ATI Proctored Assessment Leadership
2019 CORRECTLY ANSWERED
A nurse in the ED is performing triage for a group of clients following a MVC. Which of the following
clients should the nurse request the provider assess first?
-A client who has a closed leg fracture and reports peripheral paresthesia
-A client who reports a sprained ankle and has a laceration over the medial ankle
-A client who has arm contusions and manifests asymmetrical thoracic movement
-A client who has abrasions to the face and is requesting medication for severe pain - CORRECT ANSWER
A client who has arm contusions and manifests asymmetrical thoracic movement
A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2
hrs. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the
surgeon, which of the following actions should the nurse take next?
-Have the client sign the AMAM form
-Inform the client about the risks she may encounter by leaving the facility
-Document the client's statements in the medical record
-Notify the risk manager - CORRECT ANSWER Inform the client about the risks she may encounter by
leaving the facility
A nurse case manager is planning a teaching session on the use of critical pathways with a group of
newly licensed nurses. Which of the following information should the nurse include in the teaching?
-Critical pathways promote individualized care
-Critical pathways decrease administrative work time
-Critical pathways prevent unnecessary expense
-Critical pathways incorporate provider preferences - CORRECT ANSWER Critical pathways prevent
unnecessary expense (answered wrong)
, A nurse is caring for a client who has an informed consent form for an upcoming procedure in his health
record. Which of the following actions should the nurse take to validate that the client understands the
procedure?
-Review documentation by the provider of discussing the procedure with the client
-Verify that the client's signature is on the informed consent form
-Ask the client to verbalize the purpose, risks, and benefits of the procedure
-Document the client's completed pre-procedure checklist in the medical record - CORRECT ANSWER
Ask the client to verbalize the purpose, risks, and benefits of the procedure
A nurse at an urgent care clinic notices that a pain assessment is not being performed for all clients as
required by policy. Which of the following actions should the nurse take to ensure care is provided
according to policy?
-Check client satisfaction surveys for feedback on this issue
-Post an article on pain assessment on the bulletin board
-Document this finding on an incident report
-Report this issue to the nurse manager - CORRECT ANSWER Report this issue to the nurse manager
A client is being discharged with a post-op infection, requiring daily home IV antibiotics through a PICC
line. Which of the following actions should the case manager perform prior to discharge?
-Assess the client's home environment for possible reservoirs of infection
-Verify the patency of the PICC line
-Provide dressing change and wound assessment teaching
-Ensure home infusion therapy has been arranged - CORRECT ANSWER Ensure that home infusion
therapy has been arranged (answered wrong)
A nurse manager is completing a performance improvement audit and determines documentation of
client discharge teaching is below the expected benchmark. Which of the following actions should the
nurse implement first?
2019 CORRECTLY ANSWERED
A nurse in the ED is performing triage for a group of clients following a MVC. Which of the following
clients should the nurse request the provider assess first?
-A client who has a closed leg fracture and reports peripheral paresthesia
-A client who reports a sprained ankle and has a laceration over the medial ankle
-A client who has arm contusions and manifests asymmetrical thoracic movement
-A client who has abrasions to the face and is requesting medication for severe pain - CORRECT ANSWER
A client who has arm contusions and manifests asymmetrical thoracic movement
A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2
hrs. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the
surgeon, which of the following actions should the nurse take next?
-Have the client sign the AMAM form
-Inform the client about the risks she may encounter by leaving the facility
-Document the client's statements in the medical record
-Notify the risk manager - CORRECT ANSWER Inform the client about the risks she may encounter by
leaving the facility
A nurse case manager is planning a teaching session on the use of critical pathways with a group of
newly licensed nurses. Which of the following information should the nurse include in the teaching?
-Critical pathways promote individualized care
-Critical pathways decrease administrative work time
-Critical pathways prevent unnecessary expense
-Critical pathways incorporate provider preferences - CORRECT ANSWER Critical pathways prevent
unnecessary expense (answered wrong)
, A nurse is caring for a client who has an informed consent form for an upcoming procedure in his health
record. Which of the following actions should the nurse take to validate that the client understands the
procedure?
-Review documentation by the provider of discussing the procedure with the client
-Verify that the client's signature is on the informed consent form
-Ask the client to verbalize the purpose, risks, and benefits of the procedure
-Document the client's completed pre-procedure checklist in the medical record - CORRECT ANSWER
Ask the client to verbalize the purpose, risks, and benefits of the procedure
A nurse at an urgent care clinic notices that a pain assessment is not being performed for all clients as
required by policy. Which of the following actions should the nurse take to ensure care is provided
according to policy?
-Check client satisfaction surveys for feedback on this issue
-Post an article on pain assessment on the bulletin board
-Document this finding on an incident report
-Report this issue to the nurse manager - CORRECT ANSWER Report this issue to the nurse manager
A client is being discharged with a post-op infection, requiring daily home IV antibiotics through a PICC
line. Which of the following actions should the case manager perform prior to discharge?
-Assess the client's home environment for possible reservoirs of infection
-Verify the patency of the PICC line
-Provide dressing change and wound assessment teaching
-Ensure home infusion therapy has been arranged - CORRECT ANSWER Ensure that home infusion
therapy has been arranged (answered wrong)
A nurse manager is completing a performance improvement audit and determines documentation of
client discharge teaching is below the expected benchmark. Which of the following actions should the
nurse implement first?
