Leadership ATI Proctored Focus, Leadership ATI Proctored Remediation Exam

An RN has to teach the client initially but can delegate ________to an LPN. Correct answer- reinforcing the teaching 2. An LPN can perform ______care. Correct answer- tracheostomy care 3. Can an RN delegate to an LPN to perform suctioning? Correct answer- yes 4. Can an RN delegate to an LPN to put in a urinary catheter? Correct answer- yes 5. Can an RN delegate to an AP to feed a client not on swallow precautions? Correct answer- yes 6. Is an RN allowed to delegate to an AP to collect a urine sample? Correct answer- yes 7. A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who required naloxone (narcan) for depressed respirations. Is this an appropriate task for the AP? Correct answer- no 8. An older adult client who is on fall precautions is found lying on the floor of his hospital room. Which of the following actions is most appropriate for the nurse to take first? A. Call the client's provider B. Ask a staff member for assistance getting the client back in bed C. Inspect the client for injuries D. Ask the client why he got out of bed w/out assistance Correct answer- C. Inspect the client for injuries 9. An RN on a med-surg unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN? A. Obtain vitals for a client who is 2 hr postop following a cardiac cath B. Administering a unit of PRBCs C. Instructing a client in the performance of wound care D. Developing a plan of care for a newly admitted client Correct answer- A 10. A nurse is caring for an older adult client who has left the unit for a radiology procedure. The client's son asks the nurse what med is being given to the client. Which of the following is an appropriate response by the nurse? A. "I am sorry, but that is information you will need to ask your mother or her doctor." B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam (Ativan) for anxiety." C. "You will need to ask the charge nurse for that info." D. "Don't worry. We will give your mother all pertinent info before discharge." Correct answer- A. 11. A nurse works in a mental health facility that uses a case management nursing model to provide care. The nurse should recognize that which of the following describes a case management approach to care? A. A nurse provides total care for several clients B. Collaboration between disciplines creates a multidisciplinary care plan for each client. C. The focus of care is on detecting disorders at an early stage. D. The team leader assigns care for a group of clients Correct answer- B 12. A nurse overhears a client talking with an attorney, reporting physical abuse, use of restraints & denial of meals. What action should the nurse take? A. Report the conversation to the nurse manager to allow for follow-up investigation. B. Question the client about the allegations to identify staff who were allegedly involved. C. Ignore the conversation unless the client brings it to the attention of the nurse. D. Recognize this as a privileged communication that cannot be discussed w/anyone. Correct answer- A 13. A nurse manager is planning a department meeting to discuss client advocacy. Which of the following situations should be included in the discussion? Select all that apply. A. Discussing treatment options w/a client who was pancreatic cancer B. Notifying the surgeon when a client signing a surgical consent form has questions about the procedure C. Helping a client make a list of questions she would like to ask the provider D. Clarifying the dosage of a med prescribed for an older adult client who has impaired liver function E. Carrying out end-of-life wishes outlined in the living will of an older adult Correct answer- B, C, D, E 14. A nurse is assessing a client's negligible progress in following a weight loss program. Which of the following is a likely reason the client was unable to achieve a short-term goal established during the planning phase of the nursing process? A. The goals were realistic & formulated w/client input. B. The underlying problem behind past weight gain was misidentified. C. The implementation of the plan used flexibility in following the nursing actions D. The nurse obtained objective & subjective data during the assessment. Correct answer- B 15. A nurse has prepared an IM injection for a client who is preoperative, when another client suddenly calls for assistance. The nurse asks an LPN to give the injection since an AP is waiting to take the client to surgery. Which of the following is an appropriate action by the LPN? A. Prepare a new syringe for the client who is preop B. Give the prepared med to the client who is preop C. Help the client requesting assistance so the nurse can give the prepared injection D. Report this request to the charge nurse Correct answer- C 16. A new charge nurse on a busy surgical unit notes a high degree of tension among the nursing staff. Which of the following should be the initial method used for resolving this issue? A. Work w/the nurses to identify stressors B. Hire additional staff to decrease the work load C. Make relaxation tapes available to staff to help decrease stress D. Reassess the situation after the nurses have become accustomed to the new charge nurse Correct answer- A 17. A nurse on a long-term care unit finds that a client receiving dialysis was administered captopril (capoten), which was not prescribed for the client. In which order should the nurse take the actions listed? ___Complete an incident report. ___Contact the risk manager. ___Instruct the client to call for assistance when getting out of bed. ___Measure the client's vital signs ___Notify the provider Correct answer- 1. Measure the client's vitals 2. Instruct the client to call for assistance when getting out of bed 3. Notify provider 4. Complete an incident report 5. Contact the risk manager 18. A nurse is caring for a group of clients on a med surg unit. Which of the following tasks should the nurse delegate to the assistive personnel (AP)? Select all that apply. A. Collecting a stool specimen B. Providing instructions about using a spirometer C. Measuring oral intake D. Providing postmortem care E. Changing a dressing Correct answer- A, C, D 19. A nurse on a med surg unit is planning care of assigned clients. Which of the following clients should the nurse assess first? A. A client who is newly admitted & is to have an indwelling urinary catheter inserted B. A client who has kidney stones & reports flank pain 6 out of 10 C. A client diagnosed w/early-stage chronic kidney disease w/a serum creatinine level of 2.0 mg/dL D. A client who has a cast newly applied on his forearm and reports tingling of his fingers Correct answer- D 20. An RN working w/an LPN is planning client care assignments. Which of the following tasks should the nurse delegate to the LPN? A. Performing tracheostomy suctioning for a stable client B. Performing an admission assessment of a client who is preop C. Initiating the referral of a client to hospice D. Interpreting a client's digoxin level Correct answer- A 21. A client is prescribed morphine sulfate IM. Which of the following should the nurse recognize as a requirement for governing controlled substances? A. Delegate med admin to a RN B. Ask another nurse to observe disposal of unused med C. Request another nurse to validate admin of the med D. Observe the LPN admin the med Correct answer- B 22. An older adult client who has early Alzheimer's disease is living w/an adult child who is employed part-time but is committed to keeping her parent at home. Which of the following options is appropriate for the nurse to discuss w/the client & family at this time? A. Hospice care B. Adult day care C. An assisted-living facility D. Long-term care facility Correct answer- B 23. A nurse is overheard telling other nurses that the unit manager gives preferential treatment to nurses on the night shift. Which of the following approaches by the unit manager reflects an assertive response to resolution of this conflict? A. Understand that the vocal nurse is misinformed & take no action. B. Assign the vocal staff nurse to work the night shift to allow direct experience w/the night shift. C. Meet one-on-one w/the vocal staff nurse to discuss the concerns raised D. Confront the staff nurse during the next unit meeting regarding her statement Correct answer- C 24. A nurse is caring for a group of clients on a medical unit. Which of the following is the priority finding the nurse should report to the provider? A. A client receiving metoclopramide (Reglan) reports diarrhea B. A client receiving tamsulosin (Flomax) reports feeling dizzy C. A client receiving cephalexin (Keflex) reports dyspnea D. A client receiving erythromycin (E-Mycin) reports epigastric pain Correct answer- C 25. A nurse is caring for a client who has recently been prescribed lithium carbonate (Eskalith). Which of the following is the priority assessment finding for this client? A. Fine hand tremors B. Weight gain of 2.7 kg (6 lb) C. Report of nausea D. Poor motor coordination Correct answer- D 26. A nurse manager is reviewing the function of "Code of Ethics for Nurses with Interpretive Statements" during a staff meeting. The nurse manager recognizes that this document is: A. legally binding B. mandatory for the practice of nursing C. a description of requirements for licensure D. a guide for professional actions Correct answer- D. 27. A nurse manager finds an increased incidence of health-care associated infections (HAIs) on a long term care unit. Which of the following is the priority action the nurse manager should take to address the problem? A. Monitor the staff's hand hygiene techniques B. Hold a mandatory in-service about hand hygiene & infection rates C. Require nurses to take an online course on HAIs D. Conduct a chart review to gather data about clients who developed HAIs Correct answer- D 28. A nurse manager is about to write a 2 month performance appraisal for a newly graduated nurse. Which of the following factors should the nurse manager take into consideration when planning a performance appraisal interview for this nurse? A. The written appraisal & interview should sound friendly & be informal B. No one except the nurse manager should have input regarding the nurses's appraisal C. A nursing administrator who does not know the nurse should conduct the interview to promote fairness D. The nurse should have a copy of performance standards before the appraisal interview Correct answer- D 29. A nurse working at a rehab facility attends an interdisciplinary team meeting for a client who has had a left hemispheric stroke. Which of the following members of the interdisciplinary team should the nurse expect to contribute to the plan of care? Select all that apply. A. Nurse B. Occupational therapist C. Speech therapist D. Physical therapist E. Respiratory therapist Correct answer- A, B, C, D 30. A nurse is writing a goal for a client's reaction following the admin of a med. Which of the following phases of the nursing process should the nurse modify? A. Planning B. Evaluation C. Analyzing D. Assessment Correct answer- A 31. The actual writing of an expected outcome is done in the planning phase of the nursing care plan. 32. A charge nurse on a med surg unit is assigning client care to an RN and an LPN. Which of the following tasks should the nurse assign to the RN? Select all that apply. A. Performing colostomy care B. Administering blood to a client C. Developing a plan of care for a client D. Calculating a TPN flow rate E. Checking nasogastric tube patency Correct answer- B, C, D 33. A nurse manager is providing info about the audit process to members of the nursing team. Which of the following statements should the nurse manager include? Select all that apply. A. A structure audit evaluates the setting & resources available to provide care B. An outcome audit evaluates the results of the nursing 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 Correct answer- A, B, C, E 34. A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following will provide the most relevant info regarding the efficacy of the procedure? A. Frequency w/which the procedure is performed B. Client satisfaction w/performance of procedure C. Incidence of complications r/t procedure D. Accurate documentation of how the procedure was performed Correct answer- C 35. A nurse manager has received a performance appraisal from the unit manager. Which of the following actions by the unit manager requires intervention? A. The evaluation was conducted in the unit manager's office B. Data that was collected for the previous 12 months was presented C. Verbal concerns provided by a staff member were incorporated into the data D. The nurse was asked to review the performance appraisal & complete a self-evaluation Correct answer- C 36. A nurse is preparing to transfer an older adult client who is 72 hr postop from a surgical procedure to a long term care facility. Which of the following should the nurse include in the transfer report? Select all that apply. A. Type of anesthesia used B. The client's advance directives status C. The client's vital signs on day of admission D. The client's medical diagnosis E. Need for special equipment Correct answer- B, D, E 37. A nurse is participating in an interprofessional conference for a client who has a recent C6 spinal cord injury. The client worked as a construction worker prior to his injury. Which of the following members of the interprofessional team should also participate in planning care for this client? Select all that apply. A. Physical therapist B. Speech therapist C. Occupational therapist D. Psychologist E. Vocational counselor Correct answer- A, C, D, E 38. A nurse manager is working with a committee of nurses whose task is to update the policies for new employee orientation. The nurse manager directs the team to collect as much data as possible & recommend several options. Which of the following decision-making styles is being demonstrated by the nurse manager? A. Decisive B. Flexible C. Hierarchical D. Integrative Correct answer- D. 39. A nurse who has just assumed the role of unit manager is examining her skills in interprofressional collaboration. Which of the following actions support interprofessional collaboration? Select all that apply. A. Use aggressive communication when addressing the team B. Recognize the knowledge & skills of each member of the team C. Ensure that a nurse is assigned to serve as the group facilitator for all interdisciplinary meetings D. Encourage the client & family to participate in the team meeting E. Support team member requests for referral Correct answer- B, D, E 40. A nurse is caring for a client who is being prepared for surgery. The client hands the nurse info about advance directives & states, "Here, I don't need this. I am too young to worry about life-sustaining measures & what I want done for me." Which of the following actions should the nurse take? A. Return the papers to the admitting dept w/a note stating that the client doesn't wish to address the issue at this time. B. Explain to the client that you never know what can happen during surgery & that he should fill the paper's out "just in case." C. Contact a client representative to talk w/the client & offer additional info about the purpose of advance directives D. Inform the client that the surgery cannot be conducted unless he completes his advance directives forms Correct answer- C 41. A nurse is serving as a preceptor to a newly licensed nurse & is explaining the role of the nurse as advocate. Which of the following situations illustrates