ATI Capstone Leadership

ATI Capstone Leadership
Questions and answers
a school nurse is developing a teaching plan about testicular cancer for a group
of adolescents. what info should the nurse include in the teaching?
expect testicles to be uniform in consistency when performing a testicular self-
examination
a hospice nurse is providing teaching to a patient who has a new diagnosis of a

terminal illness and her family. which statement should the nurse include in the
teaching?
hospice care continues to help families with grief after a death occurs
a home health nurse is providing teaching to a family of a client who has seizure
manifestations as a result of an inoperable brain tumor. what interventions
should the nurse include in the teaching?
pad the side rails of the bed
a charge nurse is planning care for a group of patients on a med surg unit, what
tasks should the nurse delegate to assistive personnel
measure hourly urinary output for the postop patient
a newly licensed nurse tells a charge nurse he is unsure about accepting

telephone med prescriptions. which of the following providers should the charge
nurse identify as having the legal ability to give telephone medication
prescriptions?
anesthesiologists
physician assistants
nurse practitioners
a nurse manager is teaching a group of employees about QSEN, what statements

by an employee should the nurse manager identify as quality improvement
we should start tracking how soon patients are discharged after laparoscopic versus
open surgery
a nurse working in a mobile health clinic is assessing a migrant farm worker,

what finding should the nurse identify as priority
report of muscle twitching and skin rash
a nurse enters a patient’s room and finds the client pulseless, the living will
request no resuscitation be performed, but the provider has not written the
prescription. what actions should the nurse take
begin CPR
a nurse is planning care for a patien who follows the Mormon belief system, what
modifications should the nurse include to meet Mormon dietary practices
offer noncaffeinated beverage options
a charge nurse is discussing HIPAA with a newly licensed nurse, which action
should the charge nurse include in the teaching as an example of HIPAA violation
emailing the pt's positive hepatitis results from an unencrypted server
a nurse is preparing an in-service about family violence for a group of newly

licensed nurse, what statement should the nurse include in the teaching
the victim's risk for homicide is greatest when she decides to leave the relationship
a nurse manager of a rural clinic is orienting a new employee on characteristics of
residents in the area, what facts about rural health should the nurse manager include
increased rates of chronic illness
during an initial visit, a home health nurse is assessing a patient who has
different cultural beliefs than her own, what questions should the nurse ask to
determine the patients beliefs about environmental control
what do you think you can do to affect your health status?
a nurse manager is discussing EMR with a new nurse, what should the nurse to
maintain client confidentiality
log off computer terminal before leaving
change computer access passwords on a regular basis
avoid accessing information about patients admitted to other units
shred computer generated client worksheets after use
a nurse manager on the acute care unit is preparing a staff presentation about
promoting cost-effective care, what strategies should the nurse plan to include in
the presentation
educate staff about the correct use of PPE for isolation precautions
a home health nurse is teaching about CPT treatments with a patient who has
COPD, what client statements should the nurse identify as an indication that the
teaching has been understood
CPT treatments will decrease my respiratory infections
a case manager completes a history and physical assessment for a patient who
has COPD, what actions should the case manager take next
identify the pt's current health needs
a nurse is discussing organ donation with a newly license nurse, should the
nurse include in the teaching
a donor needs to use his signature to agree to the gift of donation
upon admission to the hospital it is required that all clients over 18 be questioned about
organ donation
documentation about giving permission or refusing to donate is placed in the EMR
a nurse manager is implementing a quality improvement project to reduce the

number of MRSA infections, what action should the nurse manager take first
conduct a chart review to evaluate precepting factors of clients who develop MRSA
a forensic nurse is using the epidemiological triangle to explain factors that predispose
an individual to violent behavior
which of the following factors should the nurse identify as an environmental

factor in the epidemiological triangle?
crowded living conditions
a nurse manager is teaching a class about proper body mechanics during a

facility's annual competency event. which of the following statements by one staff
member in attendance indicates the use of proper body mechanics?
i should bend my knees when lifting objects off the floor
a nurse is preparing to administer the initial dose of ceftriaxone to a patient who

has endometritis, what statements by the patient should cause the nurse to hold
the medication and consult the provider
I have a severe allergy to amoxicillin
a nurse is conducting a home visit with an older adult client, what observation
should the nurse address to promote safe environment
low chairs without armrests
a nurse is planning discharge teaching for a patient who has multiple sclerosis,
what action should the nurse plan to include
teach the patient to avoid extremes in hot and cold temps
a nurse is caring for a patient who has an ethical conflict about the care she is
receiving, what resources should the nurse consult about resolving the dilemma
hospital ethics committee
a parent of a child who is terminally ill tells a nurse that she wants to take her
child home, what response should the nurse make
tell me more about your desires
a nurse is using the ecologic model for population health to develop
interventions to address HIV in a community, what interventions should the nurse
include to address
financial factors affecting community health
distribute condoms through remote community clinics
after signing a informed consent form, a client states, "i have changed my mind
and do not want to have the procedure" which of the following actions should the
nurse take?
notify the surgeon that the client wishes to withdraw informed consent for the procedure
a nurse is receiving change of shift report on a group of clients, which of the
following patients should the nurse assess first
the client who has a fractured femur and reports sharp chest pain
a county public health nurse is developing a list of interventions to address the 3

core functions of public health, what interventions should the nurse include as a
part of the assurance function
organize an immunization clinic for at-risk members of the community
a nurse in a clinic is caring for a patient who has UTI, what prescription should
the nurse verify with a provider
oxybutynin’s
a community nurse is instructing a group of high school students about the

transmission of hep A, what following modes of transmission should the nurse
include in the teaching
fecal oral
a nurse on a rehab unit is creating a plan of care for a newly admitted pt who has
difficulty swallowing following a stroke, what interprofessional team members
should the nurse anticipate consulting the patient’s condition
SLP
OT
dietician
a nurse is caring for a patient and realizes she administered the wrong
medication, what actions should the nurse take first
check the condition of the patient
a nurse is caring for a newborn in the nursery following a circumcision, the

newborn's grandparent, who does not have an identification bracelet, requests to
take the newborn to his mother's room, what actions should the nurse take
respectfully deny the grandparents’ request
a community health nurse is reviewing primary prevention for West Nile virus
with a group of patients in a rural health clinic, what instructions should the
nurse include
eliminate areas of standing water
a school nurse is providing care for students in an elementary education facility,

what interventions by the nurse addresses the primary level of prevention
teach students about healthy food choices
a charge nurse on a med surg unit is preparing to delegate tasks to a licensed

practical nurse (LPN), what tasks should the charge nurse delegate to the LPN
administering an oral antibiotic to a patient
a nurse is caring for a patient who has been in a motor vehicle crash and has a
minor TBI, what findings should the nurse recognize as a complication and report
to the provider
bradycardia
vomiting
drainage from the ear
unequal pupils
a home health nurse is providing teaching to a patient who has a new diagnosis
of a gastric ulcer and a new prescription for sucralfate oral suspension, what
statements by the patient should the nurse identify as a understanding of the
teaching
i will take this medicine 1 hour before meals and at bedtime
a nurse is planning a staff education program to review nursing interventions for

patients who have kidney failure, what sources should the nurse identify as the
best source for obtaining EBP info
a recent peer reviewed nursing research article
a staff nurse is challenging a shift assignment with the charge nurse, what
statement made by the charge nurse is an example of smoothing to resolve
conflict
you have been a nurse a long time, so I'm sure you're capable of the tasks
a charge nurse working in a mental health unit is concerned that a nurse is

experiencing countertransference when caring for a patient, the charge nurse
should identify which of the following behaviors as an indication of
countertransference
the nurse is inattentive when spending time with the patient
a newly licensed nurse is giving a change of shift report using ISBAR to an

oncoming nurse. which of the following statements by the newly licensed nurse
should be included in the intro portion of the report?
the patient is a 45-year-old male admitted 8 hours ago
a nurse in an ED is preparing change of shift report for an older adult patient
transferring to the med surg unit using SBAR communication tool, what info
should the nurse include in the report
the patient has a DNR prescription
the patient has continuous IV of LR
the patient was straight cashed for 350mL 2 hours ago
a nurse is completing an assessment of a recently widowed older adult, he states

he is unable to drive and is afraid to cook on the stove, the nurse should
recommend which of the following community resources
meals on wheals
a PH nurse is developing guidelines for management of botulism outbreak, what
info should the nurse include
rinse skin with soap and water following exposure to the botulism toxin
a nurse is reviewing the med record of an older adult patient who has a new
prescription for cimetidine, what lab findings should the nurse identify as the
priority to report to the provider
aspartate aminotransferase 50 units/L
a nurse manager is preparing to complete staff performance appraisals. which of

the following principles should the nurse manger consider when completing the
appraisals
performance appraisals should be written in measurable terms

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ATI Capstone Leadership

Questions and answers

a hospice nurse is providing teaching to a patient who has a new diagnosis of a

a newly licensed nurse tells a charge nurse he is unsure about accepting

a nurse manager is teaching a group of employees about QSEN, what statements

a nurse working in a mobile health clinic is assessing a migrant farm worker,

a nurse is preparing an in-service about family violence for a group of newly

a nurse manager is implementing a quality improvement project to reduce the

which of the following factors should the nurse identify as an environmental

a nurse manager is teaching a class about proper body mechanics during a

a nurse is preparing to administer the initial dose of ceftriaxone to a patient who

a county public health nurse is developing a list of interventions to address the 3

a community nurse is instructing a group of high school students about the

a nurse is caring for a newborn in the nursery following a circumcision, the

a school nurse is providing care for students in an elementary education facility,

a charge nurse on a med surg unit is preparing to delegate tasks to a licensed

a nurse is planning a staff education program to review nursing interventions for

a charge nurse working in a mental health unit is concerned that a nurse is

a newly licensed nurse is giving a change of shift report using ISBAR to an

a nurse is completing an assessment of a recently widowed older adult, he states

a nurse manager is preparing to complete staff performance appraisals. which of

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