Extract:

Client receiving medication from ampule.

Question 1 of 5

A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?

A. Withdraws the medication from the ampule using a subcutaneous needleB. Breaks the top of the ampule using an antiseptic wipeC. Performs 3 checks of the medication before administrationD. Disposes of the ampule by placing it in a sharps container

Correct Answer: A

Rationale: Using a subcutaneous needle risks glass particle contamination; a filter needle is required, necessitating intervention.

Extract:

Client with DNR order; Client with terminal illness and respiratory rate of 8/min; Client who had an abortion; Client who is confused.

Question 2 of 5

A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions include as an example of ethical practice?

A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order.B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min.C. A nurse elects not to care for a client who had an abortion.D. A nurse raises all four side rails on the bed of a client who is confused.

Correct Answer: B

Rationale: Administering prescribed opioids for pain relief in a terminally ill client prioritizes comfort, aligning with ethical practice.

Extract:

Client receiving medication from ampule.

Question 3 of 5

A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?

A. Withdraws the medication from the ampule using a subcutaneous needleB. Breaks the top of the ampule using an antiseptic wipeC. Performs 3 checks of the medication before administrationD. Disposes of the ampule by placing it in a sharps container

Correct Answer: A

Rationale: Using a subcutaneous needle risks glass particle contamination; a filter needle is required, necessitating intervention.

Extract:

Client following colon resection.

Question 4 of 5

A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?

A. Surgical recordB. Provider's prescriptionC. Critical pathwayD. Maslow's hierarchy of needs

Correct Answer: C

Rationale: A critical pathway provides evidence-based guidelines for catheter removal, optimizing outcomes post-colon resection.

Extract:

Client has dementia and exhibits aphasia; Client has bipolar disorder and displays constant pacing; Client has schizophrenia and uses neologisms; Client has depressive disorder and has poor personal hygiene.

Question 5 of 5

A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?

A. A client who has dementia and exhibits aphasiaB. A client who has bipolar disorder and displays constant pacingC. A client who has schizophrenia and uses neologismsD. A client who has depressive disorder and has poor personal hygiene

Correct Answer: B

Rationale: Constant pacing in bipolar disorder indicates potential agitation, which could escalate to harm, making this client the highest priority.

Nurselytic

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ATI RN Leadership 2023 Exam 2 Questions

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