ATI Leadership Proctored - 🔌

57. A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? • "A nurse can recommend clients who are stable for discharge during a disaster." • "A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes." • "A unit nurse has the authority to prescribe emergency medications during a disaster to improve client outcomes." • "A unit nurse can provide information to the media during a disaster."

"A nurse can recommend clients who are stable for discharge during a disaster."

60. A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag? • A client who has fixed pupils. • A client who has a compromised airway. • A client who experienced a brief loss of consciousness. • A client who has major burns covering 70% of their body.

A client who has a compromised airway.

47. A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority? • A client who has schizophrenia and uses neologisms. • A client who has bipolar disorder and displays constant pacing. • A client who has dementia and exhibits aphasia. • A client who has depressive disorder and has poor personal hygiene.

A client who has bipolar disorder and displays constant pacing.

39. A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients? • A client who has Type 1 diabetes and uses an insulin pump. • A client who has orthostatic hypotension and is receiving IV fluids. • A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL. • A client who is receiving heparin and has an aPTT of 34 seconds.

A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.

42. A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority? • A client who has peripheral vascular disease and has an absent pedal pulse in the right foot. • A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy. • A client who is postoperative following a laminectomy 12 hr ago and is unable to void. • A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38 (101 F).

A client who is postoperative following a laminectomy 12 hr ago and is unable to void.

33. A nurse is working in the emergency department is assessing several clients. Which of the following clients is the highest priority? o A client who has a raised red skin rash on his arms, neck, and face. o A client who has active bleeding from a puncture wound on the left groin area. o A client who reports right-sided flank pain and is diaphoretic. o A client who reports shortness of breath and left neck and shoulder pain

A client who reports shortness of breath and left neck and shoulder pain

22. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse? o A client who has multiple sclerosis and ataxia o A client who sustained a concussion and is being monitored for complications. o A client who has a brain tumor and is admitted for chemotherapy. o A client who has Gullian-Barre syndrome and a tracheostomy

A client who sustained a concussion and is being monitored for complications.

67. A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice? • A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min. • A nurse raises all four side rails on the bed of a client who is confused. • A nurse elects not to care for a client who had an abortion. • A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order

A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min

70. A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit? • A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump. • A multigravida client who has preeclampsia and is receiving misoprostol for induction and labor. • A client who has gestational diabetes and is receiving biweekly nonstress tests. • A client who is at 32 weeks of gestation and has premature rupture of membranes

A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

10. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event? o A sufficient supply of personal protective equipment o A system for tracking client information o A mental health specialist on the response team o A network for communication between staff members families.

A sufficient supply of personal protective equipment

23. A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment? o A preschooler who was previously toilet trained and now requires diapers in the hospital. o A school-age child who has several abrasions on their lower legs. o A toddler who cries whenever their parent enters the examination room. o An adolescent who was admitted and refuses to speak to their parents.

A toddler who cries whenever their parent enters the examination room.

21. A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply) A. Providing written information to a client regarding palliative care B. Initiating IV access on a client who has dementia while he is sleeping. C. Implementing a client's plan of care based upon nursing goals. D. Obtaining an interpreter for a client who speaks a different language than the nurse. E. Documenting a client's refusal to take a prescribed medication.

A, C, D, E

35. A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following? o Send a clinician to assess the safety of leaving her partner alone o Allow her to take time off from attending to her partner o Provide volunteers who will run errands for her o Help her arrange transferring her partner to an assisted living facility

Allow her to take time off from attending to her partner

62. A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body? • Green • Yellow • Black • Red

Black

5. An infectious disease nurse is reviewing electronic medical records on a group of clients. Select 4 clients whose diagnosis should be reported to the health department. o Client 1 (Lyme disease) o Client 2 (Acute Hepatitis C) o Client 3 (Clostridium difficile) o Client 4 (Salmonellosis) o Client 5 (Streptococcal pharyngitis) o Client 6 (pertussis)

Clients 1, 2, 4, 6

43. A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (SATA) A. A nurse is faxing data about a client to a referredprovider. B. An assistive personnel logs out of the computer prior to responding to a call light. C. A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present. D. A nurse is reviewing an electronic list of all clients admitted to the unit. E. An assistive personnel is informing a friend of the client about their condition.

C. A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present. D. A nurse is reviewing an electronic list of all clients admitted to the unit. E. An assistive personnel is informing a friend of the client about their condition.

44. A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend? • Replace total parenteral nutrition solution bags every 48 hr. • Change peripheral IV primary tubing every 96 hr. • Replace peripheral IV solution bags every 96 hr. • Change total parenteral nutrition IV tubing every 48 hr.

Change peripheral IV primary tubing every 96 hr.

26. A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques? • Sterile supplies are opened prior to removing the old dressing. • Gauze is used to clean the wound from the outside to the center. • The soiled dressing is placed on a nearby table. • Clean gloves are discarded after removing the old dressing.

Clean gloves are discarded after removing the old dressing.

3. A nurse is triaging a group of clients as they arrive simultaneously in the emergency department following a nearby bus crash. Which of the following clients should the nurse transfer to the three available trauma rooms? Select the 3 clients to transfer for immediate treatment.

Client 4,5,6

1. A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Exhibit 1 Client 1 Diagnosis: Cerebrovascular accident Exhibit 2: Client 2 Diagnosis: Pneumonia Exhibit 3 Client 3: Diagnosis: Wound infection Exhibit 4 Client 4: Diagnosis: Urinary tract infection Exhibit 5 Client 5 Diagnosis: Fractured hip Select the 3 clients whose finding indicates the program is EFFECTIVE.

Clients 2, 3, 5

30. A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take? o Compare practices within the facility against other high-performing facilities. o Determine how current practice will affect future performance within the facility. o Establish work initiatives to promote a positive environment. o Use root cause analysis to identify gaps in meeting standards.

Compare practices within the facility against other high-performing facilities.

15. A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before.". Which of the following actions should the nurse take first? o Compare the client's medication administration record with the prescriptions of the transfer order. o Call the provider to clarify the client's prescribed medications. o Review the intended purpose of the prescribed medications with the client. o Consult the pharmacist about the client's prescribed medications.

Compare the client's medication administration record with the prescriptions of the transfer order.

41. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use? • Critical pathway • Maslow's hierarchy of needs • Surgical record • Provider's prescription

Critical pathway

56. A nurse manager is discussing critical pathway use during a staff meeting. Which of the following information should the nurse manager include as an outcome of critical pathway use? • Increased length of stay • Decreased care delays • Increased variation in clinical interventions • Decreased cost-effectiveness

Decreased care delays

50. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first? • Determine the reasons the nurses are not taking scheduled breaks. • Discuss time management strategies with the nurses. • Provide coverage for the nurses' breaks. • Review facility policies for taking scheduled breaks.

Determine the reasons the nurses are not taking scheduled breaks.

17. A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first? o Reinforce facility protocols at the next staff meeting. o Alert the infection control department. o Discuss the issue with the AP. o Notify the unit manager about the incident.

Discuss the issue with the AP.

20. A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently? o Complete similar tasks for all clients before moving on to the next task. o Skip breaks to complete tasks if short on time o Document nursing interventions as they are completed. o Complete the lowest priority task at the beginning of the shift.

Document nursing interventions as they are completed.

53) A nurse in the emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take? • Tell the client that her blood alcohol level will be checked. • Assess the client for urinary retention. • Document the client's refusal in their chart. • Inform the client that a catheter will be inserted.

Document the client's refusal in their chart.

37. A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse? • Assess the client's gag reflex following esophagogastroduodenoscopy. • Elevates the head of the client's bed to 30 before inserting a nasogastric tube. • Assists the client into a fetal position on his side in preparation for a lumbar puncture. • Maintains the chest tube collection device below the level of the insertion site when ambulating the client

Elevates the head of the client's bed to 30 before inserting a nasogastric tube.

34. A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take? o Escort the nurses to the nurses' lounge to continue the discussion. o Make arrangements to take over the client's care. o Recommend that both nurses be terminated. o Contact the house supervisor to mediate the conflict.

Escort the nurses to the nurses' lounge to continue the discussion.

19. A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relive the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN? o Fidelity (Keep promise) o Veracity (Open and honest with patients) o Justice (Being fair and or equal) o Nonmaleficence (Do no harm)

Fidelity

61. A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding? • HIPAA allows clients to request a review of their own medical records. • HIPAA allows facility-specific coding of client health care information to ensure privacy. • Clients who participate in research studies forfeit their HIPAA right to privacy. • HIPAA prohibits the uploading of photographs of client's providers to social media sites.

HIPPA allows clients to request a review of their own medical records.

9. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first? o Help the AP assist the client with the transfer. o Instruct the AP to request assistance when unsure about a task. o Demonstrate the proper client transfer technique for the AP. o Refer the AP to the facility procedure manual.

Help the AP assist the client with the transfer.

6. A nurse case manager is coordinating care for a client. Select the 3 community resources the nurse should refer the client. o Adult day care o Hospice care o Legal assistance o Respite care o Social worker

Hospice care, Respite care, Social worker

68. A nurse is teaching a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching? • I will have a nurse witness the signing of my living will. • I should choose a family member as my health care proxy. • I need to have my attorney review my advance directives. • I can make changes to my living will even after I sign it.

I can make changes to my living will even after I sign it.

49. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines? • I will place a client who has compromised immunity in a negative-pressure airflow room. • I will wear an N95 respirator mask when caring for a client who is on droplet precautions • I will have a client who is on airborne precautions wear a mask when out of her room. • I will instruct visitors to wear a mask when visiting a client who is on contact precautions.

I will have a client who is on airborne precautions wear a mask when out of her room.

25. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? o I should tie the restraints using a square knot. o I need to tie the restraint to the part of the bed frame that moves. o I will remove a client's restraints every 4 hours. o A provider can write a prescription for restraints "as needed."

I will remove a client's restraints every 4 hours.

69. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? • I will place a client who requires protective isolation in a negative airflow room • I will wear a cover gown when caring for a client who has herpes simplex • I will wear an N95 respirator mask when caring for a client who is on contact precautions • I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile

I will wear a cover gown when caring for a client who has herpes simplex

54. A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process? • Observe staff medication administration procedures. • Re-evaluate staff performance in relation to the established standard. • Require staff to complete a medication administration review module • Identify data that should be collected related to medication errors.

Identify data that should be collected related to medication errors

40. A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery? • Implied consent • Good Samaritan Act • Living will • Nonmaleficence

Implied consent

29. A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure? o Includes the client's account of the fall in the incident report. o Lists names of witnesses to the fall in the nurses' notes. o Documents in the client's record that an incident report was filed. o Sends the incident report to the ethics committee.

Includes the client's account of the fall in the incident report.

55. A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions? • Increase the amount of time the client spends out of bed each day. • Ensure the client consumes an adequate amount of fluids. • Instruct the client to use the incentive spirometer. • Reposition the client frequently.

Instruct the client to use the incentive spirometer.

13. A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply) o Make decisions on the unit. o Delegate tasks to assistive personal. o Monitor overall functions of the unit. o Reward and discipline staff as necessary. o Ensure goals of the facility are being met.

Make decisions on the unit. Monitor overall functions of the unit. Reward and discipline staff as necessary. Ensure goals of the facility are being met

18. While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take? o Meet with nursing staff to review the policy regarding advance directives. o Ask nurses who are caring for clients without this information in the medical record to obtain it. o Reinforce the potential consequences of not having this information on record to the nursing staff. o Remind nurses to obtain this information during the admission process.

Meet with nursing staff to review the policy regarding advance directives.

14. A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take? o Check to see if the medical record indicates the provider explained the procedure to the client. o Explain the risks of the procedure to the client. o Convey the client's request to the nurse who witnessed the consent. o Notify the provider about the client 's concerns.

Notify the provider about the client's concerns.

63. A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first? • Observe the client's condition. • Notify the provider. • Informs the nursing supervisor. • Complete and incident report.

Observe the client's condition

59. A nurse is preparing for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take? • Tell the client to leave her purse in a drawer of the bedside table. • Place the purse in the clothing bag with the client's other belongings. • Offer to place the purse in the facility safe. • Offer to store the purse at the nurses' station

Offer to place the purse in the facility safe.

65. A nurse in the emergency department is preparing to care for a client who arrive via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take? • Proceed with treatment without obtaining written consent. • Notify risk management before initiating treatment. • Have the client sign a consent for treatment. • Contact the client's next of kin to obtain consent for treatment.

Proceed with treatment without obtaining written consent.

32. A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation? o Laboratory test results o Reconciled medications o Do-not-resucitate status o Acuity level of client care

Reconciled medication

46. A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN? • Obtaining a urine specimen from an older adult client. • Providing postmortem care for a client who has just died. • Accompanying a client who just had a wound debridement to physical therapy. • Reinforcing dietary teaching with a client who has heart disease.

Reinforcing dietary teaching with a client who has heart disease.

7. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take? a. Report the problems to the engineering team. b. Check the expiration date of the inspection sticker. c. Request a replacement IV pump. d. Remove the IV pump from the client's room

Remove the IV pump from the client's room.

2. A nurse manager is overseeing employees on their unit. Which of following actions is the nurse manager priority? Select the 1 action that the nurse manager should take first. o Schedule a meeting with the employee to address the occurrence within 24 hr. o Remove the employee from the work environment. o Create a plan for the employee to overcome their substance dependency. o Coordinate a ride home for the employee. o Have the employee sign a contract acknowledging that substance use will not be tolerated.

Remove the employee from the work environment.

38. A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated.Which of the following actions should the nurse take first? • Offer reassurance to the family. • Reorient the client to his surroundings • Measure the client's vital signs • Medicate the client with alprazolam

Reorient the client to his surroundings

24. A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newlylicensed nurse should the nurse identify as an indication of effective time management? o Skips lunch to catch up on client documentation. o Reviews a client's medical record before performing a prescribed dressing change. o Obtains client intake and output instead of delegating the task to assistive personnel. o Documents medications administered throughout the shift at the end of the day.

Reviews a client's medical record before performing a prescribed dressing change.

64. A nurse is preparing to fax information to a rehabilitative facility prior to transferring a client. Which of the following actions should the nurse plan to take? • Avoid using a fax cover sheet in order to reduce paper waste. • Shred extra copies of the client's records when they are no longer needed. • Call the facility to confirm the fax number after sending the client's information. • Send the facility a copy of the client's complete medical record.

Shred extra copies of the client's records when they are no longer needed.

16. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? o Child protective services o Pharmacist o Respiratory therapist o Social Worker

Social worker

4. A charge nurse on a mental health unit is receiving change of shift report for a group of clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700 to 1900 and is reviewing client care: assignments. Complete the following sentence by using the lists of options. The charge nurse should first assess __________ due to ______________ and ___________

The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and DELUSIONS

66. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral? • The client needs to have someone bring oxygen tanks and equipment to her home. • The client needs to have someone come in to help her bathe at home. • The client needs to have range-of-motion exercises to assist with ambulation. • The client needs to arrange financial resources to purchase equipment.

The client needs to arrange financial resources to purchase equipment.

31. A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist? o The client has extreme difficulty swallowing. o The client requires assistance getting dressed. o The client is experiencing dysarthria. o The client has four new medications.

The client requires assistance getting dressed.

52. A nurse initiates a referral to a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings support the need for this referral? • The client expresses the desire to join a support group. • The client reports pain when chewing solid foods. • The client has difficulty ambulating with a walker. • The client requires assistance with completing oral hygiene.

The client requires assistance with completing oral hygiene

12. A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective? o The nurse shares their performance plan with another nurse. o The nurse attends a critical thinking class. o The nurse verbalizes their understanding of the plan. o The nurse performs all tasks as specified.

The nurse performs all tasks as specified

51. A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching? • Nurses rely on consent to perform interventions • Consent can be verbal or written. • The nurse's signature indicates they witnessed the client's signature • The nurse is responsible for disclosing the expected outcomes of the proposed treatment

The nurse's signature indicates they witnessed the client's signature

36. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report? o The steps to follow when providing wound care. o The time the client received his last dose of pain medication. o The belief that the client has a difficult relationship with his son. o The client's preferred time for bathing.

The time the client received his last dose of pain medication.

11. A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow? o Veracity o Fidelity o Beneficence o Nonmaleficence

Veracity

27. A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include? o Verify the spelling of the medication with the provider. o Request that the provider call prescriptions in to the pharmacy. o Transcribe prescriptions received via a voicemail recording. o Use standard abbreviations when obtaining a telephone prescription.

Verify the spelling of the medication with the provider.

48. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done? • Whether the client's refusal is based on religious belief. • Whether the client understands the risk of refusing the procedure. • Whether the partner is the client's durable power of attorney for health care. • Whether the facility ethics committee reaches a consensus on the case.

Whether the client understands the risk of refusing the procedure.

8. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene? o Breaks the top of the ampule using an antiseptic wipe. o Withdraws the medication from the ampule using a subcutaneous needle. o Disposes of the ampule by placing it in a sharps container o Performs 3 checks of medication before administration.

Withdraws the medication from the ampule using a subcutaneous needle.

45. A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room? • Large-handle utensils • Nasal cannula and oxygen • Yankauer suction device • Bite block

Yankauer Suction Device

28. A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make? o I will make a copy of your medical records right away. o What are you planning on doing with your medical record? o The facility is unable to release your records. o You must submit a written request before you can receive a copy.

You must submit a written request before you can receive a copy.