ATI RN leadership 2023 proctored exam Practice Questions

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• Nonmaleficence
• Veracity
• Utility
• Autonomy

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• A client refuses to attend physical therapy.
• A visitor pinches his finger in the client's bed frame.
• A client throws a box of tissues at a nurse.
• A nurse administers a medication 30 min after the scheduled time.

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• Administer the initial bolus feeding to a client who has an NG tube.
• Collect a urine specimen from a newly admitted client.
• Check a client's pain level 30 min after receiving acetaminophen.
• Instruct a client to splint an abdominal incision.

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• A client who reports shortness of breath and left neck and shoulder pain
• A client who has a raised red skin rash on their arms, neck, and face
• A client who reports right-sided flank pain and is diaphoretic
• A client who has active bleeding from a puncture wound of the left groin area

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• Tell the client to mark the right side of his head with indelible ink.
• Contact the surgery department to validate the operative site.
• Ask the surgeon to clarify the operative site with the client.
• Continue with the surgery because the client already gave informed consent.

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• A client who has emphysema and has an oxygen saturation level of 92%
• A client who has dehydration and is being admitted from the emergency department
• A client who is scheduled to receive 2 units of RBCs following a hip replacement
• A client who is scheduled to start oral nutrition 2 days after a cerebrovascular accident

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• A primigravida client who is 1 day postoperative following a cesarean birth and has a PCA pump.
• A client who is at 32 weeks of gestation and has premature rupture of membranes.
• A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor.
• A client who has gestational diabetes and is receiving biweekly nonstress tests.

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• Client concerns regarding meals
• Inability to obtain a client's prescribed medication from pharmacy
• Client refusal of a medication
• Withholding a client's scheduled medication

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• A client who is receiving heparin and has an aPTT of 34 seconds (30 to 40 seconds).
• A client who has type 1 diabetes mellitus and uses an insulin pump.
• A client who has orthostatic hypotension and is receiving IV fluids,
• A client who is at risk for pressure injuries and has an albumin level of 4.2 g/dL (3.5 to 5 g/dL).

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• Counsel the staff nurse about substance use.
• Collect data about the staff nurse to support further action.
• Report the staff nurse to the facility ethics committee.
• Assign clients who are not prescribed narcotics to the staff nurse.

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• The belief that the client has a difficult relationship with their child
• The steps to follow when providing wound care
• The client's preferred time for bathing
• The time the client received their last dose of pain medication

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• Ask the client's son to go to the waiting area.
• Ask the client about his injuries with the son present.
• File an incident report.
• Treat and discharge the client.