ATI RN Leadership Proctored Exam (Latest Update) 2023 Graded[A+].

1. A nurse is planning care for a group of clients on a medical-surgical unit. Which of the following tasks should the nurse delegate to an assistive personnel? Measuring a client's hourly intake and output 2. A facility has identified an increase in healthcare-associated urinary tract infections (UTIs) on the medical-surgical unit. A nurse is participating in a quality improvement process to address this problem. Which of the following should be the first step in the process? Establish best practice guidelines for reducing the incidence of UTIs. 3. A nurse manager observes a newly licensed nurse and an assistive personnel (AP) arguing about the failure of the AP to restock unit supplies. The AP leaves the room. Which of the following is an appropriate statement at this time by the nurse manager to the newly licensed nurse? "I would like for you to approach the AP to resolve the problem." 4. A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplants. Which of the following instructions should the nurse manager include in the teaching? Place clients in a positive-pressure airflow rooms. 5. A charge nurse is managing conflict with a staff nurse who does not agree with the client care assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing? "You always complete your work on time and do a great job. I believe you can handle the assignment well." 6. A nurse is applying restraints to a client who his combative. Which of the following actions should the nurse take? Use a quick-release tie to secure the restraint. 7. A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique? The nurse places the sterile package with the top flap opening away from her. 8. A nurse is preparing assignments for the upcoming shift. Which of the following tasks should the nurse assigned to an assistive personnel (AP)? Suction a client's tracheostomy. 9. A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take? Assign the procedure to a licensed practical nurse (LPN). 10. A nurse in a mental health facility is teaching a newly licensed nurse about the use of mechanical restraints. Which of the following statements by the newly licensed nurse indicates understanding of the teaching? "I should request the provider to examine the client within 1 hour of applying mechanical restraints." 11. A staff nurse detects alcohol on the breath of another nurse working on the unit. He observes that her gait seems unsteady, and she occasionally slurs her speech. Which of the following actions should the nurse take if he suspects that his colleague is under the influence of alcohol? Notify the charge nurse of his assessment 12. A nurse manager needs to address an increased rate of client medication errors. Which of the following strategies represents an authoritarian approach to managing this issue? Inform the staff of the penalties that can result from med errors 13. A hospital has been notified of a train derailment resulting in multiple clients experiencing life threatening injuries. The external disaster plan has been activated Identify stable clients for transfer to a surgical unit. 14. A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. Some staff members have verbalized displeasure with the changes. Which of the following should the charge nurse do? (Select all that apply) Role model a positive approach to the changes Encourage staff members who support the changes to discuss the issue with resistant staff 15. A charge nurse is reviewing the plan care for a client who has active herpes simplex lesions. Wear a gown and gloves when caring for the client 16. A nurse has four client assignments on a maternal newborn unit. Which of the following tasks can be delegate to an AP? 17. An older adult client being discharged with post op infection requires home IV antibiotics through PICC line. Case manager perform prior to discharge? Ensure that home infusion therapy has been arranged 18. An RN on a med-surg unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN? Obtain vitals for a client who is 2 hr postop following a cardiac catheterization 19. A nurse is caring for an older adult client who has left the unit for a radiology procedure. The client's son asks the nurse what med is being given to the client. Which of the following is an appropriate response by the nurse? "I am sorry, but that is information you will need to ask your mother or her doctor." 20. A nurse works in a mental health facility that uses a case management nursing model to provide care. The nurse should recognize that which of the following describes a case management approach to care? Collaboration between disciplines creates a multidisciplinary care plan for each client.