ATI LEADERSHIP PROCTORED EXAM 2019 REAL EXAM QUESTIONS AND ANSWERS Updated 2023/2024

A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first? o Establish measurement criteria for infant safety systems. o Evaluate the selected infant safety system. o Choose an infant safety system. o Identify the industry standards for infant safety. ; o Identify the industry standards for infant safety. = A nurse at a local health department is caring for four clients who have communicable diseases. Which of the following infections should the nurse report to the state health department? o Chlamydia trachomatis o Pediculosis capitis o Impetigo contagiosa o Candida albicans ; o Chlamydia trachomatis = A nurse at a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department. o Candidiasis o Gonorrhea o Trichomoniasis o Human papillomavirus ; o Gonorrhea = A charge nurse discovers that a staff nurse on the unit has made repeated medication errors. Which of the following actions should the charge nurse take first? o Review with the nurse principles of medication administration. o Ask the nurse to describe the medication administration procedure. o Identify education opportunities for the nurse regarding safe medication administration. o Notify the risk management department of the situation. ; o Ask the nurse to describe the medication administration procedure. = The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make the health care decision? o The provider o The oldest adult child o The partner o The client ; o The client = A nurse is working with a committee that is performing an annual review of policies and procedures. After gathering data, identify the sequence the committee should follow when using the stages of change. (put in order) o Implement the revised protocol o Determine goals o Review the results of the provisions. o Create a revised protocol ; o Determine goals o Create a revised protocol o Implement the revised protocol o Review the results of the provisions. = A nurse is providing a change of shift report for the oncoming nurse. Which of the following information should the nurse include in the report? o “ The client’s partner came to visit him 2 hours ago and smelled of alcohol.” o “ The client is the president of a local bank.” o “ The client will need vital signs checked every 4 hours.” o “ The client is currently in the radiology department for a chest x-ray.” ; o “ The client is currently in the radiology department for a chest x-ray.” = A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The pa*rent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? o Child protective services o Pharmacist o Social worker o Respiratory therapist ; o Social worker = A nurse is preparing a shift assignment for an assistive personnel on the unit. Which of the following tasks should the nurse assign to the AP? o Check a client’s pain level 30 min after receiving acetaminophen o Administer the initial bolus feeding to a client who has an NG tube o Collect a urine specimen from a newly admitted client o Instruct a client to splint an abdominal incision ; o Collect a urine specimen from a newly admitted client = A nurse is teaching a class of newly licensed nurses about evidence- based practice. The nurse should include which of the following as a first step in evidence-based practice. o Collect evidence from a variety of sources o Develop a clinical question o Apply research to client care practice o Critically assess the evidence ; o Develop a clinical question = A nurse is inspecting a clients IV pump prior to use. The nurse should tag and report which of the following safety hazards? o The electrical cord is taped to the floor o The IV pump is plugged into an outlet close to the bed o The IV pump has a free-flow protective device o The electric plug has two short prongs ; o The electric plug has two short prongs = A nurse who is caring for a group of clients, delegates collection of vital signs to an assistive personnel. Which of the following actions should the nurse take to evaluate the delegated task? o Recheck vital signs that are outside the expected reference range o Review the vital sign trends at the end of the shift. o Ask the AP to write a summary of the delegated tasks during the shift. o Compare the vital signs the AP obtained with those taken by another AP on a previous shift. ; o Recheck vital signs that are outside the expected reference range = A nurse is caring for a client who has signed consent for the removal of the tumor in the left frontal lobe of the brain. The client states, “The tumor is on the right side of my head.” Which of the following actions should the nurse take? o Continue with the surgery because the client already gave informed consent. o Ask the surgeon to clarify the operative site with the client o Contact the surgery department to validate the operative site o Tell the client to mark the right side of his head with indelible ink ; o Ask the surgeon to clarify the operative site with the client = A nurse is preparing to witness a client’s signature on an informed consent for a surgical procedure. Which of the following actions is the nurse’s responsibility? o Ensuring the client appears competent to consent to the procedure o Discussing options for the alternative therapies with the client o Providing the client with a complete description of the procedure o Explaining the risks associated with the procedure to the client ; o Ensuring the client appears competent to consent to the procedure = A charge nurse witnesses two nurses having a loud discussion at the nurses’ station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take? o Make arrangements to take over the clients care. o Contact the house supervisor to mediate the conflict o Escort the nurses to the nurses lounge to continue the discussion o Recommend that both nurses are terminated ; o Escort the nurses to the nurses lounge to continue the discussion = A nurse is observing an assistive personnel administer 0.9% sodium chloride enema to an adult client. For which of the following actions by the AP should the nurse intervene? o Inserts the tubing 8 cm (3.1 in) into the rectum o Positions the client on her left side with knees flexed o Points tubing in the direction of the umbilicus during insertion o Administers the solution at room temperature ; o Positions the client on her left side with knees flexed = A nurse is prioritizing care after receiving report on four clients. Which of the following clients should the nurse assess first? o A client who reports feeling lightheaded when he stands up from a lying position o A client who reports an urge to void but has not urinated during the shift prior o A client who reports indigestion and pain in her jaw o A client who reports a headache with sensitivity to light ; o A client who reports indigestion and pain in her jaw = A charge nurse is directing the unit nurses to implement the emergency response plan for a fire on the unit. Which of the following instructions should the charge nurse give to the unit nurses? o Ask ambulatory clients to help move clients in wheelchairs to safety o Continue therapy for clients who are receiving oxygen o Close the doors of the unit before moving clients to a safe place o Maintain mechanical ventilation for clients who are on life support. ; o Continue therapy for clients who are receiving oxygen = A nurse is providing teaching to an older adult client regarding home safety. Which of the following instructions should the nurse include in the teaching? o Cover chords with the carpet to prevent falls o Unplug humidifier before cleaning it o Change batteries in the smoke alarm every 2 years o Set the water heater to 60 degrees C (140 F) ; o Unplug humidifier before cleaning it = A nurse is using the SBAR communication tool while giving report on a client. The nurse should include the client’s pain level after receiving a PRN dose of morphine 1 hr ago during which part of the report? o A-assessment o B-background o R-recommendation o S-situation ; o A-assessment = A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using? o Benchmarking o Structure audit o Risk benefit analysis o Root cause analysis ; o Benchmarking = A nurse is planning a discharge for a client who has a new diagnosis of COPD and lives alone. Which of the following actions is the nurse’s priority? o Provide printed materials for new prescriptions o Set up appointments in in-home physical therapy o Request a referral for a home safety assessment o Suggest participating in a community group ; o Request a referral for a home safety assessment = A nurse is caring for a group of clients. Which of the following clients should the nurse see first? o A client who is postoperative and has a fever o A client who has a fractured hip and reports a pain level of 7 on a scale of 0 to10 o A client who has pressure ulcer has serosanguineous drainage on the dressing o A client who has diabetes mellitus and is diaphoretic ; o A client who has diabetes mellitus and is diaphoretic = A nurse manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as an HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? o Negligence o Battery o Libel o Slander ; o Libel = A nurse initiates a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings supports the need for the referral? o The client has difficulty ambulating with a walker o The client requires assistance with completing oral hygiene o The client reports pain when chewing on solid foods o The client expresses desire to join a support group ; o The client requires assistance with completing oral hygiene = A home health nurse finds piles of newspaper in the hallway of a client’s home. The nurse explains the need to discard the newspapers for safety reasons. The client agrees to move the newspapers into the living room. Which of the following conflict resolution strategies has the nurse used? o Compromising o Smoothing o Collaborating o Accommodating ; o Collaborating = A nurse reports to a charge nurse that a client’s visitor slipped and fell. The visitor denies any injury and is walking around. Which of the following instructions should the charge nurse give the nurse? o “ Have the visitor sign a waiver” o “ Document the incident report in the client’s medical record” o “Offer the visitor an analgesic” o “ Record the event on an occurrence report” ; o “ Record the event on an occurrence report” = A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? o A code of ethics is a step-by-step approach to decision making o A code of ethics is legally binding o A code of ethics outlines the nurses scope of practice o A code of ethics is a set of principles for nursing practice ; o A code of ethics outlines the nurses scope of practice = An infection control nurse is planning an education program for a group of newly licensed nurses. Which of the following infections should the nurse include when discussing illnesses requiring droplet precautions? o Rotavirus o Rubeola o Varicella o Mumps