ATI LEADERSHIP MANAGEMENT PROCTORED EXAM
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 youwi
c c c c c c c c c c c c c
ll need. The nurse has to assess before positioning a drawsheet or delegating the
c c c c c c c c c c c c c c
task. Manual lifting is the last resort, and it is used when the task at hand does not
c c c c c c c c c c c c c c c c c
cinvolve lifting most or all of the patient’s weight; most facilities have a no-
c c c c c c c c c c c c c
lift policy. 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 wil
c c c c c c c c c c c
l 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. Pla
cc c c c c c c c c c c
cing the patient on bed rest without sufficient ambulation leads to loss of mobili
c c c c c c c c c c c c c
ty and functional decline, resulting in weakness, fatigue, and increasedrisk for f
c c c c c c c c c c c c
133
alls. After a stroke or brain attack, a patient likely receives gait
c c c c c c c c c c c
, training from a physical therapist; speech rehabilitation from a speech therapist;
c c c c c c c c c c
cand help from an occupational therapist for ADLs such as dressing,bathing and t
c c c c c c c c c c c c c
oileting, or household chores. c c c
3. The nurse is observing the way a patient walks. Which aspect is the nurseass
c c c c c c c c c c c c c c
essing?
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 t
c c c c c c c c c c c c c
ype 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 mu
c c c c c c c c c c c c
scles while standing, sitting, and lying. Range of motion is the maximumamou
c c c c c c c c c c c c
nt of movement available at a joint in one of the three planes of the body: sagitt
c c c c c c c c c c c c c c c c
al, frontal, or transverse.
c c c
4. A nurse is assessing the body alignment of a standing patient. Whichfi
c c c c c c c c c c c c
nding 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 are
c c c c c c c c c c c c c c c
aligned in a reversed “S” pattern. When observed posteriorly, the shoulders and
c c c c c c c c c c c c
hips are straight and parallel. The arms hang comfortably at thesides. The feet ar
c c c c c c c c c c c c c c
e slightly apart to achieve a base of support, and the toes are
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. Bod
c c c c c c c c c c c c c
y 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 on
c c c c c c c c c c c c c c c
the posterior surface of the knee to ensure that no pressure is placed on the poplit
c c c c c c c c c c c c c c c
eal artery or nerve. The patient’s forearms are supported on the armrest,in the lap
c c c c c c c c c c c c c c
, or on a table in front of the chair.
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 thepa
c c c c c c c c c c c c c
tient in the lateral position, not supine. Remove all positioning supports from the
c c c c c c c c c c c c c
bed except for the pillow under the head, and support the body with an adequate
c c c c c c c c c c c c c c c
mattress.
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 respiratorysyst
c c c c c c c c c c c
em?
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 youwi
c c c c c c c c c c c c c
ll need. The nurse has to assess before positioning a drawsheet or delegating the
c c c c c c c c c c c c c c
task. Manual lifting is the last resort, and it is used when the task at hand does not
c c c c c c c c c c c c c c c c c
cinvolve lifting most or all of the patient’s weight; most facilities have a no-
c c c c c c c c c c c c c
lift policy. 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 wil
c c c c c c c c c c c
l 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. Pla
cc c c c c c c c c c c
cing the patient on bed rest without sufficient ambulation leads to loss of mobili
c c c c c c c c c c c c c
ty and functional decline, resulting in weakness, fatigue, and increasedrisk for f
c c c c c c c c c c c c
133
alls. After a stroke or brain attack, a patient likely receives gait
c c c c c c c c c c c
, training from a physical therapist; speech rehabilitation from a speech therapist;
c c c c c c c c c c
cand help from an occupational therapist for ADLs such as dressing,bathing and t
c c c c c c c c c c c c c
oileting, or household chores. c c c
3. The nurse is observing the way a patient walks. Which aspect is the nurseass
c c c c c c c c c c c c c c
essing?
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 t
c c c c c c c c c c c c c
ype 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 mu
c c c c c c c c c c c c
scles while standing, sitting, and lying. Range of motion is the maximumamou
c c c c c c c c c c c c
nt of movement available at a joint in one of the three planes of the body: sagitt
c c c c c c c c c c c c c c c c
al, frontal, or transverse.
c c c
4. A nurse is assessing the body alignment of a standing patient. Whichfi
c c c c c c c c c c c c
nding 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 are
c c c c c c c c c c c c c c c
aligned in a reversed “S” pattern. When observed posteriorly, the shoulders and
c c c c c c c c c c c c
hips are straight and parallel. The arms hang comfortably at thesides. The feet ar
c c c c c c c c c c c c c c
e slightly apart to achieve a base of support, and the toes are
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. Bod
c c c c c c c c c c c c c
y 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 on
c c c c c c c c c c c c c c c
the posterior surface of the knee to ensure that no pressure is placed on the poplit
c c c c c c c c c c c c c c c
eal artery or nerve. The patient’s forearms are supported on the armrest,in the lap
c c c c c c c c c c c c c c
, or on a table in front of the chair.
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 thepa
c c c c c c c c c c c c c
tient in the lateral position, not supine. Remove all positioning supports from the
c c c c c c c c c c c c c
bed except for the pillow under the head, and support the body with an adequate
c c c c c c c c c c c c c c c
mattress.
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 respiratorysyst
c c c c c c c c c c c
em?
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
