ATI 2019 Leadership Proctored Exam scored 98%

1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? A. Identify nurses who accept the change to help influence other staff nurses B. Provide a brief overview of the new scheduling system immediately before it implementation C. Introduce the new scheduling system by describing how it will save the institution money D. Offer to reassign staff who do not support the change to another unit B. Provide a brief overview of the new scheduling system immediately before it implementation OR A. Identify nurses who accept the change to help influence other staff nurses 2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway? A. Antibiotic therapy was initiated 2hr after implementation of the care pathway B. A blood culture was obtained after antibiotic therapy has been initiated C. The route of antibiotic therapy on the care pathway was changed from IV to PO D. An allergy to penicillin required an alternative antibiotic to be prescribed A. Antibiotic therapy was initiated 2hr after implementation of the care pathway 3. A nurse should recognize that an incident report is required when A. A client refuses to attend physical therapy B. A visitor pinches his finger in the client‟s bed frame C. A client throws a box of tissues at a nurse D. A nurse gives a med 30 min late A. A client refuses to attend physical therapy 5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality indicator. Which of the following data sources will be helpful in determining the reason why clients are not receiving adequate pain management after surgery? A. Prospective chart audit B. Retrospective chart audit C. Post-operative care policy D. Pain assessment policy D. Pain assessment policy 6. A nurse precepting a newly licenced nurse who is caring for a client who is confused and has an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent dislodging the IV catheter. Which of the following questions should the precepting nurse ask? A. "Did you secure the restraints to the side rails of the bed?" B. "Are you able to insert two fingers between the restraint and the client's skin?" C. "Did you tie the restraints using double knot?" D. "Are you removing the client‟s restraints every 4 hr?" B. "Are you able to insert two fingers between the restraint and the client's skin?" 7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse request a consultation with the wound care specialist. Which of the following actions by the