lOMoARcPSD|5967629
lOMoARcPSD|5967
ATI LEADERSHIP. LEADERSHIP - Proctored
(Complete) 2021. Top Grade (Riverside City College)
TI Leadership Exam 2021
A charge nurse is evaluating a newly licensed nurse at the end of orientation. Which of the
following behaviors indicates the nurse is using effective time management skills?
The nurse will develop a list of non-essential tasks that can wait until more urgent tasks are
complete and demonstrate effective time management.
A nurse is receiving change-of-shift report at the start of the shift. Which of the following
clients should the nurse assess first?
A client who had abdominal surgery 6 hr ago and has a heart rate of 120/min for the last 2 hr
When using the airway, breathing, circulation (ABC) approach to client care, the nurse
determines the priority finding is an elevated heart rate following surgery; therefore, the nurse
should assess this client first.
A nursing unit is undergoing changes to accommodate new bariatric services that will be
available on the unit. Some staff members have verbalized displeasure with the changes.
Which of the following should the charge nurse do? (Select all that apply.)
Role model a positive approach to the changes is correct. It is important for the charge
nurse to role model positive behaviors and demonstrate support of the change.
Redirect the conversation when negative comments about the changes are made is
incorrect. The charge nurse should give staff members who oppose the change the opportunity
to verbalize their objections and thereby discuss possible solutions.
Encourage staff members who support the changes to discuss the issue with resistant staff
is correct. Peers can serve as change agents and encourage others to embrace the changes.
Suggest that resistant staff members transfer to a different unit is incorrect. This approach
avoids conflict rather than attempting to resolve it.
Reprimand staff members who are resistant to the changes is incorrect. Resistance to
change is a normal part of the change process. The charge nurse should use positive strategies to
aid in acceptance of the proposed change.
A nurse is caring for a client who is 3 days postoperative following open heart surgery
and is to transfer to the medical-surgical unit. Which of the following should the nurse
plan to include in the verbal report?
The client's level of consciousness
, lOMoARcPSD|5967629
A nurse case manager is planning a teaching session on use of critical pathways with a
group of newly licensed nurses. The nurse should include which of the following in the
teaching about critical pathways?
Critical pathways prevent unnecessary expense.
Nurses use critical pathways to implement evidence-based strategies for clients who have a
specific, common diagnosis.
A charge nurse is planning client care assignments for the unit. Which of the following
clients should the nurse assign to a licensed practical nurse (LPN)?
A client who has Crohn’s disease and requires an enteral feeding
A nurse manager is presenting an inservice about preventing readmission of clients due to
complications after joint replacement surgery. Which of the following leadership tasks is
the nurse performing?
Advocacy
A staff nurse at a long-term care facility is evaluating an assistive personnel (AP) caring
for a group of clients who require restraints. Which of the following is an appropriate
action by the AP?
Placing the restraint tie on a moveable part of the bed frame
not the side rails, to prevent constriction when changing the position of the bed.
The nurse should secure mitten restraints at the client’s wrist.
An older adult client is being discharged with a postoperative infection, requiring daily
home IV antibiotics through a PICC line. Which of the following actions should the case
manager perform prior to discharge?
Ensure that home infusion therapy has been arranged.
A charge nurse is planning care for a group of clients. Which of the following tasks should
be delegated to an assistive personnel (AP)? (Select all that apply.)
Flushing a client's saline lock is incorrect. This is not within the AP's scope of practice.
Ambulating a client who uses a walker is correct. This is within the AP's scope of practice.
Adding thickener to thin liquids on a client's food tray is correct. This is within the AP's
scope of practice.
lOMoARcPSD|5967
ATI LEADERSHIP. LEADERSHIP - Proctored
(Complete) 2021. Top Grade (Riverside City College)
TI Leadership Exam 2021
A charge nurse is evaluating a newly licensed nurse at the end of orientation. Which of the
following behaviors indicates the nurse is using effective time management skills?
The nurse will develop a list of non-essential tasks that can wait until more urgent tasks are
complete and demonstrate effective time management.
A nurse is receiving change-of-shift report at the start of the shift. Which of the following
clients should the nurse assess first?
A client who had abdominal surgery 6 hr ago and has a heart rate of 120/min for the last 2 hr
When using the airway, breathing, circulation (ABC) approach to client care, the nurse
determines the priority finding is an elevated heart rate following surgery; therefore, the nurse
should assess this client first.
A nursing unit is undergoing changes to accommodate new bariatric services that will be
available on the unit. Some staff members have verbalized displeasure with the changes.
Which of the following should the charge nurse do? (Select all that apply.)
Role model a positive approach to the changes is correct. It is important for the charge
nurse to role model positive behaviors and demonstrate support of the change.
Redirect the conversation when negative comments about the changes are made is
incorrect. The charge nurse should give staff members who oppose the change the opportunity
to verbalize their objections and thereby discuss possible solutions.
Encourage staff members who support the changes to discuss the issue with resistant staff
is correct. Peers can serve as change agents and encourage others to embrace the changes.
Suggest that resistant staff members transfer to a different unit is incorrect. This approach
avoids conflict rather than attempting to resolve it.
Reprimand staff members who are resistant to the changes is incorrect. Resistance to
change is a normal part of the change process. The charge nurse should use positive strategies to
aid in acceptance of the proposed change.
A nurse is caring for a client who is 3 days postoperative following open heart surgery
and is to transfer to the medical-surgical unit. Which of the following should the nurse
plan to include in the verbal report?
The client's level of consciousness
, lOMoARcPSD|5967629
A nurse case manager is planning a teaching session on use of critical pathways with a
group of newly licensed nurses. The nurse should include which of the following in the
teaching about critical pathways?
Critical pathways prevent unnecessary expense.
Nurses use critical pathways to implement evidence-based strategies for clients who have a
specific, common diagnosis.
A charge nurse is planning client care assignments for the unit. Which of the following
clients should the nurse assign to a licensed practical nurse (LPN)?
A client who has Crohn’s disease and requires an enteral feeding
A nurse manager is presenting an inservice about preventing readmission of clients due to
complications after joint replacement surgery. Which of the following leadership tasks is
the nurse performing?
Advocacy
A staff nurse at a long-term care facility is evaluating an assistive personnel (AP) caring
for a group of clients who require restraints. Which of the following is an appropriate
action by the AP?
Placing the restraint tie on a moveable part of the bed frame
not the side rails, to prevent constriction when changing the position of the bed.
The nurse should secure mitten restraints at the client’s wrist.
An older adult client is being discharged with a postoperative infection, requiring daily
home IV antibiotics through a PICC line. Which of the following actions should the case
manager perform prior to discharge?
Ensure that home infusion therapy has been arranged.
A charge nurse is planning care for a group of clients. Which of the following tasks should
be delegated to an assistive personnel (AP)? (Select all that apply.)
Flushing a client's saline lock is incorrect. This is not within the AP's scope of practice.
Ambulating a client who uses a walker is correct. This is within the AP's scope of practice.
Adding thickener to thin liquids on a client's food tray is correct. This is within the AP's
scope of practice.