ATI Leadership Proctored Exam questions and answers docx
latest 2020 test solution
- A nurse manager is preparing to institute a new system for scheduling staff. Severalnurses
have verbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new schedulingsystem?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately beforeit
implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit - A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance
with the care pathway, antibiotic therapy is prescribed. Which of the following situations
requires the nurse to complete a variance report with regard to the carepathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed. - A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client s bedframe ‟
C. A client throws a box of tissues at anurse
D. A nurse gives a med 30 min late - Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately
relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a
quality indicator. Which of the following data sources will be helpful in determine the reason
why clients are not receiving adequate pain management aftersurgery?
A. Prospective chartaudit
B. Retrospective chartaudit
C. Postoperative carepolicy
D. Pain assessmentpolicy - A nurse precepting a newly licenced nurse who is caring for a client who is confused and has
an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent
dislodging 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?” ‟ - A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse requesta
consultation with the wound care specialist. Which of the following actions by the nurse is
appropriate when working with aconsultant?
A. Arrange the consultation for time when the nurse is caring for the client is able to be
present forconsultation
B. Provide the consultant with subjective opinions and beliefs about the client s woundcare ‟
C. Request the consultation after several wound care treatmenttried
D. Arrange for the wound care nurse specialist to see the client daily to provide the
recommendedtreatment
- A client is admitted wit TB and placed in a negative pressure room. Which of thefollowing
actions isappropriate?
A. Notify the local health department of theadmission
B. Place a sign on the client s door with thediagnosis ‟
C. Ensure that admitting staff undergo PPD skintests
D. Determine who had contact with the client in the last 48hr - A nurse is caring for a client who is unconscious and whose partner is health care proxy. The
partner has spoken with the provider and wishes to discontinue the client s feeding tube. The ‟
providerstatesthenurse,“Iwillnotdiscontinuetheclient streatment.Hispartnerhasnorightto make ‟
decisions regarding the client s care. “Which of the following responses by the nurse is ‟
appropriate?
A. Youshouldconsiderspeakingwiththefacility sethicscommitteebeforemakingyour ‟
decision
B. You have the right to make decision, even if the partner is the client s health careproxy ‟
C. The client has designated his partner as health care proxy in his advancedirectives
D. We ll need to have the nursing supervisor review the client s advancedirectives ‟ ‟
ATI NURSING LEADERSHIP AND
MANAGEMENT
1- A nurse enters the room of a client who is on contact precautions and find the
client lying on the floor. Which of the following actions should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed. – ANS C.
Inspect the client for injuries.
2- An RN on a medical surgical unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
Catherine station.
B. Administer a unit of packed red blood cells to a client who has cancer.
C. Instruct a client who is scheduled for discharge in the performance of one care.
D. Develop a plan of care for a newly admitted client who has pneumonia. – ANS
A. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
Catherine station.
3- A PN ending her shift reports to the RN that a newly hired AP has not
calculated the intake and output for several clients. Which of the following action
should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN.
C. Ask the AP if she needs assistance.
D. Notify the nurse manager. – ANS C. Ask the AP if she needs assistance.
4- A nurse manager is developing an orientation plan for newly licensed nurses.
Which of the following information to the manager include in the plan? Select all
that apply
A. Skilled proficiency.
B. Assignment to a preceptor.
C. Budgetary principles.
D. Computerized charting.
E. Socialization into unit culture.
F. Facility policies and procedures. – ANS A. Skilled proficiency.
B. Assignment to a preceptor.
D. Computerized charting.
E. Socialization into you in a culture.
F. Facility policies and procedures.
The purpose of orientation is to assist the newly licensed nurse to transition from
the role of student to the role of employee and licensed nurse.
5- A nurse manager is providing information about the audit process to members
of the nursing team. Which of the following information should a nurse manager
include? Select all that apply
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluate the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark. – ANS A.
A structure audit evaluates the setting and resources available to provide care.
B. An outcome evaluate the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
E. After data collection is completed, it is compared to a benchmark.
- A nurse is participating in a quality improvement study of a procedure
frequently performed on the unit. Which of the following information will provide
data regarding the efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
ATI Leadership & Management
- A community health nurse is reinforcing with a group of parents about home
safety for children of various age groups. Which of the following
information should the nurse plan to include? – ANS the supine position
is the safest for sleeping infants - A nurse is monitoring a client who is receiving IV fluids via infusion pump
and notes the pump is malfunctioning. Which of the following actions
should the nurse take? – ANS place a tag on the IV pump - A nurse is caring for an adolescent child who requires a blood transfusion.
The clients parents will not consent to the transfusion due to religious
beliefs. Which of the following actions should the nurse take? – ANS
inform the charge nurse and recommend that social services be contacted - A nurse is assigned to care for a client who is in isolation. Which of the
following actions should the nurse take to manage time efficiently while
caring for this client? – ANS organize care into groups that can be
performed at one time - A nurse is assisting with the care of a client who has terminal cancer and is
receiving chemotherapy. The client tells the nurse that she is only continuing
treatment for her family sake. Which of the following responses should the
nurse make? – ANS lets talk about your reasons for continuing treatment - A nurse is caring for a client who received a skin tear during a routine
dressing change. After completing an incident report which of the following
actions should the nurse take? – ANS submit the incident report to the
nurse manager for review - A nurse is reinforcing teaching with a newly licensed nurse about the role of
the nurse in informed consent. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching? – ANS
my signature on the consent form indicates the client gave consent for the
procedure voluntarily - A charge nurse is evaluating the documentation of care for four clients by a
newly licensed nurse. Which of the following entries requires intervention