Proctored Exam 2019
(Versions 1, 2, 3) –
Complete Test Bank with
Questions and Answers
, ATI RN LEADERSHIP PROCTORED EXAM 2019 VERSION 1 2 3
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ATI iLeadership iProctored iExam
1. A inurse iin ia iprenatal iclinic iis icaring ifor ia igroup iof iclients. iWhich iof ithe ifollowing iclients ishould
ithenurse
i ri ecommend ifor ian iinterdisciplinaryicare iconference?
A iclient iwho iiis iiat 35
ii weeks
ii of igestation iand ihas ia ibiophysicalprofile
ii ii of
ii 6
ii
2. A inurse iis ipreparing ito idischarge ia iclient iwho ihas iend istage iheart ifailure. iThe iclients ipartner itells
ithe n
i urse ishe ican ino ilonger ihandle icaring ifor ithe iclient. iWhich iof ithe ifollowing iactions ishould ithe
inurse itake?
Contact ithe icase imanager ito idiscuss iidischargeioptions
3. A inurse iis iproviding idischarge iteaching ito ithe iparent iof ia itoddler iwho ihas ia inew idiagnosis iof
iasthma. The
i iparent istates ishe iis iunable ito iafford ithe inebulizer iprescribed ifor ithe ichild. iWhich iof ithe
ifollowingreferrals
i ishould ithe inurse irecommend?
Social iworker
4. A inurse ii s isupervising iassistive ipersonnel iwho’s ifeeding ai iclient iwith idysphagia. iWhich iof
ithefollowing
i iactions iby ithe iAP ishould t
i he inurse iidentify ias icorrect i technique?
Instructingithe iclient ito iplacetheirii chin
ii ito chest
ii while
ii iswallowing
5. A inurse iis iproviding ian ii n-service ai bout iclient irights ifor ia igroup iof inurses. iWhich iof ithe
followingstatements
i i ishould ithe inurse iinclude iin ithe iin-service?
“A inurse canii idisclose iinformationito ia ifamily imemberiwith ithe iclient’s permission.”
ii
6. A inurse ii s ipreparingto
i idischarge ia iclient i who irequires ihome ioxygen. iThe iequipment icompany
ihasnot
i iyet idelivered ithe ioxygen itank. iWhich iof ithe ifollowing iaction ishould ti he inurse itake?
Contact isocial iservices iiaboutthe ii delivery
ii iof the
ii oxygen
ii iequipment.
7. A inurse iis ipreparing ia iclient ifor isurgery. iThe iclient ihas isigned ithe iconsent iform ibut itells ithe inurse
ithat ishe ihas ri econsidered ibecause ishe iis iworried iabout ithe ipain. iWhich iof ithe ifollowing iresponse
ibythe
i inurse iis iappropriate?
I iiunderstand,andii it’s
ii not too
ii ii late
ii to
ii change
ii iyour imind.
8. A inurse iin ia ilong-term icare ifacility iis icaring ifor ia iclient iand iwitnessed ithe iassistive ipersonnel
iposition hi im ii n bed
i iwith iexcessive iforce. iWhich o i f ithe f
i ollowing iactions ishould ithe inurse itake?
Contact ithe inurseimanager
9. A inurse ii s iassessing ia iclient iwho ihas imeningitis. iWhich iof ithe ifollowing ifinding si hould ti he
inursereport
i ito ithe iprovider i immediately?
Decreased ilevel iof iconsciousness
10. A inurse ii s icaringfor
i ia iclient iwho iwanders ithrough the i ihalls iyelling iobscenities i at istaff iother
i clientsand
i ivisitors. iWhich iaction ishould ithe inurse itake?
A) Administer isedatives
B) Keep ithe iclient iin iher iroom iwith ithe idoor iclosed
C) Contact ifamily imembersto ii come
ii isit with
ii ithe iclient
D) i Place ti he iclient iin ia iwheelchair i with ai ilap itray
11. A inurse ii s iassisting iwith ithe iorientation iof ia inewly ilicensed inurse. iThe inewly ilicensed inurse iis
ihavingtrouble
i ifocusing iand ihad idifficulty i completing icare ifor i his iassigned iclient. iWhich iof ithe
ifollowing iintervention iis iappropriate?
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Recommendithat ihe itake itime ito iplan iat ithe ibeginningof his iishift.
ii ii
12. A inurse iis ipreparing ito idelegate ibathing iand iturning iof ia inewly iadmitted iclient iwho ihas iend-stage
ibone icancer ito an
i iexperienced iAP. iWhich iof ithe ifollowing a i ssessment ishould ithe inurse imake
ibeforedelegating
i ci are?
Has idata ibeen icollected iiabout ispecificclient
ii needs
ii irelated ito iturning?
13. A inurse ii s iparticipating iin ithe idevelopment iof ia idisaster imanagement iplan ifor ia ihospital. iThe
inurseshould
i irecognize ithat iwhich iof ithe ifollowing iresources iis ithe ihighest ipriority ito ihave
iavailable iin iresponse ito ia ibioterrorism ievent?
A isufficient supply
ii of
ii personal
ii iprotective iequipment .
14. A inurse imanger iobserves ian ai ssistive ipersonnel iincorrectly ti ransferring ia iclient ito ti he
ibedsidecommode.
i iWhich iof ithe ifollowing iactions ishould the
i inurse itake ifirst?
Help ithe iAP itransfer ithe ipatient
15. A inurse imanager iis ileading idiscussion iabout iethical idilemmas. iWhich iof ithe ifollowing
isituationsshould
i ti he inurse imanager iinclude ias ian iexample iof ian iethical idilemma?
A) a inurse iwitnesses ianother inurse iadminister iincorrect i medication
B) a ivisitor iexperiences i minor iburns iat ia ifacilityafter
i ireceiving….
C) a iparent iwants ia i14-year-oldiadolescentto ii receive
ii radiation
ii itreatmentii
againstiihis will
ii
D) ia iclient ireceives ioperation ion ithe iwrong iside iof ithe ibody
16. A inurseai icaring ifor ia iclient i who irequest iinformation iabout ithe iprevalence iof iTay-Sachs
idisease.Which
i iof ithe ifollowing iresources i should ithe inurse iuse ti o iobtain ithis iinformation?
An ievidence-basedinursingjournal ii
17. A inurse ii s iorienting ia inewly li icensed inurse iabout iclient iconfidentiality.i Which iof ithe
ifollowingstatement
i iby ithe inewly ilicensed inurse iindicates ian iunderstanding iof ithe iteaching?
I should
ii iencrypt ipersonal health
ii iinformationiwhen isending email.ii
18. A inurse iin ithe iemergency idepartment iis iassessing ia iclient iwho iis iunconscious ifollowing ia imotor-
ivehicle c
i rash. iThe c
i lient irequires iimmediate isurgery. iWhich iof ithe ifollowing iactions ishould the
i
inursetake?
i
Transport ithe iclient to ii the
ii ioperating ii
room iwithout iverifying informed
ii iconsent.
19. A inurse ei nters ia iclients iroom ti o iwitness ian ii nformed iconsent ifor ia igastroscopy. iThe iclient istates
ihedoes
i inot iunderstand ithe iprocedure. i Which iof ithe ifollowing iactions ishould ithe inurse itake?
Inform ithe iprovider ithat the ii client
ii requires
ii clarificationiaboutthe
ii ii procedure
ii
20. A icase m
i anager iis ipreparing ai idischarge iplan ifor ia iclient ifollowing ci oronary iartery ibypass
igraphingsurgery.
i iWhich iof ithe ifollowing iclient iissues ishould ithe i nurse a
i ddress ifirst?
Inadequateifood isupply
21. A inurse iin ai iclinic iis ireviewing ilaboratory ireports ifor ia igroup iof iclients. iWhich iof ithe
ifollowingdiseases
i ishould ithe inurse ireport ito ithe istate ihealth idepartment?
Pertussis
22. A inurse ii s ipreparingto
i complete
i ian iincident ireport iregarding ai i medication ierror. iWhich iof
ithefollowing
i iactions ishould ithe inurse pi lan ito itake iSATA.
A. Place ai icopy iof ithe icompleted ireport iin ithe iclient’s imedical irecord
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B. Make ia icopy iof ithe iincident ireport ifor ipersonal irecord ikeeping
C. Include ithe itime ithe imedicationierror occurred
ii in
ii the
ii report
ii
D. identifytheii medicationiname iand ithe idose iadministerediito the
ii ii client
ii in ithe ireport
ii
E. iObtain ai nd iorder ifrom ithe iclient’s iprovider ito ci omplete ithe ireport
23. A icharge inurse ion an i iobstetrical iunit iis ipreparing t
i he ishift iassignment. iWhich iof ithe f
i ollowing
iclientsshould
i ibe iassigned ito ian iRN iwho ihas ifloated ifrom a i imedical-surgical iunit?
A iprimigravidaiclient iwho iis i1 iiday ipostoperativeiifollowingiia iCesarean isection iand ihas ia
P
iiii
iCA ipump
24. A inurse iin ti he iemergency idepartment iis ipreparing ito icare fi or ia iclient iwho iarrived ivia iambulance.
iTheclient
i iis idisoriented iand ihas ia icardiac iarrhythmia. iWhich iof ithe ifollowing iactions ishould ithe
inurse itake?
Proceedwith ii itreatment iwithout iobtainingwritten ii consent
ii
25. A inurse ion ia imedical-surgical iunit iis icaring ifor ia igroup iof iclients iwith ithe iassistance iof ia
ilicensed practical
i inurse i(LPN) iand ian iassistive ipersonnel. iWhich iof ithe ifollowing itasks ishould
ithe inurse i assign ito ithe iLPN?
Reinforcingdietary
ii teaching
ii iwith ia iclientwho
ii ihas iheart idisease
26. A inurse iworking ion ia imedical-surgicaliunit iis imanaging icare oi f ifour iclients. iThe inurse
ishouldschedule
i ian iinterdisciplinaryiconference ifor iwhich iof ithe ifollowing iclients?
A iclient iwho iiis iireceivingiihepariniand ihas ian iaPTT iof i34 seconds
ii
27. A inurse ienters ti he ihallway iand di iscovers ia ivisitor ilooking iat ia iclients i medical iinformation ion
ithecomputer.
i iWhich iof ithe ifollowing iactions ishould t i he inurse itake ifirst?
Close ithe idocumentationiprogramion ithe icomputer
28. A inurse iis iassessing ian iolder iadult iclient iwho iwas ibrought ito ithe iemergency idepartment iby ihis
iadult ison, i who i reports i that i the i client i fell i at i home. i The i nurse i suspects i elder i abuse. i Which i of i the
ifollowing iactions ishould ithe inurse itake?
Ask ithe iclient’s ison ito igo ito ithe iwaiting iiarea.
29. A inurse ii s icaringfor
i ia iclient iwho iis iunconscious iand iwhose ipartner i is itheir ihealthcare s
i urrogate.
iThepartner
i iwishes ito idiscontinue ithe iclient’s ifeeding itube, ibut ianother ifamily imember itells ithe
inurses ithey iwant ithe iclient ito icontinue ireceiving itreatment. iWhich iof ithe ifollowing iresponses
ishould i the inurse imake?
As ithe ihealthcareisurrogateithe iclient’s partnerii ican imake ithe idecision
30. A inurse iis icaring ifor ia iclient i who ireports iacute pain
i ibut irefuses iIM imedication. iThe inurse
idistractsthe
i ci lient iand iquickly iadministers ithe iinjection. iThis iillustrates iwhich iof ithe ifollowing?
Battery
31. A inurse iis icaring ifor ia iclient iwho ihas ianorexia inervosa. iWhich iof ithe ifollowing iinterdisciplinary
iteammembers
i ishould ibe iconsulted iin iregard t
i o ithis iclient’s icare? i(select iall ithat iapply.)
Nutritional itherapist
iMental ihealth
icounseloriCase ii manager
32. A inurse imanager iis ireviewing iisolation iguidelines iwith ia inewly ilicensed inurse. iWhich iof ithe
ifollowing s
i tatements iby t
i he inewly l
i icensed inurse iindicates i understanding iof iisolation iguidelines?
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