ATI LEADERSHIP PROCTORED EXAM 2019 EXAM QUESTIONS AND ANSWERS

An AP tells a charge nurse that it is unfair that they have to take care of all the clients who are in continent. Which of the following responses should the charge nurse make? A. I delegate tasks to personnel based on their job descriptions B. Everyone working here has to care for clients who are in continent C. Let's talk about organizing the workflow so you care for fewer of these clients D. Why do you not want to care for clients who are in continent.? A. I delegate tasks to personnel based on their job descriptions A nurse on a MedSurg unit is caring for four clients. The nurse should recognize that which of the following clients is the priority? A. A client who is scheduled for a tubal ligation in two hours and is crying B. A client who has PVD and absent pulse in right foot C. A client who has T1DMN needs first dressing change for ulcer D. A client who has MR essay and axillary temp of 38°C B. A client who has peripheral vascular disease and absent pulse in right foot Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an AP? A. Take vital signs every two hours for the client you had a choleycystectomy in room 6122 B. Check the UO at 11 o'clock for John Doe and report it to me immediately C. Report to me if the chest tube drainage is excessive for Jane doe in room 2438 D. Please notify me of any clients who is vital signs or blood glucose levels are significant B. Check the UO at 11 o'clock for John Doe and report it to me immediately This instruction follows the five rights of delegation by including the requirements for right direction/communication: the data to collect, client-specific information, a timeline for coat collection, and the expectation for communicating the findings back to the nurse A client on a general surgical unit tells the nurse that staff members are not answering the call light promptly. The client request to be transferred to another unit. Which of the following actions should the nurse take first? A. Notify charge nurse of clients request to transfer B. Assured client that their concern has been shared with the staff C. Tell client that future calls will be answered in timely manner D. Ask client to verbalize their expectations D. Ask client to verbalize their expectations A nurse is caring for a client who is recovering from a stroke. The provider recommends extracranial intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following action should the nurse take? A. Informed the client of consequences of decreased cerebral circulation B. Initiate mental health consult to determine why client refuses surgery C. Discussed clients concerns about having the surgery D. Provide client with information on additional treatment options C. Discuss clients concerns about having the surgery A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A. A nurse photocopying their assigned clients diagnostic test results B. AP documents a client VS on clients paper-based graph record C. Unit secretary faxing clients lab results to the provider D. RN stays with client who is reading the medical records that were requested A. Nurse photocopying their assigned clients diagnostic test results A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following statements from the EAP indicates the client the nurse should assess first A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following statements from the AP indicates the client the nurse should assess first? A. Client who had ABD surgery three days ago and reporting feeling constipated B. Client who had hip surgery reports pain 4/10 C. Client indwelling urinary catheter removed eight hours ago reports inability to void D. Client who is scheduled for discharge today states they are ready to sign their paper C. Client who had indwelling urinary catheter removed eight hours ago reports inability to void A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplant. Which of the following instructions should the nurse manager include in the teaching? A. Assigned to clients who have had a stem cell transplant to the same room B. Obtain rectal temp Q4 hours C. Where an N 95 respirator mask while caring for these clients D. Place clients in positive pressure airflow rooms D. Place clients and positive pressure airflow rooms. The patient requires protective equipment precautions following a stem cell transplant in a private, positive pressure airflow room. The room air is filtered through a HEPA filter and the air flow rate is set at more than 12 error exchanges per hour A nurse is developing a plan of care for a school age child whose family is homeless. Which of the following findings should the nurse identify as a priority? A. Child has red fissures at the corners of their mouth B. Child has several small bruises on both legs C. Child sleeps for 13 H hour each night D. Child is not regularly attending school A. Child has red fissures at the corners of the mouth. use Maslow's hierarchy of needs, This can indicate a vitamin B deficiency which is a physiological need A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the nurse charge nurse take first? A. Write a memorandum emphasizing the importance of attending staff meetings B. Appoint a task force to promote attendance at the meetings C. Explore the reasons that staff are not attending the meetings D. Reduce the number of meetings the staff are required to attend C. Explore the reasons the staff are not attending the meetings