ATI BOOK Leadership and Management Ch 1-5 Exam with
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verified detailed answers || ||
Ch 1: Managing Client Care
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A nurse enters the room of a client and finds the client lying on the floor. Which of the
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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 the 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 they need to get out of bed - ✔✔Inspect the
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client for injuries || ||
*The first action to take using the nursing process is to assess the client in order to
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determine which interventions the client will need || || || || || ||
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 LPN?
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A. Obtain vital signs for a client who is 2 hr postprocedure following a cardiac
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catheterization
B. Administer a unit of packed red blood cells (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 - ✔✔Obtain
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vital signs for a client who is 2 hr postprocedure following a cardiac catheterization
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,*It is within the scope of practice of the PN to monitor a client who is postprocedure
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for a cardiac catherization, because this client is considered stable.
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A PN ending their shift reports to the RN that a newly hired AP has not calculated the
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intake and output for several clients. Which of the following actions should the RN
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take?
A. Complete an incident report
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B. Delegate this task to the PN
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C. Ask the AP if they need assistance
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D. Notify the nurse manager - ✔✔Ask the AP if they need assistance
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*An incident report is indicated when a critical incident has occurred. It is not
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necessary to complete an incident report in this situation. Do not redelegate this task.
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Find out what the AP knows about performing the task and provide education for the
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AP if indicated. The RN is capable of handling the situation. It is not necessary to
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notify the nurse manager. || || ||
A nurse manager is developing an orientation plan for newly licensed nurses. Which of
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the following information should the manager include in the plan? (Select all that
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apply)
A. Skill proficiency
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B. Assignment to a preceptor
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C. Budgetary principles
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D. Computerized charting
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E. Socialization into unit culture
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F. Facility policies and procedures - ✔✔1. Skill proficiency
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, 2. Assignment to a preceptor
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3. Computerized charting
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4. Socialization into unit culture
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5. Facility policies and procedures
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*The purpose of orientation is to assist the newly licensed nurse to transition from the
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role of student to the role of employee and licensed nurse. Include evaluation of skill
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proficiency and provide instruction as indicated. Include assignment of a preceptor to
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ease the transition of the newly licensed nurse. Include computerized charting, which
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is an essential skill for the newly licensed nurse. Include socialization to the unit as a
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way to ease the transition of the newly licensed nurse. Include information about
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facility policies and procedures, which is essential information for the newly licensed
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nurse. Budgetary principles are an administrative skill that is usually the responsibility
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of the unit manager.
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A nurse manager is providing information about the audit process to members of the
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nursing team. Which of the following information should the nurse manager include?
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(select all that apply) || || ||
A. A structure audit evaluates the setting and resources available to provide care
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B. An outcome audit evaluates the results of the nurse care provided
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C. A root cause analysis is indicated when a sentinel event occurs
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D. Retrospective audits are conducted while the client is receiving care
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E. After data collection is completed, it is compared to a benchmark - ✔✔1. A
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structure audit evaluates the setting and resources available to provide care
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2. An outcome audit evaluates the results of the nurse care provided
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3. A root cause analysis is indicated when a sentinel event occurs
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4. After data collection is completed, it is compared to a benchmark
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verified detailed answers || ||
Ch 1: Managing Client Care
|| || || || ||
A nurse enters the room of a client 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 the client back in bed
|| || || || || || || || || || || ||
C. Inspect the client for injuries
|| || || || ||
D. Instruct the client to ask for help if they need to get out of bed - ✔✔Inspect the
|| || || || || || || || || || || || || || || || || || ||
client for injuries || ||
*The first action to take using the nursing process is to assess the client in order to
|| || || || || || || || || || || || || || || || ||
determine which interventions the client will need || || || || || ||
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 LPN?
|| || || || || || || || || || ||
A. Obtain vital signs for a client who is 2 hr postprocedure following a cardiac
|| || || || || || || || || || || || || || ||
catheterization
B. Administer a unit of packed red blood cells (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 - ✔✔Obtain
|| || || || || || || || || || || || || || || ||
vital signs for a client who is 2 hr postprocedure following a cardiac catheterization
|| || || || || || || || || || || || ||
,*It is within the scope of practice of the PN to monitor a client who is postprocedure
|| || || || || || || || || || || || || || || || ||
for a cardiac catherization, because this client is considered stable.
|| || || || || || || || ||
A PN ending their 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 they need assistance
|| || || || || || ||
D. Notify the nurse manager - ✔✔Ask the AP if they need assistance
|| || || || || || || || || || || ||
*An incident report is indicated when a critical incident has occurred. It is not
|| || || || || || || || || || || || || ||
necessary to complete an incident report in this situation. Do not redelegate this task.
|| || || || || || || || || || || || || ||
Find out what the AP knows about performing the task and provide education for the
|| || || || || || || || || || || || || || ||
AP if indicated. The 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 - ✔✔1. Skill proficiency
|| || || || || || || ||
, 2. Assignment to a preceptor
|| || || ||
3. Computerized charting
|| ||
4. Socialization into unit culture
|| || || ||
5. Facility policies and procedures
|| || || ||
*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 nurse. Include evaluation of skill
|| || || || || || || || || || || || || || || ||
proficiency and provide instruction as indicated. Include assignment of a preceptor to
|| || || || || || || || || || || ||
ease the transition of the newly licensed nurse. Include computerized charting, which
|| || || || || || || || || || || ||
is an essential skill for the newly licensed nurse. Include socialization to the unit as a
|| || || || || || || || || || || || || || || ||
way to ease the transition of the newly licensed nurse. Include information about
|| || || || || || || || || || || || ||
facility policies and procedures, which is essential information for the newly licensed
|| || || || || || || || || || || ||
nurse. Budgetary principles are an administrative skill that is usually the responsibility
|| || || || || || || || || || ||
of the unit manager.
|| || || ||
A nurse manager is providing information about the audit process to members of the
|| || || || || || || || || || || || || ||
nursing team. Which of the following information should the nurse manager include?
|| || || || || || || || || || || ||
(select all that apply) || || ||
A. A structure audit evaluates the setting and resources available to provide care
|| || || || || || || || || || || ||
B. An outcome audit evaluates the results of the nurse care provided
|| || || || || || || || || || ||
C. A root cause analysis is indicated when a sentinel event occurs
|| || || || || || || || || || ||
D. Retrospective audits are conducted while the client is receiving care
|| || || || || || || || || ||
E. After data collection is completed, it is compared to a benchmark - ✔✔1. A
|| || || || || || || || || || || || || || ||
structure audit evaluates the setting and resources available to provide care
|| || || || || || || || || ||
2. An outcome audit evaluates the results of the nurse care provided
|| || || || || || || || || || ||
3. A root cause analysis is indicated when a sentinel event occurs
|| || || || || || || || || || ||
4. After data collection is completed, it is compared to a benchmark
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