ATI leadership extra questions AND ANSWERS

1. A nurse is evaluating a newly licensed nurse who is administering a vitamin K injection to a newborn. Which of the following actions by the newly licensed nurse indicates understanding of the teaching? (SATA) a. Applies gentle pressure at the site after injection b. Aspirates the syringe for blood return after needle insertion c. Selects the dorsogluteal site to administer the injection d. Inserts the needle at a 45° angle - IM should be 90 e. Cleans the injection site with alcohol: a. Applies gentle pressure at the site after injection e. Cleans the injection site with alcohol 2. A client is admitted with COPD. Which of the following findings should the nurse report to the provider? a. Report of dyspnea on exertion b. Oxygen saturation 89% on room air c. White blood cell count 9,000/mm3 d. Bilateral crackles on auscultation of lungs: d. Bilateral crackles on auscultation of lungs 3. A client schedule for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of the following nursing statements is an appropriate nursing response? a. "You shouldn't be worried because the procedure is very safe." b. "This won't take long and it will be over before you know it." c. "Why did you make the decision to have this procedure?" d. "It's not too late to cancel the surgery if you want to.": d. "It's not too late to cancel the surgery if you want to." 4. A nurse is caring for a client who reports acute pain but refuses IM medica- tion. The nurse distracts the client and quickly administers the injection. This illustrates which of the following? a. Libel b. False imprisonment c. Battery d. Assault: c. Battery 5. A nurse is orienting to an emergency department. The nurse is asked to assist with suturing of a laceration on a client's hand. Which of the following is the best resource for this nurse? a. The preceptor on the clinical unit b. The provider suturing the client's injury c. The nursing supervisor d. The information on the suture package: b. The provider suturing the client's injury 6. 13. A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed? a. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min. b. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client. c. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better. d. A nurse explains to a client's family that a DNR includes withholding comfort measures.: d. A nurse explains to a client's family that a DNR includes withholding comfort measures. 7. A nurse is caring for a client who is unconscious and whose partner is his health care proxy. The partner has spoken with the provider and wishes to discontinue the client's feeding tube. The provider states to the nurse, "I will not discontinue this client's treatment. His partner has no right to make decisions regarding the client's care." Which of the following responses by the nurse is appropriate? a. "We'll need to have the nursing supervisor review the client's advance directives." b. "You should consider speaking with the facility's ethics committee before making your decision." c. "You have the right to make that decision, even if the partner is the client's health care proxy." d. "The client has designated his partner as health care proxy in his advance directives.": d. "The client has designated his partner as health care proxy in his advance directives." 8. A nurse is preparing to discharge a client back to a long-term care facility after he was admitted to an acute care facility 2 days ago for pneumonia. Which of the following information should the nurse include in the verbal transfer report? a. Laboratory results within the expected reference range b. Level of consciousness c. List of regularly prescribed medications d. Date of last bowel movement: b. Level of consciousness 9. A charge nurse on a postpartum unit is teaching a client who gave birth 2 hr ago about the facility's protocols for preventing newborn abduction. Which of the following instructions should the nurse include? a. "Carry your baby snugly in your arms whenever you leave your room." b. "Make sure to leave your baby in the bassinet by your bed when you use the bathroom." c. "Keep your baby next to you in your bed if you think you might fall asleep." d. "Check the photo identification badge of staff members who care for you and your baby.": d. "Check the photo identification badge of staff members who care for you and your baby." 10. 18. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? a. A client who has diabetes mellitus and a stage 2 pressure ulcer on his foot b. A client who has a hip fracture and is in Buck's traction c. A client who has aspiration pneumonia and a respiratory rate 28/min d. A client who has a Clostridium difficile infection and needs a stool specimen collected: c. A client who has aspiration pneumonia and a respiratory rate 28/min ABC 11. A nurse should recognize