Leadership Ati Proctored Exam 2023

Leadership Ati Proctored Exam 2023 A nurse is caring for a client who has a tumor, the provider recommends surgery. the client refuses but clients partner wants it. Which of the following determines if the surgery will be done The clients partner is the durable power of attorney Client understands risk and refusing Clients refusal Ethics commity Ans- client understands risk and refusing New diagnosis of chlamydia Report to local health department Initiate contact precaution Use condoms Apply antiviral Ans- report to local health department A nurse is caring for a client who has cancer, the client's adult child asks the nurse for info about treatment plan. How should nurse respond? Speak to mother Provider will speak with you I cannot provide without consent What would you like to know about it? Ans- i cannot provide without consent A nurse is assessing an older adult client who was brought to the ER by his adult son, reports he fell at home. Nurse suspects abuse, action to take? Treat / discharge File incident report Ask client about injuries while son is present Ask son to go to waiting area Ans- ask son to go to waiting area A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct to apply to a client who has full thickness burns over side of body a. Red b. Yellow c. Green d. Black Ans- black A nurse on a med surg unit is caring for a client who asks about advance directives and wants to appoint a health care proxy. Which of the following responses should the nurse make? Choose a family member Attorney Decisions when you are unable to do so Appoint before undergoing procedure Ans- decisions when you are unable to do so A hospice nurse is caring for a client who has a terminal illness. Reports severe pain, prescribed meds, difficult to arouse. Nurse should a. Continue opioid Contact provider Administer benzo Without opioid Continue the medication dosages Ans- continue the medication dosages A nurse is orienting a newly licensed nurse about confidentiality. Which indicates an understanding? Use another's password as long as I log off after Discard personal info in trash before leaving Post clients signs in room Encrypt when sending emails Ans- encrypt when sending emails A nurse is delegating care for a group of clients. Which of the following should be assigned to an LVN? Scheduled endoscopy, enema DM requires teaching Client who has MI, transferring to unit from CCU New client with sickle cell Ans- scheduled enema A nurse on a med surg unit is caring for 4 clients. Highest priority? MRSA Absent pedal pulse in the right foot Post op, able to void Pancreatic cancer new dx Ans- absent pedal pulse in the right foot manager, cna incorrectly transferring to bedside commode, actions for nurse refer to procedure manual Help AP assist client with transfer instruct to request assist when unsure with a task Ans- help ap assist client with transfer Nurse in ER admits clients exposed to anthrax a. Prepare to administer abx to client b. Antiviral Ans- prepare to administer antibiotics to client A nurse is caring for a client who is unconscious, partner is health care surrogate, partner wants to dc feeding tube, another family wants to continue tx Contact provider Speak with ethics committee Nursing supervisor Ans- speak with ethiccs committee a nurse is preparing to discontinue client with end stage heart failure, partner can no longer care a. ask another family member to assist ask provider to delay dc contact case manager recommend long term facility Ans- contact case manager A nurse is providing COS report for oncoming nurse. Nurse should include Local banks Vital signs as prescribed Radiology for xray Clients partner came 2 hours ago Ans- Clients partner came 2 hours ago A nurse in er is preparing for client who arrived via ambulance, disoriented, cardiac arrythmia, action for nurse High risk manager Clients next of kin Client sign Proceed with procedure without consent Ans- proceed with procedure with consent A nurse is preparing to dc client who requires home oxygen, company has not delivered tank Notify provider about delay Contact social services Instruct family to contact insurance provider Send one home from facility Ans- contact social services A nurse from med surg caring for group of clients, delegate to LPN? Urine specimen from older adult client Wound debridement to PT Postmortem care Reinforce dietary teaching for heart disease Ans- urine specimen from older adult client Manager leading discussion on ethical dilemmas, example Minor burn from coffee Operation on wrong side of body Parent wants teen to receive radiation against will Rn witnesses another rn give incorrect med Ans- parents wants teen to receive radiation against will nurse develops dc plan for postop and needs wheel chair. refferral? Ans- home health caring for client who asks about prevalence of disease, rn obtains info by Ans- evidence based journal rn completed electronic record, ap finished vitals Ans- log out so ap can log in nurse is preparing teaching for a different language, intervention Ans- interpreter a nurse is preparing to transfer to facility, include what info for cos report Ans- the time the client received last pain med dose nurse on inpatient care unit work to reduce costs, cost containment plan Ans- use clean gloves rather than sterile gloves for colostomy care incident report for medication error Ans- include time med occurred preparing client for elective mastectomoy, want to wear wedding band Ans- place with clothing med surg unit, evaluating ap infection control actions, correct use of precautions Ans- removes gloves before leaving room mrsa education program for staff regarding new iv pump, sequence of actions Ans- schedule different sessions client rights inservice Ans- responsible for informing client abou