ATI RN LEADERSHIP PROCTORED EXAM

ATI RN LEADERSHIP PROCTORED EXAM

VERSION 22

When entering a client's room to administer a 0900 IV antibiotic, the nurse finds that the client is engaged in sexual activity with a visitor. Which action should the nurse implement? ~ Leave the room and closed the door quietly

When triaging emergency-room clients, which client should the nurse assess first? ~ A female client with severe right lower abdominal pain who is febrile and vomiting.

During a woman's health fair, which assignment is best for the practical nurse who is working with a registered nurse? ~ Prepare a woman for a bone density screening

A mental health nurses admitting a female adolescent who is accompanied by her mother and father. The nurse received report from the emergency department at the client has a medical diagnosis of depression and has attempted to harm herself. Which task should the nurse assigned to the mental health technician? ~ Search all of the clients belongings

The nurse assigns collection of the sputum specimen to an unlicensed assistive personnel. Before delegating this task to the UAP, which action is most important for the nurse to implement? ~ Determines if the UAP has received training to collect sputum specimen

When meeting with the client and the family, which nursing interventions demonstrates the nurse role of collaborator of care? ~ Coordinating and educating about multidisciplinary services

Based on the change of shift report, the client with which signs and symptoms should be assessed by the nurse first? ~ Chest pressure….yup, diaphoresis, nausea

The nurse working on a medical unit is assigned to care for four clients. Which client should the nurse assess first? ~ A client who is quadriplegic and is complaining of severe headache

Which action by the nurse-manager demonstrates an effective leadership style? ~ Fosters positive behavior changes in staf f numbers

Female client complains to the charge nurse that the unlicensed assistive personnel did not close the window shades to a public sidewalk while giving him a bath earlier in the morning. Which action should the charge nurse take? ~ Apologize to the client immediately

The charge nurse working on a surgical unit must discharge as many clients as possible to prepare for emergency admissions. Which client is stable enough to be discharged from the unit? ~ A client scheduled for a femoro-popliteal bypass surgery tomorrow

The charge nurse of the intensive care unit is making assignments for the permanent staff and Juan are in who has floated from a medical unit. The client with which condition is best to assign to the float nurse? ~ Emphysema extubated three hours ago receiving heated best

The charge nurse agrees to cover another nurses assignments during lunch break. Based on the status report provided by the nurse who is leaving for lunch, which client should be checked first by the charge nurse? The client: ~ With a pneumothorax secondary to a gunshot wound with a current pulse oximeter reading of 90%

During a staff meeting, the nurse verbally attacks the nurse-manager conducting the meeting stating, you always let your favorites have holidays off and give them easier assignments. You are unfair and prejudice. How should the nurse-manager response? ~ I would prefer to discuss t his with you privately

Following a six-week refresher course, the female nurse who has been out of the workforce for 10 years is assigned to the medical unit for orientation. After the first week of orientation the charge nurse notes that the she is overwhelmed by her daily assignments, which are less than one-half the assignments of the regular staff, and the assignments are incomplete at the end of each day. The 1 / 2

following week, which action is best for the charge nurse to take? ~ Assign the orientee to work with a practical nurse who is a long time, efficient employA client was amended during the night for a postoperative wound infection and wa s signed to a semi private room with a client who has lung cancer and is neutropenic. At morning report the nurse learns that the wound infection is positive for methicillin-resistant Staphylococcus aureus MRSA. Which intervention should the nurse implement? ~ Transfer the client with neutropenia to a private room

The charge nurse of a 24-bit medical unit is making shift assignments to 2 experienced RN's, 1 graduate are in, 1 LPN, and 2 UAP's. Which client should the nurse assigned to the most experienced RN? ~ A 36-year-old admitted with angina who has a history of coronary artery disease

A nurses doing telephone triage20at the clinic office. Which client is most acute and should be scheduled for the first available appointment? ~ A 21-year-old with a history of kidney transplant.Today the client complains of flu-like symptoms with a fever of 100.4°F

Aspirin ASA 81 mg 9 AM daily is prescribed for the ball client. At 8: ~00 AM the client and ask for something for low back pain, but does not have any PRN analgesics prescribed. What action is best for the nurse to take? ~

Obtain a prescription for a PRN analgesic

While the registered nurse is appearing to take the vitals signs of a newly admitted client who has a medical diagnosis of congestive heart failure, a practical nurse enters the clients roam and reports to the RN that another client just pulled out his central venous catheter and the unlicensed assistive personnel is in the room with the client.

RN knows that the newly admitted client is to receive a stat dose of oral anti-anxiety medications. How should the RN assigned to the needed care? ~

RN should provide care for the client who removed the central venous catheter while PN administers a stat medication and the UAP obtained the newly amended client's vital signs

• The charge nurse needs to determine if an additional nurse should be called to help staff the unit

for the next shift. Which information is most important for the charge nurse to consider when making this decision? ~

The acuity level of the client's on the unit

• While supervising a client who was performing self-catheterization, the nurse is paged to receive

the telephone report on a postoperative client who must be transferred immediately. How should the nurse respond? ~

Ask the charge nurse to take the report while the client finishes the procedure.

• The RN is assigned to care for 4 surgical clients. After receiving report, which client should the

nurse see first? ~ The client who is: ~

three days postoperative: ~ resection receiving transfusion of packed RBCs

• After receiving report, which client should the nurse assess first? ~

A client with an oxygen saturation of 70% following bronchodilator therapy

• A fire is reported in the kitchen on the first floor of a three-floor community Hospital, and the

operator notifies the charge nurse on the third floor to start evacuation procedures. What intervention should the charge nurse implement? ~

Instruct the nursing staff to evacuate ambulatory clients to the nearest fire exits

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