lOMoARcPSD|11700591
1
Leadership ATI Dynamic Quiz Test bank
A nurse is preparing a client for a lumbar puncture. The client has signed the consent form but
tells the nurse that she does not remember what the doctor will do during the procedure. Which
of the following actions should the nurse take?
Remind the client that the doctor will insert a needle to get a sample of fluid from her spine.
A signed consent form indicates that the provider informed the client about the procedure and that
at the time the client understood what to expect. If the client states she does not remember what to
expect, the nurse should clarify any details the provider previously gave the client.
However, if the client expresses a further lack of understanding or states that the provider did
not inform her, the nurse should either notify the charge nurse or call the provider directly.
A nurse manager is implementing a team nursing approach on his unit, hiring licensed practical
nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions
should the nurse manager take to facilitate acceptance of this change?
Introduce the new approach and facilitate the development of a task force to plan
implementation.
This appropriate approach involves the staff in the planning and will give them a feeling of
control over their practice and enhance acceptance of the change.
A group of providers is participating in a resuscitation effort for a client who is in cardiac arrest.
Which of the following types of leadership is required for this group to function most efficiently?
Autocratic
Autocratic leadership is most effective in an emergency situation. An autocratic leader will direct
and issues commands that are necessary for successful cardiopulmonary resuscitation.
A nurse is having difficulty completing care and documentation without staying past the end of
the shift. The nurse manager suggests focusing on time-management skills. Which of the
following strategies should the nurse plan to use?
Identify tasks in order of their priority.
Prioritizing is an important time-management strategy. The nurse should prioritize each client's
needs and tasks and attend to the highest priority client first.
, lOMoARcPSD|11700591
2
A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is
pregnant and reports that she is unsure of her immune status. Which of the following clients
should the charge nurse assign to the AP?
A 2-year-old child who has impetigo contagiosa (impetigo).
This is a safe assignment. If the AP practices universal precautions, there is no risk of
contracting impetigo. Impetigo is a superficial skin infection caused by either Staphylococcus or
Streptococcus.
A nurse is assisting a provider with an amniotomy on a client who is in labor. Which of the
following is the priority nursing assessment following the procedure?
Fetal heart rate.
The greatest risk to this client is an injury from umbilical cord prolapse following artificial
rupture of the membranes; therefore, the nurse should monitor the fetal heart rate for
bradycardia, which can indicate an increased risk of umbilical cord prolapse.
A nurse is preparing to transfer an older adult client to a long-term care facility. To promote
continuity of care, which of the following actions should the nurse plan to take?
Give a written summary of the client's nursing plan of care to the long-term care facility.
A written summary of the client's nursing plan of care will convey his needs to the nurses who
will be working with him in the long-term care facility.
A nurse in the emergency department is preparing to obtain informed consent for surgery from
a client who received a meperidine hydrochloride IV during transport from a rural hospital.
Which of the following actions should the nurse take to obtain consent for surgery?
Obtain consent from a relative of the client.
A client who has received meperidine cannot give consent because the medication can alter the
ability to understand the consent process. The nurse should obtain consent from a relative of the
client. If a relative is unavailable and the surgery is determined to be critical, the surgery can
proceed without client consent.
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a
client who had a left hemispheric stroke. Which of the following members of the
interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
, lOMoARcPSD|11700591
3
Nurse
Occupational therapist
Speech therapist
Physical therapist
A nurse on a medical-surgical unit is caring for a group of clients. For which of the following
situations should the nurse complete a variance report?
The discovery that a preoperative client has received and eaten breakfast.
This situation represents a variation from the standard of care. A change in the client's plan of
care is necessary because the surgical procedure will need to be delayed. The nurse should
complete a variance report for this situation.
A nurse is selecting clients for discharge following an environmental disaster. Which of the
following clients should the nurse select?
A client who is 1 day postoperative following an inguinal hernia repair.
The nurse should select the client who had an inguinal hernia repair for discharge because this
client is stable.
An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel
obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the
following tasks should the RN perform?
Assess for bowel sounds every 2 hours.
Assessments are within the scope of practice for the RN only. While the LPN can also
auscultate the client's abdomen for the presence of sounds, only the RN is qualified to evaluate
the sounds and qualify them as hypoactive, normal, or hyperactive.
A nurse is caring for a child who has sustained extensive head injuries. The provider has
diagnosed brain death. Which of the following statements should the nurse use to begin a
conversation about the option of organ and tissue donation with the child's parents?
"I want to give you some information about an option that you have regarding donating your
child's organs to others who are in need."
This is an appropriate statement to begin the discussion. It clearly conveys the nurse's intention
to give the family factual information and does not make any emotionally-laden statements.
, lOMoARcPSD|11700591
4
A charge nurse is conducting an in-service training session on ethics to a group of newly licensed
nurses. Which of the following situations should the charge nurse include as an example of the
ethical principle of veracity?
A nurse truthfully answers the client's questions about upcoming chemotherapy.
A nurse who truthfully answers the client's questions about treatment, such as chemotherapy, is
demonstrating the ethical principle of veracity. Veracity refers to telling the truth and being
straightforward and clear with clients about the treatment being delivered.
A nurse is completing an incident report after administering an incorrect dose of medication to a
client, even though the client experienced no ill effects from the error. What is the purpose of
completing the incident report?
Identifying situations that contribute to the occurrence of medication errors.
The purpose of completing incident reports is to identify factors that contribute to the
occurrence of the problem. This is one aspect of quality-improvement efforts in health care
facilities.
A charge nurse in an emergency department is making assignments for an assistive personnel
(AP) during a shift with unexpected staff absences. Which of the following assignments should
the charge give to a float AP from the medical-surgical unit?
Escorting clients from the emergency department to other areas of the facility for tests.
Clients in the emergency department often require transport to other departments. Typically,
transporting stable clients is a task that may be delegated to an AP, and escorting clients is likely
a normal part of the AP's regular routine.
A nurse is receiving report on a client who has Clostridium difficile and is being transferred from
another unit. Which of the following precautions should the nurse take?
Perform hand hygiene with nonantimicrobial soap and water after client care.
The nurse should perform hand hygiene with nonantimicrobial soap and water after providing
care for a client who has C. difficile. This spore-forming organism is resistant to alcohol-based
soaps and sanitizers.
A nurse receives the morning change-of-shift report and delegates several tasks to an assistive
personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to
perform first?
1
Leadership ATI Dynamic Quiz Test bank
A nurse is preparing a client for a lumbar puncture. The client has signed the consent form but
tells the nurse that she does not remember what the doctor will do during the procedure. Which
of the following actions should the nurse take?
Remind the client that the doctor will insert a needle to get a sample of fluid from her spine.
A signed consent form indicates that the provider informed the client about the procedure and that
at the time the client understood what to expect. If the client states she does not remember what to
expect, the nurse should clarify any details the provider previously gave the client.
However, if the client expresses a further lack of understanding or states that the provider did
not inform her, the nurse should either notify the charge nurse or call the provider directly.
A nurse manager is implementing a team nursing approach on his unit, hiring licensed practical
nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions
should the nurse manager take to facilitate acceptance of this change?
Introduce the new approach and facilitate the development of a task force to plan
implementation.
This appropriate approach involves the staff in the planning and will give them a feeling of
control over their practice and enhance acceptance of the change.
A group of providers is participating in a resuscitation effort for a client who is in cardiac arrest.
Which of the following types of leadership is required for this group to function most efficiently?
Autocratic
Autocratic leadership is most effective in an emergency situation. An autocratic leader will direct
and issues commands that are necessary for successful cardiopulmonary resuscitation.
A nurse is having difficulty completing care and documentation without staying past the end of
the shift. The nurse manager suggests focusing on time-management skills. Which of the
following strategies should the nurse plan to use?
Identify tasks in order of their priority.
Prioritizing is an important time-management strategy. The nurse should prioritize each client's
needs and tasks and attend to the highest priority client first.
, lOMoARcPSD|11700591
2
A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is
pregnant and reports that she is unsure of her immune status. Which of the following clients
should the charge nurse assign to the AP?
A 2-year-old child who has impetigo contagiosa (impetigo).
This is a safe assignment. If the AP practices universal precautions, there is no risk of
contracting impetigo. Impetigo is a superficial skin infection caused by either Staphylococcus or
Streptococcus.
A nurse is assisting a provider with an amniotomy on a client who is in labor. Which of the
following is the priority nursing assessment following the procedure?
Fetal heart rate.
The greatest risk to this client is an injury from umbilical cord prolapse following artificial
rupture of the membranes; therefore, the nurse should monitor the fetal heart rate for
bradycardia, which can indicate an increased risk of umbilical cord prolapse.
A nurse is preparing to transfer an older adult client to a long-term care facility. To promote
continuity of care, which of the following actions should the nurse plan to take?
Give a written summary of the client's nursing plan of care to the long-term care facility.
A written summary of the client's nursing plan of care will convey his needs to the nurses who
will be working with him in the long-term care facility.
A nurse in the emergency department is preparing to obtain informed consent for surgery from
a client who received a meperidine hydrochloride IV during transport from a rural hospital.
Which of the following actions should the nurse take to obtain consent for surgery?
Obtain consent from a relative of the client.
A client who has received meperidine cannot give consent because the medication can alter the
ability to understand the consent process. The nurse should obtain consent from a relative of the
client. If a relative is unavailable and the surgery is determined to be critical, the surgery can
proceed without client consent.
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a
client who had a left hemispheric stroke. Which of the following members of the
interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
, lOMoARcPSD|11700591
3
Nurse
Occupational therapist
Speech therapist
Physical therapist
A nurse on a medical-surgical unit is caring for a group of clients. For which of the following
situations should the nurse complete a variance report?
The discovery that a preoperative client has received and eaten breakfast.
This situation represents a variation from the standard of care. A change in the client's plan of
care is necessary because the surgical procedure will need to be delayed. The nurse should
complete a variance report for this situation.
A nurse is selecting clients for discharge following an environmental disaster. Which of the
following clients should the nurse select?
A client who is 1 day postoperative following an inguinal hernia repair.
The nurse should select the client who had an inguinal hernia repair for discharge because this
client is stable.
An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel
obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the
following tasks should the RN perform?
Assess for bowel sounds every 2 hours.
Assessments are within the scope of practice for the RN only. While the LPN can also
auscultate the client's abdomen for the presence of sounds, only the RN is qualified to evaluate
the sounds and qualify them as hypoactive, normal, or hyperactive.
A nurse is caring for a child who has sustained extensive head injuries. The provider has
diagnosed brain death. Which of the following statements should the nurse use to begin a
conversation about the option of organ and tissue donation with the child's parents?
"I want to give you some information about an option that you have regarding donating your
child's organs to others who are in need."
This is an appropriate statement to begin the discussion. It clearly conveys the nurse's intention
to give the family factual information and does not make any emotionally-laden statements.
, lOMoARcPSD|11700591
4
A charge nurse is conducting an in-service training session on ethics to a group of newly licensed
nurses. Which of the following situations should the charge nurse include as an example of the
ethical principle of veracity?
A nurse truthfully answers the client's questions about upcoming chemotherapy.
A nurse who truthfully answers the client's questions about treatment, such as chemotherapy, is
demonstrating the ethical principle of veracity. Veracity refers to telling the truth and being
straightforward and clear with clients about the treatment being delivered.
A nurse is completing an incident report after administering an incorrect dose of medication to a
client, even though the client experienced no ill effects from the error. What is the purpose of
completing the incident report?
Identifying situations that contribute to the occurrence of medication errors.
The purpose of completing incident reports is to identify factors that contribute to the
occurrence of the problem. This is one aspect of quality-improvement efforts in health care
facilities.
A charge nurse in an emergency department is making assignments for an assistive personnel
(AP) during a shift with unexpected staff absences. Which of the following assignments should
the charge give to a float AP from the medical-surgical unit?
Escorting clients from the emergency department to other areas of the facility for tests.
Clients in the emergency department often require transport to other departments. Typically,
transporting stable clients is a task that may be delegated to an AP, and escorting clients is likely
a normal part of the AP's regular routine.
A nurse is receiving report on a client who has Clostridium difficile and is being transferred from
another unit. Which of the following precautions should the nurse take?
Perform hand hygiene with nonantimicrobial soap and water after client care.
The nurse should perform hand hygiene with nonantimicrobial soap and water after providing
care for a client who has C. difficile. This spore-forming organism is resistant to alcohol-based
soaps and sanitizers.
A nurse receives the morning change-of-shift report and delegates several tasks to an assistive
personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to
perform first?
