Question

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

Answer 1

Correct Answers:

A client tells the nurse that his dentures are missing.

Rationale :

🔹 Incident reports are required for unexpected events, including client complaints.

🔹 Missing dentures constitute a reportable loss of personal property.

🔹 This protects both the client’s interest and the facility legally.

🔹 It also initiates investigation and documentation for potential liability.

🔹 Disagreements or staffing issues, while notable, do not warrant an incident report.

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Answer 2

Correct Answers:

The State Board of Nursing.

Rationale :

🔹 The State Board of Nursing defines the legal scope and roles for LPNs.

🔹 It regulates licensure, practice standards, and disciplinary actions.

🔹 Information from HR or coworkers may be incomplete or institution-specific, not statewide.

🔹 Nursing textbooks are general and not state law–specific.

🔹 Relying on the board ensures legal and professional accuracy.

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Answer 3

Correct Answers:

Nonmaleficence

Rationale :

🔹 Nonmaleficence means "do no harm"—a key ethical duty in nursing.

🔹 It guides nurses to prevent, avoid, and minimize harm in patient care.

🔹 Justice refers to fairness, not harm.

🔹 Beneficence relates to doing good, while veracity is about truthfulness.

🔹 This principle is central to safe, ethical care.

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Answer 4

Correct Answers:

Providing postmortem care to a client who has just passed away.
Transferring a client to radiology for x-rays.
Performing a simple dressing change on a client's arm.

Rationale :

🔹Postmortem care is within an AP’s scope; no nursing judgment required.

🔹Transporting clients does not require assessment or complex decision-making.

🔹Simple dressing changes are typically within training for APs.

🔹B and C involve education and clinical skill, which require licensed nurse intervention.

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Answer 5

Correct Answers:

Following the standards of practice.

Rationale :

🔹 Adhering to standards is a nurse's strongest protection against negligence claims.

🔹 Standards of practice reflect professional, legal, and ethical care expectations.

🔹 They serve as a defense in malpractice cases if followed properly.

🔹 Other options are unprofessional or violate policy (e.g., recording with phone).

🔹 Documentation and evidence of standard care are legal safeguards.

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Answer 6

Correct Answers:

Obtaining vital signs on clients who are stable

Rationale :

🔹 APs can safely perform tasks like vital signs for stable clients.

🔹 This frees the nurse to focus on complex duties needing assessment.

🔹 Dietary planning, education, and complex wound care exceed AP scope.

🔹 Ensuring correct delegation supports safe and effective care delivery.

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Answer 7

Correct Answers:

Compromising

Rationale :

🔹 The nurse’s action represents compromise—both parties get partial satisfaction.

🔹 Conflict management styles include competing, avoiding, accommodating, collaborating, and compromising.

🔹 Compromising is practical when time is limited and both parties give and take.

🔹 This approach promotes team cohesion and task completion.

🔹 Assertive, fair resolution methods reduce workplace tension.

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Answer 8

Correct Answers:

Plan a more reasonable job assignment.

Rationale :

🔹 Repeated inability to finish tasks signals over-delegation or mismatch.

🔹 Adjusting assignments prevents errors and improves performance.

🔹 APs work best with clear, realistic expectations.

🔹 Offering help doesn’t solve the underlying problem.

🔹 Proper delegation fosters safe, quality care.

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Answer 9

Correct Answers:

A client who is 4 hours postoperative following a total hip arthroplasty and has a urinary output of 15 ml/hr

Rationale :

🔹 Oliguria post-surgery can indicate hypovolemia or acute kidney injury.

🔹 Immediate assessment is critical to prevent organ failure.

🔹 Pain of 4/10 and BP 138/76 post-transfusion are not urgent concerns.

🔹 Prioritizing according to ABCs and Maslow guides safe nursing decisions.

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Answer 10

Correct Answers:

Collecting intake and output.

Rationale :

🔹 APs can measure and document intake and output—basic, non-judgment tasks.

🔹 Evaluating medication response, central line care, and dietary choices require a nurse.

🔹 Proper delegation keeps licensed nurses focused on clinical judgment and assessments.

🔹 This ensures patient safety and regulatory compliance.

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ATI PN Medical Surgical~Leadership

No.

1 :
A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situations requires the nurse to complete an incident report?

2 :
The best source of information regarding the roles of the LPN in a med-surg setting is:

3 :
Doing no harm is?

4 :
A nurse is assigning tasks for the upcoming shift. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

5 :
What is a nurse's best protection against negligence or malpractice?

6 :
A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

8 :
A nurse requests that an assistive personnel (AP) change all the linens and give bed baths to four clients on the unit. The previous day, the AP was not able to complete these same tasks. Which of the following actions should the nurse take in addressing this situation?

9 :
A nurse is receiving a change-of-shift report for four clients. Which of the following findings should the nurse identify as the priority?

10 :
A nurse is delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?

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ATI PN Medical Surgical~Leadership

No.

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

2 : The best source of information regarding the roles of the LPN in a med-surg setting is:

3 : Doing no harm is?

4 : A nurse is assigning tasks for the upcoming shift. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

5 : What is a nurse's best protection against negligence or malpractice?

6 : A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

8 : A nurse requests that an assistive personnel (AP) change all the linens and give bed baths to four clients on the unit. The previous day, the AP was not able to complete these same tasks. Which of the following actions should the nurse take in addressing this situation?

9 : A nurse is receiving a change-of-shift report for four clients. Which of the following findings should the nurse identify as the priority?

10 : A nurse is delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?

1 :
A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situations requires the nurse to complete an incident report?

2 :
The best source of information regarding the roles of the LPN in a med-surg setting is:

3 :
Doing no harm is?

4 :
A nurse is assigning tasks for the upcoming shift. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

5 :
What is a nurse's best protection against negligence or malpractice?

6 :
A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

8 :
A nurse requests that an assistive personnel (AP) change all the linens and give bed baths to four clients on the unit. The previous day, the AP was not able to complete these same tasks. Which of the following actions should the nurse take in addressing this situation?

9 :
A nurse is receiving a change-of-shift report for four clients. Which of the following findings should the nurse identify as the priority?

10 :
A nurse is delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?