ATI RN LEADERSHIP PROCTORED EXAM(11 VERSIONS)

ATI RN LEADERSHIP PROCTORED EXAM(11 VERSIONS)

5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality indicator. Which of the following data sources will be helpful in determine the reason why clients are not receiving adequate pain management aftersurgery? A. Prospective chartaudit B. Retrospective chartaudit C. Postoperative carepolicy D. Pain assessmentpolicy 6. A nurse precepting a newly licenced nurse who is caring for a client who is confused and has an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent dislodging the IV catheter. Which of the following questions should the precepting nurseask? A. “Did you secure the restraints to the side rails of thebed?” B. “Are you able to insert two fingers between the restraint and the client‟sskin?” C. “Did you tie the restraints using doubleknot?” D. “Are you removing the client‟s restraints every 4hr?” 7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse requesta consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with aconsultant? A. Arrange the consultation for time when the nurse is caring for the client is able to be present forconsultation B. Provide the consultant with subjective opinions and beliefs about the client‟s woundcare C. Request the consultation after several wound care treatmenttried D. Arrange for the wound care nurse specialist to see the client daily to provide the recommendedtreatment 8. A client is admitted wit TB and placed in a negative pressure room. Which of thefollowing actions isappropriate? A. Notify the local health department of theadmission B. Place a sign on the client‟s door with thediagnosis C. Ensure that admitting staff undergo PPD skintests D. Determine who had contact with the client in the last 48hr 9. A nurse is caring for a client who is unconscious and whose partner is health care proxy. The partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The providerstatesthenurse,“Iwillnotdiscontinuetheclient‟streatment.Hispartnerhasnorightto make decisions regarding the client‟s care. “Which of the following responses by the nurse is appropriate? A. Youshouldconsiderspeakingwiththefacility‟sethicscommitteebeforemakingyour decision B. You have the right to make decision, even if the partner is the client‟s health careproxy C. The client has designated his partner as health care proxy in his advancedirectives D. We‟ll need to have the nursing supervisor review the client‟s advancedirectives A nurse is caring for a client who has increased intracranial pressure and is receivingIV corticosteroids. Which of the following info is most important for the nurse to report at shift change? E. Gasglow Coma scalescore F. Most recent blood glucose reading G. Lab test scheduled for nextshift H. Reddened area on thecoccyx 10. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assessfirst? A. A client who has a hip fracture and is in Buck‟straction B. A client who has aspiration pneumonia and a respiratory rate of28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on hisfoot D. A client who has a C diff infection and needs a stool specimencollected