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A nurse is working on a quality improvement team that is assessing an increase in
clients falls at the facility after problem identification which of the following actions
should the nurse plan to take first as part of a quality improvement process
a. Notify staff of increase fall rate
b. review current literature regarding clients fall
c. identify clients who are at risk for falls
d. implemented A fall prevention plan
A client who is febrile is admitted to the hospital for the treatment of pneumonia. In
accordance with the care pathway antibiotic therapy is prescribed which of the
following situations require the nurse to complete a variance report with regards to the
care pathway?
a. The route of antibiotic therapy on the care pathway was from IV to PO
b. A blood culture was obtained after antibiotic therapy had been initiated
c. An allergy to penicillin requires an alternative antibiotic to be prescribed
d. antibiotic therapy was initiated 2 hours after implementation of the care pathway
A nurse is caring for a client who has cancer the client and her partner are asking the
nurse about Hospice care which of the following statements by the nurse is
appropriate
a. Hospital is no longer available for clients who are in Hospice care
b. Hospice care will prolong the life expectancy of the client who are terminally ill
c. Hospice care is a multi-disciplinary program for clients who are terminally ill
d. hospice care is helpful for clients are very stages of chronic
A nurse manager discovers there is conflict between nurses working the day shift and
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the nurses working night shift. Which of the following actions should the nurse
manager take first?
a. Meet with a committee of nurses from each shift to discuss issues related to
the conflict
b. Gathering information regarding the situation
c. Acknowledge the conflict and encourage the nurses to focus on working as
a team
d. Encourage the nurses to resolve the conflict autonomously
A nurse working in the emergency Department is assessing several clients which of
the following clients is the highest priority
a. A client who reports right sided flank pain and diaphoretic
b. A client who has active bleeding from a puncture wound of the left groin area
c. A client who has raised skin rash on his arm neck and face
d. a client who reports shortness of breath and left neck and shoulder pain
A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of
a change in wound care procedure, which of the following findings indicates
wound healing?
a. deep red color on the center of a client's wound
b. Erythema on the skin surrounding a client wound
c. inflammation noted on the tissue edges of a client's wound
d. increase in sanguineous exudate from the clients wound
A nurse enters the room of a client who is unconscious and finds that the son is
reading her electronic medical records from a monitor located at the bedside which of
the following actions should the nurse take first?
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a. Report the possible violation of client confidentiality to the nurse manager
b. complete an incident report regarding the breach of client’s confidentiality
c. recommend to his son to meet with the provider to get information about
his mother's condition
d. log out the computer so that the client's son is unable to view his
mother's information
A nurse is providing information to a client about advance directives the nurse
should explain that advance directives include which of the following?
a. Information regarding organ donation
b. a form with directions for contacting next of kind
c. instructions regarding treatments the client desires or does not desire
d. information regarding the disposition of the client's body upon death
A nurse witnesses a coworker not following facility procedure with discarding the
unused portion of control substances, which of the following actions should the
nurse take? (select all that apply)
a. File an anonymous report of the incident to the nurse manager
b. identify all witnesses to the incident
c. request that the co-worker complete an incident report
d. document a factual account of the incident
e. submit an incident report to the risk management
A nurse on a medical surgical unit is caring for four clients, the nurse should
recognize that which of the following clients is the highest priority?
a. a client who is post-operative following it laminectomies 4 hours ago in unable
NUR 3525 ATI LEADERSHIP STUDY GUIDE
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