ATI Questions- 1125-PNC

A nurse is teaching a newly licensed nurse about using credible databases for research studies. Which of the following sources should the nurse include?

A peer-reviewed journal

A nurse is caring for a client who states the health care provider recommends treatment to provide comfort because a cure is not possible. To which of the following concepts is the provider referring?

Palliative care

A nurse is caring for a client whose religious belief prohibits them from receiving blood products. The client states, "My adult children don't agree with my beliefs and want me to receive a transfusion." Which of the following responses should the nurse make?

"You have the right to choose what treatments are best for you."

A nurse is assisting with teaching a class about events that require an occurrence report. Which of the following events should the nurse include? (Select all that apply.)

- A client's visitor falls in the hallways - A client develops an unexpected reaction to a medication - A client's dentures are lost

A nurse is admitting a client who has heart failure. Which of the following tools should the nurse use to implement nursing interventions for the client?

Standard of care

A nurse enters a client's room and finds the client crying. The nurse sits beside the bed in silence. Which of Swanson's five categories of caring behaviors is the nurse demonstrating?

Being with

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

Record the time and length of the seizure

A nurse is using evidence-based practice to develop a PICOT question. Which of the following describes the "O" in PICOT?

The desired results of the intervention to the problem

A nurse is caring for a client who has a prescription for opioid analgesia. The client tells the nurse, "I don't want to take that medication because it makes me sleepy." Which of the following responses should the nurse make?

"I will speak to your provider to see if there is a different medication to treat your pain."

A nurse is caring for a client who is postoperative and requests spiritual support. Which of the following statements should the nurse make?

"Tell me what I can do to help fulfill your need for support."

A nurse is checking a client's allergy bracelet before administering a medication and finds the client is allergic to that medication. The nurse does not administer the medication to the client. This is an example of which of the following unexpected events?

Near-miss event

A nurse is caring for a client who tells the nurse, "Something is wrong. I feel like God is so far away from me and I don't know what to do." Which of the following is the client experiencing?

Spiritual distress

A nurse is caring for a client who is emotionally distraught. Which of the following uses of touch should the nurse implement to convey caring?

Briefly holding the client's hand

A nurse is giving evidence-based research to care for a client who has diabetes mellitus. Which of the following resources should the nurse use to manage the delivery of care?

Clinical practice guidelines

A nurse is collaborating with an interdisciplinary team to develop a plan of care for a client. Which of the following tools should the nurse use to guise the delivery of care?

Critical pathway

A nurse is providing information to a client who is from the Baby Boomer generation about a newly prescribed medication. Using information about generational preferences, which of the following methods of teaching should the nurse use?

Talk with the client in person

A nurse is assisting with conducting a home hazard assessment for a client who has dementia. Which of the following findings indicates an understanding of home safety?

The edges of stairs are marked with brightly colored tape

A charge nurse is supervising a nurse providing care to several clients. For which of the following actions by the nurse should the charge nurse intervene?

The nurse alters the steps in a procedure established in the clinical practice guidelines

A nurse is assisting with teaching a newly licensed nurse about electrical safety. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

The nurse holds onto the plug to unplug the client's electronic blood pressure machine.

A nurse is teaching a newly licensed nurse about the purpose of peer review in scholarly publications. Which of the following statements should the nurse make?

The process ensures scientific quality and rigor

A nurse is teaching a class about searching the internet for research article sot use for evidence-based changes. Which of the following information should the nurse include?

Use Quackwatch to verify credible websites

A nurse discovers a small fire in the client's room. After removing the client to safety, which of the following actions should the nurse take next?

Activate the fire alarm

A nurse is preparing to perform a procedure on a client. Which of the following resources should the nurse use to meet the standard of care? (Select all that apply.)

-The health care organization policy and procedure manual -Information from a government website -Article published by a peer-reviewed journal

A nurse is providing an in-service about research methods for a group of nurses. Which of the following methods provides the most credible evidence to support practice changes?

A systemic review summarizing findings of studies

A nurse is assisting with teaching a class about warning signs from a co-worker that might indicate future workplace violence. Which of the following behaviors should the nurse include?

Frequent reports of not being treated fairly.

A nurse is teaching a class about citing references to use for evidence-based changes. Which of the following requires citing a reference to avoid plagiarism? (Select all that apply.)

-Direct quotations from a journal article -A photograph depicting equipment -Ideas published in the theoretical paper -Paraphrased sentence from an article

A nurse is assisting a newly licensed nurse about using a lift device to transfer a client. Which of the following actions by the nurse indicates an understanding of the teaching? (Select all that apply.)

-Locks the brakes on the client's bed -Checks the maximum weight of the lift before using it -Performs a safety check before lifting the client

A nurse is preparing to administer a premixed medication to a client. The nurse should check the label for which of the following information? (Select all that apply.)

-The date the medication was mixed -The dose of the mixed medication -The time the medication was mixed

A nurse is planning to use evidence-based practice (EBP) to determine the best practice for dressing changes for clients. According to EBP, in what order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

-The nurse notices another nurse changing a dressing and recognizes that they person the same procedure differently -The nurse asks a clinical question about methods to perform a dressing change -The nurse conducts a literature search to determine the presence of nursing literature on how to perform dressing changes -The nurse reads, organizes, and compares the results of the scientific literature search -The nurse develops recommendations about dressing changes to present to an interdisciplinary team in order to update the policy and procedure -The nurse implements changes for performing dressing changes and collects data to determine client outcomes

A nurse manager is planning an inservice about culturally competent care. Which of the following cultural competencies should the manager describe as enabling a nurse to interact with clients from other cultures?

Cultural encounter

A nurse is caring for a client who has an indwelling urinary catherter in place. Which of the following actions is the priority for the nurse to take to reduce the client's risk of developing a healthcare-associated infection?

Perform hand hygiene

A nurse is caring for a client who has a prescription for wrist restraints. Which of the following actions should the nurse take?

Remove the restraints with each vital sign check

A nurse is caring for a client who is at risk for suicide. Which of the following actions should the nurse take? (Select all that apply.)

- Place the client on round-the-clock surveillance -Remove objects from the room that the client could use to harm themselves - Search items brought into the client's room by visitors - Screen the client for suicidal ideations

A nurse is assisting with teaching a class about hospital-acquired injuries. The nurse should include that which of the following is a hospital-acquired injury? (Select all that apply.)

-Blood transfusion incompatibility -Wrong site surgery -Ineffective insulin usage

A nurse is assisting with teaching a class about evidence-based protocols established by the CDC to prevent healthcare-associated infections (HAIs). Which of the following infections should the nurse include? (Select all that apply.)

-Catheter-associated urinary tract infection -Central line associated bloodstream infection -Surgical site infection

A nurse is preparing a poster about fire safety for a community health fair. The nurse should include on the poster that which of the following components contains needed elements for fire to occur? (Select all that apply.)

-Cooking oil -Oxygen -Heat

A nurse is planning an inservice for a group of staff nurses about spiritual care. Which of the following situations should the nurse identify as appropriate for a consultation with pastoral staff? (Select all that apply.)

-Ethical dilemma -Terminal illness -Death of a client -Hardship

A nurse is preparing to conduct a fall risk screening on a client. Which of the following variable will the nurse use to evaluate the client? (Select all that apply.)

-Fall history -Medical diagnosis -Use of assistive devices -Mental status

A nurse is using evidence-base practice to reduce pain during venipunctures for adolescent clients by asking a PICOT question: "Does providing music to adolescent clients during venipunctures decrease their discomfort compared to those clients who do not listen to music?" Which of the following is a component of the "I" in this PICOT question?

Providing music

A nurse is collecting date from a group of clients regarding their feelings and experiences of living with congestive heart failure. In which of the following types of research studies is the nurse participating?

Qualitative

A nurse has created a table of evidence to organize findings from a literature search. Which of the following components of the table provides information for implementing a change in practice?

Recommendations

A nurse is assisting with emergency care of a client who has been exposed to a chemical toxin. Which of the following actions should the nurse take?

Rinse the client's skin with water

A nurse is planning to use the identity, situation, background, assessment, recommendation, read back (ISBARR) tool to communicate with a provider about a client. Which of the following information is included in the assessment component of ISBARR?

The client's laboratory test results

A nurse is planning to implement the Transforming Care at the bedside plan on a medical-surgical unit. Which of the following interventions should the nurse include in the plan?

Use a standardized communication tool.