Module 1 ATI test questions
Which of the following is an example of closed-ended questioning? (Select all that apply.)
"Are you going to group therapy tomorrow?" "How long have you been depressed?" "Do you not want to take your medication?" "Do you have a family history of depression?"
A nurse is reviewing information about performing oral hygiene with an assistive personnel (AP). Which of the following information should the nurse include?
"Clean the tongue with the toothbrush or tongue scraper during oral hygiene."
A nurse is teaching the importance of handwashing to a client. Which of the following statements should the nurse make about hand hygiene in a health care setting?
"Effective handwashing can decrease hospital infection rates.
A nurse is caring for an older adult client whose caregiver reports that the client is resistant to bathing at home. Which of the following statements should the nurse make?
"Give the client choices regarding their bathing preferences to encourage them to bathe."
p is measured and documented in millimeters of mercury
p is measured and documented in millimeters of mercury
A nurse manager is conducting an in-service on ineffective communication patterns. Which of the following should she include when discussing components of passive communication?
puts others' needs and wants ahead of self avoids conflict difficult time saying no
a charge nurse is discussing mechanisms of loss of body heat with a newly licensed nurse. which of the following should the nurse include? radiation is the loss of body heat when a pt is in close proximity to a cooler surface
radiation is the loss of body heat when a pt is in close proximity to a cooler surface
A nurse is using a communication techniques to resolve a conflict. Which of the following examples by the nurse displays effective communications? ( Select all that apply?) Actively listening Embracing the concerns of others Communicating openly Practicing aggressiveness Using a give and take approach
Actively listening Embracing the concerns of others Communicating openly Using a give and take approach
A charge nurse is preparing informational material for the nursing staff on cultural competence. Which of the following should she include when discussing componets of cultural congruent behavior? ( Select all that apply) Assess the client's belief system Determine the client's familial involvement Evaluate the client's preferences Understand the client's decision making role Mediate the client's health practices.
Assess the client's belief system Determine the client's familial involvement Evaluate the client's preferences Understand the client's decision making role
a nurse is performing a complete bed bath for a pt. which of the following actions should the nurse take? raise the room temp completely remove the linens add soap to the water in the basin before beginning the bath bathe one side of the body at a time
raise the room temp
a nurse is observing an assistive personnel (AP) who is using a mechanical lift w a hammock sling to transfer a pt from a bed to a chair. for which of the following action by the AP should the nurse intervene? place a removable cover over the sling leaves the bed in the lowest position throughout the procedure locks the hydraulic valve before attaching the sling to the lift raises the head of the bed to a sitting position just before transfer
leaves the bed in the lowest position throughout the procedure
A charge nurse is reviewing organizational structure with a group of newly licensed nurses. Which of the following should she include in her discussion? lines of authority organizational size formal structures informal structures interprofessional relationships
lines of authority organizational size formal structures informal structures
Which of the following should be included in an interpersonal or interdisciplinary team? respiratory therapist provider nurse dietitian family members
respiratory therapist provider nurse dietitian
A nurse manager is discussing organizational concepts in a charge nurse meeting. Which of the following statements by a charge nurse indicates a need for further teaching? smaller organizations find communication more difficult due to size and complex processes
smaller organizations find communication more difficult due to size and complex processes
a group of nurses on a clincial unit are planning to research the incidnence of falls among pt following a placement surgery. what of the following actions should the nurses take to ensure the studt complies with HIPPA privacy rules
submit their proposal to the institiutional review board for review and descirbe how they will be de-identify client info
a nurse is observing an AP who is obtaining a BP reading from a pt. by the ap requires follow up by the nurse? the ap loosens the valve to reduce pressure within the bladder cuff at a rate of 5 mm hg per second
the ap loosens the valve to reduce pressure within the bladder cuff at a rate of 5 mm hg per second
intervene? toddler who has a respiratory rate of 44/min
toddler who has a respiratory rate of 44/min
which of the following methods of info exchange can occur w/o pt authorization
walking rounds that involve two nurses discussing an assigned pt at the pt bedside in a private room
a nurse is preparing to provide oral care for a pt who is NPO. the pt tells the nurse, "I dont need oral care because I haven't eaten anything". which of the following responses should the nurse make? "Since you are not eating, we can wait and do it before bedtime" "Oral care is still important even though you are not eating" "i'll give you a sip of water to swish around in your mouth, and then you can spit it out" "we will wait until your family gets here to help"
"Oral care is still important even though you are not eating"
Which of the following statements is an example of a therapeutic communication technique? "Tell me about your relationship with your wife."
"Tell me about your relationship with your wife."
A nurse is teaching a client about the function of mucous membranes in protecting the body from pathogens. Which of the following statements should the nurse include?
"The mucous membranes in the nose contain cilia that trap particles, preventing them from invading the body."
A nurse is teaching a client who has a new diagnosis of a skin infection about the function of the skin in the body. Which of the following statements should the nurse include
"The skin contains Langerhans cells that kill pathogens.
Which of the following is an example of the nurse using clarification to facilitate communication? (Select all that apply) "What would you say is the main point of what you are saying?" "I am not sure I am following you."
"What would you say is the main point of what you are saying?" "I am not sure I am following you."
A client presents at a community shelter after surviving the destruction of her home by a fire. Which of the following questions should the nurse ask to determine the client's ability to cope?
"Who do you talk to when you have the feeling of being overwhelmed?"
nurse: pt thigh for BP measurements with an assistive personnel, which of the following info should the nurse include? use the thigh to obtain bp when a pt has severe edema in their arms
use the thigh to obtain bp when a pt has severe edema in their arms
Which of the following should a nurse include in the verbal SBAR report to a provider? situation background assessment recommendation introduction
situation background assessment recommendation
A nurse is performing a bed bath for a client. Which of the following should the nurse remember when preparing to bathe the client?
Washing the client in bed is less effective than taking a shower.
A nurse is collecting data about a client's respiratory condition. Which of the following actions should the nurse take to determine the depth of the client's respiration? A. Observe the degree of chest-wall movement during inspiration and expiration. B. Count how many breathing cycles are observed per minute. C. Notice whether or not expiration takes longer than inspiration. D. Measure the precise amount of air the client takes in and breathes out.
A. Observe the degree of chest-wall movement during inspiration and expiration.
A nurse is caring for a client who has bariatric care needs and has a rash between skinfolds. Which of the following actions should the nurse take?
Assist the client as needed to ensure proper hygiene is performed.
A nurse is assessing a client's respiration. Which of the following actions should the nurse take? A. Have the client lie flat in bed with their head on a pillow. B. Elevate the head of the client's bed 45° to 60°. C. Encourage the client to breathe shallowly. D. Ask the client to take several deep breaths prior to the assessment.B. elec
B. Elevate the head of the client's bed 45° to 60°.
A nurse is preparing to record the difference btw a client's systolic and diastolic blood pressure. Which of the following terms defines this information when documenting? A. Auscultatory gap B. Pulse pressure C. Orthostatic hypotension D. Pulse deficit
B. Pulse pressure
A nurse is obtaining vital signs from a client. Which of the following findings is the priority for the nurse to report to the provider? A. Oral temperature 37.8° C (100° F) B. Respirations 30/min C. BP 148/88 mm Hg D. Radial pulse rate 45 beats/30 seconds
B. Respirations 30/min
A nurse is preparing to obtain a client's BP. Which of the following actions should the nurse take to measure the BP accurately? A. Obtain the reading in the early morning. B. Use a cuff of the appropriate size for the client. C. Assist the client to the bathroom to void. D. Apply the cuff loosely around the client's arm.
B. Use a cuff of the appropriate size for the client.
documentation is in complete? BP 124/82 mm hg, lying in bed
BP 124/82 mm hg, lying in bed
A nurse is preparing to auscultate a client's apical pulse at the point of maximal impulse(PMI). In which of the following locations should the nurse position the stethoscope? A. Over the right midclavicular line B. Over the angle of Louis C. Overt the fifth intercostal space at the left midclavicular line D. Over the suprasternal notch
C. Overt the fifth intercostal space at the left midclavicular line
A nurse is preparing to use a tympanic thermometer to acquire a client's temp. which of the following actions should the nurse take to ensure an accurate reading? A. Attach the disposable probe cover. B. Assess the external ear for redness. C. Pull the pinna back and upward gently. D. Replace the thermometer in its charger.
C. Pull the pinna back and upward gently.
A nurse is auscultating a client's apical pulse to listen to the S1 and S2 heart sounds. S2 heart sounds are heard when which of the following occurs?A.When the atria contracts vigorously B.As the ventricular walls contract C.When the semilunar valves close D.As the mitral valve snaps open
C.When the semilunar valves close
A nurse is obtaining a client's blood pressure and notices the pressure reading on the manometer when listening to the fourth Korotkoff sound. Which of the following factors does this pressure reading correlate to? A. It corresponds to the client's systolic pressure. B. It is the second diastolic pressure to record. C. It is the loudest of the Korotkoff sounds. D. It might not follow with a fifth Korotkoff sound.
D. It might not follow with a fifth Korotkoff sound
A nurse is reviewing information on Hispanic culture before caring for a client who speaks only Spanish. Which of the following should bridge the culture gap? Evaluating the physical status of the client Monitoring the behavior of the client Expanding knowledge of the client's values
Expanding knowledge of the client's values
A nurse is trying to negotiate an intrdepartmental conflict for a win win outcome. Which of the following is an appropriate response by the nurse? I know how important this is to you. We can do it your way I can see we all have different opinions but agree on your way I can do whatever everyone wants. Any decision will be ok
I can see we all have different opinions but agree on your way
A nurse is communicating w a pharmacist about receiving a stat medication for a client who is in a hypertensive crisis. Which of the following demonstrates the most collaborative response by the pharmacist? I plan to verify the medication now after I receive the faxed order I plan to verify the order & will personally bring it to you I will verify the order now, & the medication will be ready at the pharmacy window
I plan to verify the order & will personally bring it to you
a nurse is discussing oxygen saturation with a pt, which of the following information should the nurse include? O2 saturation reflects the mouth of oxygen being delivered to body tissues
O2 saturation reflects the mouth of oxygen being delivered to body tissues
a nurse is reviewing documentation of vital signs by a newly licensed nurse for an assigned pt chart requires follow up by the nurse? pulse rate 116 / min, left radial, standing,
pulse rate 116 / min, left radial, standing,
A nurse is reviewing information about the structure and function of the nails with a client. Which of the following information should the nurse include?
The cuticle of the nail forms a barrier to prevent infections.
A nurse is reviewing the anatomy of the skin with a newly licensed nurse. Which of the following information should the nurse include as a characteristic of the epidermis?
The epidermis consists of squamous epithelial cells.
A charge nurse is reviewing oral care and hygiene practices with another nurse for a client who has glaucoma. Which of the following information should the charge nurse include?
The nurse should educate the client and caregivers about the importance of routine dental visits to maintain oral health.
A nurse is caring for an older client who recently lost his spouse following lung cancer. The client states, "No one understands. She was my life." Which of the following responses is appropriate? This must be a difficult time for you."
This must be a difficult time for you."
A nurse is performing nail hygiene on a client. Which of the following actions should the nurse take?
Trim the nails straight across.
A nurse is planning care for a client who has incontinence. Which of the following information should the nurse consider when providing skin care for the client?
Urinary incontinence can cause a yeast infection.
A nurse is reviewing handwashing skills with a newly licensed nurse. In which order should the nurse plan to perform this task using soap and water? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Wet hands with warm water is the first step. Apply the amount of soap recommended by the manufacture Rub hands together vigorously for at least 15 seconds is the third step. Rinse hands with water Use a disposable towel to dry Use a towel to turn off the faucet
a nurse on a punit is reviewing the medical records for a group of pt. expected reference range and requires interventions? a 3 year old preschooler who has an apical pulse rate of 144 min
a 3 year old preschooler who has an apical pulse rate of 144 min
which of the following actions should a nurse take after witnessing a breach of a clients confidentialie office? Complete a health info privacy complaint form anonymosuly noitfy the proper governmental agency notify the pt and ask them to complete a health info privacy complain form inform the provider that a formal complaint will be submitted if another breach is commited
Complete a health info privacy complaint form
A nurse is discussing the role of tooth enamel with a client. Which of the following information should the nurse include in the discussion
Enamel protects the teeth from pathogens.
A nurse is considering the cultural components in the plan of care for a client who is of Asian descent. Which of the following should be considered? Include a family member to interpret Ignore nonverbal communication responses Evaluate no traditional healing methods
Evaluate no traditional healing methods
A nurse is teaching a newly licensed nurse about providing oral care to a unconscious patient. which of the following statements by the newly licensed nurse indicates an understand of the teaching? "I'll swab the pt mouth with lemon-glycerin swabs" "I'll swab the pt mouth with mouthwash" "I'll swab the pt mouth with chlorhexidine" "I'll swab the pt lips with a very small amount of mineral oil"
"I'll swab the pt mouth with chlorhexidine"
A nurse is caring for a client who has depression. The client states, "Things are always going to be bad for me. I wish I could just go to sleep and forget about all my problems." Which of the following is an appropriate response by the nurse?
"It seems as though you're expressing feelings of hopelessness."
a newly hired nurse is reviewing info about HIPAA privacy rule during facility orientation following statements by the nurse indicates an understanding of privacy rule? "pt do no havr the right to read their charts" "i can read the charts of other clients on my floor" "i will expect a list of clients and admitting diagnosos to be posted on my unit" "i can give info about a pt over the phone if the pt gives permission.
"i can give info about a pt over the phone if the pt gives permission.
a nurse is teaching a newly licensed nurse about using a computer to document in a pt health record. which of the following statement by newly licenced nurse indicated an understanding of the teaching. "i should share my computer password with the nurse orienting me" "i should remain aware of my surrounding when documenting the computer" "i can step away from the computer for a short time if i am logged on and no one is around" "i can review the health records of other pt on the unit not assigned to me"
"i should remain aware of my surrounding when documenting the computer"
a nurse is planning care for a group of pt and is reviewing the recent vital signs obtained by an AP, which of the following pt should the nurse asses and recheck the vs prior to notifying the provider? 8 year old male: respiratory rate 34/min
8 year old male: respiratory rate 34/min
A nurse is measuring a client's temp, orally. Which of the following actions should the nurse take? A. Place the probe in the posterior lingual pocket lateral to the midline. B. Rest the probe on the lower lingual frenulum. C. Place the probe centrally on top of the client's tongue. D. Rest the probe under the tongue just beyond the client's teeth.
A. Place the probe in the posterior lingual pocket lateral to the midline.
A nurse is preparing to measure a client's vital signs. The nurse should identify that which of the following factors will affect the methods that are used? Select all that apply A. The client who has a BMI of 35. B. The client has had nausea for 2 days. C. The client is reporting a "stuffy" nose. D. The client has been fasting for blood tests. E. The client is taking digoxin for an irregular heart rate. F. The client had a mastectomy 2 years ago.
A. a client with BMI 35 C. Client with stuffy nose E. Digoxin F. Mastectomy
A nurse is obtaining a client's vital signs. the client has a new onset of a temp of 39C(102 F). Which of the following other vital signs should the nurse expect? A. An elevated pulse rate B. A decreased blood pressure C. An elevated blood pressure D. A decreased pulse rate
A. elevated pulse rate
A nurse is preparing to communicate with a client using telecommunication. Which of the following are benefits to telecommunication when considering geographical distance? (Select all that apply.) Benefits tx of the dx Provides immediate monitoring Allows for therapeutic interventions Teaches the client computer literacy incorporates limited internet access
Benefits tx of the dx Provides immediate monitoring Allows for therapeutic interventions
A nurse is establishing baseline for a client's respiration. Which of the following actions should the nurse take? A. Instruct the client to breathe in and to exhale out as they normally do. B. Count the client's respirations for 15 seconds then multiply by 4. C. Determine if the client has a history of any chronic respiratory problems. D. Observe the client's chest movements while appearing to assess their pulse.
D. Observe the client's chest movements while appearing to assess their pulse.
A nurse is taking an adult client's temp rectally/ What action should the nurse take?A.Rotate the probe if any resistance is met as the thermometer is inserted. B.Insert the probe to aim at the client's pelvic area. C.Dip the probe about 0.58 cm (2 in) into a tube of lubricant. D.Insert the probe about 1.27 cm (0.5 in) into the client's anus
D.Insert the probe about 1.27 cm (0.5 in) into the client's anus
A nurse is caring for a client who practices a religion the nurse is not familiar with. Which of the following actions should the nurse take
Discuss with the client their individual perspective on health and illness.
A nurse is involved in a working group among an interdisciplinary team. Which of the following is an example of a maintenance role? Gatekeeper Recorder Evaluator
Gatekeeper
A nurse is admitting a client who has schizophrenia. The client states, "The FBI has bugged the phone and is monitoring my calls." Which of the following responses by the nurse is appropriate?
I understand that you believe this is true, and it must be very frightening for you."
A nurse is ridiculing another nurse concerning vacation time when the charge nurse approaches. Which of the following is an appropriate mediation response by the charge nurse? I want to hear each of your opinions to end the arguing I know you are right. No one should complain The issue was settled earlier. No more discussion
I want to hear each of your opinions to end the arguing
A nurse is caring for a client who states, "I would like to go out on a date with you." Which of the following is an appropriate response by the nurse? Inform the client that is an inappropriate statement
Inform the client that is an inappropriate statement
a nurse in a long term care facility is caring for a pt who is on bed rest and requires frequent linen changes. Which of the following should the nurse identify as the priority rationale for frequent linen changes? Moisture from excessive diaphoresis can cause skin breakdown moisture on the sheets can cause discomfort to the pt it provides an opportunity to frequently evaluate the skin on the pt back side it provides an opportunity to turn the pt from the side to side to facilitate cleaning potential fluid from the lungs
Moisture from excessive diaphoresis can cause skin breakdown
Which of the following hinder equitable care for a client of another culture? (Select all that apply.) Prejudice Stereotyping Partial understanding Demographics Opportunities
Prejudice Stereotyping Partial understanding
A nurse is caring for a client who has right-sided hemiplegia following a stroke. Which of the following should the nurse consider when caring for this client?
The nurse should have the client remove clothing from the unaffected side first
A nurse is reviewing a list of client care tasks with another nurse. In which of the following scenarios should the nurse plan to use soap and water to perform hand hygiene? (Select all that apply.)
The nurse's hands become visibly soiled. The nurse removes the meal tray of a client who has infectious diarrhea. The nurse empties the urinal of a client who has Clostridium difficile
a nurse is caring for a pt who has hypotension. should the nurse the pt condition?
decrease in contractility
A nurse is performing foot care for a client. Which of the following actions should the nurse take?
Use a towel to completely dry between the toes.
A nurse is implementing therapeutic communication techniques with a client in an outpatient mental health facility. Which of the following actions allows the client an opportunity to organize thoughts, consider a topic, or think through a point?
Use of silence
a nurse in a pediatrician office is speaking on the telephone w the guardian of a school-age child who will become a new pt at the office. the nurse should instruct the guardian to call the child's previous provider's office to request which of the following? the guardian be allowed to take the childs medical recordes and make photocopies for the new ped the child original medical records be given to the new ped office a form authorizing release of copies of the childs medical records to be signed by guardiam a form authoriziing relase of the child's medical records to be sign by the new ped
a form authorizing release of copies of the childs medical records to be signed by guardiam
a nurse is evaluating for effectiveness of interventions provided to four clients who have unexpected findings for vital signs. which of the following findings requires follow up? pt has an 8mm hg difference in systolic bp when moving from sitting to a standing positions a pt has a radial pulse of +4 bilateral a newborn has a respiratory rate of 56 min while sleeping
a pt has a radial pulse of +4 bilaterala pt
a nurse is planning care for a group of pt and is delegating to the assistive personnel (AP) to take the pt vital signs. for which of the following pt should the nurse obtain the vital signs rather than the ap? a pt who was recently admitted and reports chest pain
a pt who was recently admitted and reports chest pain
a nurse is assisting a client with personal hygiene care. which of the following actions should the nurse take to reduce the risk of infection? Massage reddened area of the pt skin wash eyes from outer canthus to inner canthus wash the pt from the should down to the fingertips with smooth, short strokes clean the least-soiled areas prior to cleaning the most-soiled areas
clean the least-soiled areas prior to cleaning the most-soiled areas
orthostatic hypotension encourage the pt to change positions slowly
encourage the pt to change positions slowly
a nurse is caring for a pt who has a heart rate of 118 min, which of the following actions should the nurse do for the pt heart rate? encourage the pt to reduce intake of caffeinated soft drinks
encourage the pt to reduce intake of caffeinated soft drinks
a nurse is assisting with the ambulation of a client who becomes light-headed and begins to fall. which of the following actions should the nurse take wrap both arms around the pt arms and shoulders move both feet together when the pt being to fall protect the pt extremities while lowering them to the floor extend one leg and allow the pt to slide down the leg to the floor
extend one leg and allow the pt to slide down the leg to the floor
a nurse is preparing an in-service about factors affecting respiratory rate for a group of assistive personnel. which of the following information should the nurse include? fever can increase a pt respiratory rate
fever can increase a pt respiratory rate
a nurse is caring for a pt who has been hospitalized and is performing active range-of- motion exercises. what movements should indicate to the nurse that the pt has full range of motion of the shoulder adducting the arm so that it lies next to the pt side flexing the shoulder by raising the arm from a side position to a 180 angle abducting the arm to a 90 angle from the side of the body circumducting the shoulder in a 180 half circle
flexing the shoulder by raising the arm from a side position to a 180 angle
Which of the following types of communication is informal, distorted, and typically involved three or four individuals? grapevine
grapevine
a nurse is caring for a pt who has an increase in cardiac output. which of the following findings should a nurse expect? increase in BP
increase in BP
cardiac after-load increase in BP
increase in BP
Which of the following are examples of nurse using non therapeutic communication techniques? (Select all that apply.)
Focusing on the nurse rather than the client is correct. Changing the subject. Making value judgments. Giving advice.
A nurse is discussing health promotion programs with a client. Which of the following information should the nurse include?
Health promotion programs emphasize behavior changes in relation to prevention of illness.
a nurse is caring for a pt who is experiencing tachpnea due to an exacerbation of asthma, which of the following meds should the nurse anticipate administering? a bronchodilator
a bronchodilator
a nurse is preparing as in-serive, about peripheral pulses for a group of staff nurses, a pulse strength of +1 indicates that the pulse is week or diminished upon palpation
a pulse strength of +1 indicates that the pulse is week or diminished upon palpation
a nurse is evaluating the effectiveness of interventions used for pt who had alteration in vs. select all that apply a young adult who had hypotension after reciving an opioid
a young adult who had hypotension after reciving an opioid
a nurse if observing an assistive personnel (AP) make a pt bed while the pt is out of the room. which of the following actions by the AP indicates an understanding of the procedure? The AP records the task when it is completed The AP wear sterile golves while making the bed the ap changed the pt pillowcare the ap reuses the pt clean blanket and spread
the ap reuses the pt clean blanket and spread
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. which of the following demonstrates correct transfer tech? positioning the chair slightly behind the nurse so that the seat faces the pt bed placing the pt left leg in front of the right leg just prior to the transfer aligning the nurses knees with the pt knees just before the transfer grasping the pt under the axillae to assist them to their feet
aligning the nurses knees with the pt knees just before the transfer
a nurse is obtaining vital signs for a group of pt. which of the following findings requires intervention?
an 11-year old child who has a respiratory rate of 34/min
a nurse is reviewing the vs for a group of pt to determine, the effectiveness of the interventions, findings indicated an intervention was effective? an adult pt who received medication for pain 30 min ago has a respiratory rate of 18/min
an adult pt who received medication for pain 30 min ago has a respiratory rate of 18/min
a nurse is preparing to obtain young pt acpial pulse, in which of the following location stethoscope to ausculatate the pt pulse? apex of the heart
apex of the heart
A nurse is planning morning hygiene care for a postoperative client. which of the following actions should the nurse take? Inform the client when morning hygiene care is provided at the hospital Schedule the clients morning hygiene care at the same time as their roommate asking the pt in what order they typically perform their morning routine plan to provide care before the next scheduled dose of pain meds.
asking the pt in what order they typically perform their morning routine
A nurse is reviewing professional communication skills with a newly licensed nurse. Which of the following is a form of effective communication? assertive
assertive
SaO2 below range
dyspnea
A nurse in an ER department is providing discharge teaching to a pt who has a knee injury and will be using a pair of axillary crutches for the first time. which of the following is right? "Lean on the crutches to support your body weight when standing" "fully extend your arms when holding onto the hand grips" "hold the crutches on your unaffected side when preparing to sit in a chair" "hold the crutches 9 inch in front of and to the side of each foot"
hold the crutches on your unaffected side when preparing to sit in a chair"
a nurse is providing care to a pt who has an apical pulse rate of 54min and is experiencing dizziness. which of the following is the nurses priority action? inform the pt to ask for assistance with getting out of the bed
inform the pt to ask for assistance with getting out of the bed
A nurse manager is discussing formal and informal structures or processes with a newly licensed nurse. Which of the following statements made by the newly licensed nurse requires further teaching? informal structures are visible
informal structures are visible
A nurse manager is reviewing concepts related to organizational communication with a group of charge nurses. Which of the following statements made by a charge nurse requires additional teaching? information should be informally distributed
information should be informally distributed
A nurse manager is discussing aggressive communication with a nurse who is having conflicts with peers due to her ineffective communication patterns. Which of the following should the nurse manager identify as a characteristic of aggressive communication? infringes on the rights of others
infringes on the rights of others
a nurse in the ER department is caring for a pt following a motor-vehicle crash. the pt is unresponsive and the pt spouse is not present at the facility. which of the following actions should the nurse take to assist with obtaining consent for the pt surgery? ask the facility privacy officer to witness the informed consent document inform the pt friends that are present about the surgery and obtain group consent ask the nursing supervisor to provide implied er consent infrom the provider of the spouse's contact info so consent can be obtainned over the telephone
infrom the provider of the spouse's contact info so consent can be obtainned over the telephone
a nurse is caring for a pt who has a prescription for knee-length anti embolic stockings. which of the following should take? place the stockings on the pt after the pt ambulates to the restroom ensure the pt toes are visible after placing the stockings on the pt after applying the stockings, place two finger between the pt leg and stocking to check the fit measure the pt calf circumference and leg length from heel to knee
measure the pt calf circumference and leg length from heel to knee
A nurse stands facing a pt to demonstrate active range of motion exercises. Which of the following should the nurse do when demonstrating hyperextension of the hip? move their leg behind their body move their leg forward and up move their leg medially toward their other leg turn their foot and leg away from their other leg
move their leg behind their body
a pt tells a nurse that they feel their privacy has been violated and wants to file a formal complaint other tahn the med facility. through which of the following agencies should the nurse instruct the pt to file a complainy OSHA The joint commission Office for civil rights Privacy and civil liberties office
office for civil rights