Extract:

Question 1 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.

A. Glucose controlB. Intraoperative vancomycinC. Post operative normothermiaD. Perioperative antibioticsE. Smoking cessation

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 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?

A. Measure 1&O for a client who has an indwelling urinary catheter.B. Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.C. Develop a plan of care for a client who has cholecystitis.D. Complete an admission assessment for a client who has COPD.

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 teaching a class on torts. The nurse should include which of the following situations as an example of negligence?

A. A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving.B. A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon.C. A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge.D. A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips.

Correct Answer: C

Rationale: A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge is an example of negligence as it violates the client's autonomy and informed consent.

Question 4 of 5

A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

A. The nurse relinquishes accountability for client outcomes when care is delegated to an AP.B. The nurse should consider the AP's level of experience when making delegation decisions.C. The AP can provide client education about how to perform basic self-care to the client.D. The AP can re-delegate a task to another AP who has similar work experience.

Correct Answer: B

Rationale: Considering the AP's level of experience is crucial for effective delegation to ensure that tasks are matched to the AP's skills and knowledge.

Question 5 of 5

A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

A. Inform the state medical board for an immediate investigation.B. Counsel the provider to determine the cause of the substance abuse.C. Notify the nursing supervisor of the concerns.D. Encourage clients to change to a different provider.

Correct Answer: C

Rationale: Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.

Nurselytic

ATI RN

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ATI NU2508 Leadership Final Exam Questions

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