ATI 2019 Leadership Proctored Exam scored 96%

ATI 2019 Leadership Proctored Exam

scored 96%

1. A nurse manager is preparing to institute a new system for scheduling staff. Several

nurses 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 scheduling

system?

A. Identify nurses who accept the change to help influence other staff nurses

B. Provide a brief overview of the new scheduling system immediately before

it implementation

C. Introduce the new scheduling system by describing how it will save the institution

money

D. Offer to reassign staff who do not support the change to another unit Ans - B.

Provide a brief overview of the new scheduling system immediately before

it implementation OR A. Identify nurses who accept the change to help influence other

staff nurses

2. 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

care pathway?

A. Antibiotic therapy was initiated 2hr after implementation of the care pathway

B. A blood culture was obtained after antibiotic therapy has been initiated

C. The route of antibiotic therapy on the care pathway was changed from IV to PO

D. An allergy to penicillin required an alternative antibiotic to be prescribed Ans - A.

Antibiotic therapy was initiated 2hr after implementation of the care pathway

3. A nurse should recognize that an incident report is required when

A. A client refuses to attend physical therapy

B. A visitor pinches his finger in the client s bed frame ‟

C. A client throws a box of tissues at a nurse

D. A nurse gives a med 30 min late Ans - A. A client refuses to attend physical therapy

5. 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

determining the reason why clients are not receiving adequate pain management after

surgery?

A. Prospective chart audit

B. Retrospective chart audit

C. Post-operative care policy

 D. Pain assessment policy Ans - D. Pain assessment policy

6. 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 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?" Ans - B. "Are you able to insert ‟

two fingers between the restraint and the client's skin?"

7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse

request a consultation with the wound care specialist. Which of the following actions by

the nurse is appropriate when working with a consultant?

A. Arrange the consultation for time when the nurse is caring for the client is able to be

present for consultation

B. Provide the consultant with subjective opinions and beliefs about the client's wound

care.

C. Request the consultation after several wound care treatment tried

D. Arrange for the wound care nurse specialist to see the client daily to provide

the recommended treatment Ans - A. Arrange the consultation for time when the nurse

is caring for the client is able to be present for consultation

8. A client is admitted with TB and placed in a negative pressure room. Which of the

following actions is appropriate?

A. Notify the local health department of the admission

B. Place a sign on the client's door with the diagnosis

C. Ensure that admitting staff undergo PPD skin tests

D. Determine who had contact with the client in the last 48 hr Ans - D. Determine who

had contact with the client in the last 48 hr

(maybe wrong)

POSSIBLY: A. Notify the local health department of the admission

9. A nurse is caring for a client who is unconscious and whose partner is healthcare

proxy. The partner 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 right to 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 your

decision

B. You have the right to make a decision, even if the partner is the client s health care ‟

proxy

C. The client has designated his partner as a health care proxy in his advance

directives.

D. We ll need to have the nursing supervisor review the client s advance directives Ans ‟ ‟

- C. The client has designated his partner as a health care proxy in his advance

directives.

10. A nurse is caring for a client who has increased intracranial pressure and is

receiving IV corticosteroids. Which of the following info is most important for the nurse

to report at shift change?

A. Glasglow Coma scale score

B. Most recent blood glucose reading C. Lab test scheduled for next shift

D. Reddened area on the coccyx Ans - A. Glasglow Coma scale score

11. A nurse is assigned the following four clients for the current shift. Which of the

following should the nurse assess first?

A. A client who has a hip fracture and is in Buck s traction ‟

B. A client who has aspiration pneumonia and a respiratory rate of 28/min

C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot

D. A client who has a C diff infection and needs a stool specimen

collected Ans - D. A client who has a C diff infection and needs a stool specimen

collected

12. A nurse is caring for a client who fell and is reporting pain in the left hip with external

rotation of the left leg. The nurse has been unable to reach the provider despite several

attempts over the past 30 min. Which of the following actions should the nurse take?

A. Notify the nursing supervisor about the issues

B. Contact the client's physical therapist

C. Apply a warm compress to the hip

D. Reposition the client for comfort Ans - A. Notify the nursing supervisor about the

issues

13. The mother of a client with breast cancer states, it's been hard for her, especially

after losing her hair. And it has been difficult to pay for all the treatments. Which of the

following actions is appropriate for client advocacy?

A. The nurse investigates potential resources to help the client purchase wig

B. The nurse explains to the mother that most clients with cancer lose their hair

C. The nurse informs the next shift nurse regarding the mother s concerns. ‟