ATI Rn LeadershiP

7.A charge nurse is observing a nurse perform a sterile dressing change for a client.
Which of the following actions should the charge nurse identify as appropriate sterile
technique?
The nurse places the sterile package with the top flap opening away from her.
8.A nurse is preparing assignments for the upcoming shift. Which of the following
tasks should the nurse assigned to an assistive personnel (AP)?
Suction a client's tracheostomy.
9.A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has
a prescription for a wound irrigation twice a day. Which of the following actions
should the charge nurse take?
Assign the procedure to a licensed practical nurse (LPN).
10. A nurse in a mental health facility is teaching a newly licensed nurse about
the use of mechanical restraints. Which of the following statements by the newly
licensed nurse indicates understanding of the teaching?
"I should request the provider to examine the client within 1 hour of applying
mechanical restraints."
11. A staff nurse detects alcohol on the breath of another nurse working on the unit. He
observes that her gait seems unsteady, and she occasionally slurs her speech. Which of the
following actions should the nurse take if he suspects that his colleague is under the
influence of alcohol?
Notify the charge nurse of his assessment
12. A nurse manager needs to address an increased rate of client medication errors. Which
of the following strategies represents an authoritarian approach to managing this issue?
Inform the staff of the penalties that can result from med errors
13. A hospital has been notified of a train derailment resulting in multiple clients
experiencing life threatening injuries. The external disaster plan has been activated
Identify stable clients for transfer to a surgical unit.
14. A nursing unit is undergoing changes to accommodate new bariatric services that will
be available on the unit. Some staff members have verbalized displeasure with the changes.
Which of the following should the charge nurse do? (Select all that apply.)
Role model a positive approach to the changes
Encourage staff members who support the changes to discuss the issue with resistant
staff
15. A charge nurse is reviewing the plan care for a client who has active herpes simplex
lesions.
Wear a gown and gloves when caring for the client
16. A nurse has four client assignments on a maternal newborn unit. Which of the following
tasks can be delegate to an AP?
Missing answer
17. An older adult client being discharged with post op infection requires home IV
antibiotics through PICC line. Case manager perform prior to discharge?
Ensure that home infusion therapy has been arranged
18. An RN on a med-surg unit is making assignments at the beginning of the shift. Which of
the following tasks should the nurse delegate to the LPN?
Obtain vitals for a client who is 2 hr postop following a cardiac cath
19. A nurse is caring for an older adult client who has left the unit for a radiology
procedure. The client's son asks the nurse what med is being given to the client. Which of
the following is an appropriate response by the nurse?
"I am sorry, but that is information you will need to ask your mother or her doctor."
20. 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?
Collaboration between disciplines creates a multidisciplinary care plan for each
client.
21. A nurse overhears a client talking with an attorney, reporting physical abuse, use of
restraints & denial of meals. What action should the nurse take?
Report the conversation to the nurse manager to allow for follow-up investigation.
22. 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.
 Notifying the surgeon when a client signing a surgical consent form has
questions about the procedure
 Helping a client make a list of questions she would like to ask the provider
 Clarifying the dosage of a med prescribed for an older adult client who has
impaired liver function
 Carrying out end-of-life wishes outlined in the living will of an older adult
23. 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?
The underlying problem behind past weight gain was misidentified.