ATI LEADERSHIP B PRACTICE QUESTIONS AND ANSWERS REVISED

1. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate to the nurse the need for referral to an occupational therapist? a. Facial drooping b. Receptive aphasia c. Unilateral neglect d. Memory loss 2. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? a. Show a new mother how to change the newborn’s diaper b. Inspect the skin of a newborn who is receiving phototherapy c. Obtain the weight of a newborn who is receiving formula d. Answer the parents’ questions about newborn circumcision 3. A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurse are available forstaffing. Which of the following tasks should the nurse assign to a licensed practical nurse? a. Conduct the newborn hearing screening b. Perform a New Ballard screening c. Administer a hepatitis B vaccine d. Obtain vitalsigns 4. A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching? a. I need to have a TB skin test done once per year b. I need to take my prescribed medication for 3 months c. Ishould have a sputum culture done every 2 to 4 weeks d. I should wear a mask while around my family 5. A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take? a. Accept the assignment with help from assistive personnel on the unit b. Document the concern in the nurse’s notes c. Notify the risk manager d. Request that the charge nurse modify the assignment 6. A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy? a. Recommending a referral for a client who requires physical therapy b. Suggesting a client’s partner attend a support group for emotional support - check c. Completing an incident report following a medication error d. Evaluating a client’s home forsafety hazards 7. A nurse is caring for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr b. A client who has diabetes mellitus and reports paresthesia in his fingers and toes c. A client who has a new diagnosis of Graves’ disease and a TSH level of 0.2 microunits/mL d. A client who has a nasogastric tube and has crackles in the lungs 8. A staff development nurse is giving an in-service presentation about advocacy in nursing. Which of the following statements by a nurse indicates an understanding of the role of a client advocate? a. As a client advocate, I will suggest the best course of action for clients who are indecisive b. In the role of client advocate, Ishould take responsibility for coordinating each client’s care c. My role as a client advocate is to empower the clients to make informed health care decisions d. As a client advocate, I will adhere to the provider’s prescribed treatments 9. A charge nurse in the emergency department is supervising a nurse who is floating from the medical-surgical unit. Which of the following assignments is appropriate for the float nurse? a. Set up a trauma room for an incoming client who was in a motor-vehicle crash b. Perform a urinary catheterization for a client who has experienced a stroke - check c. Administer IV nitroglycerin to a client who is experiencing chest pain d. Complete a SAD PERSONS assessment scale for a client who has attempted suicide 10. A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary? a. I will need assistance with bathing - check b. I am tired of having pain in my joints all the time c. I’m having difficulty climbing the stairs at my house d. I need some help planning my meals to maintain my weight 11. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique? a. The nurse t....................................................................................................................CONTINUED