NGN ATI LEADERSHIP PROCTORED EXAM 2024/ACTUAL EXAM 150 QUESTIONS WITH CORRECT DETAILED AND VERIFIED ANSWERS WITH RATIONALES/ ATI LEADERSHIP PROCTORED EXAM /ALREADY GRADED A+

NGN ATI LEADERSHIP PROCTORED EXAM tt tt tt tt



2024/ACTUAL EXAM 150 QUESTIONS WITH
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CORRECT DETAILED AND VERIFIED ANSWERS
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WITH RATIONALES/ ATI LEADERSHIP tt tt tt tt



tt PROCTORED EXAM 2024-2025/ALREADY GRADED tt tt tt



A+ tt




Which is a recommended guideline for safe computerized charting? -
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Passwords to thecomputer system should only be changed if lost.
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2.
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Computer terminals may be left unattended during client-care activities.
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3.
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Accidental deletions from the computerized file need to be reported to tt tt tt tt tt tt tt tt tt tt


the nursing manager orsupervisor. (correct)
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4.
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Copies of printouts from computerized files should be kept on a
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clipboard at the CAREGIVERs'station for other CAREGIVERs to
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access.
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Rationale: After any inadvertent deletions of permanent computerizedtt tt tt tt tt tt tt


records, the CAREGIVER should type an explanation into the computer file
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with the date, time, and his or her initials. The CAREGIVER should also
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contact the nursing manager or supervisor with a written explanation ofthe
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situation. Options 1, 2, and 4 represent unsafe charting actions. Only option
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3 follows the guidelines for safe computer charting.
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The licensed practical CAREGIVER (LPN) enters a client's room and finds
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the client sitting on the floor. The LPN calls the registered CAREGIVER,
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who checks the client thoroughly and then assists the client back into bed.
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The LPN completes an incident report, and the nursing supervisor and
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health care provider (HCP) are notified of the incident. Which is the next
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nursing actionregarding the incident? - Place the incident report in the
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client's chart.
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2.
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Make a copy of the incident report for the HCP.
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3.
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Document a complete entry in the client's record concerning the tt tt tt tt tt tt tt tt tt


incident. (correct)
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, 4.
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Document in the client's record that an incident report has been completed
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RATIONALE: The incident report is confidential and privileged tt tt tt tt tt tt tt


information, and it should not be copied, placed in the chart, or have any
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reference made to it in the client's record. Theincident report is not a
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substitute for a complete entry in the client's record concerning the
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incident.
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An unconscious client, bleeding profusely, is brought to the emergency
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department after aserious accident. Surgery is required immediately to
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save the client's life. With regard to informed consent for the surgical
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procedure, which is the best action? - Call the nursing supervisor to
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initiate a court order for the surgical procedure.
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2.
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Try calling the client's spouse to obtain telephone consent before the surgical
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procedure.
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3.
Ask the friend who accompanied the client to the emergency department to
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sign the consentform.
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4.
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Transport the client to the operating department immediately, as tt tt tt tt tt tt tt tt


required by the health careprovider, without obtaining an informed
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consent. (CORRECT)
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RATIONALE: Generally there are only two instances in which the informed tt tt tt tt tt tt tt tt tt tt


consent of an adult client is not needed. One instance is when an
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emergency is present and delaying treatment for the purpose of obtaining
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informed consent would result in injury or death to theclient. The second
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instance is when the client waives the right to give informed consent.
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Options 1, 2, and 3 are inappropriate tt tt tt tt tt tt




The CAREGIVER arrives at work and is told to report (float) to the
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pediatric unit for the day becausethe unit is understaffed and needs
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additional CAREGIVERs to care for the clients. The CAREGIVER has
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never worked in the pediatric unit. Which is the appropriate nursing action?
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-.
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Call the hospital lawyer.
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2.
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Call the nursing supervisor.
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, 3.
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Refuse to float to the pediatric unit.
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4.
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Report to the pediatric unit and identify tasks that can be safely
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performed (correct)
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RATIONALE: Floating is an acceptable legal practice used by hospitals to tt tt tt tt tt tt tt tt tt tt


solve their understaffing problems. Legally the CAREGIVER cannot
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refuse to float unless a union contract guarantees that the CAREGIVER
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can only work in a specified area or the CAREGIVER can prove a lack
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of knowledge for the performance of assigned tasks. When faced with this
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situation, the CAREGIVERshould identify potential areas of harm to the
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client
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The CAREGIVER enters a client's room and notes that the client's lawyer is
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present and that the clientis preparing a living will. The living will requires
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that the client's signature be witnessed, andthe client asks the CAREGIVER
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to witness the signature. Which is the appropriate nursing action? –
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tt Decline to sign the will. (CORRECT) tt tt tt tt tt




2.
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Sign the will as a witness to the signature only.
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3.
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Call the hospital lawyer before signing the will.
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4.
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Sign the will, clearly identifying credentials and employment agency.
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RATIONALE: Living wills are required to be in writing and signed by the tt tt tt tt tt tt tt tt tt tt tt tt


client. The client'ssignature either must be witnessed by specified
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individuals or notarized. Many states prohibitany employee from being a
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witness, including the CAREGIVER in a facility in which the client is
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receiving care.
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The CAREGIVER finds the client lying on the floor. The CAREGIVER
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calls the registered CAREGIVER, who checks the client and then calls the
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nursing supervisor and the health care provider to inform them of the
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occurrence. The CAREGIVER completes the incident report for which
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purpose? –
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providing clientswith necessary stabilizing treatments
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, 2.
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A method of promoting quality care and risk management (correct)
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3.
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Determining the effectiveness of interventions in relation to outcomes tt tt tt tt tt tt tt tt




4.
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The appropriate method of reporting to local, state, and federal agencies
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RATIONALE: Proper documentation of unusual occurrences, incidents, tt tt tt tt tt tt


accidents, and thenursing actions taken as a result of the occurrence are
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internal to the institution or agency. Documentation on the incident report
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allows the CAREGIVER and administration to review the quality of care
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and determine any potential risks present. Options 1, 3, and 4 are
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incorrect.
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The CAREGIVER observes that a client received pain medication 1 hour
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ago from another CAREGIVER, butthe client still has severe pain. The
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CAREGIVER has previously observed this same occurrence.
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Based on the CAREGIVER practice act, the observing CAREGIVER
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should plan to take which action? -Report the information to the
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police.
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2.
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Call the impaired CAREGIVER organization.
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3.
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Talk with the CAREGIVER who gave the medication.
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4.
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Report the information to a nursing supervisor. (CORRECT)
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RATIONALE: CAREGIVER practice acts require reporting the suspicion of tt tt tt tt tt tt tt tt


impaired CAREGIVERs. The state board of nursing has jurisdiction over
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the practice of nursing and may develop plans fortreatment and supervision.
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This suspicion needs to be reported to the nursing supervisor, whowill then
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report to the board of nursing. Options 1 and 2 are inappropriate. Option 3
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may cause a conflict.
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A CAREGIVER lawyer provides an education session to the nursing staff
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regarding client rights. TheCAREGIVER asks the lawyer to describe an
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example that may relate to invasion of client privacy.
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Which nursing action indicates a violation of client privacy? - Threatening
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to place a client inrestraints
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