ATI Practice B Leadership and Management - Update

1. A nurse caring for a client recovering from a stroke. The provider recom- mends extracranial-intracranial bypass, but client tells nurse he wont have surgery. Which actions should nurse take?: C. Discuss with client his concerns about having the surgery. 2. A charge nurse notices a newly nurse consistently not finishing client care tasks by end of shift. Which statements should charge nurse make?: A. " You should set aside time to plan your day at the beginning of each shift." 3. 2 nurses on unit each say the other not doing fair share of work. Conflict is affecting unit. charge nurse should recognize which is an appropriate approach to conflict?: D. Explore alternative solutions to address unit workflow with the nurses. 4. Charge nurse conducting in-service with staff about infection control precautions. RN should instruct staff that which client requires droplet pre- cautions?: D. A client who has pertussis. 5. A nurse in ED is admitting clients following an earthquake. Emergency disaster plan has been implemented due to large # of anticipated casualties. Which clients should nurse recommend provider see first?: D. A client who has a sucking chest wound. 6. A nurse is caring for group of clients. Which assessment findings should nurse recognize as priority to report to charge nurse?: B. A client 2 days post operative & urine output of 20 mL/hr 7. A nursing unit undergoing changes. Some staff members have verbalized displeasure with changes. Which actions should nurse take?: Role model a positive approach to changes. Encourage staff members who support changes to discuss with resistant staff. 8. interprofessional conference for a client 3 days post-op following ORIF right hip. Which concern is the priority ?: B. The client refuses to attend physical therapy sessions. 9. Charge nurse evaluating plan of care novice nurse developed for a client to receive continuous NG tube feed. Which intervention should charge ensure part of care?: D. Use a 60 mL syringe to flush out a clogged tube 10. A nurse just received report on 4 clients med-surg unit. Which client should nurse assess first?: B. A client postop following a total knee arthroplasty & a cap refill of