurse enters the room of a client who is on contact precautions and finds the client
|| || || || || || || || || || || || || || || || ||
lying on the floor. Which of the following actions should the nurse take first?
|| || || || || || || || || || || || ||
a. call the provider
|| || ||
b. ask a staff member for assistance getting client back in bed
|| || || || || || || || || || ||
c. inspect the client for injuries
|| || || || ||
d. instruct the client to ask for help if he needs to get out of bed
|| || || || || || || || || || || || || || ||
A. Notify the provider to determine whether the
|| || || || || || ||
client needs further examination and treatment,
|| || || || ||
but there is another action to take first.
|| || || || || || ||
B. Seek assistance in returning the client to bed
|| || || || || || || ||
to prevent further harm to the client, but
|| || || || || || ||
there is another action to take first.
|| || || || || ||
C. CORRECT: The first action to take using the nursing
|| || || || || || || || ||
process is to assess the client in order to determine
|| || || || || || || || ||
which interventions the client will need.
|| || || || ||
D. Instruct the client to ask for help before getting
|| || || || || || || || ||
out of bed to help prevent future falls, but
|| || || || || || || ||
there is another action to take first.
|| || || || || ||
,An RN on a medical-surgical unit is making assignments at the beginning of the shift.
|| || || || || || || || || || || || || || ||
Which of the following tasks should the nurse delegate to the PN?
|| || || || || || || || || || ||
a. obtain vital signs for a client who is 2 hr post-procedure following a cardiac
|| || || || || || || || || || || || || || ||
catheterization
b. administer a unit of packed red blood cell (RBCs) to a client who has cancer
|| || || || || || || || || || || || || || ||
c. instruct a client who is scheduled for discharge in the performance of wound care
|| || || || || || || || || || || || || ||
d. develop a plan of care for a newly admitted client who has pneumonia
|| || || || || || || || || || || || ||
A. CORRECT: It is within the scope of practice of the PN to
|| || || || || || || || || || || ||
monitor a client who is 2 hr post procedure for a cardiac
|| || || || || || || || || || ||
catheterization, because this client is considered stable. || || || || || ||
B. T he RN is responsible for administering blood
|| || || || || || || ||
components, including packed RBCs, because this || || || || ||
outside of the scope of practice for the PN. || || || || || || || ||
C. T he RN is responsible for client education. It is
|| || || || || || || || || ||
within the scope of practice of the PN to reinforce
|| || || || || || || || ||
but not provide initial client education.
|| || || || ||
D. T he RN is responsible for developing a plan of care for
|| || || || || || || || || || || ||
a client. It is within the scope of practice for the PN to
|| || || || || || || || || || || ||
suggest additions to but not develop the plan of care.
|| || || || || || || || ||
A PN ending her shift reports to the RN that a newly hired AP has not calculated the
|| || || || || || || || || || || || || || || || || ||
intake and output for several clients. Which of the following actions should the RN
|| || || || || || || || || || || || || ||
take?
a. complete an incident report
|| || || ||
, b. delegate this task to the PN
|| || || || || ||
c. ask the AP if she needs assistance
|| || || || || || ||
d. notify the nurse manager
|| || || ||
A. A n incident report is indicated when a critical
|| || || || || || || || ||
incident has occurred. It is not necessary to complete
|| || || || || || || ||
an incident report in this situation.
|| || || || ||
B. Do not redelegate this task.
|| || || || ||
C. CORRECT: Find out what the AP knows about performing
|| || || || || || || || ||
the task and provide education for the AP if indicated.
|| || || || || || || || ||
D. T he RN is capable of handling the situation. It is
|| || || || || || || || || || ||
not necessary to notify the nurse manager.
|| || || || || ||
A nurse manager is developing an orientation plan for newly licensed nurses. Which of
|| || || || || || || || || || || || ||
the following information should the manager include in the plan? (Select all that
|| || || || || || || || || || || || || ||
apply)
a. skill proficiency
|| ||
b. assignment to a preceptor
|| || || ||
c. budgetary principles
|| ||
d. computerized charting
|| ||
e. socialization into unit culture
|| || || ||
f. facility policies and procedures
|| || || ||
A. CORRECT: The purpose of orientation is to assist
|| || || || || || || ||
the newly licensed nurse to transition from the role
|| || || || || || || ||
of student to the role of employee and licensed
|| || || || || || || ||
