ATI Leadership Proctored final exam 2024/2025 updated questions and answers

ATI Leadership Proctored final exam 2024/2025 updated questions and answers 1. A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Exhibit 1 Client 1 Diagnosis: Cerebrovascular accident Exhibit 2: Client 2 Diagnosis: Pneumonia Exhibit 3 Client 3: Diagnosis: Wound infection Exhibit 4 Client 4: Diagnosis: Urinary tract infection Exhibit 5 Client 5 Diagnosis: Fractured hip Select the 3 clients whose finding indicates the program is EFFECTIVE. - ANSWERS Clients 2, 3, 5 2. A nurse manager is overseeing employees on their unit. Which of following actions is the nurse manager priority? Select the 1 action that the nurse manager should take first. o Schedule a meeting with the employee to address the occurrence within 24 hr. o Remove the employee from the work environment. o Create a plan for the employee to overcome their substance dependency. o Coordinate a ride home for the employee. o Have the employee sign a contract acknowledging that substance use will not be tolerated. - ANSWERS Remove the employee from the work environment. 3. A nurse is triaging a group of clients as they arrive simultaneously in the emergency department following a nearby bus crash. Which of the following clients should the nurse transfer to the three available trauma rooms? Select the 3 clients to transfer for immediate treatment. - ANSWERS Client 4,5,6 4. A charge nurse on a mental health unit is receiving change of shift report for a group of clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700 to 1900 and is reviewing client care: assignments. Complete the following sentence by using the lists of options. The charge nurse should first assess __________ due to ______________ and ___________ - ANSWERS The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and DELUSIONS 5. An infectious disease nurse is reviewing electronic medical records on a group of clients. Select 4 clients whose diagnosis should be reported to the health department. o Client 1 (Lyme disease) o Client 2 (Acute Hepatitis C) o Client 3 (Clostridium difficile) o Client 4 (Salmonellosis) o Client 5 (Streptococcal pharyngitis) o Client 6 (pertussis) - ANSWERS Clients 1, 2, 4, 6 6. A nurse case manager is coordinating care for a client. Select the 3 community resources the nurse should refer the client. o Adult day care o Hospice care o Legal assistance o Respite care o Social worker - ANSWERS Hospice care, Respite care, Social worker 7. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take? a. Report the problems to the engineering team. b. Check the expiration date of the inspection sticker. c. Request a replacement IV pump. d. Remove the IV pump from the client's room - ANSWERS Remove the IV pump from the client's room. 8. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene? o Breaks the top of the ampule using an antiseptic wipe. o Withdraws the medication from the ampule using a subcutaneous needle. o Disposes of the ampule by placing it in a sharps container o Performs 3 checks of medication before administration. - ANSWERS Withdraws the medication from the ampule using a subcutaneous needle. 9. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first? o Help the AP assist the client with the transfer. o Instruct the AP to request assistance when unsure about a task. o Demonstrate the proper client transfer technique for the AP. o Refer the AP to the facility procedure manual. - ANSWERS Help the AP assist the client with the transfer. 10. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event? o A sufficient supply of personal protective equipment o A system for tracking client information o A mental health specialist on the response team o A network for communication between staff members families. - ANSWERS A sufficient supply of personal protective equipment 11. A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow? o Veracity o Fidelity o Beneficence o Nonmaleficence - ANSWERS Veracity 12. A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective? o The nurse shares their performance plan with another nurse. o The nurse attends a