ATI LEADERSHIP PROCTERED EXAM QUESTIONS AND
ANSWERS
Latest update 2021.
Written by;
A-CONTENT.
STUVIA.
, 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?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately beforeit
implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
EXPLANATION.
Answer: B .
Before you go ahead to implement the new technique it is always in order to brief all the staff on the benefits and working of the new
invention so that everyone is on the same page about the new change. By briefing your staff it gives them equal opportunity and
understanding of the new technology and makes it easier for all of them to embrace and adopt it.
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?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
, C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed.
EXPLANATION.
Answer: C .
The care pathway for pneumonia must first be changed to PO (per os) or oral administration prior to performing
any blood culture necessary. This is done to provide an early administration of antibiotics. And, as a preparation for
blood culture, IV (intravenous) antibiotics are avoided.
3. A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
D. A nurse gives a med 30 min late
EXPLANATION.
Answer: A . A client refuses to attend physicaltherapy
The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions or anyone -
patient, staff member or visitor injured or involved in a situation with the potential for injury, an incident report is required hence choice (A) is
the right choice that is 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 determine the reason
why clients are not receiving adequate pain management aftersurgery?
A. Prospective chartaudit
B. Retrospective chartaudit
C. Postoperative carepolicy
D. Pain assessmentpolic
EXPLANATION.
Answer: D . Pain assessmentpolicy
Answer option (D) Pain assessment policy
Pain assessment is conducted to determine the pain and identify the cause of pain to provide best treatment. It include physical
examination and acceptable level of pain by patient. Components of pain assessments contains functional, physiological, physical and multi
dimensional assesments.
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?
A. “Did you secure the restraints to the side rails of thebed?”
B. “Are you able to insert two fingers between the restraint and the client‟sskin?”
C. “Did you tie the restraints using doubleknot?”
D. “Are you removing the client‟s restraints every 4hr?”
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?
A. Arrange the consultation for time when the nurse is caring for the client is able to be
present forconsultation
ANSWERS
Latest update 2021.
Written by;
A-CONTENT.
STUVIA.
, 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?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately beforeit
implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
EXPLANATION.
Answer: B .
Before you go ahead to implement the new technique it is always in order to brief all the staff on the benefits and working of the new
invention so that everyone is on the same page about the new change. By briefing your staff it gives them equal opportunity and
understanding of the new technology and makes it easier for all of them to embrace and adopt it.
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?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
, C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed.
EXPLANATION.
Answer: C .
The care pathway for pneumonia must first be changed to PO (per os) or oral administration prior to performing
any blood culture necessary. This is done to provide an early administration of antibiotics. And, as a preparation for
blood culture, IV (intravenous) antibiotics are avoided.
3. A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
D. A nurse gives a med 30 min late
EXPLANATION.
Answer: A . A client refuses to attend physicaltherapy
The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions or anyone -
patient, staff member or visitor injured or involved in a situation with the potential for injury, an incident report is required hence choice (A) is
the right choice that is 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 determine the reason
why clients are not receiving adequate pain management aftersurgery?
A. Prospective chartaudit
B. Retrospective chartaudit
C. Postoperative carepolicy
D. Pain assessmentpolic
EXPLANATION.
Answer: D . Pain assessmentpolicy
Answer option (D) Pain assessment policy
Pain assessment is conducted to determine the pain and identify the cause of pain to provide best treatment. It include physical
examination and acceptable level of pain by patient. Components of pain assessments contains functional, physiological, physical and multi
dimensional assesments.
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?
A. “Did you secure the restraints to the side rails of thebed?”
B. “Are you able to insert two fingers between the restraint and the client‟sskin?”
C. “Did you tie the restraints using doubleknot?”
D. “Are you removing the client‟s restraints every 4hr?”
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?
A. Arrange the consultation for time when the nurse is caring for the client is able to be
present forconsultation
