ATI NU2508 Leadership Final Exam

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A nurse manager is observing the care provided by a nurse who is in orientation to the unit. Which of the following actions by the nurse indicates the nurse manager should intervene?

  • A. The nurse opens the top flap of a sterile tray toward the body when assisting the provider with a thoracentesis.
  • B. The nurse uses clean gloves when discontinuing a client's intravenous infusion.
  • C. The nurse uses the client's telephone number as one form of identification when administering medications to a client.
  • D. The nurse empties a client's drainable colostomy pouch when it is one-third full.
Correct Answer: C

Rationale: The correct answer is C. Using a client's telephone number as identification is a violation of privacy and confidentiality. It is not a secure or reliable form of identification and could lead to errors in medication administration. The other choices do not indicate immediate intervention is needed. A: Opening the top flap of a sterile tray is incorrect but may not cause immediate harm. B: Using clean gloves for discontinuing an IV infusion is incorrect, but can be corrected easily. D: Emptying a colostomy pouch when it is one-third full is appropriate to prevent skin irritation and leakage.

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A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating which of the following types of conflict management?

  • A. Cooperating
  • B. Compromising
  • C. Avoiding
  • D. Competing
Correct Answer: A

Rationale: The correct answer is A: Cooperating. The charge nurse is demonstrating cooperation by taking on the responsibility of caring for both nurses' clients while they go to lunch together. This approach shows a willingness to collaborate and find a solution that benefits all parties involved. By cooperating, the charge nurse is promoting teamwork and fostering a positive work environment.

Summary of other choices:
B: Compromising - This would involve finding a middle ground or making concessions, which is not the case in this scenario.
C: Avoiding - This would involve ignoring the conflict or avoiding confrontation, which is not what the charge nurse is doing.
D: Competing - This would involve a win-lose mindset where one party wins at the expense of the other, which is not evident in this situation.

A charge nurse is planning care for a unit with limited staffing due to a flu outbreak. Which of the following actions should the charge nurse prioritize?

  • A. Assign assistive personnel to provide client education on hand hygiene.
  • B. Ensure all clients receive their scheduled baths on time.
  • C. Reassess clients with unstable vital signs every 2 hours.
  • D. Delegate documentation of intake and output to the unit clerk.
Correct Answer: C

Rationale: The correct answer is C: Reassess clients with unstable vital signs every 2 hours. This is the priority because clients with unstable vital signs require frequent monitoring to detect any deterioration or changes in their condition promptly. This action directly impacts patient safety and allows for timely intervention if needed.
Assigning assistive personnel for client education (A) is important for infection control but may not be the priority during a staffing shortage. Ensuring scheduled baths (B) is important for hygiene but can be delayed if necessary. Delegating documentation of intake and output (D) to the unit clerk is not appropriate as it involves clinical judgment and assessment.

A nurse is caring for a client who is postoperative following a total knee replacement. The client reports numbness in the operative leg. Which of the following actions should the nurse take first?

  • A. Administer a prescribed analgesic.
  • B. Notify the provider of the numbness.
  • C. Elevate the client's leg on pillows.
  • D. Document the client's report in the medical record.
Correct Answer: B

Rationale: Notifying the provider of numbness is critical, as it may indicate a complication such as nerve damage or compartment syndrome, requiring immediate evaluation.

A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?

  • A. If you let us know ahead of time that you plan to perform a procedure, we could do better job of having the supplies available.
  • B. It must be very frustrating when you don't have want you need to perform the procedure.
  • C. I will help you with this procedure instead of the staff nurse.
  • D. You should think about how you make others feel when you lose your temper.
Correct Answer: B

Rationale: The correct answer is B because it demonstrates empathy and understanding towards the staff nurse's frustration. By acknowledging the staff nurse's feelings and showing empathy, the charge nurse can diffuse the situation and work towards finding a solution collaboratively.

Choice A is not as appropriate because it may come across as blaming the staff nurse for the lack of supplies. Choice C is not ideal as it doesn't address the underlying issue of the incorrect supplies. Choice D shifts the focus away from the situation at hand and onto the provider's behavior.

In summary, choice B is the best response as it shows empathy, validates the staff nurse's feelings, and opens the door for constructive problem-solving.

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

  • A. Check the position of a client in soft wrist restraints.
  • B. Accompany a client who has depression to occupational therapy.
  • C. Set limits with a client who has mania.
  • D. Sit with a client who has alcohol use disorder and whose last drink was five days ago.
  • E. Assess a client who has hypomania for exhaustion.
Correct Answer: A,B,D

Rationale: The correct answers are A, B, and D. The nurse can assign these activities to the assistive personnel (AP) because they do not require nursing judgment or assessment. A: Checking the position of a client in soft wrist restraints is a task that can be delegated as it involves a physical task without interpretation. B: Accompanying a client to occupational therapy is a supportive task that does not require nursing assessment. D: Sitting with a client who has alcohol use disorder and monitoring their condition post-drinking does not involve assessment. Choices C and E involve setting limits with a client who has mania and assessing a client with hypomania, which require nursing judgment and assessment, so they cannot be delegated to the AP.