ATI capstone management pre-assessment
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PD #2 PN Comprehensive Online Practice ... Fundamental Chapte
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Jess__Leon__S Preview Mayra_Gomez90 Preview Aprann19
-Clients breath sounds clear bilaterally.
If a medication error occurs, the nurse should monitor the client
A nurse is caring for a client who for adverse effects. Furosemide is a loop diuretic and is used in
has heart failure notices that the clients who have heart failure to help eliminate excess fluid. The
client did not receive his client missed a dose of furosemide, so the nurse should monitor
scheduled dose for furosemide. for signs of fluid volume excess such as crackles and peripheral
When filling out an incident edema.
report about the occurrence, -The nurse documents the clients status as a result of the
which of the following occurrence.
information should the nurse Factual information should be included in the incident report
include? SATA with details about the impact on the client.
- The client's statement about the occurrence.
The client's statement should be included.
A nurse is preparing to Encourage the client to verbalize questions or concerns.
administer a medication to a
client. Which of the following The nurse should encourage the client to ask questions and
actions by the nurse express concerns regarding medications. It is the clients right to
demonstrates advocacy for be knowledgeable about his health and it is the nurse's
client rights? responsibility as the client advocate to provide this information.
A nurse is planning an in-service Democratic
that encourages active member
participation and feedback Democratic leadership encourages participation and
about decreasing nosocomial cohesiveness in a group.
infections on the unit. Which of
the following leadership styles
does the nurse plan to use?
An infant who has pertussis and is receiving oxygen via nasal
A nurse on a pediatric unit has
cannula.
received change-of shift report.
Which of the following clients
Using the airway, breathing, circulation (ABC) approach to
should the nurse plan to see
prioritizing client care, this client should be seen first because
first?
the infant has a compromised airway and requires oxygen.
, - Repeat the prescription back to the provider.
A nurse is receiving a providers The nurse should read the prescription back and have the
prescription for a client via provider confirm verbally that it is correct.
telephone. Which of the -Question any part of the prescription that is unclear or
following actions should the inappropriate.
nurse take to ensure the This is essential for any prescription , verbal or written.
accuracy of the telephone - Transcribe the prescription into the client's medical record.
prescription? SATA This is the usual procedure after accepting a telephone
prescription.
A charge nurse overhears a Address the situation as soon as possible.
provider speaking to a staff
nurse in anger concerning The charge nurse should address the situation as soon as
incorrect supplies that are possible to avoid escalation of the problem.
available. Which of the following
actions by the charge nurse
displays conflict resolution?
An older adult client about to "Let's inform your doctor that you wish to have a DNR status."
have an elective surgical
procedure informs the nurse The provider must place the DNR prescription on the client's
that she wants "do-not- medical record for it to be effective. Without it, the staff might
resuscitate" (DNR) status. Which still choose to perform CPR, should the client have a
of the following responses cardiopulmonary arrest.
should the nurse make?
A nurse is reinforcing teaching "The courts may require me to discuss confidential information."
about protecting client health
information with a newly In some states the court may enact a court order requiring the
licensed nurse. Which of the nurse to discuss confidential client information. In most stats, the
following statements by the right to privacy of these records is extended in civil or criminal
newly licensed nurse indicates proceedings.
an understanding of
confidentiality?
"Delegation permits a designated individual to meet a goal on
A nurse us reinforcing teaching
your behalf."
about delegation to an assistive
personnel (AP) with a newly
The nurse should include that delegation involves transferring
licensed nurse. Which of the
responsibility for the performance of a specific task while
following statements should the
retaining accountability for the task. It results in quality client
nurse include in the teaching?
care, and improved efficiency and productivity.
A nurse is about to give a client Close the curtains around the clients bed.
a complete bed bath. Which of
the following actions should the Closing the curtains around the clients bed ensures privacy for
nurse take to maintain the the client should a visitor or another staff member open the door
client's privacy? or enter the room.
A nurse is rehearsing assertive "I decline the opportunity at this time."
communication approaches to
decline leadership of a nursing This is an assertive form of communicating because it contains an
department committee. Which "I" statement, and is clear and firm.
of the following statements by
the nurse demonstrates
assertiveness?