2019 ATI RN Leadership Proctored Exam Version 2 With Answers (70 Solved Questions)

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ATI Leadership Proctored Exam1.A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in thewound care procedure. Which of the following findings indicate wound healing.1.Erythema on the skin surrounding a client's wound2.Deep red color on the center of the clients wound3.Inflammation noted on the tissue edges of a client's wound4.Increase in serosanguineous exudate from the clients wound2.A nurse received change of shift report at 0700 for four clients. Which of the following actionsshould the nurse perform first?1.Obtain a breakfast tray for a client who received a morning dose of insulin aspart2.Administer pain medication to a client who has rheumatoid arthritis and received the lastdose at 04003.Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 09004.Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours.3.A nurse is orienting a newly licensed nurse on the neurological unit. Which of the followingclients should the nurse assign to the newly licensed nurse?1.A client who has multiple sclerosis and ataxia2.A client who has a brain tumor and is admitted for chemotherapy3.A client who has guillain-barre syndrome and a tracheostomy4.A client who sustained a concussion and is being monitored for complication4.A nurse is providing teaching to a client about advance directives. Which of the followingstatements by the client indicates an understanding of the teaching?1.“OnceI sign my living will, a family member must co signit”2.“Iwill wait until I have a serious health problems to sign my advancedirectives”3.“Mydoctor will need to provide approval for the decisions outlines in my living will4.“Mydurable power of attorney for health care is part of my advancedirectives”5.A nurse is chairing a committee about preventing infant abduction in a new birth care center.Which of the following quality control tasks should the nurse assign to be completed first?1.Identify the industry standards for infant safety2.Evaluate the selected infant safety system3.Choose an infant safety system4.Establish measurement criteria for infant safety systems6.A nurse notes that a client is eating about half of the food on his plate and coughs frequentlyduring meals. The nurse plans to perform dysphagia screening to determine the client's need for areferral to which of the following providers?1.Physical therapist2.Respiratory therapist3.Speech therapist4.Occupational therapist7.A nurse manager is planning to assign care for four clients on a medical surgical unit. Which ofthe following clients should the nurse assign to a LPN?a.An older adult who has lung cancer and has periodic episodes of severe dyspneab.A middle adult client who has a below the knee amputation and requires a dressingchange

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c.A young adult client who is postoperative, receiving morphine via epidural, and reportspruritusd.An adolescent who requires teaching regarding insulin administration8.While auditing the medical records of clients currently on an oncology unit, the nurse managerfinds that six of the 15 records lack documentation regarding advance directives. Which of thefollowing is the priority for the nurse to take?1.Remind nurses to obtain this information during the admission process2.Reinforce the potential consequences of not having his information on record to thenursing staff3.Meet with nursing staff to review the policy regarding advance directive4.Ask nurse who are caring for client without his information in the medical record toobtain it9.A nurse is caring for a group of clients. Which of the following should the nurse see first?1.A client who is postoperative and has a fever.2.A client whose pressure ulcer has serosanguineous drainage on the dressing3.A client who has diabetes mellitus and is diaphoretic4.A client who has a fractured hip and reports a pain level of 7 on a scale from 0-1010.A nurse is receiving change-of-shift report for four clients. Which of the following clients shouldthe nurse care for first?1.A client who is 4 hr postoperative following a hernia repair and has pitting edema ofthe right leg2.A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea3.A client who has pneumonia and requires a tracheostomy dressing change4.A client who has a new colostomy and requires discharge teaching11.A nurse manager discovers there is a conflict between nurses working the day shift and nursesworking on the night shift. Which of the following actions should the nurse manager take first?1.Acknowledge the conflict and encourage the nurses to focus on working as a team2.Gather information regarding the situation3.Encourage the nurses to resolve the conflict autonomously4.Meet with a committee from each shift to discuss issues related to the conflict12.A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical inan industrial setting. Which of the following actions should the nurse take first?a.Don personal protective equipmentb.Irrigate the exposed area with waterc.Remove theclient’sclothingd.Report the incident to OSHA13.A newly licensed nurse realizes that she administered metoprolol 25 mg PO to the wrong client.Which of the following actions should the nurse perform first?1.Complete an incident report2.Measure theclient’svital signs3.Inform the nurse manager4.Call the provider

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14.A home health nurse is assessing the home environment during an initial visit to a client whohas a history of falls. Which of the following findings should the nurse identify as increasing theclient's risk for falls? (SATA) [repeat]a)A wheeled office chair at the client's computer deskb)A raised vinyl seat on the toilet in the bathroomc)A throw rug covering some cracked floord)A folding chair without arm restse)A two wheeled walker used to assist the client with ambulation15.A nurse is assessing a client who has meningitis. Which of the following findings should thenurse report to the provider immediately?a.Decreased level of consciousnessb.Generalized rash over trunkc.Increased temperatured.Report of photophobia16.A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance withthe care pathway, antibiotic therapy is prescribed. Which of the following situations requires thenurse to complete a variance report with regard to the care pathway?1.Antibiotic therapy was initiated 2 hr after implementation of the care pathway.2.A blood culture was obtained after antibiotic therapy had been initiated3.An allergy to penicillin required an alternative antibiotic to be prescribed4.The route of antibiotic therapy on the care pathway was changed from IV to PO17.A nurse manager is making staffing assignments for the maternal newborn unit. Which of thefollowing clients should the nurse manager assign to a float nurse from the medical-surgical unit?1.A client who is post term and is receiving oxytocin for labor induction2.A client who gave birth to her first child and requires instruction on breastfeeding techniques3.A client who is 2 days post-operative following a caesarean birth and is having difficultyambulating4.A client who has preeclampsia and is receiving a continuous magnesium sulfate infusion18.A nurse is coordinating an interprofessional team to review proposed standards to reduce thetransmission of methicillin-resistant Staphylococcus aureus (MRSA). Which of the followingmembers of the interprofessional team should the nurse consult?1.Risk management coordinator2.Clinical pharmacist3.Nursing supervisor4.Infection control nurse19.A nurse is caring for a client who has uterine prolapse. The provider has recommended a totalabdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which ofthe following is an appropriate action for the nurse to take?1.Discuss with the client her concerns regarding the procedure2.Provide the client with information on treatment options and outcomes3.Inform the client of the consequences of uterine prolapse and the need for intervention4.Initiate a mental health consult to determine theclient’sreasons for refusing surgery20.A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should thenurse take?

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