ATI RN LEADERSHIP PROCTORED NEWEST 2024 ACTUAL
EXAM TEST BANK COMPLETE 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH NGN QUESTIONS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A charge nurse is supervising the care of several clients. Which of the
following actions requires intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were
requested - ANSWER- A. Nurse photocopying their assigned clients
diagnostic test results
A nurse is receiving report from the AP assigned to the nurses group of
clients. Which of the following statements from the AP indicates the
client the nurse should assess first?
A. Client who had ABD surgery three days ago and reporting feeling
constipated
B. Client who had hip surgery reports pain 4/10
C. Client indwelling urinary catheter removed eight hours ago reports
inability to void
D. Client who is scheduled for discharge today states they are ready to
sign their paper - ANSWER- C. Client who had indwelling urinary
catheter removed eight hours ago reports inability to void.
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Rationale; Not voiding for 6 to 8 hr after indwelling urinary
catheter removal indicates this client is at risk for urinary retention,
which can cause a UTI.
A nurse manager is planning an in-service for a group of nurses about
caring for clients following stem cell transplant. Which of the following
instructions should the nurse manager include in the teaching?
A. Assigned to clients who have had a stem cell transplant to the same
room
B. Obtain rectal temp Q4 hours
C. Where an N 95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms - ANSWER- D. Place
clients and positive pressure airflow rooms.
Rationale; The patient requires protective equipment precautions
following a stem cell transplant in a private, positive pressure
airflow room. The room air is filtered through a HEPA filter and
the air flow rate is set at more than 12 error exchanges per hour
A nurse is developing a plan of care for a school-age child whose family
is homeless. Which of the following findings should the nurse identify
as a priority?
A. Child has red fissures at the corners of their mouth
B. Child has several small bruises on both legs
C. Child sleeps for 13 H hour each night
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D. Child is not regularly attending school - ANSWER- A. Child has red
fissures at the corners of the mouth.
Rationale; Use Maslow's hierarchy of needs, this can indicate a
vitamin B deficiency which is a physiological need.
A charge nurse recognizes a trend of poor attendance at monthly staff
meetings. To address this issue, which of the following actions should
the nurse charge nurse take first?
A. Write a memorandum emphasizing the importance of attending staff
meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend -
ANSWER- C. Explore the reasons the staff are not attending the
meetings.
Rationale; According to evidence-based practice, the nurse should
first identify the reasons that staff are not attending the meetings.
This allows the nurse to address the specific problems identified by
the staff.
A nurse walks into the nurses station and sees several staff members
looking at the electronic medical record EMR record of a celebrity client
on another unit. Which of the following actions should the nurse take
first?
A. Remind the staff members that this is a breach of confidentiality
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B. Discuss the issue with the nurse manager
C. Request that administrative restriction be placed on the clients record
access
D. Prepare a memo for facility ethics committee - ANSWER- A.
Remind the staff members that this is a breach of confidentiality.
Rationale; When using the urgent vs nonurgent approach to client
care, the nurse determines that the first action is to intervene
immediately to prevent any further breach in confidentiality.
A nurse is providing preoperative teaching for a client who is scheduled
for a total knee arthroplasty (TKA) and speaks a different language than
the nurse. Which of the following inter-professional team members
should the nurse include in the discussion? - ANSWER- Interpreter
A nurse is reviewing a client's clinical pathway upon discharge
following hip arthroplasty. Which of the following information can
assist the nurse in evaluating the cost effectiveness of the care?
A. The age of client
B. Availability of community support groups
C. Length of clients stay
D. Type of insurance the client carries - ANSWER- C. The length of
clients stay.
Rationale; The client's clinical pathway is a standardized approach
to assist the nurse to provide cost-effective client care and shorten
the length of stay.