Leadership ATI Proctored Focus Remediation

1. Can an RN delegate to an AP to feed a client not on swallow precautions?

- yes

2. A home health nurse is assessing the safety of a client's home. Which of the following

factors may increase the client's risk for falls? Select all that apply.

A. History of a previous fall

B. Reduced vision

C. Impaired memory

D. Takes rosuvastatin (Crestor)

E. Wears house slippers

F. Kyphosis

3. Is an RN allowed to delegate to an AP to collect a urine sample?

- yes

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4. A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who

required naloxone (narcan) for depressed respirations. Is this an appropriate task for the

AP?

- no

5. Preoperative Nursing Care: Securing Client Belongings

- Give all pt belongings to family member to safely stored.

6. Managing Client Care: Prioritizing Client Care

- Systemic before local. Acute before chronic. Actual problems before potential problems.

Listen carefully to clients and don't assume. Recognize and response to trends vs.

transit findings. Recognize indications of medical emergencies & complications vs

expected findings. Apply clinical knowledge to procedural standards to determine the

priority action.

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7. Professional Responsibilities: Adhering to Ethical Principles

- Justice (fair treatment), beneficence (doing good), nonmaleficence (doing no harm),

fidelity (faithfulness), autonomy (independence), veracity (truthfulness).

8. Professional Responsibilities: Obtaining Informed Consent in an Emergency

- Informed consent is not needed if the pt is unconscious and surgery is immediately

required to save their life.

9. Information Technology: Receiving a Telephone prescription

- First, write down the prescription. Next, repeat the prescription back to the provider.

Document phone conversation in client chart.

10. An RN has to teach the client initially but can delegate ________to an LPN.

- reinforcing the teaching

11. An LPN can perform ______care.

- tracheostomy care

12. Can an RN delegate to an LPN to perform suctioning?

- yes

13. Can an RN delegate to an LPN to put in a urinary catheter?

- yes

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14. An older adult client who is on fall precautions is found lying on the floor of his hospital

room. Which of the following actions is most appropriate for the nurse to take first?

A. Call the client's provider

B. Ask a staff member for assistance getting the client back in bed

C. Inspect the client for injuries

D. Ask the client why he got out of bed w/out assistance

15. A nurse manager is planning a department meeting to discuss client advocacy. Which of

the following situations should be included in the discussion? Select all that apply.

A. Discussing treatment options w/a client who was pancreatic cancer

B. Notifying the surgeon when a client signing a surgical consent form has questions about

the procedure

C. Helping a client make a list of questions she would like to ask the provider

D. Clarifying the dosage of a med prescribed for an older adult client who has impaired liver

function

E. Carrying out end-of-life wishes outlined in the living will of an older adult

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16. A nurse is assessing a client's negligible progress in following a weight loss program.

Which of the following is a likely reason the client was unable to achieve a short-term

goal established during the planning phase of the nursing process?

A. The goals were realistic & formulated w/client input.

B. The underlying problem behind past weight gain was misidentified.

C. The implementation of the plan used flexibility in following the nursing actions

D. The nurse obtained objective & subjective data during the assessment.

17. A nurse has prepared an IM injection for a client who is preoperative, when another client

suddenly calls for assistance. The nurse asks an LPN to give the injection since an AP is

waiting to take the client to surgery. Which of the following is an appropriate action by

the LPN?

A. Prepare a new syringe for the client who is preop

B. Give the prepared med to the client who is preop

C. Help the client requesting assistance so the nurse can give the prepared injection

D. Report this request to the charge nurse

18. A nurse is caring for a client who has recently been prescribed lithium carbonate

(Eskalith). Which of the following is the priority assessment finding for this client?

A. Fine hand tremors

B. Weight gain of 2.7 kg (6 lb)

C. Report of nausea

D. Poor motor coordination

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19. A new charge nurse on a busy surgical unit notes a high degree of tension among the

nursing staff. Which of the following should be the initial method used for resolving this

issue?

A. Work w/the nurses to identify stressors

B. Hire additional staff to decrease the work load

C. Make relaxation tapes available to staff to help decrease stress

D. Reassess the situation after the nurses have become accustomed to the new charge

nurse

20. A nurse on a long-term care unit finds that a client receiving dialysis was administered

captopril (capoten), which was not prescribed for the client. In which order should the

nurse take the actions listed?

___Complete an incident report.

___Contact the risk manager.

___Instruct the client to call for assistance when getting out of bed.

___Measure the client's vital signs

___Notify the provider

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- 1. Measure the client's vitals

2. Instruct the client to call for assistance when getting out of bed

3. Notify provider

4. Complete an incident report

5. Contact the risk manager

21. A nurse is caring for a group of clients on a med surg unit. Which of the following tasks

should the nurse delegate to the assistive personnel (AP)? Select all that apply.

A. Collecting a stool specimen

B. Providing instructions about using a spirometer

C. Measuring oral intake

D. Providing postmortem care

E. Changing a dressing

22. Managing Client Care: Appropriate Assignment During Orientation

- New RNs should be assigned a patient that they are competent caring for, and only after

their skills have been observed and approved by an experienced RN.

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