ATI LEADERSHIP RN VERSION 4 PROCTORED NGN EXAM - COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: 24. A nurse is evaluating the time management skills of
a newly licensed nurse. Which of the following actions by the
newlylicensed nurse should the nurse identify as an indication of
effective time management?
A. o Skips lunch to catch up on client documentation.
B. o Reviews a client's medical record before performing a prescribed
dressing change.
C. o Obtains client intake and output instead of delegating the task to
assistive personnel.
D. o Documents medications administered throughout the shift at the
end of the day.
Answer:
Reviews a client's medical record before performing a prescribed
dressing change.
Question 2: 25. A nurse is orienting a newly licensed nurse about
the use of restraints. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
A. o I should tie the restraints using a square knot.
B. o I need to tie the restraint to the part of the bed frame that moves.
C. o I will remove a client's restraints every 4 hours.
D. o A provider can write a prescription for restraints "as needed."
Answer:
I will remove a client's restraints every 4 hours.
Question 3: 26. A charge nurse is observing a newly licensed nurse
change a client's wound dressing. Which of the following actions
,by the newly licensed nurse demonstrates an understanding of
safe handling techniques?
A. • Sterile supplies are opened prior to removing the old dressing.
B. • Gauze is used to clean the wound from the outside to the center.
C. • The soiled dressing is placed on a nearby table.
D. • Clean gloves are discarded after removing the old dressing.
Answer:
Clean gloves are discarded after removing the old dressing.
Rationale: 1. A nurse is reviewing the electronic medical record on
clients following the implementation of a quality improvement plan to
reduce health care associated infections on a medical surgical unit.
Question 4: Exhibit 1
A. Client 1 Diagnosis: Cerebrovascular accident
B. Exhibit 2:
C. Client 2 Diagnosis: Pneumonia
D. Exhibit 3
E. Client 3: Diagnosis: Wound infection
F. Exhibit 4
G. Client 4: Diagnosis: Urinary tract infection
H. Exhibit 5
I. Client 5 Diagnosis: Fractured hip
J. Select the 3 clients whose finding indicates the program is
EFFECTIVE.
Answer:
Clients 2, 3, 5
Question 5: 27. A nurse is teaching a newly licensed nurse about
telephone prescriptions. Which of the following information should
the nurse include?
, A. o Verify the spelling of the medication with the provider.
B. o Request that the provider call prescriptions in to the pharmacy.
C. o Transcribe prescriptions received via a voicemail recording.
D. o Use standard abbreviations when obtaining a telephone
prescription.
Answer:
Verify the spelling of the medication with the provider.
Question 6: o What are you planning on doing with your medical
record?
A. o The facility is unable to release your records.
B. o You must submit a written request before you can receive a
copy.
Answer:
You must submit a written request before you can receive a copy.
Question 7: 29. A charge nurse is supervising the actions taken by
a staff nurse following a client fall. The charge nurse should
identify that which of the following actions by the staff nurse
indicates an understanding of the procedure?
A. o Includes the client's account of the fall in the incident report.
B. o Lists names of witnesses to the fall in the nurses' notes.
C. o Documents in the client's record that an incident report was filed.
D. o Sends the incident report to the ethics committee.
Answer:
Includes the client's account of the fall in the incident report.
Question 8: 30. A nurse administrator is using benchmarking as
control criteria while reviewing current policies and procedures.
Which of the following actions should the nurse take?
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: 24. A nurse is evaluating the time management skills of
a newly licensed nurse. Which of the following actions by the
newlylicensed nurse should the nurse identify as an indication of
effective time management?
A. o Skips lunch to catch up on client documentation.
B. o Reviews a client's medical record before performing a prescribed
dressing change.
C. o Obtains client intake and output instead of delegating the task to
assistive personnel.
D. o Documents medications administered throughout the shift at the
end of the day.
Answer:
Reviews a client's medical record before performing a prescribed
dressing change.
Question 2: 25. A nurse is orienting a newly licensed nurse about
the use of restraints. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
A. o I should tie the restraints using a square knot.
B. o I need to tie the restraint to the part of the bed frame that moves.
C. o I will remove a client's restraints every 4 hours.
D. o A provider can write a prescription for restraints "as needed."
Answer:
I will remove a client's restraints every 4 hours.
Question 3: 26. A charge nurse is observing a newly licensed nurse
change a client's wound dressing. Which of the following actions
,by the newly licensed nurse demonstrates an understanding of
safe handling techniques?
A. • Sterile supplies are opened prior to removing the old dressing.
B. • Gauze is used to clean the wound from the outside to the center.
C. • The soiled dressing is placed on a nearby table.
D. • Clean gloves are discarded after removing the old dressing.
Answer:
Clean gloves are discarded after removing the old dressing.
Rationale: 1. A nurse is reviewing the electronic medical record on
clients following the implementation of a quality improvement plan to
reduce health care associated infections on a medical surgical unit.
Question 4: Exhibit 1
A. Client 1 Diagnosis: Cerebrovascular accident
B. Exhibit 2:
C. Client 2 Diagnosis: Pneumonia
D. Exhibit 3
E. Client 3: Diagnosis: Wound infection
F. Exhibit 4
G. Client 4: Diagnosis: Urinary tract infection
H. Exhibit 5
I. Client 5 Diagnosis: Fractured hip
J. Select the 3 clients whose finding indicates the program is
EFFECTIVE.
Answer:
Clients 2, 3, 5
Question 5: 27. A nurse is teaching a newly licensed nurse about
telephone prescriptions. Which of the following information should
the nurse include?
, A. o Verify the spelling of the medication with the provider.
B. o Request that the provider call prescriptions in to the pharmacy.
C. o Transcribe prescriptions received via a voicemail recording.
D. o Use standard abbreviations when obtaining a telephone
prescription.
Answer:
Verify the spelling of the medication with the provider.
Question 6: o What are you planning on doing with your medical
record?
A. o The facility is unable to release your records.
B. o You must submit a written request before you can receive a
copy.
Answer:
You must submit a written request before you can receive a copy.
Question 7: 29. A charge nurse is supervising the actions taken by
a staff nurse following a client fall. The charge nurse should
identify that which of the following actions by the staff nurse
indicates an understanding of the procedure?
A. o Includes the client's account of the fall in the incident report.
B. o Lists names of witnesses to the fall in the nurses' notes.
C. o Documents in the client's record that an incident report was filed.
D. o Sends the incident report to the ethics committee.
Answer:
Includes the client's account of the fall in the incident report.
Question 8: 30. A nurse administrator is using benchmarking as
control criteria while reviewing current policies and procedures.
Which of the following actions should the nurse take?
