ATI RN Leadership Online Practice 2023 B With NGN Questions and Answers, With Rationales Verified Newest Version Updated 2024
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Ati Leadership
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Ati Leadership
ATI RN Leadership Online Practice 2023 B With NGN Questions and Answers, With Rationales Verified Newest Version Updated 2024
ATI RN Leadership Online Practice 2023 B With NGN Questions and Answers, Verified 2024 Newest Version Updated
Rn leadership online practice 2023 b answers
ati rn lead...
ATI RN LEADERSHIP ONLINE PRACTICE B
ACTUAL NGN QUESTIONS AND CORRECT ANSWERS
1. Which of the following findings should the nurse identify require follow-up
by the provider? Select the 6 findings that require immediate follow-up. Exhibit 1
Day 1, 1715
Client is 6 hr postoperative following abdominal surgery. Client is resting and easily
awakened. Alert and oriented to person, place, and time. Incision has moderate
amount of serous sanguineous draining on dressing. Abdominal dressing is intact.
States pain level is a 4 on a 0 to 10 pain scale. Bowel sounds are normoactive. Client
tolerating sips of water. Urinary output 320 mL in last 4hr.
Day 1, 2030
Nurse enters room client's room. Client is restless and short of breath. Client rates
pain as an 8 on a scale of 0 to 10, saying,
"My abdomen hurts so bad." Nurse notes dressing site has large amounts of bright
red blood.
, -Urinary output
-Heart rate
-Orientation status
-Oxygen saturation
Answer: When analyzing cues, the nurse should identify that an in- crease in heart rate,
respiratory rate, a pain level of 8 on a scale of 0 to 10, a large amount of bright red blood on the
client's abdominal dressing, along with a decrease in blood pressure and oxygenation saturation
are manifestations of hemorrhage.
Therefore, the nurse should notify the client's provider of these findings immediately.
2. A charge nurse is reviewing the plan of care for a client who has active herpes
simplex lesions. Which of the following interventions is appropriate for the plan of
care?
a. Admit the client to a private room with negative-pressure airflow.
b. Wear a gown and gloves when caring for the client.
c. Have the client wear a mask during transport.
d. Wear a face mask and eye protection when caring for the client.
Answer: b. Wear a gown and gloves when caring for the client.
, The nurse should use contact precautions when caring for clients who have an
infection from herpes simplex. Barriers with gloves and gowns are mandatory.
3. A nurse is caring for several clients. Which of the following actions should the nurse
take to maintain client confidentiality?
a. Tell a client's partner that the client's laboratory tests cannot be disclosed without
permission.
b. Ask the assistive personnel (AP) to refer to clients by room number in public areas.
c. Explain to a nursing student that verbal permission must be obtained before using a
client's name in school assignments.
d. Share information about a client with
members after personal identification has been provided.
Answer: a. Tell a client's partner that the client's laboratory tests cannot be disclosed without
permission.
This action by the nurse will maintain client confidentiality. Providing a client's partner with
laboratory results without permission is unauthorized disclosure of confidential information.
4. A charge nurse is managing conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements example of using the conflict
resolution strategy known as smoothing?
a. "Would you accept the assignment if we reassign your client who has total care
needs and assign another client who can provide more self-care?"
,b. "Tell me what changes we need to make so that you'll feel comfortable with the
assignment."
c. "I didn't mean to make you feel overwhelmed. Why don't you look over the
assignments with me and suggest changes?"
d. "You always complete your work on time and do a great job. I believe you can
handle the assignment well."
Answer: d. "You always complete your work on time and do a great job. I believe you can
handle the assignment well."
The charge nurse is using smoothing as a conflict resolution strategy by compliment- ing or
focusing on shared ideas to reduce the emotional component of the conflict.
5. A nurse manager is planning daily work and activities for the unit. Which of the
following actions is the nurse manager's priority?
a. Assign client care to staff.
b. Coordinate staff breaks.
,c. Organize daily meetings using an appointment book.
d. Review long-term goals of the unit.
Answer: a. Assign client care to staff.
When using the urgent vs nonurgent approach to client care, the nurse determines that the
priority action is to assign client care to staff. This ensures continuity of care and that clients
receive prescribed treatments in a timely manner.
6. A nurse is caring for a school-age client who is seeking treatment for a laceration to
the right forearm that occurred during soccer practice. The client was transported to
the emergency department by a friend's parent and the soccer coach. The nurse
should ensure that informed consent is given by which of the following people?
a. The client
b. The friend's parent
c. The client's guardian
d. The soccer coach
Answer: c. The client's guardian
The parent or legal guardian is authorized to give consent for the client.
7. A client is considering having a tubal ligation and reports being uncertain about if
it is the right thing to do. Which of the following actions should the nurse take?
,a. Provide information about alternate birth control methods.
b. Ask if the client has discussed the decision with their partner.
c. Emphasize the benefits of having the procedure.
d. Discuss the client's feelings about the procedure.
Answer: d. Discuss the client's feelings about the procedure.
The nurse should encourage the client to discuss any feelings or concerns about the procedure.
8. An RN is assigning tasks to team members. Which of the following tasks is
appropriate to delegate to a licensed practical nurse (LPN)?
a. Complete a client's admission assessment.
b. Titrate the flow of diltiazem IV for a client who is in a hypertensive crisis.
c. Develop a teaching plan for a client who was recently diagnosed with
diabetes mellitus.
d. Suction a client who has a chronic tracheostomy.
Answer: d. Suction a client who has a chronic tracheostomy.
,Suctioning a client who has a tracheostomy is within the LP's scope of practice. The RN should
determine the LPN's competency and the stability of the client when considering delegation
of this task.
9. A nurse walks into the nurses' station and sees several staff members looking at the
electronic medical record for a celebrity client on another unit. Which of the following
actions should the nurse take first?
a. Remind the staff members that this is a breach of confidentiality.
b. Discuss the issue with the nurse manager.
c. Request that an administrative restriction be placed on the client's record access.
d. Prepare a memo for the facility ethics committee
Answer: a. Remind the staff members that this is a breach of confidentiality.
When using the urgent vs nonurgent approach to client care, the nurse should intervene
immediately to prevent any further breach in confidentiality. Therefore, this action should be
the nurse's priority.
10. Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to an assistive personnel (AP)?
a. "Take vital signs every 2 hours for the client who had a cholecystectomy in room
6122."
b. "Check the urinary output at 1100 for John Doe and report it to me immedi- ately."
c. "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438."
,d. "Please notify me of any clients whose vital signs or blood glucose levels are
significant."
Answer: b. "Check the urinary output at 1100 for John Doe and report it to me immediately."
This instruction follows the Five Rights of Delegation by practicing the requirements for right
direction/communication, which includes the data to collect, client-specific information, a
timeline for collection, and the expectation for communicating the findings back to the nurse.
11. A nurse is caring for a 19-year-old client who has just been informed that their
cancer has metastasized. The client tells the nurse that they do not want to continue
chemotherapy. Which of the following responses should the nurse make?
,a. "I will have the provider discuss treatment options with your parents."
b. "I will gather information about palliative care for you."
c. "I will contact your spiritual advisor to discuss this decision with you."
d. "I will contact your parents about becoming your designees in your durable power of
attorney."
Answer: b. "I will gather information about palliative care for you."
The nurse is acknowledging the client's right to refuse treatment and is demonstrat- ing
support by offering to discuss end-of-life care options.
12. A nurse is serving on a committee that is considering the creation of a policy that
will allow nurses to insert peripherally inserted central catheters in the intensive care
unit. Which of the following resources should the nurse consult when planning for
this policy?
a. National League for Nursing (NLN)
b. American Academy of Nursing (AAN)
c. Agency for Healthcare Research and Quality (AHRQ)
d. State Nurse Practice Act (NPA)
Answer: d. State Nurse Practice Act (NPA)
The nurse should consult the NPA in this situation because the PA defines the scope and
boundaries of professional nursing practice. The PA provides guidelines for developing
standardized procedures within specific facilities where expanded nursing functions have been
approved in collaboration with nurses, providers, and administration.
13. A facility has identified an increase in health care-associated urinary tract
, infections (UTIs) on the medical-surgical unit. A nurse is participating in a quality
improvement process to address this problem. Which of the following should be the
first step in the process?
a. Determine the effectiveness of planned interventions.
b. Implement strategies to decrease the incidence of UTIs.
c. Develop a plan that outlines the process for data collection.
d. Establish best practice guidelines for reducing the incidence of UTIs.
Answer: d. Establish best practice guidelines for reducing the incidence of UTIs.
Evidence-based practice indicates the nurse should first establish best practice guidelines for
reducing the incidence of UTIs in order to have a standard to measure performance.
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