Extract:

Question 1 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 2 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.

Question 3 of 5

A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

A. A child who is experiencing sickle cell crisisB. A child who has a head injuryC. A child who has a new diagnosis of type 1 diabetes mellitusD. A child who has streptococcal pharyngitis

Correct Answer: C

Rationale: A child who has a new diagnosis of type 1 diabetes mellitus generally has a stable condition that can be managed with routine care and would be an appropriate roommate for a postoperative appendectomy patient.

Question 4 of 5

A nurse manager along with members of the nurse practice committee are conducting a skills day for assistive personnel in the medical surgical unit to validate competency. Which skills demonstrated by assistive personnel require immediate follow-up. Select the '3' findings that require immediate follow-up.

A. AP 1-Quickly pulls fire alarm, then proceeds to remove the client from room. AP 3-Raised bedrails of the bed for client who was reported not alert or oriented, and was sleeping.B. AP 2-Verifies with nurse the order in which protective equipment should be removed.C. AP 7- While disinfecting portable vital sign monitor wore gloves and washed hand prior to leaving room.D. AP 6 - During simulation, which included assisting client into bed, there was no observed handwashing.E. AP 5-Following simulation, was unable to identify the locations of alarms on medical surgical unit.F. AP 4-Successfully completed skills of simulation including emptying the client's trash can

Correct Answer: A,D,E

Rationale: While pulling the fire alarm is correct, removing the client from the room without following the full RACE sequence (Remove, Alarm, Confine, Extinguish/Evacuate) is incorrect. Handwashing is a crucial aspect of infection control. Failure to perform hand hygiene during or after patient care increases the risk of infection transmission. Knowing the locations of alarms is vital for effective fire safety. Inability to identify these locations indicates a significant gap in preparedness for emergencies.

Question 5 of 5

A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

A. Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast.B. Apply a condom catheter to a client who is incontinent.C. Deliver a clean voided urine specimen to the laboratory.D. Feed a client who has bilateral casts due to upper arm fractures.

Correct Answer: A

Rationale: Performing blood glucose monitoring before breakfast is crucial for timely insulin administration and managing diabetes effectively.

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ATI NU2508 Leadership Final Exam Questions

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Question 1 of 5

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Question 5 of 5

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