ATI RN Leadership With verified
questions and answers
A charge nurse on a ped unit is delegating tasks to an AP who is pregnant and
reports that she is unsure of her immune status. Which of the following clients
should the charge nurse assign to the AP?
a. A 9 yr old child who has fifths disease
b. A 4 yr old child who has varicella
c. A 6 yr old child who has rubella
d. A 2 yr old child who has impetigo contagiosa (impetigo) - d. A 2 yr old child who
has impetigo contagiosa
this is a safe assignment. if the ap practices universal precautions, there is no risk
for contracting impetigo.
A charge nurse receives a call from his nursing supervisor about an explosion at a
local factory and an urgent need for facility beds for newly admitted clients. Which
of the following clients should the nurse recommend for discharge?
a. A 60 yr old client who has type 2 diabetes mellitus admitted 48 hr ago with
uncontrolled glucose levels
b. A 58 yr old client who is 12 hr post-op following a total knee arthoplasty
c. A 80 yr old client admitted 24 hr ago for vomiting and diarrhea
d. A 44 yr old client who has asthma and was admitted for carpal tunnel surgery - d.
A 44 yr old client who has asthma and was admitted for carpal tunnel surgery
A nurse is discussing with a newly licensed nurse about how to obtain informed
consent from a client who is to undergo an epidural procedure. Which of the
following ethical principles should the nurse include in the teaching?
a. Benedicence
b. Autonomy
c. Paternalism - b. Autonomy
Informed consent is based on the ethical principle of autonomy, which is the right to
self-determination, independence, and freedom of choice.
Based on the principle that actions should be taken with the intent to do good. It is
associated with nonmaleficence, which is the requirement that health care
providers do no harm to their clients. - beneficence
the right to self determination, independence, and freedom of choice - Autonomy
a principle that is based on the assumption that one person can assume
responsibility for making the decisions for another person - paternalism
, A nurse is caring for a client who is a local public official. A local newspaper
reporter repeatedly phones the unit seeking info and states, "it is the public's right
to know that health status of elected officials." Which of the following actions
should the nurse take?
a. Acknowledge that the person is a client on the unit but give no specific details
b. Refer any calls directly to the client's room so that the client and the family can
decide what to tell the press
c. Refer media inquires to the nursing supervisor
d. Hang up on callers from the news media because the nurse is not required to
speak to them - Refer the media inquires to the nursing supervisor
A nurse is caring for four clients who are scheduled for diagnostic tests. For which
of the following tests should the nurse obtain written consent from the client?
a. Cerebral arteriogram
b. MRI
c. CT scan - a. Cerebral arteriogram
(because it is an invasive procedure)
A nurse is completing an incident report after administering an incorrect dose of
med to a patient, even though the client experienced no ill effects from the error.
Which of the following should the nurse recognize as the purpose for completing
the incident report?
a. Alerts facility administration of a possible litigation situation
b. Tracks employee performance for possible disciplinary action
c. Provides detailed report of the occurrence for the family
d. Identifies situations that contribute to the occurrence of med erros - d. Identifies
situations that contribute to the occurrence of med errors
A nurse is caring for a pt who received a sedative-hypnotic med at bedtime. The pt
gets out of bed and falls, sustaining a laceration that requires suturing. Which of the
following statements should be included as part of the nurse's documentation in the
chart?
a. Client found sitting on the floor with 3 cm laceration above left eyebrow. Oriented
to name only. Provider notified
b. Client found sitting on the floor with blood running down face. Side rails had not
been raised by the AP when the client was placed in bed - a. Client found sitting on
the floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider
notified
A nurse discovers that the wrong med was given to a confused client who
answered to the name the nurse stated when entering the room. The provider is
notified and states that the med the client received will cause any harm. Which of
the following actions should the nurse take?
a. Complete an incident report documenting the occurrence
b. Make a note in the client's medical record that an incident report was completed
- a. complete an incident report documenting the occurrence
questions and answers
A charge nurse on a ped unit is delegating tasks to an AP who is pregnant and
reports that she is unsure of her immune status. Which of the following clients
should the charge nurse assign to the AP?
a. A 9 yr old child who has fifths disease
b. A 4 yr old child who has varicella
c. A 6 yr old child who has rubella
d. A 2 yr old child who has impetigo contagiosa (impetigo) - d. A 2 yr old child who
has impetigo contagiosa
this is a safe assignment. if the ap practices universal precautions, there is no risk
for contracting impetigo.
A charge nurse receives a call from his nursing supervisor about an explosion at a
local factory and an urgent need for facility beds for newly admitted clients. Which
of the following clients should the nurse recommend for discharge?
a. A 60 yr old client who has type 2 diabetes mellitus admitted 48 hr ago with
uncontrolled glucose levels
b. A 58 yr old client who is 12 hr post-op following a total knee arthoplasty
c. A 80 yr old client admitted 24 hr ago for vomiting and diarrhea
d. A 44 yr old client who has asthma and was admitted for carpal tunnel surgery - d.
A 44 yr old client who has asthma and was admitted for carpal tunnel surgery
A nurse is discussing with a newly licensed nurse about how to obtain informed
consent from a client who is to undergo an epidural procedure. Which of the
following ethical principles should the nurse include in the teaching?
a. Benedicence
b. Autonomy
c. Paternalism - b. Autonomy
Informed consent is based on the ethical principle of autonomy, which is the right to
self-determination, independence, and freedom of choice.
Based on the principle that actions should be taken with the intent to do good. It is
associated with nonmaleficence, which is the requirement that health care
providers do no harm to their clients. - beneficence
the right to self determination, independence, and freedom of choice - Autonomy
a principle that is based on the assumption that one person can assume
responsibility for making the decisions for another person - paternalism
, A nurse is caring for a client who is a local public official. A local newspaper
reporter repeatedly phones the unit seeking info and states, "it is the public's right
to know that health status of elected officials." Which of the following actions
should the nurse take?
a. Acknowledge that the person is a client on the unit but give no specific details
b. Refer any calls directly to the client's room so that the client and the family can
decide what to tell the press
c. Refer media inquires to the nursing supervisor
d. Hang up on callers from the news media because the nurse is not required to
speak to them - Refer the media inquires to the nursing supervisor
A nurse is caring for four clients who are scheduled for diagnostic tests. For which
of the following tests should the nurse obtain written consent from the client?
a. Cerebral arteriogram
b. MRI
c. CT scan - a. Cerebral arteriogram
(because it is an invasive procedure)
A nurse is completing an incident report after administering an incorrect dose of
med to a patient, even though the client experienced no ill effects from the error.
Which of the following should the nurse recognize as the purpose for completing
the incident report?
a. Alerts facility administration of a possible litigation situation
b. Tracks employee performance for possible disciplinary action
c. Provides detailed report of the occurrence for the family
d. Identifies situations that contribute to the occurrence of med erros - d. Identifies
situations that contribute to the occurrence of med errors
A nurse is caring for a pt who received a sedative-hypnotic med at bedtime. The pt
gets out of bed and falls, sustaining a laceration that requires suturing. Which of the
following statements should be included as part of the nurse's documentation in the
chart?
a. Client found sitting on the floor with 3 cm laceration above left eyebrow. Oriented
to name only. Provider notified
b. Client found sitting on the floor with blood running down face. Side rails had not
been raised by the AP when the client was placed in bed - a. Client found sitting on
the floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider
notified
A nurse discovers that the wrong med was given to a confused client who
answered to the name the nurse stated when entering the room. The provider is
notified and states that the med the client received will cause any harm. Which of
the following actions should the nurse take?
a. Complete an incident report documenting the occurrence
b. Make a note in the client's medical record that an incident report was completed
- a. complete an incident report documenting the occurrence
