ATI LEADERSHIP PROCTORED 2023 EXAM REVISION GUIDE WITH
70 QUESTIONS AND VERIFIED ANSWERS LATEST UPDATE 2024
QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is assessing pressure ulcers on four clients to evaluate the
effectiveness of a change in the wound care procedure. Which of the
following findings indicate wound healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the centre of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients' wound (damaged
capillaries)
Rationale: Leadership 7.0 pg 329:
- Stages of Wound Healing
- Inflammatory stage - beginning stage, also usually suggests
infection
- Begins with the injury and lasts 3 to 6 days
- Effects to the wound: controlling bleeding with vasoconstriction
and retraction of blood vessels, and with clot formation.
Delivering oxygen, WBCs, nutrients to the area via the blood
supply. Hemostasis occurs along with fibrin formation.
Macrophages engulf microorganisms and cellular debris
(phagocytosis).
- Proliferative stage
- Lasts the next 3 to 24 days
- Effects to the wound: replacing lost tissue with connective or
granulated tissue or collagen. Contracting the wound’s edges.
Resurfacing of new epithelial cells. Healthy granulation tissue
does not bleed easily. Dark granulation tissue can be a sign of
infection, ischemia, or poor perfusion. In the final phase of the
, proliferative stage of wound healing, epithelial cells resurface
the injury.
- Maturation or remodelling stage
- Occurs after day 21 and involves the strengthening of the
collagen scar and restoration of a more normal appearance. It
can take more than 1 year to complete, depending on the extent
of the original wound. When scar tissues are forming.
- Appearance:
- Note the color of open wounds.
- Red: healthy regeneration of tissue.
- Yellow: the presence of purulent drainage and slough - Black:
the presence of eschar that hinders healing and requires removal.
2. A nurse received change of shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
a. Obtain a breakfast tray for a client who received a morning dose of
insulin aspart. -
(fast-acting insulin...usually takes effect after 15 minutes)
b. Administer pain medication to a client who has rheumatoid arthritis and
received the last dose at 0400.
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for
0900
d. Replace a client's enteral nutrition feeding solution that has been hanging
for 24 hours
3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of
the following clients should the nurse assign to the newly licensed nurse?
, a. A client who has multiple sclerosis and ataxia - (normal finding for
someone that has multiple sclerosis = most stable - showed up on online
practice tests)
b. A client who has a brain tumor and is admitted for chemotherapy ← dead
c. A client who has guillain-barre syndrome and a tracheostomy -unstable
d. A client who sustained a concussion and is being monitored for complication
-unstable
4. A nurse is providing teaching to a client about advance directives. Which of
the following statements by the client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co-sign it”
b. “I will wait until I have a serious health problems to sign my advance
directives”
c. “My doctor will need to provide approval for the decisions outlines in my
living will
d. “My durable power of attorney for health care is part of my advance
directives”-durable power of will and living will are components of advance
directives.
Rationale: Leadership 7.0 page 38
5. A nurse is chairing a committee about preventing infant abduction in a new
birth care center. Which of the following quality control tasks should the nurse
assign to be completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. A nurse notes that a client is eating about half of the food on his plate and coughs
frequently during meals. The nurse plans to perform dysphagia screening to
determine the client's need for a referral to which of the following providers?
a. Physical therapist
b. Respiratory therapist
, c. Speech therapist
d. Occupational therapist
7. A home health nurse is assessing the home environment during an initial visit to
a client who has a history of falls. Which of the following findings should the nurse
identify as increasing the client's risk for falls (select all that apply)
- A wheeled office chair at the client's computer desk
- A raised vinyl seat on the toilet in the bathroom
- A throw rug covering some cracked vinyl flooring in the kitchen -
A folding chair without arm rests.
- A two-wheeled walker used to assist the client with ambulation
8. A nurse manager is planning to assign care for four clients on a medical surgical
unit. Which of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe
dyspnea
b. A middle adult client who has a below the knee amputation and requires
a dressing change - stable; only needs dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who is newly diagnosed with DM and requires teaching regarding
insulin administration
9. While auditing the medical records of clients currently on an oncology unit, the
nurse manager finds that six of the 15 records lack documentation regarding
advance directives. Which of the following is the priority for the nurse to take?
a. Remind nurses to obtain this information during the admission process-
b. Reinforce the potential consequences of not having his information on record
to the nursing staff
c. Meet with nursing staff to review the policy regarding advance directive
d. Ask nurse who are caring for client without his information in the medical
record to obtain it
10. A nurse is caring for a group of clients. Which of the following should the nurse
see first?
a. A client who is postoperative and his a fever.
70 QUESTIONS AND VERIFIED ANSWERS LATEST UPDATE 2024
QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is assessing pressure ulcers on four clients to evaluate the
effectiveness of a change in the wound care procedure. Which of the
following findings indicate wound healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the centre of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients' wound (damaged
capillaries)
Rationale: Leadership 7.0 pg 329:
- Stages of Wound Healing
- Inflammatory stage - beginning stage, also usually suggests
infection
- Begins with the injury and lasts 3 to 6 days
- Effects to the wound: controlling bleeding with vasoconstriction
and retraction of blood vessels, and with clot formation.
Delivering oxygen, WBCs, nutrients to the area via the blood
supply. Hemostasis occurs along with fibrin formation.
Macrophages engulf microorganisms and cellular debris
(phagocytosis).
- Proliferative stage
- Lasts the next 3 to 24 days
- Effects to the wound: replacing lost tissue with connective or
granulated tissue or collagen. Contracting the wound’s edges.
Resurfacing of new epithelial cells. Healthy granulation tissue
does not bleed easily. Dark granulation tissue can be a sign of
infection, ischemia, or poor perfusion. In the final phase of the
, proliferative stage of wound healing, epithelial cells resurface
the injury.
- Maturation or remodelling stage
- Occurs after day 21 and involves the strengthening of the
collagen scar and restoration of a more normal appearance. It
can take more than 1 year to complete, depending on the extent
of the original wound. When scar tissues are forming.
- Appearance:
- Note the color of open wounds.
- Red: healthy regeneration of tissue.
- Yellow: the presence of purulent drainage and slough - Black:
the presence of eschar that hinders healing and requires removal.
2. A nurse received change of shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
a. Obtain a breakfast tray for a client who received a morning dose of
insulin aspart. -
(fast-acting insulin...usually takes effect after 15 minutes)
b. Administer pain medication to a client who has rheumatoid arthritis and
received the last dose at 0400.
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for
0900
d. Replace a client's enteral nutrition feeding solution that has been hanging
for 24 hours
3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of
the following clients should the nurse assign to the newly licensed nurse?
, a. A client who has multiple sclerosis and ataxia - (normal finding for
someone that has multiple sclerosis = most stable - showed up on online
practice tests)
b. A client who has a brain tumor and is admitted for chemotherapy ← dead
c. A client who has guillain-barre syndrome and a tracheostomy -unstable
d. A client who sustained a concussion and is being monitored for complication
-unstable
4. A nurse is providing teaching to a client about advance directives. Which of
the following statements by the client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co-sign it”
b. “I will wait until I have a serious health problems to sign my advance
directives”
c. “My doctor will need to provide approval for the decisions outlines in my
living will
d. “My durable power of attorney for health care is part of my advance
directives”-durable power of will and living will are components of advance
directives.
Rationale: Leadership 7.0 page 38
5. A nurse is chairing a committee about preventing infant abduction in a new
birth care center. Which of the following quality control tasks should the nurse
assign to be completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. A nurse notes that a client is eating about half of the food on his plate and coughs
frequently during meals. The nurse plans to perform dysphagia screening to
determine the client's need for a referral to which of the following providers?
a. Physical therapist
b. Respiratory therapist
, c. Speech therapist
d. Occupational therapist
7. A home health nurse is assessing the home environment during an initial visit to
a client who has a history of falls. Which of the following findings should the nurse
identify as increasing the client's risk for falls (select all that apply)
- A wheeled office chair at the client's computer desk
- A raised vinyl seat on the toilet in the bathroom
- A throw rug covering some cracked vinyl flooring in the kitchen -
A folding chair without arm rests.
- A two-wheeled walker used to assist the client with ambulation
8. A nurse manager is planning to assign care for four clients on a medical surgical
unit. Which of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe
dyspnea
b. A middle adult client who has a below the knee amputation and requires
a dressing change - stable; only needs dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who is newly diagnosed with DM and requires teaching regarding
insulin administration
9. While auditing the medical records of clients currently on an oncology unit, the
nurse manager finds that six of the 15 records lack documentation regarding
advance directives. Which of the following is the priority for the nurse to take?
a. Remind nurses to obtain this information during the admission process-
b. Reinforce the potential consequences of not having his information on record
to the nursing staff
c. Meet with nursing staff to review the policy regarding advance directive
d. Ask nurse who are caring for client without his information in the medical
record to obtain it
10. A nurse is caring for a group of clients. Which of the following should the nurse
see first?
a. A client who is postoperative and his a fever.
