ATI RN LEADERSHIP (REAL EXAM)

1. A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. which of the following actions should the nurse take first?: Check the client's INR. 2. A nurse manager is presenting an in-service about preventing readmis- sion of clients dues to complications following joint arthroplasty.Which of the following leadership tasks is the nurse performing?: Advocay 3. a nurse is teaching an AP about caring for a client who has a DNR order. Which of the following statements by the AP indicates an understanding of the teaching?: "I will call for the client's nurse to come to the room if I cannot detect the client's pulse." The AP should contact the nurse for further assessment whenever a client's condition does not meet expected findings.The client who has a DNR order in place does not require resuscitation. 4. A nurse is caring for four clients.Which of the following tasks can the nurse assign to an AP?: Perform chest compressions on a client who isin cardiac arrest. The nurse should assign an AP to perform chest compressions on a client who is in cardiac arrest. Performing basic CPR is within an AP's range of function. 5. A Nurse isteaching a newly licensed nurse about using electronic medical records. which of the following statements by the newly licensed nurse indicated an understanding of the teaching?: "My access to client electronic medical records may be tracked by my nurse manager." The nurse should keep her password private and not share it with anyone else to decrease the risk for a breach of client confidentiality.The nurse should expect her employer to track access of client records to ensure client confidentiality.While a client has the right to read his medical record, and the nurse can allow him to do so by following facility protocol, a client's partner does not have that right unless granted by the client.The nurse should log out of the electronic medical record when not actively using it. Failure to log out increases the risk for breach of client confidentiality. 6. a nurse is receiving change-of-shift report. which of the following clients should the nurse assessfirst?: A client who had abdominalsurgery 6 hours ago and had a heart rate of 120/min for the last 2 hours. 7. A RN delegates the task of obtaining the bp of a client who is 2hr post-op following a cholecystectomy to a LPN.The LPN reports a BP that is sig- nificantly higher than the clients previous reading. which of the following actions should the RN take first?: Recheck client's BP 8. A public health nurse is developing a list of recommendations for her supervisior on how to use EBP to improve community outcomes.Which of the following should the nurse recommend as a qualitative research method?: Phenomenology Meta-analysis is a quantitative research method that provides a statistical analy- sis of multiple studies conducted on the same topic.Experimental study is a quantitative research method that uses control and treatment groups to test at least one independent variable.Phenomenology is a qualitative research method that provides additional understanding of participants' experiences with emotional variances, such as grief and hope.Secondary analysis is a quantitative research method that uses previously collected data to answer newly formed hypotheses. 9. A nurse at a urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy.Which ofthe following actions should thenurse take to ensure care is provided according to policy?: Report this issue to the nurse manager. The nurse should report this issue to the nurse manager because it is the man- ager's responsibility to ensure that standards are met and that care is provided according to policy. 10. A nurse is teaching a client about advance directives.Which of the following statements by the client indicates an understanding of the teach- ing?: "These will outline my wishes for medication treatment." The purpose of advance directives is to outline the client's wishes if they become unresponsive 11.Anurse is caring for a clientwho recently learned hehas a mutation ofthe BRCA2 gene.The client states that he does not plan to tell his adult children about the dx.Which of the following responses displays clients advocacy by the nurse?: "Let's review what you understand about this test result." The nurse should use therapeutic communication techniques to encourage the client to share his point of view and to convey respect for the client's decisions. By seeking to understand the client's perceptions in a nonjudgmental manner, the nurse is displaying client advocacy. 12. A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. which of the following statements should the nurse make?: "Let's talk about the benefits of each treatment." Talking about the benefits of each treatment option supports the right of the client to make decisions regarding treatment and encourages comparison of the treatments. 13. A nurse in a community health clinic is caring for four clients who each have a communicable disease.Which of the following conditions is considered a nationally notifiable infectious disease?: Chlamydia trachomatis According to the Centers for Disease Control and Prevention, Chlamydia tra- chomatis is a nationally notifiable infectious disease in all 51 jurisdictions.The nurse should notify the state health department, which monitors and controls communicable diseases. 14. A staff nurse detects alcohol on the breath of another nurse working on the unit.The staff nurse observes that the nurse's speech is slurred and their gait is unsteady.Which of the following actionsshould the nurse take?: Notify the charge nurse of the nurse's behavior. The charge nurse is responsible for the performance of the nurses on the shift; therefore, the staff nurse should follow the chain of command and notify the charge nurse about the nurse's behavior. 15. A nurse overhears two staff members in the facility elevator discussing a clients care. which of the following actions should the nurse take?: Report the incident to the nurse manager. 16. A Nurse manager is reviewing the stages of conflict resolutions with the nursing staff.The nurse manager should instruct the staff to expect the stages of conflict to occur in what order? STEPs:: 1. Latent Conflict. 2. Perceived Conflict 3. Felt Conflict 4. Manifest Conflict. 5. Conflict Aftermath 17. A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing.Which ofthe following referrals should the nurse recommend for the client?: Occupational Therapy 18. A nurse hasjust received report on four clients on a med-surg unit.which of the following clients should the nurse plan to assess first?: A client who is post-op following a total knee arthroplasty and has a cap. refill of 4 secs. 19. A nurse is caring for several clients.which of the following actionsshould the nurse take to maintain client confidentiality: Tell a client's partner that the clients lab test cannot be disclosed without permission.