A charge nurse notices that two staff nurses are n

Extract:

Question 1 of 5

A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

A. Determine the reasons the nurses are not taking scheduled breaks. B. Provide coverage for the nurses' breaks. C. Review facility policies for taking scheduled breaks. D. Discuss time management strategies with the nurses.

Correct Answer: A

Rationale: Determining the reasons for not taking breaks identifies the root cause, enabling targeted solutions to ensure staff well-being.

Question 2 of 5

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A. A client who has orthostatic hypotension and is receiving IV fluids B. A client who is receiving heparin and has an aPTT of 34 seconds C. A client who has Type 1 diabetes and uses an insulin pump D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL

Correct Answer: D

Rationale: Pressure ulcer risk and nutritional concerns require interdisciplinary collaboration (e.g., dietitian, physical therapist) for comprehensive care.

Question 3 of 5

A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

A. The nurse's signature indicates they witnessed the client's signature. B. A client must understand risks and benefits of the proposed treatment. C. Nonverbal behavior indicates agreement. D. Consent can be verbal or written.

Correct Answer: C

Rationale: Implied consent is inferred from nonverbal actions or circumstances, unlike express consent, which involves explicit verbal or written agreement.

Question 4 of 5

A triage nurse in an emergency department is caring for a group of clients. Which of the following clients should the nurse assess first?

A. A client who has a closed femur fracture from a fall B. A client who has a superficial burn covering 10% of their total body surface area C. A client who is experiencing severe vomiting and diarrhea with tachycardia D. A client who is confused and has slurred speech

Correct Answer: D

Rationale: Confusion and slurred speech suggest a possible stroke, a time-sensitive emergency requiring immediate assessment to optimize outcomes.

Question 5 of 5

A nurse is delegating care for a client. Client has right-sided weakness following a cerebrovascular accident. Client coughs when eating and voice becomes hoarse after swallowing. Select the 3 tasks the nurse should assign to assistive personnel.

A. Assist the client with completing their food menu. B. Document the client's urine output C. Monitor the client for manifestations of aspiration pneumonia D. Initiate a referral with the speech language pathologist E. Instruct the client on swallowing techniques F. Ambulate the client. G. Obtain the client's vital signs.

Correct Answer: B,F,G

Rationale: Assistive personnel can document urine output, ambulate the client, and obtain vital signs, as these are low-risk tasks within their scope.

Nurselytic

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ATI Leadership 2023 I Questions

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