ATI Leadership Proctored, ATI RN LEADERSHIP PROCTORED EXAM 2023
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1. Reconciled medica- 32. A nurse is preparing to discharge a client from an acute care facility to
tion home. Which of the following information should the nurse plan to include
in the client's discharge documentation?
o Laboratory test results
o Reconciled medications
o Do-not-resucitate status
o Acuity level of client care
2. Determine the rea- 50. A charge nurse notices that two staff nurses are not taking meal breaks
sons the nurses are during their shifts. Which of the following actions should the nurse take
not taking scheduled first?
breaks. • Determine the reasons the nurses are not taking scheduled breaks.
• Discuss time management strategies with the nurses.
• Provide coverage for the nurses' breaks.
• Review facility policies for taking scheduled breaks.
3. Remove the employee 2. A nurse manager is overseeing employees on their unit.
from the work envi- Which of following actions is the nurse manager priority? Select the 1
ronment. action that the nurse manager should take first.
o Schedule a meeting with the employee to address the occurrence within
24 hr.term-49
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependen-
cy.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use
will not be tolerated.
4. Client 4,5,6 3. A nurse is triaging a group of clients as they arrive simultaneously in the
emergency department following a nearby bus crash.
Which of the following clients should the nurse transfer to the three
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available trauma rooms? Select the 3 clients to transfer for immediate
treatment.
5. The charge nurse 4. A charge nurse on a mental health unit is receiving change of shift report
should first assess for a group of clients. The charge nurse is working with an RN and PN and
CLIENT 1 due to assistive personnel (API from 0700 to 1900 and is reviewing client care:
HALLUCINATIONS and assignments.
DELUSIONS Complete the following sentence by using the lists of options.
The charge nurse should first assess __________ due to
______________ and ___________
6. Clients 1, 2, 4, 6 5. An infectious disease nurse is reviewing electronic medical records on
a group of clients.
Select 4 clients whose diagnosis should be reported to the health depart-
ment.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis)
7. Hospice care, Respite 6. A nurse case manager is coordinating care for a client.
care, Social worker Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker
8. Remove the IV pump 7. A nurse is caring for a client and notices fraying on the electrical cord of
from the client's room. the client's IV pump. Which of the following actions is the priority for the
nurse to take?
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ATI Leadership Proctored, ATI RN LEADERSHIP PROCTORED EXAM 2023
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a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room
9. Withdraws the med- 8. A nurse is observing a newly licensed nurse prepare a medication from
ication from the am- an ampule for a client's injection. For which of the following actions by the
pule using a subcuta- newly licensed nurse should the nurse intervene?
neous needle. o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous
needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration.
10. Help the AP assist the 9. A nurse manager observes an assistive personal (AP) incorrectly trans-
client with the trans- ferring a client to the bedside commode. Which of the following actions
fer. should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual.
11. A sufficient supply 10. A nurse is participating in the development of a disaster management
of personal protective plan for a hospital. The nurse should recognize that which of the following
equipment resources is the highest priority to have available in response to a bioter-
rorism event?
o A sufficient supply of personal protective equipment
o A system for tracking client information
o A mental health specialist on the response team
o A network for communication between staff members families.
12. Veracity 11. A charge nurse observes a client fall while ambulating with an assistive
personnel and notes that the client's gait belt was not in place. When
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ATI Leadership Proctored, ATI RN LEADERSHIP PROCTORED EXAM 2023
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reviewing the incident report, the charge nurse finds that the report does
not mention the gait belt. Which of the following ethical principles should
the charge nurse follow?
o Veracity
o Fidelity
o Beneficence
o Nonmaleficence
13. The nurse performs all 12. A charge nurse is evaluating a newly licensed nurse and presents a
tasks as specified performance improvement plan to the nurse for remediation. Which of
the following outcomes should indicate to the charge nurse that the plan
has been effective?
o The nurse shares their performance plan with another nurse.
o The nurse attends a critical thinking class.
o The nurse verbalizes their understanding of the plan.
o The nurse performs all tasks as specified.
14. Make decisions on the 13. A nurse manager is discussing responsibilities of the nurse manager
unit. role with a group of newly licensed nurses. Which of the following respon-
Monitor overall func- sibilities should the nurse include? (Select all that apply)
tions of the unit. o Make decisions on the unit.
Reward and discipline o Delegate tasks to assistive personal.
staff as necessary. o Monitor overall functions of the unit.
Ensure goals of the fa- o Reward and discipline staff as necessary.
cility are being met o Ensure goals of the facility are being met.
15. Notify the provider 14. A nurse is preparing a client for a cardiac catheterization. Just before
about the client's con- the procedure, the client asks the nurse about the risks of the procedure.
cerns. Which of the following actions should the nurse take?
o Check to see if the medical record indicates the provider explained the
procedure to the client.
o Explain the risks of the procedure to the client.
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