A Nurse Is Reviewing the Documentation of a Newly Licensed Nurse
LEADERSHIP
1. A client is brought to the emergency section following a motor-vehicle crash. Drug use is suspected in the
crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the
following is the appropriate activeness by the nurse?
a. Tell the customer that a catheter volition be inserted.
b. Document the customer's refusal in the chart.
c. Assess the client for urinary retentivity.
d. Obtain a provider'south prescription for a blood booze level.
2. A nurse is making shift assignments in a infirmary. Which of the post-obit tasks is appropriate to assign to a
licensed practical nurse?
a. Pick up the repast trays afterward lunch.
b. Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
d. Determine adequacy of ventilator settings.
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile procedure.
Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA)
a. Places sterile items inside a one.25 cm (0.v in) border around the edges of the sterile field
b. Opens the sterile pack by get-go unfolding the peak flap abroad from her body
c. Prepares a container of sterile solution on the field later putting on sterile gloves
d. Removes the outside packaging of a sterile instrument before dropping information technology onto the sterile field
e. Holds the sterile solution bottle with the label facing up
4. A nurse enters a client's room and identifies that the customer is receiving also much 4 fluid because the IV pump is
not working properly. Which of the post-obit deportment should the nurse take outset?
a. Auscultate the customer's lungs.
b. Notify the provider.
c. Place a faulty equipment tag on the pump.
d. Complete an incident report.
five. A nurse is planning care for a group of clients and tin can delegate intendance to a licensed practical nurse (LPN) and an
assistive personnel. Which of the post-obit tasks should the nurse assign to the LPN?
a. Reinforcing education with a customer who is learning to self-adgovernment minister insulin
b. Ambulating a client who is scheduled for discharge after in the day
c. Administering morphine IV bolus to a customer who is __ hr postoperative
d. Albeit a new customer who has chronic back pain to the unit
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown
and gloves, which of the following deportment past the newly licensed nurse demonstrates correct aseptic technique?
a. The nurse applies goggles.
b. The nurse turns her back to the sterile field.
c. The nurse holds her hands above her waist.
d. The nurse puts on a face mask.
7. A nurse who is caring for a group of clients delegates drove of vital signs to an assistive personnel (AP).
Which of the post-obit actions should the nurse accept to evaluate the delegated task?
a. Review vital sign trends at the finish of the shift.
b. Recheck vital signs that are exterior the expected reference range.
c. Ask the AP to write a summary of the delegated tasks during the shift.
d. Compare the vital signs the AP obtained with those taken by another AP on a previous shift.
8. A nurse is caring for four clients. Which of the following tasks tin be delegated to an assistive personnel?
a. Obtaining a stool sample from a client who has renal failure
b. Monitoring a client who has a fluid restriction
c. Assessing a client who just returned from hemodialysis
d. Reviewing dietary instructions for a client who has kidney stones
nine. A nurse is triaging a group of clients following a disaster. Which of the post-obit clients should the nurse
recommend for treatment first?
a. A client who has a neck injury and is unable to exhale spontaneously
b. A client who has two open chest wounds with a left tracheal difference
c. A client who has major burns over 75% of her body surface area
d. A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3)
10. A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following
statements by a staff nurse indicates that the teaching was effective?
a. "A family unit member can interpret to obtain informed consent from a client who is deaf."
b. "Consent can be given past a durable power of attorney."
c. "Guardian consent is required for an emancipated small."
d. "The nurse tin reply any questions the customer has about the process."
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Source: https://www.studocu.com/en-us/document/charles-r-drew-university-of-medicine-and-science/nurse-leadership/leadership-ati-proctored/16655524
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