ATI RN LEADERSHIP PROCTORED EXAM A 2024 WITH NGN A+ VERIFIED QUESTIONS AND ANSWERS

A nurse manager is explaining the use of incident reports to a group of nurses in an orientation program. Which of the following statements should the nurse manager include? Select all that apply. A. A description of the incident should be documented in the client's health care record B. Incident reports should not be shared w/the client C. Incident reports include a description of the incident & actions taken D. A copy of the incident report should be placed in the client's health care record E. The risk management dept. investigates the incident - ANSWER A, B, C, E Managing Client Care: Appropriate Assignment During Orientation - ANSWER New RNs should be assigned a patient that they are competent caring for, and only after their skills have been observed and approved by an experienced RN. Airway Management: Discharge planning for a Client Who Has a Tracheostomy - ANSWER Always have two extra trach tubes (one your size and one size smaller). Keep an obturator for each trach tube and trach ties. Keep sterile saline and lubricant with you at all times. Professional Responsibilities: Responding to a Visitor's Question About Status of a Client - ANSWER Information cannot be shared with unauthorized individuals, including family members, unless they provide the code. Professional Responsibilities: Teaching About Confidentiality - ANSWER Client medical records must be kept in secure area. No information can be written on public display boards. EMR should be password protected, and nurses must only use their own log-in information. No part of the medical record can be copied, except for authorized exchange of documents between health care institutions. Preoperative Nursing Care: Securing Client Belongings - ANSWER Give all pt belongings to family member to safely stored. Managing Client Care: Prioritizing Client Care - ANSWER Systemic before local. Acute before chronic. Actual problems before potential problems. Listen carefully to clients and don't assume. Recognize and response to trends vs. transit findings. Recognize indications of medical emergencies & complications vs expected findings. Apply clinical knowledge to procedural standards to determine the priority action. Professional Responsibilities: Adhering to Ethical Principles - ANSWER Justice (fair treatment), beneficence (doing good), nonmaleficence (doing no harm), fidelity (faithfulness), autonomy (independence), veracity (truthfulness). Professional Responsibilities: Obtaining Informed Consent in an Emergency - ANSWER Informed consent is not needed if the pt is unconscious and surgery is immediately required to save their life. Information Technology: Receiving a Telephone prescription - ANSWER First, write down the prescription. Next, repeat the prescription back to the provider. Document phone conversation in client chart. Professional Responsibilities: Identifying a Tort - ANSWER A wrongful act or an infringement of a right Managing Client Care: Performance Improvement Process - ANSWER Standards are made available to employees by way of polices and procedures. Quality issues are identified by staff, management, or risk management department. an inter professional team is developed to review the issue. The current state of structure and process related to the issue is analyzed. Data is collected. If benchmark is not met, possible influencing factors are determined. Maintaining a Safe Environment: Assessing a Client's Home for Safety Hazards - ANSWER Remove items that could cause client to trip. Place electrical cords against the wall. Make sure steps and sidewalks are in good repair. Place grab bars near the toilet and the tub. Use nonskid mat in the tub or shower. Ensure lighting is adequate. Pressure Ulcers, Wounds, and Wound Management: Assessing for Evidence of Healing - ANSWER Inflammation means that the body's immune system is working to heal the wound. Coordinating Client Care: Need for Variance Report - ANSWER A variance report compares the planned budget and the actual financial outcome. Facility Protocols: Caring for a Client Who Has Been Exposed to Anthrax - ANSWER Treat with antibiotics. Managing Client Care: Appropriate Assignment During Orientation - ANSWER New RNs should be assigned a patient that they are competent caring for, and only after their skills have been observed and approved by an experienced RN. Airway Management: Discharge planning for a Client Who Has a Tracheostomy - ANSWER Always have two extra trach tubes (one your size and one size smaller). Keep an obturator for each trach tube and trach ties. Keep sterile saline and lubricant with you at all times. Professional Responsibilities: Responding to a Visitor's Question About Status of a Client - ANSWER Information cannot be shared with unauthorized individuals, including family members, unless they provide the code. Professional Responsibilities: Teaching About Confidentiality - ANSWER Client medical records must be kept in secure area. No information can be written on public display boards. EMR should be password protected, and nurses must only use their own log-in information. No part of the medical record can be copied, except for authorized exchange of documents between health care institutions. Preoperative Nursing Care: Securing Client Belongings - ANSWER Give all pt belongings to family member to safely stored. Managing Client Care: Prioritizing Client Care