ATI RN Leadership Proctored Focus Exam With Answers (76 Solved Questions)

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LeadershipRNATIProctoredFocusExamAn RN has to teach the clientinitially but can delegate______toan LPN.reinforcing the teachingAn LPN can perform ______care.tracheostomy careCan an RN delegate to an LPN toperform suctioning?yesCan an RN delegate to an LPN toput in a urinary catheter?yesCan an RN delegate to an AP tofeed a client not on swallowprecautions?yesIs an RN allowed to delegate to anAP to collect a urine sample?yes

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A nurse delegates to an AP to assistnoin obtaining vital signs from apostop patient who requirednaloxone (narcan) for depressedrespirations. Is this an appropriatetask for the AP?An older adult client who is on fallprecautions is found lying on thefloor of his hospital room. Which ofthe following actions is mostappropriate for the nurse to takefirst?A.Call the client's providerB.Ask a staff member for assistancegetting the client back in bedC.Inspect the client for injuriesD.Ask the client why he got out ofbed w/out assistanceC. Inspect the client for injuriesAn RN on a med-surg unit isAmaking assignments at thebeginning of the shift. Which of thefollowing tasks should the nursedelegate to the LPN?A.Obtain vitals for a client who is 2hr postop following a cardiac cathB.Administering a unit of PRBCsC.Instructing a client in theperformance of wound careD.Developing a plan of care for anewly admitted client

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A nurse is caring for an older adultA.client who has left the unit for aradiology procedure. The client'sson asks the nurse what med isbeing given to the client. Which ofthe following is an appropriateresponse by the nurse?A."I am sorry, but that isinformation you will need to askyour mother or her doctor."B."Your mother is taking famotidine(Pepcid) for the ulcer & lorazepam(Ativan) for anxiety."C."You will need to ask the chargenurse for that info."D."Don't worry. We will give yourmother all pertinent info beforedischarge."

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A nurse works in a mental healthBfacility that uses a casemanagement nursing model toprovide care. The nurse shouldrecognize that which of thefollowing describes a casemanagement approach to care?A.A nurse provides total care forseveral clientsB.Collaboration betweendisciplines creates amultidisciplinary care plan for eachclient.C.The focus of care is on detectingdisorders at an early stage.D.The team leader assigns care fora group of clientsA nurse overhears a client talkingAwith an attorney, reporting physicalabuse, use of restraints & denial ofmeals. What action should thenurse take?A.Report the conversation to thenurse manager to allow for follow-up investigation.B.Question the client about theallegations to identify staff whowere allegedly involved.C.Ignore the conversation unlessthe client brings it to the attentionof the nurse.D.Recognize this as a privilegedcommunication that cannot bediscussed w/anyone.

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A nurse manager is planning adepartment meeting to discussclient advocacy. Which of thefollowing situations should beincluded in the discussion? Selectall that apply.A.Discussing treatment options w/aclient who was pancreatic cancerB.Notifying the surgeon when aclient signing a surgical consentform has questions about theprocedureC.Helping a client make a list ofquestions she would like to ask theproviderD.Clarifying the dosage of a medprescribed for an older adult clientwho has impaired liver functionE.Carrying out end-of-life wishesoutlined in the living will of anolder adultB, C, D, E

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D.ReportthisrequesttothechargenurseA nurse is assessing a client'sBnegligible progress in following aweight loss program. Which of thefollowing is a likely reason theclient was unable to achieve ashort-term goal established duringthe planning phase of the nursingprocess?A.The goals were realistic &formulated w/client input.B.The underlying problem behindpast weight gain was misidentified.C.The implementation of the planused flexibility in following thenursing actionsD.The nurse obtained objective &subjective data during theassessment.A nurse has prepared an IMCinjection for a client who ispreoperative, when another clientsuddenly calls for assistance. Thenurse asks an LPN to give theinjection since an AP is waiting totake the client to surgery. Which ofthe following is an appropriateaction by the LPN?A.Prepare a new syringe for theclient who is preopB.Give the prepared med to theclient who is preopC.Help the client requestingassistance so the nurse can givethe prepared injection

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A new charge nurse on a busyAsurgical unit notes a high degree oftension among the nursing staff.Which of the following should bethe initial method used forresolving this issue?A.Work w/the nurses to identifystressorsB.Hire additional staff to decreasethe work loadC.Make relaxation tapes availableto staff to help decrease stressD.Reassess the situation after thenurses have become accustomedto the new charge nurseA nurse on a long-term care unitfinds that a client receiving dialysiswas administered captopril(capoten), which was notprescribed for the client. In whichorder should the nurse take theactions listed?1.Measure the client's vitals2.Instruct the client to call for assistance when getting outof bed3.Notify provider4.Complete an incident report5.Contact the risk manager___Complete an incident report.___Contact the risk manager.___Instruct the client to call forassistance when getting out of bed.___Measure the client's vital signs___Notify the provider

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A nurse is caring for a group ofclients on a med surg unit. Which ofthe following tasks should thenurse delegate to the assistivepersonnel (AP)? Select all thatapply.A.Collecting a stool specimenB.Providing instructions aboutusing a spirometerC.Measuring oral intakeD.Providing postmortem careE.Changing a dressingA, C, DA nurse on a med surg unit isDplanning care of assigned clients.Which of the following clientsshould the nurse assess first?A.A client who is newly admitted &is to have an indwelling urinarycatheter insertedB.A client who has kidney stones &reports flank pain 6 out of 10C.A client diagnosed w/early-stage chronic kidney disease w/aserum creatinine level of 2.0 mg/dLD.A client who has a cast newlyapplied on his forearm and reportstingling of his fingers

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