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ATI Leadership and Management Proctored Exam Form B 2021//2022 (Answered Questions With Rationales).

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ATI Leadership and Management Proctored Exam Form B 2021//2022 (Answered Questions With Rationales). A nurse is caring for a group of clients on a unit. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? A. A client who has heart failure and 2+ edema of her lower extremities. B. A client who is 2 days postoperative and has a urine output of 20 mL/hr C. A client who started taking verapamil and has a heart rate of 75/min. D. A client who is receiving morphine and reports nausea.: B. A client who is 2 days post operative and has a urine output of 20 mL/hr 7. A nursing unit is undergoing changes to accomodate new bariatric ser- vices that will be available to the unit. Some staff members have verbalized displeasure with the changes. Which of the following actions should the charge nurse take? (Select all that apply) A. Role model a positive approach to the changes. B. Redirect the conversation when staff members make negative comments about the changes. C. Encourage staff members who support the changes to discuss the issue with resistant staff. D. Suggest that resistant staff members transfer to a different unit. E. Reprimand staff members who are resistant to the changes.: 3 / 28 ATI Leadership and Management Proctored Exam Form B A and C 8. A case manager is planning an interprofessional conference for a client who is 3 days postoperative following an open reduction and internal fixation of the right hip. Which of the following concerns is the priority for discussion at the confrence? A. The client does not have transportation for discharge home. B. The client refuses to attend physical therapy sessions. C. The client's home health nurse has not completed the home assessment. D. The client describes feelings of depression after his family visits.: B. The client refuses to attend physical therapy sessions. 9. A charge nurse is evaluating a plan of care that a novice nurse developed for a client who is to receive a continuous NG tube feeding. Which of the following interventions should the charge nurse ensure is part of the plan of care? A. Flush the tube every 8 hours with 0.9% sodium chloride irrigation. 4 / 28 ATI Leadership and Management Proctored Exam Form B B. Use an acidic juice to unclog a blocked tube. C. Add dissolved medications to the enteral feeding. D. Use a 60 mL syringe to flush out a clogged tube.: D. Use a 60 mL syringe to flush out a clogged tube 10. A nurse has just received report on four clients on a medicalsurgical unit. Which of the following clients should the nurse plan to assess first? A. A client who has COPD and an oxygen saturation level of 92%. B. A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds. C. A client who has diabetes mellitus and a blood glucose of 150 mg/dL D. A client who is 12 hr postoperative following abdominal surgery and has absent bowel sounds.: B. A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds. An oxygen saturation of 92% is nonurgent because it is an expected finding for a client who has COPD; therefore, another client is the nurse's priority. When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority is a client who has a capillary refill of 4 seconds following a total knee arthroplasty. Capillary refill should be 3 seconds or less. A blood glucose of 150 mg/dL is nonurgent because it is an expected finding for a client who has diabetes mellitus; therefore, another client is the nurse's priority. Absent bowel sounds is nonurgent because it is an expected finding for a client following abdominal surgery; therefore, another client is the nurse's priority.

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