NGN ATI LEADERSHIP PROCTORED EXAM 2024/ACTUAL
EXAM 150 QUESTIONS WITH CORRECT DETAILED AND
VERIFIED ANSWERS WITH RATIONALES/ ATI
LEADERSHIP PROCTORED EXAM 2024-2025/ALREADY
GRADED A+
Which is a recommended guideline for safe computerized charting? -
Passwords to the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the
nursing manager or supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard
at the CAREGIVERs' station for other CAREGIVERs to access.
Rationale: After any inadvertent deletions of permanent computerized records,
the CAREGIVER should type an explanation into the computer file with the
date, time, and his or her initials. The CAREGIVER should also contact the
nursing manager or supervisor with a written explanation of the situation.
Options 1, 2, and 4 represent unsafe charting actions. Only option 3 follows the
guidelines for safe computer charting.
The licensed practical CAREGIVER (LPN) enters a client's room and finds
the client sitting on the floor. The LPN calls the registered CAREGIVER, who
checks the client thoroughly and then assists the client back into bed. The LPN
completes an incident report, and the nursing supervisor and health care
provider (HCP) are notified of the incident. Which is the next nursing action
regarding the incident? - Place the incident report in the client's chart.
2.
Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident.
(correct)
4.
Document in the client's record that an incident report has been completed
,RATIONALE: The incident report is confidential and privileged information,
and it should not be copied, placed in the chart, or have any reference made to
it in the client's record. The incident report is not a substitute for a complete
entry in the client's record concerning the incident.
An unconscious client, bleeding profusely, is brought to the emergency
department after a serious accident. Surgery is required immediately to save
the client's life. With regard to informed consent for the surgical procedure,
which is the best action? - Call the nursing supervisor to initiate a court order
for the surgical procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical
procedure.
3.
Ask the friend who accompanied the client to the emergency department to
sign the consent form.
4.
Transport the client to the operating department immediately, as
required by the health care provider, without obtaining an informed
consent. (CORRECT)
RATIONALE: Generally there are only two instances in which the informed
consent of an adult client is not needed. One instance is when an emergency is
present and delaying treatment for the purpose of obtaining informed consent
would result in injury or death to the client. The second instance is when the
client waives the right to give informed consent.
Options 1, 2, and 3 are inappropriate
The CAREGIVER arrives at work and is told to report (float) to the pediatric
unit for the day because the unit is understaffed and needs additional
CAREGIVERs to care for the clients. The CAREGIVER has never worked in
the pediatric unit. Which is the appropriate nursing action? - .
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric unit.
4.
Report to the pediatric unit and identify tasks that can be safely performed
(correct)
,RATIONALE: Floating is an acceptable legal practice used by hospitals to
solve their understaffing problems. Legally the CAREGIVER cannot refuse
to float unless a union contract guarantees that the CAREGIVER can only
work in a specified area or the CAREGIVER can prove a lack of knowledge
for the performance of assigned tasks. When faced with this situation, the
CAREGIVER should identify potential areas of harm to the client
The CAREGIVER enters a client's room and notes that the client's lawyer is
present and that the client is preparing a living will. The living will requires that
the client's signature be witnessed, and the client asks the CAREGIVER to
witness the signature. Which is the appropriate nursing action? –
Decline to sign the will. (CORRECT)
2.
Sign the will as a witness to the signature only.
3.
Call the hospital lawyer before signing the will.
4.
Sign the will, clearly identifying credentials and employment agency.
RATIONALE: Living wills are required to be in writing and signed by the
client. The client's signature either must be witnessed by specified individuals or
notarized. Many states prohibit any employee from being a witness, including
the CAREGIVER in a facility in which the client is receiving care.
The CAREGIVER finds the client lying on the floor. The CAREGIVER calls
the registered CAREGIVER, who checks the client and then calls the nursing
supervisor and the health care provider to inform them of the occurrence. The
CAREGIVER completes the incident report for which purpose? –
providing clients with necessary stabilizing treatments
2.
A method of promoting quality care and risk management (correct)
3.
Determining the effectiveness of interventions in relation to outcomes
4.
The appropriate method of reporting to local, state, and federal agencies
, RATIONALE: Proper documentation of unusual occurrences, incidents,
accidents, and the nursing actions taken as a result of the occurrence are
internal to the institution or agency. Documentation on the incident report
allows the CAREGIVER and administration to review the quality of care and
determine any potential risks present. Options 1, 3, and 4 are incorrect.
The CAREGIVER observes that a client received pain medication 1 hour ago
from another CAREGIVER, but the client still has severe pain. The
CAREGIVER has previously observed this same occurrence.
Based on the CAREGIVER practice act, the observing CAREGIVER
should plan to take which action? - Report the information to the police.
2.
Call the impaired CAREGIVER organization.
3.
Talk with the CAREGIVER who gave the medication.
4.
Report the information to a nursing supervisor. (CORRECT)
RATIONALE: CAREGIVER practice acts require reporting the suspicion of
impaired CAREGIVERs. The state board of nursing has jurisdiction over the
practice of nursing and may develop plans for treatment and supervision. This
suspicion needs to be reported to the nursing supervisor, who will then report to
the board of nursing. Options 1 and 2 are inappropriate. Option 3 may cause a
conflict.
A CAREGIVER lawyer provides an education session to the nursing staff
regarding client rights. The CAREGIVER asks the lawyer to describe an
example that may relate to invasion of client privacy.
Which nursing action indicates a violation of client privacy? - Threatening to
place a client in restraints
2.
Performing a surgical procedure without consent
3.
Taking photographs of the client without consent (CORRECT)
4.
Telling the client that he or she cannot leave the hospital
EXAM 150 QUESTIONS WITH CORRECT DETAILED AND
VERIFIED ANSWERS WITH RATIONALES/ ATI
LEADERSHIP PROCTORED EXAM 2024-2025/ALREADY
GRADED A+
Which is a recommended guideline for safe computerized charting? -
Passwords to the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the
nursing manager or supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard
at the CAREGIVERs' station for other CAREGIVERs to access.
Rationale: After any inadvertent deletions of permanent computerized records,
the CAREGIVER should type an explanation into the computer file with the
date, time, and his or her initials. The CAREGIVER should also contact the
nursing manager or supervisor with a written explanation of the situation.
Options 1, 2, and 4 represent unsafe charting actions. Only option 3 follows the
guidelines for safe computer charting.
The licensed practical CAREGIVER (LPN) enters a client's room and finds
the client sitting on the floor. The LPN calls the registered CAREGIVER, who
checks the client thoroughly and then assists the client back into bed. The LPN
completes an incident report, and the nursing supervisor and health care
provider (HCP) are notified of the incident. Which is the next nursing action
regarding the incident? - Place the incident report in the client's chart.
2.
Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident.
(correct)
4.
Document in the client's record that an incident report has been completed
,RATIONALE: The incident report is confidential and privileged information,
and it should not be copied, placed in the chart, or have any reference made to
it in the client's record. The incident report is not a substitute for a complete
entry in the client's record concerning the incident.
An unconscious client, bleeding profusely, is brought to the emergency
department after a serious accident. Surgery is required immediately to save
the client's life. With regard to informed consent for the surgical procedure,
which is the best action? - Call the nursing supervisor to initiate a court order
for the surgical procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical
procedure.
3.
Ask the friend who accompanied the client to the emergency department to
sign the consent form.
4.
Transport the client to the operating department immediately, as
required by the health care provider, without obtaining an informed
consent. (CORRECT)
RATIONALE: Generally there are only two instances in which the informed
consent of an adult client is not needed. One instance is when an emergency is
present and delaying treatment for the purpose of obtaining informed consent
would result in injury or death to the client. The second instance is when the
client waives the right to give informed consent.
Options 1, 2, and 3 are inappropriate
The CAREGIVER arrives at work and is told to report (float) to the pediatric
unit for the day because the unit is understaffed and needs additional
CAREGIVERs to care for the clients. The CAREGIVER has never worked in
the pediatric unit. Which is the appropriate nursing action? - .
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric unit.
4.
Report to the pediatric unit and identify tasks that can be safely performed
(correct)
,RATIONALE: Floating is an acceptable legal practice used by hospitals to
solve their understaffing problems. Legally the CAREGIVER cannot refuse
to float unless a union contract guarantees that the CAREGIVER can only
work in a specified area or the CAREGIVER can prove a lack of knowledge
for the performance of assigned tasks. When faced with this situation, the
CAREGIVER should identify potential areas of harm to the client
The CAREGIVER enters a client's room and notes that the client's lawyer is
present and that the client is preparing a living will. The living will requires that
the client's signature be witnessed, and the client asks the CAREGIVER to
witness the signature. Which is the appropriate nursing action? –
Decline to sign the will. (CORRECT)
2.
Sign the will as a witness to the signature only.
3.
Call the hospital lawyer before signing the will.
4.
Sign the will, clearly identifying credentials and employment agency.
RATIONALE: Living wills are required to be in writing and signed by the
client. The client's signature either must be witnessed by specified individuals or
notarized. Many states prohibit any employee from being a witness, including
the CAREGIVER in a facility in which the client is receiving care.
The CAREGIVER finds the client lying on the floor. The CAREGIVER calls
the registered CAREGIVER, who checks the client and then calls the nursing
supervisor and the health care provider to inform them of the occurrence. The
CAREGIVER completes the incident report for which purpose? –
providing clients with necessary stabilizing treatments
2.
A method of promoting quality care and risk management (correct)
3.
Determining the effectiveness of interventions in relation to outcomes
4.
The appropriate method of reporting to local, state, and federal agencies
, RATIONALE: Proper documentation of unusual occurrences, incidents,
accidents, and the nursing actions taken as a result of the occurrence are
internal to the institution or agency. Documentation on the incident report
allows the CAREGIVER and administration to review the quality of care and
determine any potential risks present. Options 1, 3, and 4 are incorrect.
The CAREGIVER observes that a client received pain medication 1 hour ago
from another CAREGIVER, but the client still has severe pain. The
CAREGIVER has previously observed this same occurrence.
Based on the CAREGIVER practice act, the observing CAREGIVER
should plan to take which action? - Report the information to the police.
2.
Call the impaired CAREGIVER organization.
3.
Talk with the CAREGIVER who gave the medication.
4.
Report the information to a nursing supervisor. (CORRECT)
RATIONALE: CAREGIVER practice acts require reporting the suspicion of
impaired CAREGIVERs. The state board of nursing has jurisdiction over the
practice of nursing and may develop plans for treatment and supervision. This
suspicion needs to be reported to the nursing supervisor, who will then report to
the board of nursing. Options 1 and 2 are inappropriate. Option 3 may cause a
conflict.
A CAREGIVER lawyer provides an education session to the nursing staff
regarding client rights. The CAREGIVER asks the lawyer to describe an
example that may relate to invasion of client privacy.
Which nursing action indicates a violation of client privacy? - Threatening to
place a client in restraints
2.
Performing a surgical procedure without consent
3.
Taking photographs of the client without consent (CORRECT)
4.
Telling the client that he or she cannot leave the hospital
