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2022-2023 ATI Leadership Proctored Focus Practice Exam with Answers (63 Solved Questions)

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    Leadership ATI Proctored Focus 2022/2023 1. An RN has to teach the client initially but can delegate ________to an LPN. reinforcing the teaching 2. An LPN can perform ______care. tracheostomy care 3. Can an RN delegate to an LPN to perform suc- tioning? yes 4. Can an RN delegate to an LPN to put in a urinary catheter? yes 5. Can an RN delegate to an AP to feed a client not on swallow precautions? yes 6. Is an RN allowed to delegate to an AP to collect a urine sample? yes 7. A nurse delegates to an AP to assist in ob- taining vital signs from a postop patient who required naloxone (narcan) for depressed res- pirations. Is this an appropriate task for the AP? no 8. An older adult client who is on fall precautions is found lying on the floor of his hospital room. Which of the following actions is most appro- priate for the nurse to take first? A. Call the client's provider B. Ask a staff member for assistance getting the client back in bed C. Inspect the client for injuries D. Ask the client why he got out of bed w/out assistance C. Inspect the client for in- juries 1 / 19

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    Leadership ATI Proctored Focus 2022/2023 9. An RN on a med-surg unit is making assign- ments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN? A. Obtain vitals for a client who is 2 hr postop following a cardiac cath B. Administering a unit of PRBCs C. Instructing a client in the performance of wound care D. Developing a plan of care for a newly admit- ted client A 10. A nurse is caring for an older adult client who has left the unit for a radiology procedure. The client's son asks the nurse what med is being given to the client. Which of the following is an appropriate response by the nurse? A. "I am sorry, but that is information you will need to ask your mother or her doctor." B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam (Ativan) for anxiety." C. "You will need to ask the charge nurse for that info." D. "Don't worry. We will give your mother all pertinent info before discharge." A. 11. A nurse works in a mental health facility that uses a case management nursing model to provide care. The nurse should recognize that which of the following describes a case man- agement approach to care? A. A nurse provides total care for several clients B. Collaboration between disciplines creates a B 2 / 19

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    Leadership ATI Proctored Focus 2022/2023 multidisciplinary care plan for each client. C. The focus of care is on detecting disorders at an early stage. D. The team leader assigns care for a group of clients 12. A nurse overhears a client talking with an attor- ney, reporting physical abuse, use of restraints & denial of meals. What action should the nurse take? A. Report the conversation to the nurse manag- er to allow for follow-up investigation. B. Question the client about the allegations to identify staff who were allegedly involved. C. Ignore the conversation unless the client brings it to the attention of the nurse. D. Recognize this as a privileged communica- tion that cannot be discussed w/anyone. A 13. A nurse manager is planning a department meeting to discuss client advocacy. Which of the following situations should be included in the discussion? Select all that apply. A. Discussing treatment options w/a client who was pancreatic cancer B. Notifying the surgeon when a client signing a surgical consent form has questions about the procedure C. Helping a client make a list of questions she would like to ask the provider D. Clarifying the dosage of a med prescribed for an older adult client who has impaired liver function E. Carrying out end-of-life wishes outlined in the living will of an older adult B, C, D, E 14. B 3 / 19

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    Leadership ATI Proctored Focus 2022/2023 A nurse is assessing a client's negligible progress in following a weight loss program. Which of the following is a likely reason the client was unable to achieve a short-term goal established during the planning phase of the nursing process? A. The goals were realistic & formulated w/client input. B. The underlying problem behind past weight gain was misidentified. C. The implementation of the plan used flexibil- ity in following the nursing actions D. The nurse obtained objective & subjective data during the assessment. 15. A nurse has prepared an IM injection for a client who is preoperative, when another client sud- denly calls for assistance. The nurse asks an LPN to give the injection since an AP is waiting to take the client to surgery. Which of the fol- lowing is an appropriate action by the LPN? A. Prepare a new syringe for the client who is preop B. Give the prepared med to the client who is preop C. Help the client requesting assistance so the nurse can give the prepared injection D. Report this request to the charge nurse C 16. A new charge nurse on a busy surgical unit notes a high degree of tension among the nurs- ing staff. Which of the following should be the initial method used for resolving this issue? A. Work w/the nurses to identify stressors B. Hire additional staff to decrease the work load A 4 / 19

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    Leadership ATI Proctored Focus 2022/2023 C. Make relaxation tapes available to staff to help decrease stress D. Reassess the situation after the nurses have become accustomed to the new charge nurse 17. A nurse on a long-term care unit finds that a client receiving dialysis was administered cap- topril (capoten), which was not prescribed for the client. In which order should the nurse take the actions listed? ___Complete an incident report. ___Contact the risk manager. ___Instruct the client to call for assistance when getting out of bed. ___Measure the client's vital signs ___Notify the provider 1. Measure the client's vi- tals 2. Instruct the client to call for assistance when get- ting out of bed 3. Notify provider 4. Complete an incident report 5. Contact the risk man- ager 18. A nurse is caring for a group of clients on a med surg unit. Which of the following tasks should the nurse delegate to the assistive personnel (AP)? Select all that apply. A. Collecting a stool specimen B. Providing instructions about using a spirom- eter C. Measuring oral intake D. Providing postmortem care E. Changing a dressing A, C, D 19. A nurse on a med surg unit is planning care of assigned clients. Which of the following clients should the nurse assess first? A. A client who is newly admitted & is to have an indwelling urinary catheter inserted B. A client who has kidney stones & reports flank pain 6 out of 10 C. A client diagnosed w/early-stage chronic kid- D 5 / 19

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