ATI 2019 Leadership Proctored
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
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
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
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
,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?"
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
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
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
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
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
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
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.
D. The nurse suggests counseling for the client‟s body image issues
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
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
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
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
,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?"
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
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
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
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
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
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
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.
D. The nurse suggests counseling for the client‟s body image issues
