ATI RN LEADERSHIP NGN PROCTORED EXAM ACTUAL EXAM ALL 70 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI RN LEADERSHIP NGN PROCTORED EXAM 2023-

2024 ACTUAL EXAM ALL 70 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

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 -

ANSWER- 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 - ANSWER- 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 - ANSWER- 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 - ANSWER- 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?" - ANSWERB. "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 - ANSWER- 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 -

ANSWER- 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?