ATI LEADERSHIP MANAGEMENT PROCTORED EXAM
C C C C
1. The nurse is preparing to lift a patient. Which action will the nurse take
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first?
a. Position a drawsheet under the patient.
C C C C C
b. Assess weight and determine assistance needs.
C C C C C
c. Delegate the task to a nursing assistive personnel.
C C C C C C C
d. Attempt to manually lift the patient alone before asking for assistance.
C C C C C C C C C C
ANS: B C
When lifting, assess the weight you will lift, and determine the assistance you
C C C C C C C C C C C C C
will need. The nurse has to assess before positioning a drawsheet or delegatin
C C C C C C C C C C C C
g the task. Manual lifting is the last resort, and it is used when the task at hand
C C C C C C C C C C C C C C C C C
Cdoes not involve lifting most or all of the patient’s weight; most facilities hav
C C C C C C C C C C C C C
e a no-lift policy.
C C C
2. The nurse is caring for an older-
C C C C C C
adult patient who has been diagnosedwith a stroke. Which intervention
C C C C C C C C C C C
will the nurse add to the care plan?
C C C C C C C
Encourage the patient to perform as many self-care activities as
C C C C C C C C C
a. possible.
b. Provide a complete bed bath to promote patient comfort.
C C C C C C C C
c. Coordinate with occupational therapy for gait training.
C C C C C C
d. Place the patient on bed rest to prevent fatigue.
C C C C C C C C
ANS: A C
Nurses should encourage the older-adult patient to perform as many self-
C C C C C C C C C C
careactivities as possible, thereby maintaining the highest level of mobility.
C C C C C C C C C C
Sometimes nurses inadvertently contribute to a patient’s immobility by
C C C C C C C C
providing unnecessary help with activities such as bathing and transferring. P
CC C C C C C C C C C C
lacing the patient on bed rest without sufficient ambulation leads to loss of m
C C C C C C C C C C C C C
obility and functional decline, resulting in weakness, fatigue, and increasedris 133
C C C C C C C C C C
k for falls. After a stroke or brain attack, a patient likely receives gait
C C C C C C C C C C C C C
, training from a physical therapist; speech rehabilitation from a speech therapi
C C C C C C C C C C
st; and help from an occupational therapist for ADLs such as dressing,bathing
C C C C C C C C C C C C C
and toileting, or household chores.
C C C C
3. The nurse is observing the way a patient walks. Which aspect is the nurse
C C C C C C C C C C C C C C
assessing?
a. Activity tolerance C
b. Body alignment C
c. Range of motion C C
d. Gait
ANS: D C
Gait describes a particular manner or style of walking. Activity tolerance isthe
C C C C C C C C C C C C
Ctype and amount of exercise or work that a person is able to perform.
C C C C C C C C C C C C C
Body alignment refers to the position of the joints, tendons, ligaments, and
C C C C C C C C C C C C
muscles while standing, sitting, and lying. Range of motion is the maximum
C C C C C C C C C C C C
amount of movement available at a joint in one of the three planes of the bo
C C C C C C C C C C C C C C C
dy: sagittal, frontal, or transverse.
C C C C
4. A nurse is assessing the body alignment of a standing patient. Which
C C C C C C C C C C C C
finding will the nurse report as normal?
C C C C C C
When observed laterally, the spinal curves align in a reversed “S”
C C C C C C C C C C
a. pattern.
When observed posteriorly, the hips and shoulders form an “S”
C C C C C C C C C
b. pattern.
c. The arms should be crossed over the chest or in the lap.
C C C C C C C C C C C
d. The feet should be close together with toes pointed out.
C C C C C C C C C
ANS: A C
When the patient is observed laterally, the head is erect and the spinal curves
C C C C C C C C C C C C C C
are aligned in a reversed “S” pattern. When observed posteriorly, the shoulder
C C C C C C C C C C C
s and hips are straight and parallel. The arms hang comfortably at thesides. Th
C C C C C C C C C C C C C C
e feet are slightly apart to achieve a base of support, and the toes are
C C C C C C C C C C C C C C
pointed forward.
CC C
5. The nurse is evaluating the body alignment of a patient in the sitting
C C C C C C C C C C C C 133
, position. Which observation by the nurse will indicate a normal finding?
C C C C C C C C C C
a. The edge of the seat is in contact with the popliteal space.
C C C C C C C C C C C
b. Both feet are supported on the floor with ankles flexed.
C C C C C C C C C
c. The body weight is directly on the buttocks only.
C C C C C C C C
d. The arms hang comfortably at the sides.
C C C C C C
ANS: B C
Both feet are supported on the floor, and the ankles are comfortably flexed. B
C C C C C C C C C C C C C
ody weight is evenly distributed on the buttocks and thighs. A 1- to 2-
C C C C C C C C C C C C C
inch space is maintained between the edge of the seat and the popliteal space
C C C C C C C C C C C C C C
on the posterior surface of the knee to ensure that no pressure is placed on the
C C C C C C C C C C C C C C C
Cpopliteal artery or nerve. The patient’s forearms are supported on the armrest,
C C C C C C C C C C C C
in the lap, or on a table in front of the chair.
C C C C C C C C C C C
6. The nurse is assessing body alignment for a patient who is immobilized.
C C C C C C C C C C C
Which patient position will the nurse use?
C C C C C C
a. Supine position C
b. Lateral position C
c. Lateral position with positioning supports
C C C C
d. Supine position with no pillow under the patient’s head
C C C C C C C C
ANS: B C
Assess body alignment for a patient who is immobilized or bedridden with the
C C C C C C C C C C C C C
patient in the lateral position, not supine. Remove all positioning supports fro
C C C C C C C C C C C
m the bed except for the pillow under the head, and support the body with an a
C C C C C C C C C C C C C C C C
dequate mattress. C
7. The nurse is assessing the patient for respiratory complications of
C C C C C C C C C
immobility. Which action will the nurse take when assessing the respiratorysy
C C C C C C C C C C C
stem?
CC a. Inspect chest wall movements primarily during the expiratory cycle.
C C C C C C C C C
133
b. Auscultate the entire lung region to assess lung sounds.
C C C C C C C C
C C C C
1. The nurse is preparing to lift a patient. Which action will the nurse take
C C C C C C C C C C C C C
first?
a. Position a drawsheet under the patient.
C C C C C
b. Assess weight and determine assistance needs.
C C C C C
c. Delegate the task to a nursing assistive personnel.
C C C C C C C
d. Attempt to manually lift the patient alone before asking for assistance.
C C C C C C C C C C
ANS: B C
When lifting, assess the weight you will lift, and determine the assistance you
C C C C C C C C C C C C C
will need. The nurse has to assess before positioning a drawsheet or delegatin
C C C C C C C C C C C C
g the task. Manual lifting is the last resort, and it is used when the task at hand
C C C C C C C C C C C C C C C C C
Cdoes not involve lifting most or all of the patient’s weight; most facilities hav
C C C C C C C C C C C C C
e a no-lift policy.
C C C
2. The nurse is caring for an older-
C C C C C C
adult patient who has been diagnosedwith a stroke. Which intervention
C C C C C C C C C C C
will the nurse add to the care plan?
C C C C C C C
Encourage the patient to perform as many self-care activities as
C C C C C C C C C
a. possible.
b. Provide a complete bed bath to promote patient comfort.
C C C C C C C C
c. Coordinate with occupational therapy for gait training.
C C C C C C
d. Place the patient on bed rest to prevent fatigue.
C C C C C C C C
ANS: A C
Nurses should encourage the older-adult patient to perform as many self-
C C C C C C C C C C
careactivities as possible, thereby maintaining the highest level of mobility.
C C C C C C C C C C
Sometimes nurses inadvertently contribute to a patient’s immobility by
C C C C C C C C
providing unnecessary help with activities such as bathing and transferring. P
CC C C C C C C C C C C
lacing the patient on bed rest without sufficient ambulation leads to loss of m
C C C C C C C C C C C C C
obility and functional decline, resulting in weakness, fatigue, and increasedris 133
C C C C C C C C C C
k for falls. After a stroke or brain attack, a patient likely receives gait
C C C C C C C C C C C C C
, training from a physical therapist; speech rehabilitation from a speech therapi
C C C C C C C C C C
st; and help from an occupational therapist for ADLs such as dressing,bathing
C C C C C C C C C C C C C
and toileting, or household chores.
C C C C
3. The nurse is observing the way a patient walks. Which aspect is the nurse
C C C C C C C C C C C C C C
assessing?
a. Activity tolerance C
b. Body alignment C
c. Range of motion C C
d. Gait
ANS: D C
Gait describes a particular manner or style of walking. Activity tolerance isthe
C C C C C C C C C C C C
Ctype and amount of exercise or work that a person is able to perform.
C C C C C C C C C C C C C
Body alignment refers to the position of the joints, tendons, ligaments, and
C C C C C C C C C C C C
muscles while standing, sitting, and lying. Range of motion is the maximum
C C C C C C C C C C C C
amount of movement available at a joint in one of the three planes of the bo
C C C C C C C C C C C C C C C
dy: sagittal, frontal, or transverse.
C C C C
4. A nurse is assessing the body alignment of a standing patient. Which
C C C C C C C C C C C C
finding will the nurse report as normal?
C C C C C C
When observed laterally, the spinal curves align in a reversed “S”
C C C C C C C C C C
a. pattern.
When observed posteriorly, the hips and shoulders form an “S”
C C C C C C C C C
b. pattern.
c. The arms should be crossed over the chest or in the lap.
C C C C C C C C C C C
d. The feet should be close together with toes pointed out.
C C C C C C C C C
ANS: A C
When the patient is observed laterally, the head is erect and the spinal curves
C C C C C C C C C C C C C C
are aligned in a reversed “S” pattern. When observed posteriorly, the shoulder
C C C C C C C C C C C
s and hips are straight and parallel. The arms hang comfortably at thesides. Th
C C C C C C C C C C C C C C
e feet are slightly apart to achieve a base of support, and the toes are
C C C C C C C C C C C C C C
pointed forward.
CC C
5. The nurse is evaluating the body alignment of a patient in the sitting
C C C C C C C C C C C C 133
, position. Which observation by the nurse will indicate a normal finding?
C C C C C C C C C C
a. The edge of the seat is in contact with the popliteal space.
C C C C C C C C C C C
b. Both feet are supported on the floor with ankles flexed.
C C C C C C C C C
c. The body weight is directly on the buttocks only.
C C C C C C C C
d. The arms hang comfortably at the sides.
C C C C C C
ANS: B C
Both feet are supported on the floor, and the ankles are comfortably flexed. B
C C C C C C C C C C C C C
ody weight is evenly distributed on the buttocks and thighs. A 1- to 2-
C C C C C C C C C C C C C
inch space is maintained between the edge of the seat and the popliteal space
C C C C C C C C C C C C C C
on the posterior surface of the knee to ensure that no pressure is placed on the
C C C C C C C C C C C C C C C
Cpopliteal artery or nerve. The patient’s forearms are supported on the armrest,
C C C C C C C C C C C C
in the lap, or on a table in front of the chair.
C C C C C C C C C C C
6. The nurse is assessing body alignment for a patient who is immobilized.
C C C C C C C C C C C
Which patient position will the nurse use?
C C C C C C
a. Supine position C
b. Lateral position C
c. Lateral position with positioning supports
C C C C
d. Supine position with no pillow under the patient’s head
C C C C C C C C
ANS: B C
Assess body alignment for a patient who is immobilized or bedridden with the
C C C C C C C C C C C C C
patient in the lateral position, not supine. Remove all positioning supports fro
C C C C C C C C C C C
m the bed except for the pillow under the head, and support the body with an a
C C C C C C C C C C C C C C C C
dequate mattress. C
7. The nurse is assessing the patient for respiratory complications of
C C C C C C C C C
immobility. Which action will the nurse take when assessing the respiratorysy
C C C C C C C C C C C
stem?
CC a. Inspect chest wall movements primarily during the expiratory cycle.
C C C C C C C C C
133
b. Auscultate the entire lung region to assess lung sounds.
C C C C C C C C
