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

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Leadership ATI Proctored Focus 2022/20231.An RN has to teach the client initially but candelegate ________to an LPN.reinforcing the teaching2.An LPN can perform ______care.tracheostomy care3.Can an RN delegate to an LPN to perform suc-tioning?yes4.Can an RN delegate to an LPN to put in a urinarycatheter?yes5.Can an RN delegate to an AP to feed a client noton swallow precautions?yes6.Is an RN allowed to delegate to an AP to collecta urine sample?yes7.A nurse delegates to an AP to assist in ob-taining vital signs from a postop patient whorequired naloxone (narcan) for depressed res-pirations. Is this an appropriate task for the AP?no8.An older adult client who is on fall precautionsis 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 providerB. Ask a staff member for assistance getting theclient back in bedC. Inspect the client for injuriesD. Ask the client why he got out of bed w/outassistanceC. Inspect the client for in-juries1 / 19

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Leadership ATI Proctored Focus 2022/20239.An RN on a med-surg unit is making assign-ments at the beginning of the shift. Which ofthe following tasks should the nurse delegateto the LPN?A. Obtain vitals for a client who is 2 hr postopfollowing a cardiac cathB. Administering a unit of PRBCsC. Instructing a client in the performance ofwound careD. Developing a plan of care for a newly admit-ted clientA10.A nurse is caring for an older adult client whohas left the unit for a radiology procedure. Theclient's son asks the nurse what med is beinggiven to the client. Which of the following is anappropriate response by the nurse?A. "I am sorry, but that is information you willneed 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 forthat info."D. "Don't worry. We will give your mother allpertinent info before discharge."A.11.A nurse works in a mental health facility thatuses a case management nursing model toprovide care. The nurse should recognize thatwhich of the following describes a case man-agement approach to care?A. A nurse provides total care for several clientsB. Collaboration between disciplines creates aB2 / 19

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Leadership ATI Proctored Focus 2022/2023multidisciplinary care plan for each client.C.The focus of care is on detecting disorders atan early stage.D. The team leader assigns care for a group ofclients12.A nurse overhears a client talking with an attor-ney, reporting physical abuse, use of restraints& denial of meals.What action should the nursetake?A. Report the conversation to the nurse manag-er to allow for follow-up investigation.B. Question the client about the allegations toidentify staff who were allegedly involved.C. Ignore the conversation unless the clientbrings it to the attention of the nurse.D. Recognize this as a privileged communica-tion that cannot be discussed w/anyone.A13.A nurse manager is planning a departmentmeeting to discuss client advocacy. Which ofthe following situations should be included inthe discussion? Select all that apply.A. Discussing treatment options w/a client whowas pancreatic cancerB. Notifying the surgeon when a client signing asurgical consent form has questions about theprocedureC. Helping a client make a list of questions shewould like to ask the providerD. Clarifying the dosage of a med prescribedfor an older adult client who has impaired liverfunctionE. Carrying out end-of-life wishes outlined inthe living will of an older adultB, C, D, E14.B3 / 19

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Leadership ATI Proctored Focus 2022/2023A nurse is assessing a client's negligibleprogress in following a weight loss program.Which of the following is a likely reason theclient was unable to achieve a short-term goalestablished during the planning phase of thenursing process?A.The goals were realistic & formulated w/clientinput.B. The underlying problem behind past weightgain was misidentified.C. The implementation of the plan used flexibil-ity in following the nursing actionsD. The nurse obtained objective & subjectivedata during the assessment.15.A nurse has prepared an IM injection for a clientwho is preoperative, when another client sud-denly calls for assistance. The nurse asks anLPN to give the injection since an AP is waitingto 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 ispreopB. Give the prepared med to the client who ispreopC. Help the client requesting assistance so thenurse can give the prepared injectionD. Report this request to the charge nurseC16.A new charge nurse on a busy surgical unitnotes a high degree of tension among the nurs-ing staff. Which of the following should be theinitial method used for resolving this issue?A. Work w/the nurses to identify stressorsB. Hire additional staff to decrease the workloadA4 / 19

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Leadership ATI Proctored Focus 2022/2023C. Make relaxation tapes available to staff tohelp decrease stressD. Reassess the situation after the nurses havebecome accustomed to the new charge nurse17.A nurse on a long-term care unit finds that aclient receiving dialysis was administered cap-topril (capoten), which was not prescribed forthe client. In which order should the nurse takethe actions listed?___Complete an incident report.___Contact the risk manager.___Instruct the client to call for assistancewhen getting out of bed.___Measure the client's vital signs___Notify the provider1. Measure the client's vi-tals2. Instruct the client to callfor assistance when get-ting out of bed3. Notify provider4. Complete an incidentreport5. Contact the risk man-ager18.A nurse is caring for a group of clients on a medsurg unit. Which of the following tasks shouldthe nurse delegate to the assistive personnel(AP)? Select all that apply.A. Collecting a stool specimenB. Providing instructions about using a spirom-eterC. Measuring oral intakeD. Providing postmortem careE. Changing a dressingA, C, D19.A nurse on a med surg unit is planning care ofassigned clients. Which of the following clientsshould the nurse assess first?A. A client who is newly admitted & is to havean indwelling urinary catheter insertedB. A client who has kidney stones & reportsflank pain 6 out of 10C. A client diagnosed w/early-stage chronic kid-D5 / 19

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