ATI Leadership 2019 Proctored Exam (Real Questions and Answers) | 60 Qs | Verified Study Guide

ATI Proctored Assessment Leadership 2019 1 / 11 Downloaded by Mike Splendid () 1. 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 2. 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 3. 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 4. 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? A client who has arm contusions and manifests asymmetrical thoracic movement Inform the client about the risks she may encounter by leaving the facility Critical pathways prevent unnecessary expense (answered wrong) Ask the client to verbalize the purpose, risks, and benefits of the procedureATI Proctored Assessment Leadership 2019 2 / 11 Downloaded by Mike Splendid () -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 5. 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 6. 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 7. 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? -Offer incentives for the staff once the unit's benchmark is above average Report this issue to the nurse manager Ensure that home infusion therapy has been arranged (answered wrong) Determine the factors that interfere with the documentation of client educationATI Proctored Assessment Leadership 2019 3 / 11 Downloaded by Mike Splendid () -Train specific nurses to use a standard discharge teaching plan -Determine the factors that interfere with the documentation of client education -Include client discharge teaching as part of the annual performance evaluation 8. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding EMRs. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? -I will make sure the monitor is turned off when I have to leave the computer terminal -I can share my password with nursing students assigned to my unit -I will allow a client to make changes directly to their medical record -After I finish with the printout of my assignment. I'll put it in the shredder 9. A charge nurse is delegating tasks on a unit that is short staffed. A client has a prescription for a wound irrigation bid. Which of the following actions should the charge nurse take? -Perform the wound irrigation during rounds -Delegate the procedure to an AP -Assign the procedure to a LPN -Reschedule the procedure to be performed once daily 10. A staff nurse detects ETOH on the breath of another nurse working on the unit. The staff nurse observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions should the nurse take? -Notify the charge nurse of the nurse's behavior -Confront the nurse about the behavior -Wait to see if the behavior occurs again before acting After I finish with the printout of my assignment, I'll put it in the shredder Assign the procedure to a LPN Notify the charge nurse of the nurse's behaviorATI Proctored Assessment Leadership 2019 4 / 11 Downloaded by Mike Splendid () -Suggest the nurse request sick leave for the rest of the shift 11. An RN delegates the task of obtaining the BP of a client who is 2hr post-op following a cholecystectomy to a LPN. The LPN reports a BP that is significantly higher than the previous reading.Which of the following actions should the RN take first? -Recheck the client's BP -Treat the client's BP with a prescribed antihypertensive -Ask the LPN to review the technique for obtaining BP -Review the client's medical record for other episodeds of elevated BP 12. A nurse is caring for several clients. Which of the following actions should the nurse take to maintain client confidentiality? 13. A nurse manager is conducting an annual performance review for a staff nurse. Which of the following strategies should the nurse use in the review process? 14. A nurse is teaching a newly licensed nurse about using EMRs.Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? Recheck the client's BP Tell the client's partner that the client's lab tests cannot be disclosed without permission (answered wrong) Include the peer evaluations completed by other staff nurses; Have the nurse conduct a self-appraisal prior to the review; complete a performance checklist My access to client records might be tracked by my nurse manager 15.ATI Proctored Assessment Leadership 2019 5 / 11 Downloaded by Mike Splendid () A nurse is delegating tasks for a group of clients to an AP.Which of the following statements provides the right direction of communication with the AP? 16. A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. Which of the following actions should the nurse take first? 17. A charge nurse has been asked to determine staff adherence to established standards for post-op VS measurement. Which of the following actions should the nurse take to collect information? Tell me what time the client in room 205 voids for the first time after the catheter is reomved Check the client's last INR Conduct a retrospective chart audit of all surgical clients for the past 6 months 18. A charge nurse is discussing issues with a staff nurse. I'm not sure When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict? 19. A charge nurse is observing a newly licensed nurse care for a client who has a prescription for application of an aquathermia pad to the right lower leg. Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device? 20. A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing. Which of the following referrals should the nurse recommend for the client? whether I want to apply for the unit manager's position or start a family this year ask the client to report if the aquathermia pad gets too warm; Ensure that the client's call light is in reach Occupational therapy 21. The patient self determination actATI Proctored Assessment Leadership 2019 6 / 11 Downloaded by Mike Splendid () A nurse is presenting information on health care law to a group of newly licensed nurses. Which of the following information should the nurse include? 22. A nurse is caring for 4 clients. Which of the following tasks can the nurse assign to an AP? 23. A nurse is caring for a client who has a potassium level of 3.2. The nurse has been paging the provider for 1 hr to attempt to report the potassium level.Which of the following actions should the nurse take next? 24. A charge nurse is planning assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to an AP? 25. A charge nurse is evaluating a plan of care that a newly licensed nurse developed for a client who is to receive a continuous NG tube feeding. Which of the following interventions should the charge nurse ensure is part of the plan of care? 26. A nurse has just received report on 4 clients on a med-surg unit. Which of the following clients should the nurse plan to assess first? 27. A nurse is assessing a client who is post-op and has a PCA. The client exhibits restlessness, an elevated pulse, and decreased BP. Which of the following actions should the nurse take? requires a nurse to give clients information about end-of life options Perform chest compressions on a client who is in cardiac arrest Notify the nursing supervisor Assisting a client who had a hip arthroplasty to a chair Use a 60mL syringe to flush out a clogged tube A client who is post-op following a total knee arthroplasty and has a cap refill of 4 seconds (answered wrong) Place the client in a modified Trendelenburg position 28. SBAR frameworkATI Proctored Assessment Leadership 2019 7 / 11 Downloaded by Mike Splendid () A nurse is caring for a client who is experiencing adverse effects after receiving a new medication. Which of the following communication tools should the nurse use for management of this complication? 29. A nurse in a mental health facility is teaching a newly I should request licensed nurse about the use of mechanical restraints. the provider to exWhich of the following statements by the newly licensed nurse indicates understanding of the teaching? 30. A RN is working on the surgical unit when a client who has abdominal pain is admitted. Which of the following activities must be performed by the RN? 31. A nurse manager is reviewing the actions a staff nurse took when they observed smoke coming from a wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when they performed which of the following actions first? 32. A nurse manager is reviewing the stages of conflict resolution with the nursing staff.The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order? 33. A public health nurse is developing a list of recommendations for the supervisor about how to use EBP to improve community outcomes. Which of the following should the nurse recommend as a qualitative research method? 34. A nurse is teaching a client about PPACA and their rights regarding insurance coverage.Which of the following statements by the client indicated an understanding of the teaching? amine the client within 1 hr of applying mechanical restraints Completing the client's initial admission assessment Transported the client to the hallway Latent Perceived Felt Manifest Conflict aftermath Phenomenology My insurance coverage no longer has lifetime coverage limitsATI Proctored Assessment Leadership 2019 8 / 11 Downloaded by Mike Splendid () 35. A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. Which of the following statements should the nurse make? 36. A nurse is reviewing the components of a surgical informed consent with a newly licensed nurse. Which of the following statements should the nurse include? 37. A nurse us teaching a newly licensed nurse about incident reports.Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? 38. A nurse is speaking with the adult child of a client who has sever Alzheimer's disease.The child is crying and tells the nurse, "I don't know how much longer I can keep this up". Which of the following responses should the nurse make? 39. A nurse is caring for a group of clients on a unit. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? 40. A charge nurse notices that a newly hired nurse consistently does not finish client care tasks by the end of the shift. Which of the following statements should the charge nurse make? 41. A nurse manager is presenting an in-service about preventing readmission of clients due to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing? Let's talk about the benefits of each treatment The nurse should ensure the client understands the information given by the surgeon I should complete an incident report for an unexpected client outcome (answered wrong) Let's discuss options for respite care A client who is 2 days post-op and has a urine output of 20mL/hr You should set aside time to plan your day at the beginning of each shift Advocacy 42. Ambulating a client who usesATI Proctored Assessment Leadership 2019 9 / 11 Downloaded by Mike Splendid () A charge nurse is planning care for a group of clients. a walker; Adding Which of the following tasks should be delegated to an AP? 43. A charger nurse on a medical unit hears the fire alarm thickener to thin liquids on a client's food tray Instruct ambulatoand announcement that a fire is occurring on the unit. ry clients to go to a Which of the following is the priority action by the charge nurse? 44. A nurse manager sends home a nurse who is chemically impaired. Which of the following actions should the nurse manager take? 45. A nurse is receiving change of shift report. Which of the following clients should the nurse assess first? 46. A nurse is caring for a client who has renal failure. The client tells the nurse that they have decided to stop hemodialysis treatment. Which of the following actions should the nurse take to act in the role of an advocate for the client? 47. A nurse manager is planning daily work and activities for the unit. Which of the following actions is the nurse manager's priority? safe area Set up a formal meeting with the nurse within 24hrs (answered wrong) A client who had abdominal surgery 6hrs ago and has had a HR of 120 for the last 2 hrs Support the client's decision regarding treatment Assign client care to staff 48. A nurse is teaching an AP about caring for a client who I will call for the has a DNR order.Which of the following statements by the AP indicates an understanding of the teaching? 49. A nurse manager is developing a class for newly licensed nurses on strategies to promote client rights. client's nurse to come to the room if I cannot detect the client's pulse Verify that a provider prescription is in theATI Proctored Assessment Leadership 2019 10 / 11 Downloaded by Mike Splendid () Which of the following should the nurse manager include in the teaching? 50. There has been a massive community disaster and stable clients must be discharged to prepare for the influx of casualties. A nurse should identify that which of the following clients is safe to discharge? 51. A nurse overhears 2 staff members in the elevator discussing a client's care. Which of the following actions should the nurse take? 52. A charge nurse is managing conflict with a staff nurse who does not agree with the client care assignment. Which of the following statements is an ex. of using conflict resolution strategy known as smoothing? 53. A nurse is teaching a newly licensed nurse about telephone prescription guidelines. Which of the following statements by the newly licensed nurse indicates an understandign of the teaching? 54. A nurse in a med-surg unit is caring for a client who is terminally ill.Which of the following actions demonstrates that the nurse is practicing in an ethical manner when caring for the client? 55. A charge nurse is conducting an in-service with staff members about the infection control precautions.The nurse should instruct the staff that which of the following clients requires droplet precautions? 56. A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client stated that he does not plan to tell his adult children about the diagnosis. Which of the following responses displays client advocacy by the nurse? medical record for clients who have restraints A client who has MS and reports ataxia (answered wrong) Report the incident to the nurse manager You always complete your work on time and do a great job. I believe you can handle the assignement well I should repeat the prescription back to the provider (answered wrong) Discuss end of life care goals with the client A client who has pertussis Let's review what you understand about this test resultATI Proctored Assessment Leadership 2019 11 / 11 Downloaded by Mike Splendid () 57. A nurse in a community health clinic is caring for 4 clients who each have a communicable disease. Which of the following conditions is considered a nationally notifiable infectious disease? 58. A facility has identified an increase in health care associated UTIs. A nurse is participating in a quality improvement process to address this problem. Which of the following should be the first step in the process? 59. A nurse is caring for a client who is scheduled for rotator cuff surgery. The client tells the nurse, "My shoulder doesn't hurt that badly. I want to wait on the surgery."Which of the following responses should the nurse give? Chlamydia Trachomatis Establish best practice guidelines for reducing the incidence of UTIs I will notify your provider of your decision 60. A nurse is teaching a client about advance directives. These will outWhich of the following statements by the client indicates an understanding of the teaching? line my wishes for medication treatment