Extract:

Question 1 of 5

A charge nurse is teaching a newly licensed nurse about caring for a client who has COPD. Which of the following instructions should the charge nurse include in the teaching?

A. Notify me if you observe that the client has distended neck veins.B. Maintain the client's oxygen saturation level above 95 percent.C. Call the provider if you note clubbing of the client's fingernailsD. Have an assistive personnel ambulate the client just before meals.

Correct Answer: A

Rationale: Distended neck veins indicate complications like cor pulmonale, requiring notification. High oxygen saturation (
B) risks CO2 retention, clubbing (
C) is chronic, and pre-meal ambulation (
D) may cause fatigue.

Question 2 of 5

A nurse manager is attending a meeting about the cost of health care. Which of the following measures should the nurse implement to reduce the cost of treatment in the acute care setting?

A. Reserve budgetary planning for senior management.B. Encourage staff to participate in quality improvement projects.C. Staff an additional assistive personnel each shift.D. Plan budget needs based on average client stay over 6 months.

Correct Answer: B

Rationale: Encouraging quality improvement projects reduces costs by enhancing efficiency and outcomes. Senior management planning (
A) limits staff input, extra staffing (
C) increases costs, and average stay budgeting (
D) is less dynamic.

Question 3 of 5

A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take?

A. Notify the risk manager.B. Request that the charge nurse modify the assignment.C. Document the concern in the nurse's notes.D. Accept the assignment with help from assistive personnel on the unit.

Correct Answer: B

Rationale: Requesting assignment modification ensures safe care. Notifying the risk manager (
A) is not immediate, documentation (
C) doesn’t solve the issue, and accepting with help (
D) risks safety.

Question 4 of 5

A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take? (Select all that apply.)

A. Place a copy of the completed report in the client's medical record.B. Obtain an order from the client's provider to complete the report.C. Identify the medication name and dosage administered to the client in the report.D. Make a copy of the incident report for personal record keeping.E. Include the time the medication error occurred in the report.

Correct Answer: C,E

Rationale: Identifying the medication name and dosage (
C) and including the time of the error (E) are essential for a thorough incident report, aiding investigation and corrective actions. Placing the report in the medical record (
A) compromises objectivity, no provider order is needed (
B), and personal copies (
D) violate confidentiality.

Question 5 of 5

A nurse is providing teaching to an assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

A. Attach the restraints to the fixed portions of the frame of the client's bed.B. Remove the client's restraints every 2 hrC. Secure the client's restraints with a square knot.D. Allow 1 fingerbreadth between the restraint and the client's wrists.

Correct Answer: D

Rationale: Allowing 1 fingerbreadth ensures circulation. Fixed bed frames (
A) risk injury, removal every 2 hours (
B) is not standard, and square knots (
C) are unsafe.

Nurselytic

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ATI RN Leadership 2023 I Questions

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