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ATI RN LEADERSHIP PROCTORED WITH NGN
NEWEST 2024 ACTUAL EXAM 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Using quality monitoring tools, a facility committee identifies that
clients who have congestive heart failure have an average length of stay
that is 5 days instead of the established standard of 3 days. Which of the
following steps should the nurse implement next in the quality
improvement process?
a. educate staff members on shortening the length of stay for these
patients
b. collect data regarding length of stay for these patients
c. determine which actions can be instituted to address this problem -
ANSWER- c. determine which actions can be instituted to address this
problem
A nurse is working with an AP in a long term care facility. According to
the five rights of delegation, which of the following determinations
should the nurse make prior to assignment of tasks?
a. whether the AP has consented to the performance of delegated tasks
b. the client's willingness to consent to the care of the AP
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c. whether the task can be more efficiently completed by the nurse
d. the degree of supervision that the AP will require to complete the task
- ANSWER- d. the degree of supervision that the AP will require to
complete the task
A charge nurse in an ER is making assignment for an AP for a shift with
unexpected staff absences. Which of the following assignments should
the charge assign to a float AP from the med surg unit?
a. escort clients from the ER to other areas of the facility for tests
b. sit at the reception desk answering and directing clients - ANSWER-
Escort clients from the ER to other areas of the facility for tests.
A charge nurse is making assignments for an oncoming shift. Which of
the following clients should the charge nurse assign to a LPN?
a. A client who is to be discharged with a PICC line
b. A client who is disoriented and awaiting transfer to a long term
facility
c. A client who is 16 hr post op following a total larryngectomy -
ANSWER- b. A client who is disoriented and awaiting transfer to a long
term facility
A nurse manager believes that a nurse is taking breaks that are too
frequent and lengthy. Which of the following is an assertive statement
that the charge nurse should use to initiate discussion of the issue?
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a. I understand that you are allowed to take scheduled breaks during
each shift, but you are taking more than the number allocated. Let's set a
time when we can discuss this behavior
b. you are taking more breaks during each shift than hospital policy
allows. You will need to take only the number of breaks specified and be
sure you are back on time - ANSWER- a. I understand that you are
allowed to take scheduled breaks during each shift, but you are taking
more than the number allocated. Let's set a time when we can discuss
this behavior
A nurse is ambulating a client who has an IV with an infusion pump.
Upon returning to the client's room and plugging the infusion pump in,
the client reports a slight tingling in his hand. Which of the following
actions should the nurse take?
a. plug the pump into a different outlet
b. place a service tag on the pump for a routine inspection
c. unplug the pump and plug it back into the same outlet to see if the
sensation of tingling is repeated
d. turn the pump off - ANSWER- Turn the pump off
The pump must be turned off immediately to protect the client and the
nurse from the risk of electrical injury and fire.
A nurse is caring for a child who has sustained extensive head injuries.
The provider has diagnosed brain death. Which of the following
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statements should the nurse use to begin a conversation about the option
of organ and tissue donation with the child's parents?
a. I want to talk to you how important it is for you to consider donating
your child's organs for transplantation
b. I want to give you some info about an option that you have regarding
donating your child's organs to others who are in need. - ANSWER- b. I
want to give you some info about an option that you have regarding
donating your child's organs to others who are in need
A nurse is working with an AP who appears to be under the influence of
alcohol during the night shift. Which of the following is the priority
action the nurse should take?
a. Confront the AP regarding alcohol use and remove him from the
client care
b. Ask the nursing supervisor to obverse the AP and validate the nurse's
suspicions
c. Document observations made about the AP's behavior in a factual
manner - ANSWER- b. Ask the nursing supervisor to observe the AP
and validate the nurse's suspicions
A nurse is reviewing lab results for a client who is at 12 weeks gestation.
Which of the following findings should the nurse report to the provider?
a. Hgb 12 g/dL
b. WBC 15,000/mm3
ATI RN LEADERSHIP PROCTORED WITH NGN
NEWEST 2024 ACTUAL EXAM 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Using quality monitoring tools, a facility committee identifies that
clients who have congestive heart failure have an average length of stay
that is 5 days instead of the established standard of 3 days. Which of the
following steps should the nurse implement next in the quality
improvement process?
a. educate staff members on shortening the length of stay for these
patients
b. collect data regarding length of stay for these patients
c. determine which actions can be instituted to address this problem -
ANSWER- c. determine which actions can be instituted to address this
problem
A nurse is working with an AP in a long term care facility. According to
the five rights of delegation, which of the following determinations
should the nurse make prior to assignment of tasks?
a. whether the AP has consented to the performance of delegated tasks
b. the client's willingness to consent to the care of the AP
,2|Page
c. whether the task can be more efficiently completed by the nurse
d. the degree of supervision that the AP will require to complete the task
- ANSWER- d. the degree of supervision that the AP will require to
complete the task
A charge nurse in an ER is making assignment for an AP for a shift with
unexpected staff absences. Which of the following assignments should
the charge assign to a float AP from the med surg unit?
a. escort clients from the ER to other areas of the facility for tests
b. sit at the reception desk answering and directing clients - ANSWER-
Escort clients from the ER to other areas of the facility for tests.
A charge nurse is making assignments for an oncoming shift. Which of
the following clients should the charge nurse assign to a LPN?
a. A client who is to be discharged with a PICC line
b. A client who is disoriented and awaiting transfer to a long term
facility
c. A client who is 16 hr post op following a total larryngectomy -
ANSWER- b. A client who is disoriented and awaiting transfer to a long
term facility
A nurse manager believes that a nurse is taking breaks that are too
frequent and lengthy. Which of the following is an assertive statement
that the charge nurse should use to initiate discussion of the issue?
,3|Page
a. I understand that you are allowed to take scheduled breaks during
each shift, but you are taking more than the number allocated. Let's set a
time when we can discuss this behavior
b. you are taking more breaks during each shift than hospital policy
allows. You will need to take only the number of breaks specified and be
sure you are back on time - ANSWER- a. I understand that you are
allowed to take scheduled breaks during each shift, but you are taking
more than the number allocated. Let's set a time when we can discuss
this behavior
A nurse is ambulating a client who has an IV with an infusion pump.
Upon returning to the client's room and plugging the infusion pump in,
the client reports a slight tingling in his hand. Which of the following
actions should the nurse take?
a. plug the pump into a different outlet
b. place a service tag on the pump for a routine inspection
c. unplug the pump and plug it back into the same outlet to see if the
sensation of tingling is repeated
d. turn the pump off - ANSWER- Turn the pump off
The pump must be turned off immediately to protect the client and the
nurse from the risk of electrical injury and fire.
A nurse is caring for a child who has sustained extensive head injuries.
The provider has diagnosed brain death. Which of the following
, 4|Page
statements should the nurse use to begin a conversation about the option
of organ and tissue donation with the child's parents?
a. I want to talk to you how important it is for you to consider donating
your child's organs for transplantation
b. I want to give you some info about an option that you have regarding
donating your child's organs to others who are in need. - ANSWER- b. I
want to give you some info about an option that you have regarding
donating your child's organs to others who are in need
A nurse is working with an AP who appears to be under the influence of
alcohol during the night shift. Which of the following is the priority
action the nurse should take?
a. Confront the AP regarding alcohol use and remove him from the
client care
b. Ask the nursing supervisor to obverse the AP and validate the nurse's
suspicions
c. Document observations made about the AP's behavior in a factual
manner - ANSWER- b. Ask the nursing supervisor to observe the AP
and validate the nurse's suspicions
A nurse is reviewing lab results for a client who is at 12 weeks gestation.
Which of the following findings should the nurse report to the provider?
a. Hgb 12 g/dL
b. WBC 15,000/mm3
