ATI RN LEADERSHIP EXAM 2019 - LATEST RETAKE GUIDE

Document Content and Description Below

1. A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first? o Establis... h measurement criteria for infant safety systems. o Evaluate the selected infant safety system. o Choose an infant safety system. o Identify the industry standards for infant safety. 2. A nurse at a local health department is caring for four clients who have communicable diseases. Which of the following infections should the nurse report to the state health department? o Chlamydia trachomatis o Pediculosis capitis o Impetigo contagiosa o Candida albicans 3. A nurse at a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department. o Candidiasis o Gonorrhea o Trichomoniasis o Human papillomavirus 4. A charge nurse discovers that a staff nurse on the unit has made repeated medication errors. Which of the following actions should the charge nurse take first? o Review with the nurse principles of medication administration. o Ask the nurse to describe the medication administration procedure. o Identify education opportunities for the nurse regarding safe medication administration. o Notify the risk management department of the situation. 5. The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make the health care decision? o The provider o The oldest adult child o The partner o The client 6. A nurse is working with a committee that is performing an annual review of policies and procedures. After gathering data, identify the sequence the committee should follow when using the stages of change. (put in order) o Determine goals 1 o Create a revised protocol 2 o Implement the revised protocol 3 o Review the results of the provisions. 4 7. A nurse is providing a change of shift report for the oncoming nurse. Which of the following information should the nurse include in the report? o “ The client’s partner came to visit him 2 hours ago and smelled of alcohol.” o “ The client is the president of a local bank.” o “ The client will need vital signs checked every 4 hours.” o “ The client is currently in the radiology department for a chest x-ray.” 8. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? o Child protective services o Pharmacist o Social worker o Respiratory therapist 9. A nurse is preparing a shift assignment for an assistive personnel on the unit. Which of the following tasks should the nurse assign to the AP? o Check a client’s pain level 30 min after receiving acetaminophen o Administer the initial bolus feeding to a client who has an NG tube o Collect a urine specimen from a newly admitted client o Instruct a client to splint an abdominal incision 10. A nurse is teaching a class of newly licensed nurses about evidence- based practice. The nurse should include which of the following as a first step in evidence-based practice. o Collect evidence from a variety of sources o Develop a clinical question o Apply research to client care practice o Critically assess the evidence 11. A nurse is inspecting a clients IV pump prior to use. The nurse should tag and report which of the following safety hazards? o The electrical cord is taped to the floor o The IV pump is plugged into an outlet close to the bed o The IV pump has a free-flow protective device o The electric plug has two short prongs – (Must be 3 prongs) 12. A nurse who is caring for a group of clients, delegates collection of vital signs to an assistive personnel. Which of the following actions should the nurse take to evaluate the delegated task? o Recheck vital signs that are outside the expected reference range o Review the vital sign trends at the end of the shift. o Ask the AP to write a summary of the delegated tasks during the shift. o Compare the vital signs the AP obtained with those taken by another AP on a previous shift. 13. A nurse is caring for a client who has signed consent for the removal of the tumor in the left frontal lobe of the brain. The client states, “The tumor is on the right side of my head.” Which of the following actions should the nurse take? o Continue with the surgery because the client already gave informed consent. o Ask the surgeon to clarify the operative site with the client o Contact the surgery department to validate the operative site o Tell the client to mark the right side of his head with indelible ink 14. A nurse is preparing to witness a client’s signature on an informed consent for a surgical procedure. Which of the following actions is the nurse’s responsibility? o Ensuring the client appears competent to consent to the procedure o Discussing options for the alternative therapies with the client o Providing the client with a complete description of the procedure o Explaining the risks associated with the procedure to the client 15. A charge nurse witnesses two nurses having a loud discussion at the nurses’ station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take? o Make arrangements to take over the clients care. o Contact the house supervisor to mediate the conflict o Escort the nurses to the nurses lounge to continue the discussion o Recommend that both nurses are terminated 16. A nurse is observing an assistive personnel administer 0.9% sodium chloride enema to an adult client. For which of the following actions by the AP should the nurse intervene? o Inserts the tubing 8 cm (3.1 in) into the rectum o Positions the client on her left side with knees flexed o Points tubing in the direction of the umbilicus during insertion o Administers the solution at room temperature Rationale: Prepare and warm the enema solution. Position the client on the left side with the right leg flexed forward. Slowly insert the rectal tube 7.5 to 10 cm (3 to 4 in). 17. A nurse is prioritizing care after receiving report on four clients. Which of the following clients should the nurse assess first? o A client who reports feeling lightheaded when he stands up from a lying position o A client who reports an urge to void but has not urinated during the shift prior o A client who reports indigestion and pain in her jaw o A client who reports a headache with sensitivity to light 18. A charge nurse is directing the unit nurses to implement the emergency response plan for a fire on the unit. Which of the following instructions should the charge nurse give to the unit nurses? o Ask ambulatory clients to help move clients in wheelchairs to safety o Continue therapy for clients who are receiving oxygen o Close the doors of the unit before moving clients to a safe place o Maintain mechanical ventilation for clients who are on life support. 19. A nurse is providing teaching to an older adult client regarding home safety. Which of the following instructions should the nurse include in the teaching? o Cover chords with the carpet to prevent falls o Unplug humidifier before cleaning it o Change batteries in the smoke alarm every 2 years o Set the water heater to 60 degrees C (140 F) 20. A nurse is using the SBAR communication tool while giving report on a client. The nurse should include the client’s pain level after receiving a PRN dose of morphine 1 hr ago during which part of the report? o A-assessment o B-background o R-recommendation o S-situation 21. A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using? o Benchmarking o Structure audit o Risk benefit analysis o Root cause analysis 22. A nurse is planning a discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse’s priority? o Provide printed materials for new prescriptions o Set up appointments in in-home physical therapy o Request a referral for a home safety assessment o Suggest participating in a community group 23. A nurse is caring for a group of clients. Which of the following clients should the nurse see first? o A client who is postoperative and has a fever (nonurgent) o A client who has a fractured hip and reports a pain level of 7 on a scale of 0 to10 o A client who has pressure ulcer has serosanguineous drainage on the dressing o A client who has diabetes mellitus and is diaphoretic 24. A nurse manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as an HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? o Negligence o Battery o Libel o Slander 25. A nurse initiates a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings supports the need for the referral? o The client has difficulty ambulating with a walker o The client requires assistance with completing oral hygiene o The client reports pain when chewing on solid foods o The client expresses desire to join a support group 26. A home health nurse finds piles of newspaper in the hallway of a client’s home. The nurse explains the need to discard the newspapers for safety reasons. The client agrees to move the newspapers into the living room. Which of the following conflict resolution strategies has the nurse used? o Compromising o Smoothing o Collaborating o Accommodating 27. A nurse reports to a charge nurse that a client’s visitor slipped and fell. The visitor denies any injury and is walking around. Which of the following instructions should the charge nurse give the nurse? o “ Have the visitor sign a waiver” o “ Document the incident report in the client’s medical record” o “Offer the visitor an analgesic” o “ Record the event on an occurrence report” 28. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? o A code of ethics is a step-by-step approach to decision making o A code of ethics is legally binding o A code of ethics outlines the nurses scope of practice o A code of ethics is a set of principles for nursing practice 29. An infection control nurse is planning an education program for a group of newly licensed nurses. Which of the following infections should the nurse include when discussing illnesses requiring droplet precautions? o Rotavirus o Rubeola o Varicella o Mumps 30. A nurse manager discovers there is a conflict between nurses working day shift and working night shift. Which of the following actions should the nurse take? o Gather information regarding the situation o Acknowledge the conflict and encourage the nurses to focus on working as a team o Encourage the nurses to resolve the conflict autonomously o Meet with the a committee of nurses from each shift to discuss issues related to the conflict 31. 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 aseptic technique? o The nurse puts on a face mask o The nurse applies goggles o The nurse holds her hands above her waist o The nurse turns her back to the sterile field 32. A nurse in an emergency department is triaging four clients. Which of the following clients should the nurse recommend to be examined first? o An adolescent who has an injured ankle and reports a pain level of 8 on a scale of 0-10 o A toddler who has a 2cm (0.79 in) head laceration oozing dark red blood o An older adult client who has dyspnea and a respiratory rate of 26min o An adult client who has large ecchymoses on both legs 33. A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation (TENS). Which of the following members of the interdisciplinary team should the nurse contact for assistance? o Pharmacist o Occupational therapist o Respiratory therapist o Physical therapist 34. A nurse in a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include? o Accompany residents older than 85 years of age during ambulation o Institute rounds every 2 hr during the day to offer toileting o Keep the four side rails up on beds at night o Apply vest restraints on residents who are confused 35. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change of shift report? o The time the client received his last dose of pain medication o The clients preferred bath time o The belief that the client has a difficult relationship with his son o The steps to follow when providing wound care 36. A nurse is caring for four clients who are scheduled to undergo surgery. Which of the following clients can give informed consent? o An adult client who has moderate Alzheimer’s disease o An older adult client who has questions about the procedure o An adult client who has alcohol intoxication o An adolescent client who is legally emancipated 37. A nurse is completing a performance evaluation for an assistive personnel. Which of the following actions by the AP requires intervention by the nurse? o The AP wears a mask when caring for a client who has varicella o The AP removes cut flowers from the room of a client who is in a protective environment o The AP closes the door of a client who is on airborne precaution o The AP uses alcohol hand antiseptic after caring for a client who has C-Diff 38. A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee? o A young adult client who is participating in a medical research study o An older adult client who has advance directives on file o An adolescent client whose parents refuse a blood transfusion for religious reasons o A middle adult client who leaves the facility against medical advice 39. A nurse is working with a licensed practical nurse (LPN) to care for a group of clients. Which of the following clients should the nurse delegate to t CONTINUED................DOWNLOAD FOR BEST SCORES [Show More]

Last updated: 1 year ago

Preview 1 out of 44 pages