ATI RN LEADERSHIP ATI RN LEADERSHIP PROCTORED EXAM PROCTORED EXAM 2019 VERSION 1 2019 VERSION 1

43. A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which of the following statements by the newly licensed nurse indicates and understanding of the teaching? I will wear a surgical mask within 3ft of the client 44. A nurse is caring for four clients. Which of the following clients should the nurse assess first? A client who has Alzheimer’s disease and bacterial pneumonia and a new onset of restlessness 45. A nurse is developing a discharge plan for a client who is post-operative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to obtain the clients prescription? A) Home health B) Physical therapy C) Occupational therapy D) Social services (Pg 26) 46. A nurse is working on a quality improvement team that is assessing an increase in client falls at a facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process? Identify clients who are at risk for falls. 47. A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag color should the nurse instruct the group to apply to a client who has full thickness burn on 72% of his body? Black -- KNOW TO ASSESS RED FIRST 48. A nurse has just completed assessment charting on an electronic medical record for an assigned client. An assistive personnel who just measured the clients vital signs asked to chart them while the nurse is still logged in. Which of the following actions should the nurse take? Log out so the assistive personnel can log in to document the vital signs. 49. A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. the client tells the nurse she has decided to go home. Which of the following action should the nurse take? Have the client sign the against Medical Advice form. 50. 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? a. Assessing client needs b. Providing medication reconciliation c. Developing client treatment protocols d. Establishing communication between providers 51. A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse? A) a client who is scheduled for an endoscopy later today and requires enema B) a client who has a myocardial infarction and will be transferring to a unit from the PCC C) a newly admitted client who has diabetes mellitus and requires initial teaching on self administration of insulin D) a newly admitted client who has sickle cell anemia requires a development of an initial plan of care 52. A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take? Prepare to administer antibiotics to the client. 53. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change of shift report? The time the client received his last dose of pain medication 54. A nurse on a medical surgical unit is evaluating an assistive personnel use of infection control precaution. Which of the following actions by the assistive personnel indicates correct use of precaution? AP removes her gloves before leaving the room of a client who has MRSA 55. A nurse on a med surg unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make? “A health care proxy can make decisions for you when you are unable to do so.” 56. A nurse is teaching newly licensed nurse about client confidentiality. The nurse should include that which of the following examples represents a violation of client confidentiality? Informing housekeeping staff that the client is in the dialysis unit. 57. A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report? “The client is currently in the radiology department for a chest x-ray.” 58. A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to take? Provide an interpreter when obtaining consent from the client 59. A charge nurse witnessed an assistive personnel failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first? Discuss the issue with the AP 60. A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following client is the highest priority? A client who has peripheral vascular disease and has an absent pedal pulse in the right foot. 61. A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take? 1. Have the client sign a consent for treatment 2. Notify risk management before initiating treatment 3. Proceed with treatment without obtaining written consent (Implied Consent) 4. Contact the client’s next of kin to obtain consent for treatmen