ATI RN LEADERSHIP EXAM 2022

ATI RN LEADERSHIP EXAM 2022 A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranialintracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take? A. Inform the client of the consequences of decreased cerebral circulation. B. Initiate a mental health consultation to determine why the client refusesthe surgery. C. Discuss with the client his concerns about having the surgery. D. Provide the client with information on additional treatment options. C. Discuss with the client his concerns about having the surgery. A charge nurse notices a newly hired nurse consistently does not finish client care tasks by the end of the shift. Which of the following statements should the charge nurse make? A. "You should set aside time to plan your day at the beginning of each shift." B. "You should not take a break until all of your tasks are completed." C. "You should leave your hardest task for the end of the shift." D. "You should save your charting for the end of the shift." A. " You should set aside time to plan your day at the beginning of each shift." Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should recognize that which of the following is an appropriate approach to this conflict? A. Schedule the nurses to work on alternating shifts. B. Organize a task force to evaluate the situation. C. Tell the nursesthat it istheir responsibility to cooperate with coworkers. D. Explore alternative solutions to address unit workflow with the nurses. D. Explore alternative solutions to address unit workflow with the nurses. A charge nurse is conducting an in-service with staff members about infection control precautions. The nurse should instruct the staff that which of the following clients requires droplet precautions? A. A client who has shigella. B. A client who has measles. C. A client who has toxic shock syndrome D. A client who has pertussis. D. A client who has pertussis. A nurse in the emergency department is admitting clients following an eartquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualities. Which of the following clients should the nurse recommend the provider evaluate first? A. A client who has a penetrating head injury and respirations of 4/min. B. A client who has a comminuted fracture of the femur. C. A client who has a 6-inch laceration to the scalp with clotted blood visible. D. A client who has a sucking chest wound. D. A client who has a sucking chest wound. 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 A nursing unit is undergoing changes to accomodate new bariatric services 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 changesto discuss the issue with resistant staff. D. Suggest that resistantstaff memberstransfer to a different unit. E. Reprimand staff members who are resistant to the changes. A and C 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 concernsis the priority for discussion at the confrence? A. The client does not have transportation for discharge home. B. The client refusesto 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 hisfamily visits. B. The client refusesto attend physical therapy sessions. 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. B. Use an acidic juice to unclog a blocked tube. C. Add dissolved medicationsto 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 A nurse hasjust received report on four clients on a medical-surgical 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. A nurse is teaching a newly licensed nurse about the guidelines for obtaining a telephone prescription from a provider. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "Ishould repeat the prescription back to the provider for verification." B. "Ishould have the pharmacist contact the provider to obtain a new prescription." C. "The provider does not have to sign a presciption if the pharmacist approves it." D. "The provider may leave telephone prescriptions with a student nurse if a licensed nurse is unavailable." A. I should repeat the prescription back to the provider for verification." A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take first? A. Assist clients who are in immediate danger to a safe location. B. Close doors and windows on the unit. C. Attempt to extinguish the fire using an ABC fire extinguisher. D. Discontinue oxygen use for clients who can breathe without it. A. Assist clients who are in immediate danger to a safe location. Upgrade to remove ads Only $2.99/month A hospice nurse is planning care for a client who does not have advance directives. Which of the following interventions should the nurse include in the plan of care? A. Provide the client with information about advance directives. B. Tell the client's partner to complete advance directives on his behalf. C. Notify the facility chaplain of the client's needs for advance directives. D. Tell the client that his provider will complete a health care proxy form for him. A. Provide the client with information about advance directives. A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark. Which of the following actions should the nurse implement first? A. Offer incentives for the staff once the unit's benchmark is above average. B. Train specific nurses to use a standard discharge teaching plan. C. Determine the factorsthat interfere with the documentation of client education. D. Include client discharge teaching as part of the annual performance evaluation. C. Determine the factorsthat interfere with the documentation of client education A nurse overhearstwo staff members in the facility elevator discussing a client's care. Which of the following interventions should the nurse take? A. Clarify the client information the staff members are discussing. B. Inform the client's provider of the incident. C. Report the incident to the nurse manager. D. Tell the client about overhearing a discussion regarding his care.