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LEADERSHIP ATI PROCTORED FOCUS
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LEADERSHIP ATI PROCTORED FOCUS
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LEADERSHIP ATI PROCTORED FOCUSAn RN has to teach the client initially but can delegate ________to an LPN. - Answers-
reinforcing the teaching
An LPN can perform ______care. - Answers-tracheostomy care
Can an RN delegate to an LPN to perform suctioning? - Answers-yes
Can an RN delegate to an LPN to put in a urinary catheter? - Answers-yes
Can an RN delegate to an AP to feed a client not on swallow precautions? - Answers-
yes
Is an RN allowed to delegate to an AP to collect a urine sample? - Answers-yes
A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who
required naloxone (narcan) for depressed respirations. Is this an appropriate task for the
AP? - Answers-no
A nurse works in a mental health facility that uses a case management nursing model to
provide care. The nurse should recognize that which of the following describes a case
management approach to care?
A. A nurse provides total care for several clients
B. Collaboration between disciplines creates a multidisciplinary care plan for each client.
C. The focus of care is on detecting disorders at an early stage.
D. The team leader assigns care for a group of clients - Answers-B
A nurse overhears a client talking with an attorney, reporting physical abuse, use of
restraints & denial of meals. What action should the nurse take?
A. Report the conversation to the nurse manager to allow for follow-up investigation.
B. Question the client about the allegations to identify staff who were allegedly involved.
C. Ignore the conversation unless the client brings it to the attention of the nurse.
D. Recognize this as a privileged communication that cannot be discussed w/anyone. -
Answers-A
A nurse manager is planning a department meeting to discuss client advocacy. Which
of the following situations should be included in the discussion? Select all that apply.
A. Discussing treatment options w/a client who was pancreatic cancer
, B. Notifying the surgeon when a client signing a surgical consent form has questions
about the procedure
C. Helping a client make a list of questions she would like to ask the provider
D. Clarifying the dosage of a med prescribed for an older adult client who has impaired
liver function
E. Carrying out end-of-life wishes outlined in the living will of an older adult - Answers-B,
C, D, E
A nurse is assessing a client's negligible progress in following a weight loss program.
Which of the following is a likely reason the client was unable to achieve a short-term
goal established during the planning phase of the nursing process?
A. The goals were realistic & formulated w/client input.
B. The underlying problem behind past weight gain was misidentified.
C. The implementation of the plan used flexibility in following the nursing actions
D. The nurse obtained objective & subjective data during the assessment. - Answers-B
A nurse has prepared an IM injection for a client who is preoperative, when another
client suddenly calls for assistance. The nurse asks an LPN to give the injection since
an AP is waiting to take the client to surgery. Which of the following is an appropriate
action by the LPN?
A. Prepare a new syringe for the client who is preop
B. Give the prepared med to the client who is preop
C. Help the client requesting assistance so the nurse can give the prepared injection
D. Report this request to the charge nurse - Answers-C
A new charge nurse on a busy surgical unit notes a high degree of tension among the
nursing staff. Which of the following should be the initial method used for resolving this
issue?
A. Work w/the nurses to identify stressors
B. Hire additional staff to decrease the work load
C. Make relaxation tapes available to staff to help decrease stress
D. Reassess the situation after the nurses have become accustomed to the new charge
nurse - Answers-A
A nurse on a long-term care unit finds that a client receiving dialysis was administered
captopril (capoten), which was not prescribed for the client. In which order should the
nurse take the actions listed?
___Complete an incident report.
___Contact the risk manager.
___Instruct the client to call for assistance when getting out of bed.
___Measure the client's vital signs
___Notify the provider - Answers-1. Measure the client's vitals
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