ATI PN LEADERSHIP
MANAGEMENT PROCTORED
EXAM 2023/2024 UPDATE
GRADED A+
1) 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
2) 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
3) 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
4) 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.
5) A nurse precepting a newly licensed 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?”
6) 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
7) 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
8) Two days after delivery, a postpartum client prepares for discharge. What should
the nurse teach her about lochia flow?
a) Incorrect: Lochia does change color but goes from lochia rubra (bright red) on
days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy
white) days 10-21.
b) Incorrect: Numerous clots are abnormal and should be reported to the physician.
c) Incorrect: Saturation of the perineal pad is considered abnormal and may
indicate postpartum hemorrhage.
d) Correct: Lochia normally lasts for about 21 days, and changes from a bright red,
to pinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days Numerous
large clots are normal for the next three to four days.
Saturation of the perineal pad with blood is expected when getting up from the bed
Lochia should last for about 3 weeks, changing color every few days.
9) A nurse monitors fetal well-being by means of an external monitor. At the peak
of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min
below the baseline. Late decelerations are suspected and the nurse notifies the
physician. Which is the rationale for this action?
a) Incorrect: A nuchal cord (cord around the neck) is associated with variable
decelerations, not late decelerations.
MANAGEMENT PROCTORED
EXAM 2023/2024 UPDATE
GRADED A+
1) 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
2) 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
3) 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
4) 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.
5) A nurse precepting a newly licensed 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?”
6) 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
7) 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
8) Two days after delivery, a postpartum client prepares for discharge. What should
the nurse teach her about lochia flow?
a) Incorrect: Lochia does change color but goes from lochia rubra (bright red) on
days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy
white) days 10-21.
b) Incorrect: Numerous clots are abnormal and should be reported to the physician.
c) Incorrect: Saturation of the perineal pad is considered abnormal and may
indicate postpartum hemorrhage.
d) Correct: Lochia normally lasts for about 21 days, and changes from a bright red,
to pinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days Numerous
large clots are normal for the next three to four days.
Saturation of the perineal pad with blood is expected when getting up from the bed
Lochia should last for about 3 weeks, changing color every few days.
9) A nurse monitors fetal well-being by means of an external monitor. At the peak
of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min
below the baseline. Late decelerations are suspected and the nurse notifies the
physician. Which is the rationale for this action?
a) Incorrect: A nuchal cord (cord around the neck) is associated with variable
decelerations, not late decelerations.
