ATI Leadership Proctored Exam with Answers (70 Solved Questions)

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ATI Leadership Proctored Exam questions and answers docxlatest 2020 test solutionVERSION 6

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1.A nurse manager is preparing toinstitute a new system for scheduling staff.Severalnurses haveverbalized their concern over the possible changes that will occur.Which of the following is an appropriate method to facilitate the adoption of the newschedulingsystem?A.Identify nurses whoaccept the change to help influence other staffnursesB.Provide a brief overview of the new scheduling system immediatelybeforeit implementationC.Introduce the new scheduling system by describing how it will save the institutionmoneyD.Offer to reassign staff who do not support the change to anotherunit2.A client who is febrile is admitted to the hospital for treatment of pneumonia. Inaccordance with the care pathway, antibiotic therapy is prescribed. Which of the followingsituations requires the nurse to complete a variance report with regard to the carepathway?A.Antibiotic therapy was initiated 2 hr after implementation of the carepathwayB.A blood culture was obtained after antibiotic therapy has beeninitiatedC.The route of antibiotic therapy on thecare pathway was changed from IV toPOD.An allergy to penicillin required an alternative antibiotic to beprescribed.3.A nurse should recognize that an incident report is requiredwhenA.A client refuses to attend physicaltherapyB.A visitor pinches his fingerin the client‟s bedframeC.A client throws a box of tissues at anurseD.A nurse gives a med 30 min late

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5.Client satisfactory surveys from a med-surg unit indicate the pain is not being adequatelyrelieved during the first 12 hr post-opt. Theunit manager decides to identify post-opt pain asa quality indicator. Which of the following data sources will be helpful in determine thereason why clients are not receiving adequate pain management aftersurgery?A.Prospective chartauditB.Retrospective chartauditC.Postoperative carepolicyD.Pain assessmentpolicy6.A nurse precepting a newly licenced nurse who is caring for a client who is confused andhas an IV infusion. The newly licensed nurse has placed the client in wrist restraints to preventdislodging the IV catheter. Which of the following questions should the precepting nurseask?A.“Did you secure the restraints to the side rails of thebed?”B.“Are you able to insert two fingers between the restraint and the client‟sskin?”C.“Did you tie the restraints using doubleknot?”D.“Are you removing the client‟s restraints every 4hr?”7.A nurse is caring for an older adult client who has stage III pressure ulcer. The nurserequestaconsultation with the wound care specialist. Which of thefollowing actions by thenurse is appropriate when working with aconsultant?A.Arrange the consultation for time when the nurse is caring for the client is able tobe present forconsultation

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B.Provide the consultant with subjective opinions and beliefs about the client‟s woundcareC.Request the consultation after several wound care treatmenttriedD.Arrange for the wound care nurse specialist to see the client daily to providethe recommendedtreatment8.A client is admitted wit TB and placed in anegative pressure room. Which of thefollowingactions isappropriate?A.Notify the local health department of theadmissionB.Place a sign on the client‟s door with thediagnosisC.Ensure that admitting staff undergo PPD skintestsD.Determine who had contact withthe client in the last 48hr9.A nurse is caring for a client who is unconscious and whose partner is health care proxy. Thepartner has spoken with the provider and wishes to discontinue the client‟s feeding tube. Theproviderstatesthenurse,“Iwillnotdiscontinuetheclient‟streatment.Hispartnerhasnorightto makedecisions regarding the client‟s care. “Which of the following responses by the nurse isappropriate?A.Youshouldconsiderspeakingwiththefacility‟sethicscommitteebeforemakingyourdecisionB.You have the right to make decision, even if the partner is the client‟s health careproxyC.The client has designated his partner as health care proxy in his advancedirectivesD.We‟ll need to have the nursing supervisor review the client‟s advancedirectives

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10.A nurse is caring for a client who has increased intracranial pressure and is receivingIVcorticosteroids. Which of the following info is most important for the nurse to report at shiftchange?A.Gasglow ComascalescoreB.Most recent blood glucose readingC.Lab test scheduled for nextshiftD.Reddened area on thecoccyx11.A nurse is assigned the following four clients for the current shift. Which of the followingclients should the nurse assessfirst?A.A client whohas a hip fracture and is in Buck‟stractionB.A client who has aspiration pneumonia and a respiratory rate of28/minC.A client who has diabetes mellitus stage 2 pressure ulcer on hisfootD.A client who has a C diff infection and needs a stoolspecimencollected12.A nurse is caring for a client who fell and is reporting pain in the left hip with externalrotation of the left leg. The nurse has been unable to reach the provider despite severalattempts over the past 30 min. Which of the following actions should the nursetake?A.Notify the nursing supervisor about theissuesB.Contact the client‟s physicaltherapistC.Apply a warm compress to thehipD.Reposition the client forcomfort

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13.The mother of a client with breast cancer states, it‟s beenhard for her, especially afterlosingher hair. And it has been difficult to pay for all the treatments. Which of the following actions isappropriate clientadvocacy?A.The nurse investigates potential resources to help the client purchasewigB.The nurse explains to the mother that most clients with cancer lose theirhairC.The nurse informs the next shift nurse regarding the mother‟sconcerns.D.The nurse suggests counseling for the client‟s body imageissues14.Which of the following items must bediscarded in a biohazard wastereceptacle?A.A urinary catheter drainage bag from a client who ispost-optB.A bed sheet from a client with bacterialpneumoniaC.A perineal pad from a client who is 24-hr post-vaginaldeliveryD.An empty IV bag removed from aclient who hasHIV15.A nurse tells the unit manager, “I am tired of all the changes on the unit. If thingsdon‟tget better, I‟m going to quit. “Which of the following responsesappropriate?A.“So you are upset about all the changes on theUnit”B.“I think you have a right to be upset, I am tired of the changestoo”C.“Just stick with it a little longer. Things will get bettersoonD.“ You should file complaints with hospitaladministrator16.According to the HIPAA regulations, which of the following is aviolation ofclientconfidentiality?A.Telephone the pharmacy with a prescription for the spouse to pickup

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B.Providing a copy of the record to the transportingparamedicC.Reporting a client‟s disposition to the referringproviderD.Informing housekeepingstaff that the client is in dialysisunit17.ANursepreceptorisevaluatinganewlylicensednurse‟scompetencyinassistingwithasterile procedure. Which of the following actions indicates the nurse is maintaining steriletechnique? (Select all thatapply.)A.Openthe sterile pack by first unfolding the flap farthest from herbodyB.Rests the cap of a solution container upside down on the sterilefieldC.Removes the outside packaging of a sterile instrument before dropping into thesterilefieldD.Holds a bottle of a sterile solution 15 cm (6 inches) above the sterilefieldE.Places sterile items within 1.25 cm (0.5 inch) border around the edge of the sterilefield18.A nurse is providing care for 4 post-opt clients. The nurse should first assess theclientA.Whose pulse hasbeen steadily increasing during the pastshiftB.Who is reporting a pain level of 8 on a scale of 0 to10.C.Whose urine output averaged 32 ml/hr for the past 24hrD.Who is reporting nausea after the prescribed antiemetic wasadministered19.A nurse ispreparing to transcribe a client‟s med prescription in the medical record. Whichofthe following should the nurse recognize as containing the essential components of a medicationorder?A.NPH insulin 10 Units before and atbedtimeB.Haloperidol (Hadol) 1mg permouth

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