ATI LEADERSHIP - Proctored Complete Exam 2021. Detailed 70 Questions And 100% Correct Answers.

• A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected inthe crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? • Tell the client that a catheter will be inserted.b.Document the client’s refusal in the chart. • Assess the client for urinary retention. • Obtain a provider’s prescription for a blood alcohol level. • A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to alicensed practical nurse? • Pick up the meal trays after lunch. • Administer a nasogastric tube feeding. • Plan break times for assistive personnel. • Determine adequacy of ventilator settings. • A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA) • Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile fieldb. Opens the sterile pack by first unfolding the top flap away from her body • Prepares a container of sterile solution on the field after putting on sterile gloves • Removes the outside packaging of a sterile instrument before dropping it onto the sterilefield • Holds the sterile solution bottle with the label facing up • A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? • Auscultate the client’s lungs. • Notify the provider. • Place a faulty equipment tag on the pump. • Complete an incident report. • A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN) andan assistive personnel. Which of the following tasks should the nurse assign to the LPN? • Reinforcing teaching with a client who is learning to self-administer insulin • Ambulating a client who is scheduled for discharge later in the day • Administering morphine IV bolus to a client who is hr postoperative • Admitting a new client who has chronic back pain to the unit • A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptictechnique? • The nurse applies goggles. • The nurse turns her back to the sterile field. • The nurse holds her hands above her waist. • The nurse puts on a face mask. • A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel(AP). Which of the following actions should the nurse take to evaluate the delegated task? • Review vital sign trends at the end of the shift. • Recheck vital signs that are outside the expected reference range. • Ask the AP to write a summary of the delegated tasks during the shift. • Compare the vital signs the AP obtained with those taken by another AP on a previous shift. • A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive personnel?a. Obtaining a stool sample from a client who has renal failure • Monitoring a client who has a fluid restriction • Assessing a client who just returned from hemodialysis • Reviewing dietary instructions for a client who has kidney stones • A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurserecommend for treatment first? • A client who has a neck injury and is unable to breathe spontaneously • A client who has two open chest wounds with a left tracheal deviation • A client who has major burns over 75% of her body surface area • A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3) • A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following statements by a staff nurse indicates that the teaching was effective? • “A family member can interpret to obtain informed consent from a client who is deaf.”b. “Consent can be given by a durable power of attorney.” • “Guardian consent isrequired for an emancipated minor.” • “The nurse can answer any questions the client has about the procedure.”