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leadership management exams, Exams of Leadership and Team Management

leadership management , 2025, nursing

Typology: Exams

2024/2025

Uploaded on 06/03/2025

joseph-gatuto
joseph-gatuto 🇺🇸

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ATI PN LEADERSHIP MANAGEMENT
1. The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the
nurse trying to achieve ?
A. Reduce cardiac arrests.
B. Reduce surgical site infection.
C. Induce shivering.
D. Reduce blood loss
2. The nurse is caring for a postoperative patient with an incision. Which actions will the nurse
take to decrease wound infections?
A. Use a straight razor to remove hair.
B. Perform hand hygiene before and after contact with the patient.
C. Administer antibiotics within 60 minutes before surgical incision
D. Perform first dressing change 2 days postoperatively.
3. A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
A. A client who has aspiration pneumonia and a respiratory rate of 28/min
B. A client who has a hip fracture and is in Buck’s traction
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
4. The nurse is participating in a “time-out.” In which activities will the nurse be involved?
A. Verify the correct patient.
B. Verify the correct procedure.
C. Perform the actual marking of the operative site.
D. Verify the correct site.
5. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation
of the left leg. The nurse has been unable to reach the provider despite several attempts over the
past 30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Reposition the client for comfort
C. Apply a warm compress to the hip
D. Contact the client’s physical therapist
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ATI PN LEADERSHIP MANAGEMENT

  1. The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the nurse trying to achieve? A. Reduce cardiac arrests. B. Reduce surgical site infection. C. Induce shivering. D. Reduce blood loss
  2. The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to decrease wound infections? A. Use a straight razor to remove hair. B. Perform hand hygiene before and after contact with the patient. C. Administer antibiotics within 60 minutes before surgical incision D. Perform first dressing change 2 days postoperatively.
  3. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? A. A client who has aspiration pneumonia and a respiratory rate of 28/min B. A client who has a hip fracture and is in Buck’s traction C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot D. A client who has a C diff infection and needs a stool specimen collected
  4. The nurse is participating in a “time-out.” In which activities will the nurse be involved? A. Verify the correct patient. B. Verify the correct procedure. C. Perform the actual marking of the operative site. D. Verify the correct site.
  5. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min. Which of the following actions should the nurse take? A. Notify the nursing supervisor about the issues B. Reposition the client for comfort C. Apply a warm compress to the hip D. Contact the client’s physical therapist
  1. The mother of a client with breast cancer states, it’s been hard for her, especially after losing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate client advocacy? A. The nurse explains to the mother that most clients with cancer lose their hair B. The nurse investigates potential resources to help the client purchase wig C. The nurse suggests counseling for the client’s body image issues. D. The nurse informs the next shift nurse regarding the mother’s concerns.
  2. Which of the following items must be discarded in a biohazard waste receptacle? A. A bed sheet from a client with bacterial pneumonia B. A perineal pad from a client who is 24-hr post-vaginal delivery C. A urinary catheter drainage bag from a client who is post-opt D. An empty IV bag removed from a client who has HIV
  3. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get better, I’m going to quit. “Which of the following responses appropriate? A. “I think you have a right to be upset, I am tired of the changes too” B. “So you are upset about all the changes on the Unit” C. You should file complaints with hospital administrator D. “Just stick with it a little longer. Things will get better soon
  4. According to the HIPAA regulations, which of the following is a violation of client confidentiality? A. Telephone the pharmacy with a prescription for the spouse to pick up B. Providing a copy of the record to the transporting paramedic C. Reporting a client’s disposition to the referring provider D. Informing housekeeping staff that the client is in dialysis unit
  5. A Nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile procedure. Which of the following actions indicates the nurse is maintaining sterile technique? A. Open the sterile pack by first unfolding the flap farthest from her body B. Places sterile items within 1.25 cm (0.5 inch) border around the edge of the sterile field C. Rests the cap of a solution container upside down on the sterile field D. Removes the outside packaging of a sterile instrument before dropping into the sterile
  6. A nurse is providing care for 4 post-opt clients. The nurse should first assess the client:
  1. The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the patient require immediately post procedure? A. Ambulatory surgery B. Acute care—medical-surgical unit C. Ambulatory surgery—extended stay D. Acute care—intensive care unit
  2. The nurse is caring for a group of patients. Which patient will the nurse see first? A. A patient after surgery has vital signs taken every 15 minutes twice, every 30 minutes twice, hourly for 2 hours then every 4 hours. B. A patient who had vascular repair of the right leg is not doing right leg exercises. C. A patient after knee surgery is wearing intermittent pneumatic compression devices and receiving heparin. D. A patient who had cataract surgery is coughing.
  3. The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct the patient to perform the exercises? 1 Turning 2 Breathing 3 Coughing 4 Leg exercises A. 3, 1, 4, 2 B. 1, 2, 3, 4 C. 2, 3, 4, 1 D. 4, 1, 2, 3
  4. A nurse should recognize that an incident report is required when: A. A client throws a box of tissues at a nurse B. A client refuses to attend physical therapy C. A visitor pinches his finger in the client’s bed frame D. A nurse gives a med 30 min late
  1. 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 after surgery? A. Retrospective chart audit B. Pain assessment policy C. Prospective chart audit D. Postoperative care policy
  2. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? A. Provide a brief overview of the new scheduling system immediately before it implementation B. Offer to reassign staff who do not support the change to another unit C. Identify nurses who accept the change to help influence other staff nurses D. Introduce the new scheduling system by describing how it will save the institution money
  3. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway? A. The route of antibiotic therapy on the care pathway was changed from IV to PO B. Antibiotic therapy was initiated 2 hr after implementation of the care pathway C. An allergy to penicillin required an alternative antibiotic to be prescribed. D. A blood culture was obtained after antibiotic therapy has been initiated 23.A nurse precepting a newly licensed 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 nurse ask? A. “Are you removing the client’s restraints every 4 hr?” B. Did you secure the restraints to the side rails of the bed?” C. Did you tie the restraints using double knot?” D. Are you able to insert two fingers between the restraint and the client’s skin?”
  4. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse request a consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with a consultant?

D. Incorrect: Late decelerations are a result of hypoxia. They are not reflective of the strength of maternal contractions.

  1. Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth? A. Correct: Because this is an emergency, surgery must be performed quickly. Anxiety of the client and the family will be high. Inserting an indwelling catheter helps to keep the bladder empty and free from injury when the incision is made. B. Incorrect: Monitoring O2 saturations and administering pain medications are postoperative interventions. C. Incorrect: The nurse should have assessed breath sounds upon admission. Breath sounds are important if the client is to receive general anesthesia, but the anesthesiologist will be listening to breathe sounds in surgery in that case. D. Incorrect: Taking vital signs every 15 minutes is a postoperative intervention. Instructing the client regarding breathing exercises is not appropriate in a crisis situation when the client's anxiety is high, because information would probably not be retained. In an emergency, there is time only for essential interventions.
  2. Which nursing instruction should be given to the breastfeeding mother regarding care of the breasts after discharge? A. Incorrect: Engorgement occurs on about the third or fourth postpartum day and is a result of the breast milk formation. The primary way to relieve engorgement is by pumping or longer nursing. Giving a bottle of formula will compound the problem because the baby will not be hungry and will not empty the breasts well. B. Incorrect: Using soap on the breasts dries the nipples and can cause cracking. The baby should be given a bottle of formula if engorgement occurs C. Incorrect: Applying lotion to the nipples is not effective for keeping them soft. Excessive amounts of lotion may harbor microorganisms. D. Correct: In order to stimulate adequate milk production, the breasts should be pumped if the infant is not sucking or eating well, or if the breasts are not fully emptied.
  3. A client in preterm labour is admitted to the hospital. Which classification of drugs should the nurse anticipate administering? A. Incorrect: Anti-infective are used if there is infection. Preterm labor may or may not involve ruptured membranes with its accompanying risk of infection. B. Correct: Tocolytics are used to stop labor. One of the most commonly used tocolytic drugs is ritodrine (Yutopar). C. Incorrect: Anticonvulsants are used for clients with pregnancy-induced hypertension who are likely to seize. D. Incorrect: The glucocorticoids (e.g., betamethasone and dexamethasone) are used for accelerating fetal lung maturation and production of surfactant. They are commonly used if the membranes are ruptured or labor cannot be stopped
  4. Which of the following are probable signs, strongly indicating pregnancy? A. Correct: These are probable signs that strongly indicate pregnancy. Hegar’s sign is a softening of the lower uterine segment, and Chadwick's sign is the bluish or purplish colour of the cervix as a result of the increased blood supply and increased estrogen.

Ballottement occurs when the cervix is tapped by an examiner's finger and the fetus floats upward in the amniotic fluid and then falls downward. B. Incorrect: The presence of fetal heart sounds is a positive sign of pregnancy; quickening is a presumptive Sign of pregnancy. C. Incorrect: These are presumptive signs that might indicate pregnancy, but they might be caused by other conditions, such as disease processes. D. Incorrect: These are presumptive signs. They may indicate pregnancy or they may be caused by other conditions, such as disease processes

  1. Two hours after delivery the nurse assesses the client and documents that the fundus is soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse encourages the client to void. Which is the rationale for this nursing action? A. Incorrect: Massaging is uncomfortable regardless of whether the bladder is full or not. A full bladder displaces the uterus causing it not to contract properly, which may lead to postpartum hemorrhage. B. Incorrect: A distended bladder rises out of the abdomen, causing the uterus to be displaced and increasing the risk of hemorrhage. It does not affect the perineum. C. Correct: Bladder distention can lead to postpartum hemorrhage. A full bladder displaces the uterus causing it not to contract properly. Emptying the bladder allows the uterus to contract more firmly. D. Incorrect: Bladder distention can lead to urinary stasis and infection. This, however, does not relate to the soft, boggy uterus or the potential for hemorrhage.
  2. Which site is preferred for giving an IM injection to a newborn? A. Incorrect: Newborns do not receive injections in the dorsogluteal site (gluteus maximus) due to decreased muscle mass. B. Incorrect: Ventrogluteal muscles are located in the hip area. It is not the preferred site for injections in the newborn because of lack of muscle mass. C. Incorrect: Ventrogluteal muscles are located in the hip area. It is not the preferred site for injections in the newborn because of lack of muscle mass. D. Correct: The middle third of the vastus lateralis is the preferred site for injections.
  3. During the first twelve hours following a normal vaginal delivery, the client voids 2,000 mL of urine. How should the nurse interpret this finding? a. Incorrect: Urinary tract infections are common during pregnancy and in the postpartum period. Urinary frequency is a common finding. However, voiding large amounts of urine is not a sign of a UTI. b. Correct: During pregnancy, the circulating blood volume increases by about 50%. In order to get rid of the excess fluid volume after delivery, the woman experiences an increased amount of urine output during the first few hours. c. Incorrect: High output renal failure occurs with injury/trauma to the kidneys. There has been no damage to the kidneys. Incorrect: Most women do receive