ATI Leadership Proctored Exam with Answers (130 Solved Questions)

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1A charge nurse for theemergency department is supervising a nurse who hasbeen temporarily reassigned from the medical-surgical unit during a b usy time.Which of the following assignments is most appropriate for this nurse?Obtaining a medical history from a client who attempted suicideCollecting a catheter urine specimen from a 2-year-old child with a feverSetting up a trauma room for an incoming motor-vehicle crash victimPerforming triage for three clients who have just arrived in the waiting ar ea2A nurseshould first provide care for which of the following clients?An older adult with dyspnea and a respiratory rate of 22/minAtoddler who has a head laceration oozing dark red bloodAn adult client with large ecchymoses on both legsAn adolescent with an injured ankle and pain rated at 10 on a 0-10 scale3A client with methicillin-resistant Staphylococcus aureus (MRSA) of the urine isbeing admitted into the hospital and is placed on contact isolation . Which of thefollowing should cause the charge nurse to intervene?The client is dressed in an isolation gown for transport to x-ray.The door for the isolation room is left open.Anurse checks the client's IV without wearing gloves.A provider uses alcohol-based hand cleanser after providing care.VERSION 3ATI RN PROCTORED LEADERSHIP EXAM FORM A

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4A nurse is caring for a competent client who is newly diagnosed with a terminalillness. Which of the following statements by the client indicates a correctunderstanding of advance directives?"From this point on, my partner has control over my health care decisions .""I am so relieved that the decisions about my care are finalized.""I'm glad that the doctors now can make all the final decisions.""When I can no longer make decisions, people now know what I want."5A client who is intoxicated presents to the emergency department and reportsstruggling with depression lately. The next day, the client is ready for dischargeand states, “It’s okay. Soon everything will be just fine.” Which o f the following isthe nurse's priority action?Ask the client if he is feeling suicidal.Remind the client that change is always possible.Inquire about the client's regular alcohol consumption.Reinforce the need to follow up with the discharge referral.6A client diagnosed with an inferior MI 2 days ago suddenly reports nausea andmidsternal chest pain. After ensuring that oxygen support is patent, w hich of thefollowing interventions shouldthe nurse anticipate taking next?Assess for S3 heart sounds.Administer a prescribed antiemetic.Notify the primary care provider.Obtain a 12-lead ECG.

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7The staff on an orthopedic unit have implemented a plan to prevent loss ofrevenue from supply and equipment charges. Which of the following indic ates thatthe plan is successful?Supplies for dressing changes are kept at the bedside.Billing for the unit has increased in the last quarter.Unused supplies from discharged clients are saved for future use.Documentation of the supplies used for each client is complete.8A nurse working in an emergency department has been assigned four clients.Which of the following client conditions should be reported to the appropriateauthorities?Afemale client with deep bruising to her lower legAn adolescent client with Clostridium difficileAn older adult client with a stage I pressure ulcerA male client with a bite from an unknown dog9A nurse is caring for an older adult client with type 1 diabetes mellitus and astage II ulcer on his left leg. The client’s medical history indicates t hat he drinks apint or two of vodka each day. Which of the following should the nurse include in the client’s plan of care?Coordinate a referral to an outpatient alcohol treatment center.Involve the family in confronting the client about his alcoholism.Teach the family how to monitor and control the client’s alcohol intake.Provide strategies to assist the clientin moderating his alcohol intake.

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10A nurse is assigned a non-English speaking client who is scheduled forsurgery. Which of the following is the appropriate method for obtaining inf ormedconsent from the client?Use a professional interpreter.Request that a family member act as a translator.Ask a bilingual nurse on the unit to assist the client.Provide the consent document in the client's native language.11When planning for updates on infection control, fire and safety, andconfidentiality issues, which of the following methods of educational delivery ismost efficient?Classes available monthly by the staff development educatorsDay-long training sessions available twice a yearEach unit providing classes at shift changesSelf-directed computer-based modules with posttests12A charge nurse is assessing staff knowledge about safety proceduresregarding needle stick injuries. Which of the following statements by a nurseindicates appropriate understanding of these safety procedures?"Prophylactic treatment should be initiated after a needle stick during pre paration ofan injection.""I should stop the bleeding as soon as possible following a needle stick in jury.""An incident report should be completed if a client receives a stick from her ownused needle.""The needle should be recapped to prevent injury during transport to the biohazardcontainer."

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13A nurse at a long-term care facility is planning a fall prevention programfor the residents. Which of the following should be included in the plan?Keep the four side rails up on beds at night.Apply vest restraints on residents who are confused.Accompany residents older than 85 during ambulation.Institute rounds every 2 hr during the day to offer toileting.14A nurse is providing discharge instructions to a client who had amastectomy and is going home with a drain. Which of the following statements isap propriate to include in the instructions?"Begin performing stretching exercises the day after you get home.""Keep the incision dry until the stitches are removed.""Notify the primary care provider if there is numbness at the surgical site.""Follow a low-sodium diet to prevent lymphedema."15A client is admitted to the hospital and makes end-of-life care decisionsprior to the arrival of her family. The family arrives and asks the nurse to changethe client's mind regarding end-of-life care. Which of the following actions shouldthe nurse take?Facilitate a meeting with the client and the family.Have the family meet with the primary care provider.Request a social service consult for the client and family.Inform the family that the client's decisions are final.

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16A nurse who is caring for clients on the medical-surgical unit delegatescollection of vital signs to an assistive personnel (AP).Which of the follow ingnursing actions is important in ensuring safe client care?The nurse looks at vital sign trends at the end of the shift.The nurse rechecks an abnormal blood pressure measurement.The nurse asks the AP to report any unusual findings.The nurse accompanies the AP during vital sign collection.17A nurse working in a rehabilitation facility is caring for a client withparaplegia from a spinal cord injury. An interdisciplinary team is scheduled tomeet and discuss the client's needs. Which of the following concerns is the h ighestpriority for the nurse to report to the team?The client has experienced a decrease in appetite.The client lives alone in a second-story apartment.The client has a stage I pressure ulcer on his heel.The client reports fatigue during occupational therapy.18An RN is planning client assignments for an assistive personnel (AP). TheRN should assign the AP to the care of a client who requiresassessment ofnasogastric tube output.feeding due to difficultyswallowing after a stroke.help with bathing and toileting following hipsurgery.colostomy irrigations andbag changes.

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19A disaster is occurring, and the charge nurse on a medical-surgical unitmust determine which clients can be discharged. Which of the following cl ientsshould the nurse recommend for discharge?Aclient with a troponin level of 3 ng/mLA client with a deep vein thrombosis and an INR of 2.0A client who is 1 day postoperative following gastrectomyA client who reports numbness on the left side of the face20A charge nurse suspects that a staff nurse has a problem with opioid abuse.Which of the following is the appropriate action for the nurse to take?Assign clients who are not prescribed opioids to the nurse.Collect data to support further action.Arrange for another nurse to witness the nurse administer opioids.Report the nurse to the state board of nursing.21An RN has just received report for four clients. The nurse should plan tofirst assess the client who haspain uncontrolled by PCA morphine.a newlydiscovered nonblanching reddened area on the right hip.a nonpatent gastric tube used for bolus feedings.refused to go for a scheduled gastrointestinal diagnostic procedure.22A nurse is preparing to witness the informed consent of a client who is toundergo a gastrectomy. The client has a question regarding the postoperat ive diet.Which of the following should the nurse do?

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Review the surgeon's instructions regarding the procedure.Reassure the client that there will be time to review the diet after surgery.Notify a registered dietician and have her explain the diet to the client.Answer the question and have the client sign the surgical permit.23On admission, a female client who is Muslim tells the female charge nursethat she wants only female nurses to provide her care. Which of the foll owingactions should the charge nurse take first?Consult with the nursing supervisor.Explain that clients are not allowed to pick caregivers.Explore the basis for this request with the client.Provide the client's care herself.24A triage nurse in an emergency department should assign priority to a clientarriving witha laceration of the right index finger with profusebleeding.sudden onset of left-sided paralysis and slurred speech.severe vomiting and diarrhea withdehydration.a burn of the right lowerforearm with significant edema and blistering.25A fire is discovered in the hospital, and the charge nurse has orders toevacuate. Which of the following clients should be evacuated first?Aclient who is in Buck's traction for a left hip fracture

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