ATI NU2508 Leadership Final Exam

Question 1 of 5

A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?

A. The client works in the hospital radiology department.B. The client discussed having prior thoughts of suicide.C. The client's blood pressure and pulse have been fluctuating throughout the day.D. The client's family members have been present most of the day.

Correct Answer: C

Rationale: The correct answer is C because fluctuating blood pressure and pulse indicate unstable vital signs requiring close monitoring and immediate intervention. The nurse giving report is indicating that the client's condition is dynamic and may require frequent assessments and interventions, which necessitates the oncoming nurse assuming total care.

Choices A, B, and D do not directly imply the need for total care and could potentially be managed by assistive personnel.

Question 2 of 5

A nurse is supervising a newly licensed nurse who is caring for a client on a behavioral health unit. Complete the following sentence by using the list of options.

A. provide continuous monitoring of this clientB. assess for readiness for release from seclusionC. clearly document reason for seclusion then obtain provider prescription for seclusion or restraintsD. provide means for hygiene and eliminationE. discuss reason for seclusion with clientF. offer food and fluids

Correct Answer: A,C

Rationale: The correct answers are A and C. A is important to ensure the safety and well-being of the client, especially in a behavioral health unit where close monitoring is crucial. C is necessary to ensure proper documentation and adherence to protocols when seclusion or restraints are used. B is incorrect as assessing readiness for release from seclusion should only be done by a qualified provider. D is important but not as urgent as continuous monitoring. E is not appropriate as discussing the reason for seclusion with the client may not be beneficial during an acute episode. F is important but providing food and fluids should not be the priority over continuous monitoring and proper documentation.

Question 3 of 5

A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?

A. Report the observation to the nurse caring for that client.B. Inform the nursing supervisor.C. Approach the man and ask why he is making copies.D. Notify hospital security.

Correct Answer: C

Rationale: The correct answer is C: Approach the man and ask why he is making copies. This is the first action the nurse should take to gather information and assess the situation. By directly addressing the man, the nurse can determine his intentions and potentially stop any unauthorized activity. Reporting to the nurse caring for the client (
A) may lead to delays in addressing the issue directly. Informing the nursing supervisor (
B) is important, but immediate action is needed. Notifying hospital security (
D) should be done after gathering more information.

Question 4 of 5

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

A. Check the position of a client in soft wrist restraints.B. Accompany a client who has depression to occupational therapy.C. Set limits with a client who has mania.D. Sit with a client who has alcohol use disorder and whose last drink was five days ago.E. Assess a client who has hypomania for exhaustion.

Correct Answer: A,B,D

Rationale: The correct answers are A, B, and D. The nurse can assign these activities to the assistive personnel (AP) because they do not require nursing judgment or assessment. A: Checking the position of a client in soft wrist restraints is a task that can be delegated as it involves a physical task without interpretation. B: Accompanying a client to occupational therapy is a supportive task that does not require nursing assessment. D: Sitting with a client who has alcohol use disorder and monitoring their condition post-drinking does not involve assessment.

Choices C and E involve setting limits with a client who has mania and assessing a client with hypomania, which require nursing judgment and assessment, so they cannot be delegated to the AP.

Question 5 of 5

A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

A. Ambulate an older adult client who has hypertension.B. Provide discharge instructions for a client who has a new skin graft.C. Check a blood product with another nurse prior to administration.D. Weigh a client who has heart failure.E. Perform an admission assessment on a client.

Correct Answer: A,D

Rationale: The correct tasks to assign to an assistive personnel (AP) are A and D. APs are trained to assist with basic care activities. Ambulating an older adult client with hypertension and weighing a client with heart failure are within the scope of practice for APs as they do not involve complex assessments or critical decision-making. Providing discharge instructions (
B) requires specialized knowledge and education, which is beyond the scope of an AP. Checking a blood product (
C) and performing an admission assessment (E) require specific training and expertise that only licensed nurses should perform.

ATI NU2508 Leadership Final Exam | Nurselytic

Nurselytic

ATI RN

ATI RN