ATI Leadership Proctored Exam with Answers (70 Solved Questions)

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ATI Leadership Proctored Exam1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurseshaveverbalized their concern over the possible changes that will occur. Which of thefollowing is an appropriate method to facilitate the adoption of the new scheduling system?A. Identify nurses who accept the change to help influence other staff nursesB. Provide a brief overview of the new scheduling system immediately beforeit implementationC. Introduce the new scheduling system by describing how it will save the institution moneyD. Offer to reassign staff who do not support the change to another unit2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordancewith the care pathway, antibiotic therapy is prescribed. Which of the following situationsrequires the nurse to complete a variance report with regard to the care pathway?A. Antibiotic therapy was initiated 2 hr after implementation of the care pathwayB. A blood culture was obtained after antibiotic therapy has been initiatedC. The route of antibiotic therapy on the care pathway was changed from IV to POD. An allergy to penicillin required an alternative antibiotic to be prescribed.3. A nurse should recognize that an incident report is required whenA. A client refuses to attend physical therapyB. A visitor pinches his finger in the client s bed‟frameC. A client throws a box of tissues at a nurseD. A nurse gives a med 30 min latelOMoARcPSD|12589576

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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. The unit manager decides to identify post-opt pain as aquality indicator. Which of the following data sources will be helpful in determine the reasonwhy clients are not receiving adequate pain management after surgery?A. Prospective chart auditB. Retrospective chart auditC. Postoperative care policyD. Pain assessment policy6. A nurse precepting a newly licenced nurse who is caring for a client who is confused and hasan 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 nurse ask?A. “Did you secure the restraints to the side rails of the bed?”B.“Are you able to insert two fingers between the restraint and the client s‟skin?”C. “Did you tie the restraints using double knot?”D.“Are you removing the client s restraints every 4‟hr?”7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse request aconsultation with the wound care specialist. Which of the following actions by the nurse isappropriate when working with a consultant?A. Arrange the consultation for time when the nurse is caring for the client is able to bepresent for consultationlOMoARcPSD|12589576

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B. Provide the consultant with subjective opinions and beliefs about the client s‟wound careC. Request the consultation after several wound care treatment triedD. Arrange for the wound care nurse specialist to see the client daily to providethe recommended treatment8. A client is admitted wit TB and placed in a negative pressure room. Which of the followingactions is appropriate?A.Notify the local health department of the admissionB. Place a sign on the client’s door with the diagnosisC. Ensure that admitting staff undergo PPD skin testsD. Determine who had contact with the client in the last 48 hr9. 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. The‟provider states the nurse, “I will not discontinue the client s‟treatment. His partner has no rightto make decisions regarding the client s care. “Which of the following responses by the nurse is‟appropriate?A. You should consider speaking with the facility’s ethics committee before making yourdecisionB. You have the right to make decision, even if the partner is the client s‟health care proxyC.The client has designated his partner as health care proxy in his advance directivesD. We ll‟need to have the nursing supervisor review the client s‟advance directiveslOMoARcPSD|12589576

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10. A nurse is caring for a client who has increased intracranial pressure and is receiving IVcorticosteroids. Which of the following info is most important for the nurse to report at shiftchange?A. Glasglow Coma scale scoreB. Most recent blood glucose readingC. Lab test scheduled for next shiftD. Reddened area on the coccyx11. A nurse is assigned the following four clients for the current shift. Which of the followingclients should the nurse assess first?A. A client who has a hip fracture and is in Buck s‟tractionB. A client who has aspiration pneumonia and a respiratory rate of 28/minC. A client who has diabetes mellitus stage 2 pressure ulcer on his footD. A client who has a C diff infection and needs a stool specimen collected12. 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 several attemptsover the past 30 min. Which of the following actions should the nurse take?A. Notify the nursing supervisor about the issuesB. Contact the client s physical‟therapistC. Apply a warm compress to the hipD. Reposition the client for comfortlOMoARcPSD|12589576

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13. The mother of a client with breast cancer states, it s‟been hard for her, especially afterlosing her hair. And it has been difficult to pay for all the treatments. Which of the followingactions is appropriate client advocacy?A. The nurse investigates potential resources to help the client purchase wigB. The nurse explains to the mother that most clients with cancer lose their hairC. The nurse informs the next shift nurse regarding the mother s‟concerns.D. The nurse suggests counseling for the client s body image‟issues14. Which of the following items must be discarded in a biohazard waste receptacle?A. A urinary catheter drainage bag from a client who is post-optB. A bed sheet from a client with bacterial pneumoniaC. A perineal pad from a client who is 24-hr post-vaginal deliveryD. An empty IV bag removed from a client who has HIV15. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don tget‟better, I m going to quit. “Which of the following responses‟appropriate?A. “So you are upset about all the changes on the Unit”B. “I think you have a right to be upset, I am tired of the changes too”C. “Just stick with it a little longer. Things will get better soonD. “ You should file complaints with hospital administrator16. According to the HIPAA regulations, which of the following is a violation of clientconfidentiality?A. Telephone the pharmacy with a prescription for the spouse to pick uplOMoARcPSD|12589576

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B. Providing a copy of the record to the transporting paramedicC. Reporting a client s disposition to the referring‟providerD. Informing housekeeping staff that the client is in dialysis unit17. A Nurse preceptor is evaluating a newly licensed nurse s‟competency in assisting witha sterile procedure. Which of the following actions indicates the nurse is maintaining steriletechnique? (Select all that apply.)A. Open the sterile pack by first unfolding the flap farthest from her bodyB. Rests the cap of a solution container upside down on the sterile fieldC.Removes the outside packaging of a sterile instrument before dropping into the sterilefieldD. Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile fieldE.Places sterile items within 1.25 cm (0.5 inch) border around the edge of the sterile field18. A nurse is providing care for 4 post-opt clients. The nurse should first assess the clientA. Whose pulse has been steadily increasing during the past shiftB. Who is reporting a pain level of 8 on a scale of 0 to 10.C. Whose urine output averaged 32 ml/hr for the past 24 hrD. Who is reporting nausea after the prescribed antiemetic was administered19. A nurse is preparing 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 at bedtimeB. Haloperidol (Hadol) 1mg per mouthlOMoARcPSD|12589576

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