ATI 2019 Leadership Proctored with the
best and well illustrated answers.
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 - correct
answer-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 - correct
answer-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 - correct answer-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 - correct answer-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?" - correct answer-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 - correct answer-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 - correct answer-D.
Determine who had contact with the client in the last 48 hr
best and well illustrated answers.
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 - correct
answer-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 - correct
answer-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 - correct answer-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 - correct answer-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?" - correct answer-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 - correct answer-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 - correct answer-D.
Determine who had contact with the client in the last 48 hr
