2024/25 ATI PN LEADERSHIP
MANAGEMENT PROCTORED EXAM
WITH WELL ELABORATED QUESTIONS
AND ACCURATE ANSWERS
Which nursing instruction should be given to the breastfeeding mother regarding care of
the breasts after discharge?
- CORRECT ANSWER Correct: In order to stimulate adequate milk production, the
breasts should be pumped if the infant is not sucking or eating well, or if the breasts are
not fully emptied.
A client in preterm labor is admitted to the hospital. Which classification of drugs should
the nurse anticipate administering?
- CORRECT ANSWER Correct: Tocolytics are used to stop labor. One of the most
commonly used tocolytic drugs is ritodrine (Yutopar).
Which of the following are probable signs, strongly indicating pregnancy?
- CORRECT ANSWER These are probable signs that strongly indicate pregnancy.
Hegar's sign is a softening of the lower uterine segment, and Chadwick's sign is the
bluish or purplish color of the cervix as a result of the increased blood supply and
increased estrogen. Ballottement occurs when the cervix is tapped by an examiner's
finger and the fetus floats upward in the amniotic fluid and then falls downward.
Two hours after delivery the nurse assesses the client and documents that the fundus is
soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse
encourages the client to void. Which is the rationale for this nursing action?
- CORRECT ANSWER Correct: Bladder distention can lead to postpartum
hemorrhage. A full bladder displaces the uterus causing it not to contract properly.
Emptying the bladder allows the uterus to contract more firmly.
Which site is preferred for giving an IM injection to a newborn?
- CORRECT ANSWER The middle third of the vastus lateralis is the preferred site for
injections.
During the first twelve hours following a normal vaginal delivery, the client voids
2,000 mL of urine. How should the nurse interpret this finding?
- CORRECT ANSWER Correct: During pregnancy, the circulating blood volume
increases by about 50%.
In order to get rid of the excess fluid volume after delivery, the woman experiences an
increased amount of urine output during the first few hours.
, If a pregnant client diagnosed with gestational diabetes cannot maintain control of her
blood sugar by diet alone, which medication will she receive?
- CORRECT ANSWER Correct: Insulin is the drug of choice for gestational diabetes.
Insulin lowers the client's blood sugar without harming the fetus.
The nurse is using a forced air warmer for a surgical patient preoperatively.
Which goals is the nurse trying to achieve? (Select all that apply.)
- CORRECT ANSWER B. Reduce blood loss.
D. Reduce cardiac arrests.
E. Reduce surgical site infection.
ANS: B, D, E
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia. Prevention of hypothermia (core temperature < 36° C) helps
to reduce complications such as shivering, cardiac arrest, blood loss, SSI, pressure
ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the
nurse take to decrease wound infections? (Select all that apply.)
- CORRECT ANSWER A. Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient.
ANS: A, E
A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
- CORRECT ANSWER D. A client who has a C diff infection and needs a stool
specimen collected
The nurse is participating in a "time-out." In which activities will the nurse be involved?
(Select all that apply.)
- CORRECT ANSWER Verify the correct site.
Verify the correct patient.
Verify the correct procedure.
A nurse is caring for a client who fell and is reporting pain in the left hip with external
rotation of the left leg. The nurse has been unable to reach the provider despite several
attempts over the past 30 min. Which of the following actions should the nurse take?
- CORRECT ANSWER Notify the nursing supervisor about the issues
The mother of a client with breast cancer states, it's been hard for her, especially after
losing her hair. And it has been difficult to pay for all the treatments. Which of the
following actions is appropriate client advocacy?
MANAGEMENT PROCTORED EXAM
WITH WELL ELABORATED QUESTIONS
AND ACCURATE ANSWERS
Which nursing instruction should be given to the breastfeeding mother regarding care of
the breasts after discharge?
- CORRECT ANSWER Correct: In order to stimulate adequate milk production, the
breasts should be pumped if the infant is not sucking or eating well, or if the breasts are
not fully emptied.
A client in preterm labor is admitted to the hospital. Which classification of drugs should
the nurse anticipate administering?
- CORRECT ANSWER Correct: Tocolytics are used to stop labor. One of the most
commonly used tocolytic drugs is ritodrine (Yutopar).
Which of the following are probable signs, strongly indicating pregnancy?
- CORRECT ANSWER These are probable signs that strongly indicate pregnancy.
Hegar's sign is a softening of the lower uterine segment, and Chadwick's sign is the
bluish or purplish color of the cervix as a result of the increased blood supply and
increased estrogen. Ballottement occurs when the cervix is tapped by an examiner's
finger and the fetus floats upward in the amniotic fluid and then falls downward.
Two hours after delivery the nurse assesses the client and documents that the fundus is
soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse
encourages the client to void. Which is the rationale for this nursing action?
- CORRECT ANSWER Correct: Bladder distention can lead to postpartum
hemorrhage. A full bladder displaces the uterus causing it not to contract properly.
Emptying the bladder allows the uterus to contract more firmly.
Which site is preferred for giving an IM injection to a newborn?
- CORRECT ANSWER The middle third of the vastus lateralis is the preferred site for
injections.
During the first twelve hours following a normal vaginal delivery, the client voids
2,000 mL of urine. How should the nurse interpret this finding?
- CORRECT ANSWER Correct: During pregnancy, the circulating blood volume
increases by about 50%.
In order to get rid of the excess fluid volume after delivery, the woman experiences an
increased amount of urine output during the first few hours.
, If a pregnant client diagnosed with gestational diabetes cannot maintain control of her
blood sugar by diet alone, which medication will she receive?
- CORRECT ANSWER Correct: Insulin is the drug of choice for gestational diabetes.
Insulin lowers the client's blood sugar without harming the fetus.
The nurse is using a forced air warmer for a surgical patient preoperatively.
Which goals is the nurse trying to achieve? (Select all that apply.)
- CORRECT ANSWER B. Reduce blood loss.
D. Reduce cardiac arrests.
E. Reduce surgical site infection.
ANS: B, D, E
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia. Prevention of hypothermia (core temperature < 36° C) helps
to reduce complications such as shivering, cardiac arrest, blood loss, SSI, pressure
ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the
nurse take to decrease wound infections? (Select all that apply.)
- CORRECT ANSWER A. Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient.
ANS: A, E
A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
- CORRECT ANSWER D. A client who has a C diff infection and needs a stool
specimen collected
The nurse is participating in a "time-out." In which activities will the nurse be involved?
(Select all that apply.)
- CORRECT ANSWER Verify the correct site.
Verify the correct patient.
Verify the correct procedure.
A nurse is caring for a client who fell and is reporting pain in the left hip with external
rotation of the left leg. The nurse has been unable to reach the provider despite several
attempts over the past 30 min. Which of the following actions should the nurse take?
- CORRECT ANSWER Notify the nursing supervisor about the issues
The mother of a client with breast cancer states, it's been hard for her, especially after
losing her hair. And it has been difficult to pay for all the treatments. Which of the
following actions is appropriate client advocacy?
