ATI 2019 Leadership Proctored Exam Questions
with Accurate Verified Solutions
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
- Correct answer- 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
, ATI 2019 Leadership Proctored Exam Questions
with Accurate Verified Solutions
- Correct answer- 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
- Correct answer- 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
- Correct answer- D. Pain assessment policy
, ATI 2019 Leadership Proctored Exam Questions
with Accurate Verified Solutions
6. A nurse precepting a newly licensed 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?"
- Correct answer- 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 requests a consultation with the wound care specialist. Which of the
following actions by the nurse is appropriate when working with a consultant?
A. Arrange the consultation for time when the nurse is caring for the client is able
to be present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client's
wound care.
C. Request the consultation after several wound care treatment tried
D. Arrange for the wound care nurse specialist to see the client daily to provide
the recommended treatment
, ATI 2019 Leadership Proctored Exam Questions
with Accurate Verified Solutions
- Correct answer- A. Arrange the consultation for time when the nurse is caring
for the client is able to be present for consultation
8. A client is admitted with TB and placed in a negative pressure room. Which of
the following actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client's door with the diagnosis
C. Ensure that admitting staff undergo PPD skin tests
D. Determine who had contact with the client in the last 48 hr
- Correct answer- D. Determine who had contact with the client in the last 48 hr
(Maybe wrong)
POSSIBLY: A. Notify the local health department of the admission
9. A nurse is caring for a client who is unconscious and whose partner is
healthcare proxy. The partner has spoken with the provider and wishes to
discontinue the clients feeding tube. The provider states the nurse, "I will not
discontinue the client’s treatment. His partner has no right to make decisions
regarding the clients care. "Which of the following responses by the nurse is
appropriate?
with Accurate Verified Solutions
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
- Correct answer- 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
, ATI 2019 Leadership Proctored Exam Questions
with Accurate Verified Solutions
- Correct answer- 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
- Correct answer- 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
- Correct answer- D. Pain assessment policy
, ATI 2019 Leadership Proctored Exam Questions
with Accurate Verified Solutions
6. A nurse precepting a newly licensed 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?"
- Correct answer- 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 requests a consultation with the wound care specialist. Which of the
following actions by the nurse is appropriate when working with a consultant?
A. Arrange the consultation for time when the nurse is caring for the client is able
to be present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client's
wound care.
C. Request the consultation after several wound care treatment tried
D. Arrange for the wound care nurse specialist to see the client daily to provide
the recommended treatment
, ATI 2019 Leadership Proctored Exam Questions
with Accurate Verified Solutions
- Correct answer- A. Arrange the consultation for time when the nurse is caring
for the client is able to be present for consultation
8. A client is admitted with TB and placed in a negative pressure room. Which of
the following actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client's door with the diagnosis
C. Ensure that admitting staff undergo PPD skin tests
D. Determine who had contact with the client in the last 48 hr
- Correct answer- D. Determine who had contact with the client in the last 48 hr
(Maybe wrong)
POSSIBLY: A. Notify the local health department of the admission
9. A nurse is caring for a client who is unconscious and whose partner is
healthcare proxy. The partner has spoken with the provider and wishes to
discontinue the clients feeding tube. The provider states the nurse, "I will not
discontinue the client’s treatment. His partner has no right to make decisions
regarding the clients care. "Which of the following responses by the nurse is
appropriate?
