ATI PN LEADERSHIP PROCTORED REAL
E E E E
EXAM QUESTIONS AND VERIFIED ANSWERS
E E E E E
ALREADY GRADED A+. REVISED
E E E E
VERSION 1 E
1. A nurse is assigned the following four clients for the current
E E E E E E E E E E
shift. Which of the following clients should the nurse assess
E E E E E E E E E E
first?
E
A. A client who has a hip fracture and is in Buck’s traction
E E E E E E E E E E E
B. A client who has aspiration pneumonia and a respiratory rate
E E E E E E E E E
of 28/min
E E
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
E E E E E E E E E E E E
D. A client who has a C diff infection and needs a stool
E E E E E E E E E E E
specimen collected
E E
2. A nurse is caring for a client who fell and is reporting pain in the
E E E E E E E E E E E E E E
Eleft hip with external rotation of the left leg. The nurse has been
E E E E E E E E E E E E
Eunable to reach the provider despite several attempts over the past
E E E E E E E E E E
E30 min. Which of the following actions should the nurse take?
E E E E E E E E E E
A. Notify the nursing supervisor about the issues
E E E E E E
B. Contact the client’s physical therapist
E E E E
C. Apply a warm compress to the hip E E E E E E
D. Reposition the client for comfort E E E E
3. The mother of a client with breast cancer states, it’s been hard
E E E E E E E E E E E
Efor her, especially after losing her hair. And it has been difficult
E E E E E E E E E E E
Eto pay for all the treatments. Which of the following actions is
E E E E E E E E E E E
Eappropriate client advocacy? E E
A. The nurse investigates potential resources to help the client
E E E E E E E E
purchase wig
E E
B. The nurse explains to the mother that most clients with cancer
E E E E E E E E E E
lose their hair
E E E
C. The nurse informs the next shift nurse regarding the
E E E E E E E E
mother’s concerns.
E E
D. The nurse suggests counseling for the client’s body image issues
E E E E E E E E E
4. Which of the following items must be discarded in a biohazard
E E E E E E E E E E
Ewaste receptacle? E
A. A urinary catheter drainage bag from a client who is post-opt
E E E E E E E E E E
, B. A bed sheet from a client with bacterial pneumonia
E E E E E E E E
C. A perineal pad from a client who is 24-hr post-vaginal delivery
E E E E E E E E E E
D. An empty IV bag removed from a client who has HIV
E E E E E E E E E E
5. A nurse tells the unit manager, “I am tired of all the changes on
E E E E E E E E E E E E E
Ethe unit. If things don’t get better, I’m going to quit. “Which of
E E E E E E E E E E E E
Ethe following responses appropriate?
E E E
A. “So you are upset about all the changes on the Unit”
E E E E E E E E E E
B. “I think you have a right to be upset, I am tired of the changes too”
E E E E E E E E E E E E E E E
C. “Just stick with it a little longer. Things will get better soon
E E E E E E E E E E E
D. “ You should file complaints with hospital administrator
E E E E E E E
6. According to the HIPAA regulations, which of the following is
E E E E E E E E E
Ea violation of client confidentiality?
E E E E
A. Telephone the pharmacy with a prescription for the spouse to pick up
E E E E E E E E E E E
B. Providing a copy of the record to the transporting paramedic
E E E E E E E E E
C. Reporting a client’s disposition to the referring provider
E E E E E E E
D. Informing housekeeping staff that the client is in dialysis unit
E E E E E E E E E
7. A Nurse preceptor is evaluating a newly licensed nurse’s
E E E E E E E E
Ecompetency in assisting with a sterile procedure. Which of
E E E E E E E E
Ethe following actions indicates the nurse is maintaining
E E E E E E E
E sterile technique? (Select all that apply.)
E E E E E
A. Open the sterile pack by first unfolding the flap farthest from
E E E E E E E E E E
her body
E E
B. Rests the cap of a solution container upside down on the sterile field
E E E E E E E E E E E E
C. Removes the outside packaging of a sterile instrument
E E E E E E E
before dropping into the sterile field
E E E E E E
D. Holds a bottle of a sterile solution 15 cm (6 inches) above the
E E E E E E E E E E E E
sterile field
E E
E. Places sterile items within 1.25 cm (0.5 inch) border around the
E E E E E E E E E E
edge of the sterile field
E E E E E
8. A nurse is providing care for 4 post-opt clients. The nurse should
E E E E E E E E E E E
Efirst assess the client
E E E
A. Whose pulse has been steadily increasing during the past shift
E E E E E E E E E
B. Who is reporting a pain level of 8 on a scale of 0 to 10.
E E E E E E E E E E E E E E
C. Whose urine output averaged 32 ml/hr for the past 24 hr
E E E E E E E E E E
D. Who is reporting nausea after the prescribed antiemetic
E E E E E E E
was administered
E E
, 9. A nurse is preparing to transcribe a client’s med prescription in
E E E E E E E E E E
the medical record. Which of the following should the nurse
E E E E E E E E E E
recognize as containing the essential components of a
E E E E E E E E
medication order?
E E
A. NPH insulin 10 Units before and at bedtime
E E E E E E E
B. Haloperidol (Hadol) 1mg per mouth E E E E
C. Multivit every morning by mouth E E E E
D. Aspirin 650 mg by mouth every 4hr E E E E E E
10. A nurse is assisting with orientation of a newly licensed nurse.
E E E E E E E E E E
EThe newly licensed nurse is having trouble focusing and has
E E E E E E E E E
Edifficulty completing care for his assigned clients. Which of the
E E E E E E E E E
Efollowing interventions is appropriate? E E E
A. Recommend that he takes time to plan at the beginning of shift E E E E E E E E E E E
B. Advise him to complete less time-consuming tasks first
E E E E E E E
C. Ask other staff members to take over some of his staffs
E E E E E E E E E E
D. Offer to provide care for his clients while he takes a break
E E E E E E E E E E E
11. A nurse in an urgent care clinic is admitting a client who has
E E E E E E E E E E E E
Ebeen exposed to a liquid chemical in an industrial setting, which
E E E E E E E E E E
Eof the following actions should the nurse take first?
E E E E E E E E
A. Remove the client’s clothing E E E
B. Irrigate the exposed area with water E E E E E
C. Report the incident to OSHADon personal protective equipment.
E E E E E E E
12. A facility provides annual staff education regarding ethical
E E E E E E E
Epractice. A charge nurse recognizes a need for further education
E E E E E E E E E
Ewhen which of the following behaviors is observed?
E E E E E E E
A. A nurse refuses to actively participate during an elective
E E E E E E E E
abortion procedure scheduled for her client.
E E E E E E
B. A nurse gives prescribed opioids to a client who has a terminal
E E E E E E E E E E E
illness and respirations of 8/min
E E E E E
C. A nurse explains to a client’s family that a DNR order
E E E E E E E E E E
includes withholding comfort measures
E E E E
D. A nurse informs a confused client who wants to go home that he
E E E E E E E E E E E E
is going to stay at the facility until he is better
E E E E E E E E E E E
13. A nurse is an ambulatory care setting is orienting a newly
E E E E E E E E E E
Elicensed nurse who is preparing to return a call to a client. The
E E E E E E E E E E E E
Enurse should explain that which of the following is an objective
E E E E E E E E E E
Eof tele health?
E E
A. Assessing client needs E E
E E E E
EXAM QUESTIONS AND VERIFIED ANSWERS
E E E E E
ALREADY GRADED A+. REVISED
E E E E
VERSION 1 E
1. A nurse is assigned the following four clients for the current
E E E E E E E E E E
shift. Which of the following clients should the nurse assess
E E E E E E E E E E
first?
E
A. A client who has a hip fracture and is in Buck’s traction
E E E E E E E E E E E
B. A client who has aspiration pneumonia and a respiratory rate
E E E E E E E E E
of 28/min
E E
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
E E E E E E E E E E E E
D. A client who has a C diff infection and needs a stool
E E E E E E E E E E E
specimen collected
E E
2. A nurse is caring for a client who fell and is reporting pain in the
E E E E E E E E E E E E E E
Eleft hip with external rotation of the left leg. The nurse has been
E E E E E E E E E E E E
Eunable to reach the provider despite several attempts over the past
E E E E E E E E E E
E30 min. Which of the following actions should the nurse take?
E E E E E E E E E E
A. Notify the nursing supervisor about the issues
E E E E E E
B. Contact the client’s physical therapist
E E E E
C. Apply a warm compress to the hip E E E E E E
D. Reposition the client for comfort E E E E
3. The mother of a client with breast cancer states, it’s been hard
E E E E E E E E E E E
Efor her, especially after losing her hair. And it has been difficult
E E E E E E E E E E E
Eto pay for all the treatments. Which of the following actions is
E E E E E E E E E E E
Eappropriate client advocacy? E E
A. The nurse investigates potential resources to help the client
E E E E E E E E
purchase wig
E E
B. The nurse explains to the mother that most clients with cancer
E E E E E E E E E E
lose their hair
E E E
C. The nurse informs the next shift nurse regarding the
E E E E E E E E
mother’s concerns.
E E
D. The nurse suggests counseling for the client’s body image issues
E E E E E E E E E
4. Which of the following items must be discarded in a biohazard
E E E E E E E E E E
Ewaste receptacle? E
A. A urinary catheter drainage bag from a client who is post-opt
E E E E E E E E E E
, B. A bed sheet from a client with bacterial pneumonia
E E E E E E E E
C. A perineal pad from a client who is 24-hr post-vaginal delivery
E E E E E E E E E E
D. An empty IV bag removed from a client who has HIV
E E E E E E E E E E
5. A nurse tells the unit manager, “I am tired of all the changes on
E E E E E E E E E E E E E
Ethe unit. If things don’t get better, I’m going to quit. “Which of
E E E E E E E E E E E E
Ethe following responses appropriate?
E E E
A. “So you are upset about all the changes on the Unit”
E E E E E E E E E E
B. “I think you have a right to be upset, I am tired of the changes too”
E E E E E E E E E E E E E E E
C. “Just stick with it a little longer. Things will get better soon
E E E E E E E E E E E
D. “ You should file complaints with hospital administrator
E E E E E E E
6. According to the HIPAA regulations, which of the following is
E E E E E E E E E
Ea violation of client confidentiality?
E E E E
A. Telephone the pharmacy with a prescription for the spouse to pick up
E E E E E E E E E E E
B. Providing a copy of the record to the transporting paramedic
E E E E E E E E E
C. Reporting a client’s disposition to the referring provider
E E E E E E E
D. Informing housekeeping staff that the client is in dialysis unit
E E E E E E E E E
7. A Nurse preceptor is evaluating a newly licensed nurse’s
E E E E E E E E
Ecompetency in assisting with a sterile procedure. Which of
E E E E E E E E
Ethe following actions indicates the nurse is maintaining
E E E E E E E
E sterile technique? (Select all that apply.)
E E E E E
A. Open the sterile pack by first unfolding the flap farthest from
E E E E E E E E E E
her body
E E
B. Rests the cap of a solution container upside down on the sterile field
E E E E E E E E E E E E
C. Removes the outside packaging of a sterile instrument
E E E E E E E
before dropping into the sterile field
E E E E E E
D. Holds a bottle of a sterile solution 15 cm (6 inches) above the
E E E E E E E E E E E E
sterile field
E E
E. Places sterile items within 1.25 cm (0.5 inch) border around the
E E E E E E E E E E
edge of the sterile field
E E E E E
8. A nurse is providing care for 4 post-opt clients. The nurse should
E E E E E E E E E E E
Efirst assess the client
E E E
A. Whose pulse has been steadily increasing during the past shift
E E E E E E E E E
B. Who is reporting a pain level of 8 on a scale of 0 to 10.
E E E E E E E E E E E E E E
C. Whose urine output averaged 32 ml/hr for the past 24 hr
E E E E E E E E E E
D. Who is reporting nausea after the prescribed antiemetic
E E E E E E E
was administered
E E
, 9. A nurse is preparing to transcribe a client’s med prescription in
E E E E E E E E E E
the medical record. Which of the following should the nurse
E E E E E E E E E E
recognize as containing the essential components of a
E E E E E E E E
medication order?
E E
A. NPH insulin 10 Units before and at bedtime
E E E E E E E
B. Haloperidol (Hadol) 1mg per mouth E E E E
C. Multivit every morning by mouth E E E E
D. Aspirin 650 mg by mouth every 4hr E E E E E E
10. A nurse is assisting with orientation of a newly licensed nurse.
E E E E E E E E E E
EThe newly licensed nurse is having trouble focusing and has
E E E E E E E E E
Edifficulty completing care for his assigned clients. Which of the
E E E E E E E E E
Efollowing interventions is appropriate? E E E
A. Recommend that he takes time to plan at the beginning of shift E E E E E E E E E E E
B. Advise him to complete less time-consuming tasks first
E E E E E E E
C. Ask other staff members to take over some of his staffs
E E E E E E E E E E
D. Offer to provide care for his clients while he takes a break
E E E E E E E E E E E
11. A nurse in an urgent care clinic is admitting a client who has
E E E E E E E E E E E E
Ebeen exposed to a liquid chemical in an industrial setting, which
E E E E E E E E E E
Eof the following actions should the nurse take first?
E E E E E E E E
A. Remove the client’s clothing E E E
B. Irrigate the exposed area with water E E E E E
C. Report the incident to OSHADon personal protective equipment.
E E E E E E E
12. A facility provides annual staff education regarding ethical
E E E E E E E
Epractice. A charge nurse recognizes a need for further education
E E E E E E E E E
Ewhen which of the following behaviors is observed?
E E E E E E E
A. A nurse refuses to actively participate during an elective
E E E E E E E E
abortion procedure scheduled for her client.
E E E E E E
B. A nurse gives prescribed opioids to a client who has a terminal
E E E E E E E E E E E
illness and respirations of 8/min
E E E E E
C. A nurse explains to a client’s family that a DNR order
E E E E E E E E E E
includes withholding comfort measures
E E E E
D. A nurse informs a confused client who wants to go home that he
E E E E E E E E E E E E
is going to stay at the facility until he is better
E E E E E E E E E E E
13. A nurse is an ambulatory care setting is orienting a newly
E E E E E E E E E E
Elicensed nurse who is preparing to return a call to a client. The
E E E E E E E E E E E E
Enurse should explain that which of the following is an objective
E E E E E E E E E E
Eof tele health?
E E
A. Assessing client needs E E
