A hospice nurse is caring for a client who has ter

Extract:

Question 1 of 5

A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

A. Continue the medication dosages that relieve the client's pain B. Contact the provider about replacing the opioid with an NSAID C. Administer the benzodiazepine but withhold the opioid D. Withhold the benzodiazepine but continue the opioid

Correct Answer: D

Rationale: Withholding the benzodiazepine reduces sedation while maintaining pain relief with the opioid. Continuing both worsens somnolence, NSAIDs are inadequate for severe pain, and withholding the opioid compromises pain control.

Question 2 of 5

A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. I should encrypt personal health information when sending emails' B. I can use another nurse's password as long as I log off after using the computer' C. I should discard personal health information documents in the trash before leaving the unit' D. I can post the client's vital signs in the client's room'

Correct Answer: A

Rationale: Encrypting health information in emails protects confidentiality. Using another's password , discarding documents improperly , or posting vital signs violate confidentiality protocols.

Question 3 of 5

A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

A. A client who is scheduled for an endoscopy later today and requires an enema B. A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care C. A client who had a myocardial infarction and will be transferring to the unit from the CCU D. A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin

Correct Answer: A

Rationale: Administering an enema is within an LPN's scope, requiring routine skill. Developing care plans , monitoring post-MI clients , or initial teaching require RN-level assessment and critical thinking.

Question 4 of 5

A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?

A. A client who is postoperative following a laminectomy 12 hour and is unable to void B. A client who is scheduled for a tubal ligation in 2 hours and is crying C. A client who has peripheral vascular disease and has an absent pulse in the right foot D. A client who has type 1 diabetes and needs the first dressing change for an ulcer

Correct Answer: C

Rationale: An absent pulse suggests acute arterial occlusion, a medical emergency requiring immediate intervention to prevent tissue loss. Urinary retention , emotional distress , and dressing changes are less urgent.

Question 5 of 5

A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

A. Help the AP assist the client with the transfer B. Demonstrate the proper client transfer technique to the AP C. Instruct the AP to request assistance when unsure about a task D. Refer the AP to the facility procedure manual

Correct Answer: B

Rationale: Demonstrating proper technique corrects the error immediately and educates the AP. Helping with the transfer doesn't teach, instructing to request help is secondary, and referring to a manual delays correction.

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ATI Leadership Level 3 Questions

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