ATI Ethics Leadership and Management

The nurse practice act is a law the defines a regulates the practice of nursing in the United States. Based on the fact that this law that requires regulation of nursing practice. What are the components of the nursing practice act?

1. Definition of practical and registered nursing, 3. Establishing of requirements for licensure 4. Procedures for issue and renewal of nursing licenses

A nurse is receiving change of shift report for four clients, Which of the following clients should the nurse attend to first

A client who has a blood glucose level of 68mg/dL and report mild sweating

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to see first?

A client who is request pain medication

A male client visits a healthcare center complaining of a skin infection. He has been prescribed an ointment to use for the next 10 days, every morning after a bath. A nurse has been assigned to demonstrate how to apply the ointment. After 2 days, the client reports to the nurse that does not inform the supervisor, The client revisits the hospital 5 days later complaining that his infection has spread giving him a bad itch . What reason should the hospital management cite while holding the nurse responsible for the worsened condition of the client ?

Abandonment of care

A nurse is assisting a client who is 2 days postoperative following a total hip arthroplasty to walk to a chair. when the nurse offers to help the client ambulate, the client refuses to get out of bed. Which of the following actions should the nurse take ?

Acknowledge the clients wishes

A nurse working in a long-term care facility is assigned care of four clients following the 0700 morning change of shift report. Which of the following clients should the nurse attend to first?

An client who has diabetes, and had an 60mg/dL blood glucose level at 0600

A nurse on pediatric unit has received changes of shift report. Which of the following clients should the nurse plan to see first

An infant who has per tussle and is receiving oxygen via nasal cannula

A nurse is care for four clients on the surgical unit . Which of the following tasks should the nurse delegate to the AP ?

Assist a client to a chair who is 2 days postoperative following a cervical laminectomy

A nurse in long- term care facility is delegating tasks to an AP. which of the following tasks should the nurse assign the AP?

Attending to client who fallen out of bed

A client refused to have a urinary catheter placed. The nurse insisted that the catheter be inserted and did so. The hospital attorney recommend that the lawsuit be settled as as quickly as possible because the nurse is most likely going to be found guilty. What legal standard has been violated?

Battery

A nurse is reinforcing teaching with a newly hired AP who is assisting with care of a client who has a indwelling urinary catheter. Which of the following instructions should the nurse give to the AP?

Close the tubing clamp when transferring the client from the bed to chair

A nurse discovers that a primary care provider has prescribed a medication to which the client is allergic. What is the most appropriate action

Contact the Primary care provider who wrote the prescription

A prescription containing various medicines issued by a physician for a client with typhoid appears incorrect to a nurse. Which is an appropriate action for the nurse?

Contact the primary care provider that the order needs correction

A nurse is assisting with the care of a group of pediatric clients . Which of the following actions should the nurse take first

Deliver a breakfast tray to a child who has been administered regular insulin

A nurse is planning an in-service that encourages active member participation and feedback about decreasing nosocomial infections on the unit. Which of the following leadership styles does the nurse plan to use?

Democratic

A nurse asked a AP to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

Discuss the incident with the AP

A medical surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. Which of the following actions should the nurse manager take?

Encourage the nurse to verbalize the reason for resistance to the change

A nurse on a pediatric unit working with an AP. Which of the following should the nurse have the AP perform first?

Feed a school age client who have burns on both upper extremities

There are implications for nurses for the concepts of false imprisonment. abandonment of care invasion of privacy, and confidentiality. Who establishes the standards for confidentiality

HIPPA- Health insurance Portability and Accountability Act

A nurse is working with an AP who is refuses a client assignment. When resolving this conflict. Which of the following comments is appropriate for the nurse to make?

I need to talk to you about the policies regarding client assignments.

A nurse is working with two AP's. The nurse notes that one of the APs has been taking long breaks and making personal phone calls. which of the following statements should the nurse make to resolve the conflict?

I need to talk to you about unit expectations regarding timely completion of tasks

A male client tells the nurse that he does not want the female AP involved in his care. Which of the following statements should the nurse give ?

I'll notify the charge nurse of your request to only have male staff assigned to care for you

A LPN is planning care for a group of client and is delegating tasks to an AP. which of the following task should the LPN perform?

Insert a NG tube for client who has abdominal distention

A nurse take pictures of a client with a dog in the bed during a animal-assisted therapy visit in the long- term care facility. The nurse and organization do not request permission to have the photographs sent to a nurse amounts to an offense. Under what category can the offense be classified?

Libel

A nurse is reinforcing teaching about advance directives with a client admitted to the hospital and is scheduled for surgery. Which of the following statement made by the client indicates a need for further teaching?

My children can make changes to living will if i am incapacitated

A client is admitted to a hospital for bronchial asthma and is allergic to certain smells. A nurse sprays freshener in the room. The client develops an allergy because of the freshener and his condition worsens. It is clear that the action of the nurse amounts to an offense. Under what category can the offense be classified?

Negligence

A charge nurse is discussing emergency response with a newly licensed nurse. The charge nurse should identify which of the following as a triage officer during the time of disaster ?

Nurses and other emergency medical personnel

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following tasks is unsafe to assign to an AP?

Observe a confused surgical client who has multiple tubes

A nurse is preparing to obtain consent from a client who has a tibia fractures. The client received IV morphine sulfate prior to arrival on the unit and is scheduled for surgery. Which of the following actions should the nurse take.

Obtain consent from a relative of the clients

A LPN is working with an RN to deliver care to a group of clients. Which of the following tasks should the LPN plan to complete?

Performing a dressing change for client who is 2 days postoperative following a total hip arthroplasty

A nurse enters the hospital cafeteria for lunch and overhears two AP discussing a client who is currently hospitalized. Which of the following actions should the nurse take?

Quietly tell the AP's that the conversation is inappropriate

A nurse is planning care for a group clients and reviewing tasks to be delegated the assistive personnel. Which of the following task should the nurse complete

Removing and cleaning the cannula of a client who has a new tracheostomy

A staff nurse suspects that a newly LPN is chemically impaired. Which of the following actions should the staff nurse take?

Report To nurse supervisor

A nurse in a medical care center notices that the sphygmomanometer used to measure the blood pressure of clients has a defective part and gives inaccurate readings. What initial action should the nurse take in the case

Report and label the defective sphygmomanometer immediately

A float nurse is given a client assignment that requires the use of unfamiliar skills and techniques. Which of the following actions should the nurse take?

Request the charge nurse modify the assignment

A charge nurse in a long term care facility checks with other nursing personnel on the unit throughout the day to determine if they are completing task. Which of the following rights delegation is nurse demonstrating?

Right Supervision

A nurse request that an AP change all the linens and give bed baths to four clients on the unit. The pervious day, the AP was not able to complete these same tasks, which of the following action should the nurse take in addressing he situation?

Set a time frame for the AP to complete the task

A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client . Which of the following actions should the nurse take first?

Speak with the other nurse privately

A nurse is contributing to a plan of care for a client who has dysarthria. Which of the following referrals should the nurse recommend

Speech Language pathologist

The legislative power to initiate, regulate, and enforce the provision of the nurse practice act, including conditions under which a license maybe suspended or revoked and condition for reinstatement. is delegated to a specific state agency. Which body has the legislative power to initiate, regulate, and enforce the provision of the nurse practice act?

State Board of Nursing

A nurse enters the room of a client who is confused and finds the client sitting on the floor. After determining that the client is free from injury and completing an incident report which of the following actions should the nurse take?

Submit the incident report to risk manager

A nurse is receiving change of of shift for several clients. Which of the following activities should the nurses plan to attend to first

Suction the tracheostomy of the client who has copious secretions

A nurse is performing care for several clients with the help of an AP. Which task should the nurse ask the AP to perform?

Take an ABG specimen in the laboratory

A nurse is caring for several clients on a medical- surgical unit. Which of the following clients care situations requires the nurse to complete an incident report?

The client tells the nurse that his dentures are missing

There are benefits and limitations of the Good Samaritan Act. Following a motor vehicle accident, a nurse stops and offers assistance.

The nurse is not liable unless there is gross negligence

A nurse is caring for a group of clients on medical surgical unit> The delegates various tasks the clients require to another LPN and AP. the nurse should identify that the responsibility for making sure the client received the care the plan care of care specifies belongs to which of the following team members?

The nurse who delegated the tasks

A nurse on a medical surgical unit is providing care for a client who is hospital employee. Several nurses have called seeking information about the client. Which of the following actions should the nurse take in response to inquiries from the nurses?

Transfer call directly to clients room

A charge nurse overhears a newly LPN providing instructions to a female client on the proper steps to collect a mid-stream urine specimen. Which of the following statements made by the newly LPN requires the charge nurse to intervene?

Use the provided towelette to cleanse the area by moving in back and fourth motion

The primary care provider's orders indicate that an informed consent needs to be signed for a cardiac catheterization. Which statement best illustrates the nurse fulfilling the client advocate role?

What were you told by the cardiologist about the cardiac catheterization procedure

A nurse is caring for a group of clients with the help of an AP. Which of the following determinations must the nurse make before delegating a client care task to the AP?

Whether the task is within the AP job descriptions

A nurse is obtaining consent from a client who is scheduled for a total hip arthroplasty, Which of the following statements should the nurse include?

Your provider will discuss other treatment options

A nurse enter a client's room to answer the call light and sees the client is in the bathroom on the floor. Which of the following action should the nurse take first

obtain the client's vital signs

A nurse is assigning care to an AP. which of the following tasks should the nurse delegate to the AP?

providing postmortem care on a client who has died