ALL COMPLETED
VERSIONS
ATI LEADERSHIP PROCTORED EXAM
VERSION 1 Q & A
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
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 2 hr 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.
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
,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 determine the
reason why clients are not receiving adequate pain management after surgery?
A. Prospective chart audit
B. Retrospective chart audit
C. Postoperative care 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?”
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
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
8. A client is admitted wit 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
,9. A nurse is caring for a client who is unconscious and whose partner is health care proxy.
The partner has spoken with the provider and wishes to discontinue the client’s 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 client’s care. “Which of the following responses by
the nurse is appropriate?
A. You should consider speaking with the facility’s ethics committee before making your
decision
B. You have the right to make decision, even if the partner is the client’s health care
proxy
C. The client has designated his partner as health care proxy in his advance directives
D. We’ll need to have the nursing supervisor review the client’s advance directives
10. A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following info is most important for the nurse to report at shift
change?
A. Gasglow Coma scale score
B. Most recent blood glucose reading
C. Lab test scheduled for next shift
D. Reddened area on the coccyx
24.A nurse is caring for a client who is scheduled for surgery. The nurse’s role in regard to informed consent is which
of the following?
A. Ensuring the charge nurse is available to witness the client’s signature on the consent form
Rationale:The nurse caring for the client can witness the client’s signature on the consent form. It is not necessary to
ask the charge nurse to serve as the witness.
B. Explaining the risks involved with the procedure
Rationale:The surgeon must explain the risks involved with the procedure. A nurse who attempts to explain the risks
involved with the procedure faces the possibility of legal action if the information is incomplete or incorrect.
Additionally, the nurse is interfering with the client-provider relationship.
C. Discussing alternate treatment options
Rationale:Discussing alternate treatment options is the responsibility of the surgeon. A nurse who
attempts to discuss alternate treatment options faces the possibility of legal action if the information is incomplete or
incorrect. Additionally, the nurse is interfering with the client-provider relationship.
, D. Determining the client’s level of understanding about the procedure
Rationale:In the role of client advocate, the nurse is responsible for ensuring the client understands the
information provided by the surgeon and must notify the surgeon if the client has questions.
25.A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the
nurse. The nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was
negligent is which of the following?
A. An expert nurse provides testimony that the nurse should have handled the situation differently.
Rationale:Although expert nurses can be called to testify by attorneys for both the plaintiff and the defendant, this is
not the standard used to determine the nurse's liability.
B. Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the
situation.
Rationale:The definition of negligence is practice that is below the standard of care. The benchmark for standard of
care is what a reasonable, prudent person who has similar background and experience would do. Another staff nurse
who has similar background is the correct person to provide testimony.
C. The client's attorney states that injury to the client could have been prevented.
Rationale:Although the client's attorney can offer an opinion regarding how injury to the client occurred and could
have been prevented, this is not the standard used to determine the nurse's liability. D. The client's provider testifies
the nurse was at fault for the injury.
Rationale:Although the client's provider can be called to testify about the injury, this is not the standard used to
determine if the nurse was negligent.
26.A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client
care. Which of the following aspects of client care is measured by a process audit?
A. Availability of resources, such as fire extinguishers
Rationale:Structure audits evaluate the availability of resources.
B. Nursing staff ratios
Rationale:Structure audits measure staffing ratios.
C. Quality of nursing care provided
Rationale:Process audits evaluate the quality of care nurses provide. They also determine if the care provided by
nurses is consistent with established facility policy.
D. Length of facility stay for a cohort of clients
Rationale:Outcome audits measure the outcome of the care provided and include elements such as morbidity,
mortality, and length of facility stay.
VERSIONS
ATI LEADERSHIP PROCTORED EXAM
VERSION 1 Q & A
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
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 2 hr 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.
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
,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 determine the
reason why clients are not receiving adequate pain management after surgery?
A. Prospective chart audit
B. Retrospective chart audit
C. Postoperative care 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?”
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
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
8. A client is admitted wit 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
,9. A nurse is caring for a client who is unconscious and whose partner is health care proxy.
The partner has spoken with the provider and wishes to discontinue the client’s 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 client’s care. “Which of the following responses by
the nurse is appropriate?
A. You should consider speaking with the facility’s ethics committee before making your
decision
B. You have the right to make decision, even if the partner is the client’s health care
proxy
C. The client has designated his partner as health care proxy in his advance directives
D. We’ll need to have the nursing supervisor review the client’s advance directives
10. A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following info is most important for the nurse to report at shift
change?
A. Gasglow Coma scale score
B. Most recent blood glucose reading
C. Lab test scheduled for next shift
D. Reddened area on the coccyx
24.A nurse is caring for a client who is scheduled for surgery. The nurse’s role in regard to informed consent is which
of the following?
A. Ensuring the charge nurse is available to witness the client’s signature on the consent form
Rationale:The nurse caring for the client can witness the client’s signature on the consent form. It is not necessary to
ask the charge nurse to serve as the witness.
B. Explaining the risks involved with the procedure
Rationale:The surgeon must explain the risks involved with the procedure. A nurse who attempts to explain the risks
involved with the procedure faces the possibility of legal action if the information is incomplete or incorrect.
Additionally, the nurse is interfering with the client-provider relationship.
C. Discussing alternate treatment options
Rationale:Discussing alternate treatment options is the responsibility of the surgeon. A nurse who
attempts to discuss alternate treatment options faces the possibility of legal action if the information is incomplete or
incorrect. Additionally, the nurse is interfering with the client-provider relationship.
, D. Determining the client’s level of understanding about the procedure
Rationale:In the role of client advocate, the nurse is responsible for ensuring the client understands the
information provided by the surgeon and must notify the surgeon if the client has questions.
25.A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the
nurse. The nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was
negligent is which of the following?
A. An expert nurse provides testimony that the nurse should have handled the situation differently.
Rationale:Although expert nurses can be called to testify by attorneys for both the plaintiff and the defendant, this is
not the standard used to determine the nurse's liability.
B. Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the
situation.
Rationale:The definition of negligence is practice that is below the standard of care. The benchmark for standard of
care is what a reasonable, prudent person who has similar background and experience would do. Another staff nurse
who has similar background is the correct person to provide testimony.
C. The client's attorney states that injury to the client could have been prevented.
Rationale:Although the client's attorney can offer an opinion regarding how injury to the client occurred and could
have been prevented, this is not the standard used to determine the nurse's liability. D. The client's provider testifies
the nurse was at fault for the injury.
Rationale:Although the client's provider can be called to testify about the injury, this is not the standard used to
determine if the nurse was negligent.
26.A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client
care. Which of the following aspects of client care is measured by a process audit?
A. Availability of resources, such as fire extinguishers
Rationale:Structure audits evaluate the availability of resources.
B. Nursing staff ratios
Rationale:Structure audits measure staffing ratios.
C. Quality of nursing care provided
Rationale:Process audits evaluate the quality of care nurses provide. They also determine if the care provided by
nurses is consistent with established facility policy.
D. Length of facility stay for a cohort of clients
Rationale:Outcome audits measure the outcome of the care provided and include elements such as morbidity,
mortality, and length of facility stay.
