ATI LEADERSHIP PROCTORED EXAM-STUDY GUIDE

ATI LEADERSHIP PROCTORED EXAM-STUDY GUIDE 1. A nurse manager is preparing to institute a new system for scheduling staff. Severalnurses 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 schedulingsystem? 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 carepathway? 3. A nurse should recognize that an incident report is requiredwhen 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 determine the reason why clients are not receiving adequate pain management aftersurgery 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 nurseask? 7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse requesta consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with aconsultant? 8. A client is admitted wit TB and placed in a negative pressure room. Which of thefollowing actions isappropriate? 9. A nurse is caring for a client who is unconscious and whose partner is health care proxy. The partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The providerstatesthenurse,“Iwillnotdiscontinuetheclient‟streatment.Hispartnerhasnorightto make decisions regarding the client‟s care. “Which of the following responses by the nurse is appropriate 10. A nurse is caring for a client who has increased intracranial pressure and is receivingIV corticosteroids. Which of the following info is most important for the nurse to report at shift change? 11. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assessfirst? 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 nursetake? 13. The mother of a client with breast cancer states, it‟s been hard for her, especially afterlosing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate clientadvocacy 14. Which of the following items must be discarded in a biohazard wastereceptacle? 15. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don‟tget better, I‟m going to quit. “Which of the following responsesappropriate? 16. According to the HIPAA regulations, which of the following is a violation ofclient confidentiality? 17. ANursepreceptorisevaluatinganewlylicensednurse‟scompetencyinassistingwitha sterile procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all thatapply.) 18. A nurse is providing care for 4 post-opt clients. The nurse should first assess theclient 19. A nurse is preparing to transcribe a client‟s med prescription in the medical record. Whichof the following should the nurse recognize as containing the essential components of a medication order? 20. A nurse is assisting with orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which ofthe following interventions isappropriate? 21. A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an industrial setting, which of the following actions should the nurse takefirst? 22. A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors isobserved? 23. A nurse is an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth? 24. Which of the following put a hospital at the highest risk of infringement of clientrecord confidentiality? 25. Which of the following observations requires a charge nurse to intervene anddemonstrate safe handlingtechniques? 26. Which of the following should lead a nurse to suspect abuse that must bereported? 27. A parish nurse is making referral to a community meal delivery program for a member of the congregation. This is an example of which of the following functions of the parishnurse? 28. A nurse performing triage during a mass casualty incident should recognize that which ofthe following clients should be transported to the hospitalfirst? 30. A nurse manager overhears a provider and a staff nurse talking about a client‟s diagnosisin the cafeteria. Which of the following actions should the nurse takefirst? 31. A client has a substance use disorder is admitted to the mental health Unit and reports that he has been depressed lately. When preparing for discharge the next day, the client states: “It‟s Ok. Soon everything will be just fine.” Which of the following is the nurse‟s primary firstaction 32. A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administer the injection. This illustrate which of thefollowing? 33. A nurse manager smells alcohol on the breath of a nurse who is starting a shift. Which of the following actions should the nurse manager takefirst? 34. A nurse observes a paper bag at the bedside of a client. This finding suggest that the clientis receiving treatment for which of the respiratorydisorders 35. A nurse is preparing the discharge a client back to a long-term care facility after he was admitted to an acute care facility 2 days ago for pneumonia. Which of the followinginformation should the nurse include in the verbal transferreport? ..........................................................CONTINUED......................................................................DOWNLOAD FOR THAT GRADE A