(COMPLETE) ATI RN LEADERSHIP PROCTORED EXAM 2019 VERSION 1, 2,3,4,5 & 6 (420 QUESTIONS ALL WITH CORRECT ANSWERS)| GUARANTEE A+ SCORE |VERIFIED|TEST BANK FINAL EXAM 2023 LATEST UPDATE VERSION 1 1. A nurse is assigned the following four clients for the cu

(COMPLETE) ATI RN LEADERSHIP PROCTORED EXAM 2019 VERSION 1, 2,3,4,5 & 6 (420 QUESTIONS ALL WITH CORRECT ANSWERS)| GUARANTEE A+ SCORE |VERIFIED|TEST BANK FINAL EXAM 2023 LATEST UPDATE VERSION 1 1. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? A. A client who has a hip fracture and is in Buck‘s traction B. A client who has aspiration pneumonia and a respiratory rate of 28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot D. A client who has a C diff infection and needs a stool specimen collected 2. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min. Which of the following actions should the nurse take? A. Notify the nursing supervisor about the issues B. Contact the client‘s physical therapist C. Apply a warm compress to the hip D. Reposition the client for comfort 3. The mother of a client with breast cancer states, it‘s been hard for her, especially after losing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate client advocacy? A. The nurse investigates potential resources to help the client purchase wig B. The nurse explains to the mother that most clients with cancer lose their hair C. The nurse informs the next shift nurse regarding the mother‘s concerns. D. The nurse suggests counseling for the client‘s body image issues 4. Which of the following items must be discarded in a biohazard waste receptacle? A. A urinary catheter drainage bag from a client who is post B. A bed sheet from a client with bacterial pneumonia C. A perineal pad from a client who is 24-hr post-vaginal delivery D. An empty IV bag removed from a client who has HIV 5. A nurse tells the unit manager, ―I am tired of all the changes on the unit. If things don‘t get better, I‘m going to quit. ―Which of the following responses appropriate? A. ―So you are upset about all the changes on the Unit‖ B. ―I think you have a right to be upset, I am tired of the changes too‖ C. ―Just stick with it a little longer. Things will get better soon D. ― You should file complaints with hospital administrator 6. According to the HIPAA regulations, which of the following is a violation of client confidentiality? A. Telephone the pharmacy with a prescription for the spouse to pick up B. Providing a copy of the record to the transporting paramedic C. Reporting a client‘s disposition to the referring provider D. Informing housekeeping staff that the client is in dialysis unit 7. A Nurse preceptor is evaluating a newly licensed nurse‘s competency in assisting with a sterile procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all that apply.) A. Open the sterile pack by first unfolding the flap farthest from her body B. Rests the cap of a solution container upside down on the sterile field C. Removes the outside packaging of a sterile instrument before dropping into the sterile field D. Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field E. Places sterile items within 1.25 cm (0.5 inch) border around the edge of the sterile field 8. A nurse is providing care for 4 post-opt clients. The nurse should first assess the client A. Whose pulse has been steadily increasing during the past shift B. Who is reporting a pain level of 8 on a scale of 0 to 10. C. Whose urine output averaged 32 ml/hr for the past 24 hr D. Who is reporting nausea after the prescribed antiemetic was administered 9. A nurse is preparing to transcribe a client‘s med prescription in the medical record. Which of the following should the nurse recognize as containing the essential components of a medication order? A. NPH insulin 10 Units before and at bedtime B. Haloperidol (Hadol) 1mg per mouth C. Multivit every morning by mouth D. Aspirin 650 mg by mouth every 4hr 10.A nurse is assisting with orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate? A. Recommend that he takes time to plan at the beginning of shift B. Advise him to complete less time-consuming tasks first C. Ask other staff members to take over some of his staffs D. Offer to provide care for his clients while he takes a break 11.A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an industrial setting, which of the following actions should the nurse take first? A. Remove the client‘s clothing B. Irrigate the exposed area with water C. Report the incident to OSHA Don personal protective equipment. 12.A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed? A. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client. B. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min C. A nurse explains to a client‘s family that a DNR order includes withholding comfort measures D. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better 13.A nurse is an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of tele health? A. Assessing client needs VERSION 2,3,4,5,6 1. A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the following findings should the nurse report to the provider a. Reactive b. Nonreactive c. Positive- Indicates an adverse reaction by the fetus and should be reported to the provider d. Negative 2. A nurse is providing family planning education to a client who has decided to use a diaphragm. Which of the following should the nurse include in the plan of care? a. You should replace the diaphragm every 3 years b. You should leave the diaphragm in place for at least 6 hours after intercourse c. You should use an oil based product as a lubricant when inserting the diaphragm d. You should insert he diaphragm when your bladder is full 3. A nurse is providing discharge teaching to a client who is postpartum about resuming sexual activity. Which of the following instructions should the nurse include in the teaching? a. You should use a watersoluble gel for lubrication- This will prevent discomfort b. You can resume sexual activity in 10 days c. Your physical reaction to sexual stimulation ill not be altered d. You will not ovulate for 3 months after delivery 4. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a. Abruptio placenta- Cocaines increases the risk for vasoconstriction and possible abruption placenta b. Placenta previa c. Preeclampsia d. Maternal bradycardia 5. A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching? a. I should eat to taste instead of trying to balance my meals- Eat to taste to avoid nausea b. I will avoid having a snack at bedtime c. I will have 8 oz of hot tea with each meal d. I should pair my sweets with a starch instead of eating them alone 6. A nurse is caring for a client who is in active labor and reports back pain. The nurse performs a vaginal exam and determines the client is 8cm dilated, 100% effaced, and -2 station. The fetus is in the occiput posterior position. Which of the following is an appropriate intervention? a. Perform effleurage during contractions b. Place the client in lithotomy position c. Assist the client to the hands and knees position- Helps relieve back pain and help the fetus rotate d. Apply a fetal scalp electrode 7. A nurse is assessing a client during a weekly prenatal visit that is at 38 weeks of gestation. Which of the following client findings should the nurse report to the provider? a. Blood pressure 136/88 b. Report of insomnia c. Weight gain of 2.2 kg- Above the expected reference range and could indicate complications d. Report of Braxton-Hicks contractions 8. A nurse is caring for a client who is pregnant and has epilepsy. The nurse observes the client having a seizure. After turning the client’s head to one side, which of the following actions should the nurse take next? a. Monitor the fetal heart rate b. Assess uterine activity c. Administer oxygen via a non-breather mask d. Start a bolus of IV fluids 9. A nurse is providing discharge instructions to a client who had a vaginal delivery and is breastfeeding her newborn. Which of the following statements indicates an understanding of the teaching? a. I will need to eat an additional 330 calories a day while I’m breastfeedingb. I will change my perineal pad at least twice a day c. I will massage my uterus daily for 7 days d. I will breastfeed my baby every 2 hours 10. A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? a. Assessment of dilation and effacement b. Leopold maneuvers- helps the nurse assess the position of the fetus to best determine the optimal placement for the fetal monitoring transducer. c. Sterile speculum exam d. Nitrazine test 11. A client who is pregnant presents to a prenatal clinic for her first visit. She tells the nurse that her last normal menstrual period began Oct 13. Using Nagele’s rule, the nurse should determine the client’s estimated date of delivery as which of the following? a. July 6 b. July 13 c. July 20- Add a year, subtract 3 months, add 7 days d. July 27 12. A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the following findings should the nurse report to the provider a. Reactive b. Nonreactive c. Positive- Indicates an adverse reaction by the fetus and should be reported to the provider d. Negative 13. A nurse is providing family planning education to a client who has decided to use a diaphragm. Which of the following should the nurse include in the plan of care? a. You should replace the diaphragm every 3 years b. You should leave the diaphragm in place for at least 6 hours after intercourse c. You should use an oil based product as a lubricant when inserting the diaphragm d. You should insert he diaphragm when your bladder is full 14. A nurse is providing discharge teaching to a client who is postpartum about resuming sexual activity. Which of the following instructions should the nurse include in the teaching? a. You should use a watersoluble gel for lubrication- This will prevent discomfort b. You can resume sexual activity in 10 days c. Your physical reaction to sexual stimulation ill not be altered d. You will not ovulate for 3 months after delivery 15. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a. Abruptio placenta- Cocaines increases the risk for vasoconstriction and possible abruption placenta b. Placenta previa c. Preeclampsia d. Maternal bradycardia 16. A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching? a. I should eat to taste instead of trying to balance my meals- Eat to taste to avoid nausea b. I will avoid having a snack at bedtime c. I will have 8 oz of hot tea with each meal d. I should pair my sweets with a starch instead of eating them alone 17. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? a. Warm the heel prior to the puncture b. Request a prescription for IM analgesic c. Use a manual lance blade to pierce the skin d. Swaddle the newborn after the heel puncture- Effective technique to diminish the pain experience for the newborn. 18. A nurse is conducting an initial prenatal visit for a client who is at 6 weeks gestation. Which of the following laboratory tests should be performed? a. 24 hour urine for protein b. Group B streptococcus culture c. 3-hr glucose tolerance d. Rubella titer- Obtained at the initial prenatal visit to determine immunity to rubella 19. A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first? a. Confirm the newborn’s Apgarscore b. Verify the newborn’s identification- Mandatory to continue ongoing identification of the newborn whenever the newborn is removed from the mother’s direct presence and care. c. Administer vitamin K IM to the newborn d. Determine the obstetrical risk factors 20. A nurse is assessing a young adult client in a women’s health clinic who asks for a contraceptive. The client reports to the nurse a familial history of osteoporosis. Which of the following contraceptive methods is contraindicated for this client? a. Combined estrogen-progestin oral contraceptives b. An intrauterine device 21. A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the following statements by the client indicated an understanding of the teaching? a. I will receive this medication if my baby is Rh-negative b. I will receive this medication at time of delivery c. I will need a second dose of this medication when my baby is 6 weeks old d. I will need this medication if I have an amniocentesis- Recommended because of the potential of fetal RBCs entering the maternal circulation 22. A nurse is caring for a client who is to receive oxytocin (Pitocin) to augment her labor. Which of the following contraindicates the initiation of the oxytocin infusion and requires notification of the provider? a. Late decelerations- Oxytocin is contraindicated based on late decelerations noted on fetal assessment findings because they indicate uteroplacental insufficiency. b. Baseline variability c. Cessation of uterine dilation d. Prolonged active phase of labor 23. A nurse on the newborn unit is planning discharge for four clients. Which of the following will require care beyond that of a standard follow-up visit with the provider after delivery? a. A newborn being sent home after 22 hr after birth- Screening tests must be repeated if they were performed before he newborn was 24 hr. old. b. A newborn at 38 weeks of gestational age c. A newborn who is bottle feeding d. Twin newborns with Apgar scores of 8 and 9 24. A nurse is assessing a newborn who has a weak cry and is grimacing. The nurse notes the newborn has a heart rate of 102/min, blueish extremities, and a flaccid muscle tone. Which of the following reflects the appropriate APGAR score? a. 4 b. 5 c. 6 d. 7 25. A nurse is caring for a client who has a history of rheumatic disease, but no physical symptoms prior to pregnancy. The client begins to experience dyspnea, orthopnea, and pulmonary edema. Which of the following biological alterations explains this change? a. Increased maternal weight b. Increased blood volume- Increase in blood volume during pregnancy increase the workload of the heart, which causes the symptoms c. Change in hematocrit levels d. Change in heart size 26. A nurse is providing teaching about nonpharmacological pain management for a postpartum client who is breastfeed and has engorgement. Which of the following methods should the nurse recommend? a. Cold cabbage leaves- Application of this is an effective nonpharmacological method to relieve pain associated with engorgement b. Modified lanolin cream c. A breast binder d. Breast shells 27. A nurse is providing discharge teaching to a client who is postpartum about resuming sexual activity. Which of the following instructions should the nurse include in the teaching? a. You should use a watersoluble gel for lubrication- This will prevent discomfort b. You can resume sexual activity in 10 days c. Your physical reaction to sexual stimulation ill not be altered d. You will not ovulate for 3 months after delivery 28. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a. Abruptio placenta- Cocaines increases the risk for vasoconstriction and possible abruption placenta b. Placenta previa c. Preeclampsia d. Maternal bradycardia 29. A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching? a. I should eat to taste instead of trying to balance my meals- Eat to taste to avoid nausea b. I will avoid having a snack at bedtime c. I will have 8 oz of hot tea with each meal d. I should pair my sweets with a starch instead of eating them alone 30. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? a. Warm the heel prior to the puncture b. Request a prescription for IM analgesic c. Use a manual lance blade to pierce the skin d. Swaddle the newborn after the heel puncture- Effective technique to diminish the pain experience for the newborn. 31. A nurse is conducting an initial prenatal visit for a client who is at 6 weeks gestation. Which of the following laboratory tests should be performed? a. 24 hour urine for protein b. Group B streptococcus culture c. 3-hr glucose tolerance d. Rubella titer- Obtained at the initial prenatal visit to determine immunity to rubella 32. A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first? a. Confirm the newborn’s Apgarscore b. Verify the newborn’s identification- Mandatory to continue ongoing identification of the newborn whenever the newborn is removed from the mother’s direct presence and care. c. Administer vitamin K IM to the newborn d. Determine the obstetrical risk factors 33. A nurse is assessing a young adult client in a women’s health clinic who asks for a contraceptive. The client reports to the nurse a familial history of osteoporosis. Which of the following contraceptive methods is contraindicated for this client? a. Combined estrogen-progestin oral contraceptives b. An intrauterine device c. Medroxyprogestrone acetate (Depo-provera)- causes a decrease in bone mineral density and places the client at risk for the development of osteoporosis d. Norelgestromin/ethinyl estradiol (Ortho Evra) 34. A nurse is admitting a client to the labor and delivery unit when the client states, “my water just broke”, which of the following is the priority intervention for the nurse to take? a. Perform Nitrazine testing b. Assess the amniotic fluid c. Check cervical dilation d. Monitor the fetal heart rate- Rupture of the membranes places the fetus at risk for umbilical cord prolapse. 35. A nurse in a clinic is caring for a client who is at 32 weeks of gestation. Which of the following clinical findings should alert the nurse to a potential complication? a. Fundal height is 34 cm b. Client reports diarrhea for 3 days- Indicates illness or infection c. Client reports ankle edema d. Blood pressure is 130/80 36. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The fetal monitor shows uterine contractions every 6 min, lasting 20-25 seconds, and an FHR of 150/min. The provider prescribed betamethasone (celestone) 12 mg IM. Which of the following outcomes should the nurse expect? a. Decreased uterine contractions b. An increase in the client’s hemoglobin levels