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ATI LEADERSHIP PROCTORED. GRADED AA nurse manager is preparing to institute a new system for scheduling staff. Several nurses have verbalized their concern over the possible changes that will occur. ... Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? Identify nurses who accept the change to help influence other staff nurses Provide a brief overview of the new scheduling system immediately before its implementation (overview should occur over time) Introduce the new scheduling system by describing how it will save the institution money (giving an incentive) Offer to reassign staff who do no support the change to another unit 2. A client who is febrile is admitted to the hospital of pneumonia. In accordance with the care pathway, antibiotics therapy is prescribed. Which of the following situations requires the nurse to complete a variance report [something like an incident report] with regard to the care pathway? (pg 95) Antibiotic therapy was initiated 2 hr. after implementation of the care pathway A blood culture was obtained after antibiotic therapy had been initiated The route of antibiotic therapy on the care pathway was changed from IV to PO An allergy to penicillin required an alternative antibiotic to be prescribed 3. A nurse should recognize that an incident report is required when (pg 95) A client refused to attend physical therapy A visitor pinches his finger in the clients bed frame A client throws a box of tissues at a nurse A nurse gives a medication 30 min late 4. (6) A nurse is precepting a newly licensed nurse who is caring for a client who is confused and has an IV infusion. The newly licensed nurstye has placed the client in wrist restraints to prevent dislodging the IV catheter. Which of the following questions should the precepting nurse ask? Did you secure the restraints to the side rails of the bed Are you able to insert 2 fingers between the restraints and the client’s skin Did you tie the restraints using a double knot Are you removing the clients restraints every 4 hours 5. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately relieved during the first 12 hr post operatively. The unit manager decides to identify postoperative pain as a quality indicator. Which of the following data sources will be helpful in determining the reason why clients are not receiving adequate pain management after surgery? (pg19) Prospective chart audit Retrospective chart audit Postoperative care policy Pain assessment policy 6. (7) A nurse is caring for an older adult client who has a stage III pressure ulcer. The nurse requests a consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with a consultant? (pg 40) Arrange the consultation for a time when the nurse caring for the client is able to be present for the consultation Provide the consultant with subjective opinions and beliefs about the client’s wound care Request the consultation after several wound care treatments are tried Arrange for the wound care nurse specialist to see the client daily to provide the recommended treatment 7. A client is admitted with tuberculosis and placed in a negative pressure room. Which of the following nursing actions is appropriate? Notify the local health department of the admission. Place a sign on the client’s door with the diagnosis Ensure that admitting staff undergo PPD skin tests. Determine who had contact with the client in the last 48 hr [Show More]

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