Questions 120

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ATI NU2508 Leadership Final Exam Questions

Extract:


Question 1 of 5

A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?

Correct Answer: C

Rationale: A client who has a cast on the left leg and reports numbness and paresthesia could be experiencing complications such as compartment syndrome, which is an urgent condition requiring immediate assessment.

Question 2 of 5

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

Correct Answer: B

Rationale: Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.

Question 3 of 5

A nurse is on the hospital quality and performance Improvement committee. The committee is reviewing compliance with prevention measures related to posterior cervical surgical site infections over the first 3 quarters of the year. Which measures should the nurse recognize that indicate the need for improvement compared to benchmarks? Select all that apply.

Correct Answer: A,D,E

Rationale: The benchmark for glucose control is 90%, but the percentages reported are consistently below this threshold: 75.29% in Quarter 1, 85.5% in Quarter 2, and 82% in Quarter 3. The benchmark for perioperative antibiotics is 100%, and the percentages reported are: 90.4% in Quarter 1, 88.2% in Quarter 2, and 92.6% in Quarter 3. The benchmark for smoking cessation education 4 weeks prior to surgery is 75%. The percentages are below this benchmark in Quarter 1 (70.6%) and Quarter 3 (74%), although it meets the benchmark in Quarter 2 (100%).

Question 4 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?

Correct Answer: C

Rationale: Approaching the man and asking why he is making copies is the most immediate and direct action. It allows the nurse to assess the situation and determine if the man has legitimate access to the client's medical record or if further action is needed.

Question 5 of 5

A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: A,C,E

Rationale: Applying an ambulation alarm can help alert staff if the client tries to move independently, thus reducing the risk of falls. Instructing the client in the use of the call light empowers them to request assistance, which can help prevent falls. Checking on the client hourly ensures ongoing monitoring and timely intervention if needed, which is effective in preventing falls.

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