ATI Leadership and Management (certified nurse manager
CNML test) Questions With Complete Solutions
1. A nurse enters the room of a client
who is on contact precautions and
finds the client lying on the floor.
Which of the following actions
should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in
bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed.
Correct Answers A. The nurse should notify the provider to
determine whether
the client needs further examination and treatment, but
there is another action the nurse should take first.
B. The nurse should seek assistance in returning the
client to bed to prevent further harm to the client, but
there is another action the nurse should take first.
C. CORRECT: The first action the nurse should take
using the nursing process is to assess the client.
D. The nurse should instruct the client to ask for help if he
needs to get out of bed to help prevent future falls, but
there is another action the nurse should take first.
2. An RN on a medical-surgical unit is making assignments at
the beginning of the shift. Which of the following tasks should
the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr postprocedure
following a cardiac catheterization.
,B. Administer a unit of packed red blood cells (RBCs) to a client
who has cancer.
C. Instruct a client who is scheduled for discharge in the
performance of wound care.
D. Develop a plan of care for a newly admitted client who has
pneumonia. Correct Answers A. CORRECT: It is within the
scope of practice of the PN to monitor a client who is 2 hr
postprocedure for a cardiac catheterization.
B. The RN is responsible for administering blood components
including
packed RBCs because this outside of the scope of practice for
the PN.
C. The RN is responsible for client education. It is within the
scope of practice of the PN to reinforce but not provide initial
client education.
D. The RN is responsible for developing a plan of care for a
client. It is within the scope of practice for the PN to suggest
additions to but not develop the plan of care.
NCLEX
3. A PN ending her shift reports to the RN that a newly hired AP
has not calculated the intake and output for several clients.
Which of the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN,
C. Ask the AP if she needs assistance.
D. Notify the nurse manager. Correct Answers A. An incident
report is indicated when a critical incident has occurred. It is not
necessary to complete an incident report in this situation.
B. The nurse should not redelegate a task.
,C. CORRECT: The nurse should find out what the AP knows
about performing the task and provide education for the AP if
indicated.
D. The RN is capable of handling the situation. It is not
necessary to notify the nurse manager.
4. A nurse manager is developing an orientation plan for newly
licensed nurses. Which of the following information should the
manager include in the plan? (Select all that apply.)
A. Skill proficiency
B. Assignment to a preceptor
C.Budgetary principles
D.Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures Correct Answers A.
CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
evaluation of skill proficiency and provide additional instruction
as indicated.
B. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
assignment of a preceptor to ease the transition of the newly
licensed nurse.
C. Budgetary principles are an administrative skill that is usually
the responsibility of the unit manager.
D. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
, computerized charting, which is an essential skill for the newly
licensed nurse.
E. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
socialization to the unit as a way to ease the transition of the
newly licensed nurse.
F. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
information about facility policies and procedures, which is
essential information for the newly licensed nurse.
5 rights of delegation Correct Answers Right task.
Right circumstance.
Right person.
Right direction/communication.
Right supervision/evaluation.
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