Ati leadership proctored exam

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ATIMLeadershipMProctoredMExam


1. AMpatientM hasM damageM toM theM cerebellum.M WhichM disorderM isM mostM importa
ntM forM theMnurseMtoMassess?
a. Imbalance

b. Hemiplegia
c. MuscleMsprain
d. LowerM extremityM paralysis


ANS:MA
DamageM toM theM cerebellumM causesM problemsM withMbalance,M andM motorM impair
mentMisMdirectlyMrelatedMtoMtheMamountMofMdestructionMofMtheMmotorMstrip.MA
MstrokeM canM leadMtoMhemiplegia.MDirectMtraumaMtoMtheMmusculoskeletalMsystem
MresultsMinM bruises,Mcontusions,M sprains,MandM fractures.MAMcompleteM transection
M ofM theM spinalM cordM canMleadMtoMlowerMextremityMparalysis.

2. WhichMpatientMwillMcauseMtheMnurseMtoMselectM aMnursingMdiagnosisMofM
ImpairedMphysicalMmobilityMforMaMcareMplan?
a. AMpatientMwhoM isM completelyMimmobile
b. AMpatientMwhoMisMnotM completelyMimmobile
c. AMpatientMatM riskM forM single-systemM involvement
d. AMpatientMwhoMisMatMriskMforMmultisystemMproblems


ANS:MB
TheMdiagnosisMofMImpairedMphysicalMmobilityMappliesMtoMtheMpatientMwhoMh
asMsomeMlimitationMbutMisMnotMcompletelyMimmobile.MTheMdiagnosisMofMRis
kMforMdisuse
syndromeMappliesMtoMtheMpatientMwhoMisMimmobileMandMatMriskMforMmul
tisystemMproblemsMbecauseMofMinactivity.MBeyondMtheseMdiagnoses,MtheM
listMofMpotentialMdiagnosesMisM extensiveMbecauseM immobilityMaffectsM mu
ltipleMbodyM systems.
3. TheMpatientMhasMtheMnursingMdiagnosisMofMImpairedMphysicalMmobilityM
relatedMtoMpainMinMtheM leftM shoulder.MWhichMpriorityMactionMwillMtheMnur
seMtake?
a. EncourageMtheMpatientMtoMdoMself-care.

1
b. KeepMtheMpatientMasMmobileMasMpossible.
c. EncourageMtheM patientM toMperformM ROM.
d. AssistMtheM patientM withM comfortM measures.




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ANS:MD
TheMdiagnosisMrelatedMtoMpainMrequiresMtheMnurseMtoMassistMtheMpatientMwithM
comfortMmeasuresMsoMthatMtheMpatientMisMthenMwillingMandMmoreMableMtoMmo
ve.MPainMmustMbeMcontrolledMsoMtheMpatientMwillMnotMbeMreluctantMtoMinitiate
Mmovement.MTheMdiagnosisMrelatedMtoMreluctanceMtoMinitiateMmovementMrequir
esMinterventionsMaimedMatMkeepingMtheMpatientMasMmobileMasMpossibleMandMen
couragingMtheMpatientMtoMperformMself-careMandMROM.
4. AMnurseMisMdevelopingManMindividualizedMplanMofM careMforMaMpatient.MWhich

actionMisMimportantMforMtheMnurseMtoMtake?
a. EstablishM goalsM thatMareM measurableM andM realistic.

b. SetMgoalsMthatMareMaMlittleMbeyondMtheMcapabilitiesMofMtheMpatient.
c. UseMtheMnurse’sMownMjudgmentMandMnotMbeMswayedMbyMfamilyMdesires.
d. ExplainMthatMwithoutMtakingMalignmentM risks,MthereMcanM beMnoM progress.


ANS:MA
TheM nurseM mustM developM anM individualizedM planM ofM careM forM eachMnursingM
diagnosisMandMmustMsetMgoalsMthatMareMindividualized,Mrealistic,MandMmeasura
ble.MTheMnurseMshouldM setM realisticM expectationsM forM careM andM shouldM inclu
deM theMpatientM andMfamilyM whenMpossible.MTheMgoalsMfocusMonMpreventingM
problemsMorMrisksMtoMbodyMalignmentMandMmobility.
5. WhichMbehaviorMindicatesMtheMnurseMisMusingMaMteamM approachMwhenMcaringMforMa

patientM whoM isM experiencingM alterationsM inMmobility?
a. DelegatesM assessmentM ofM lungM soundsM toMnursingM assistiveMpersonnel
b. BecomesMsolelyMresponsibleMforMmodifyi
ngMactivitiesMofMdailyMlivingMConsultsMp
hysicalMtherapyMforMstrengtheningMexerci
sesM inMthe

c. extremities
InvolvesM respiratoryM therapyM forM alteredM breathingM fromM severeM anxiety
d. levels
MANS:M

C
TheM nurseM shouldM collaborateM withM otherM healthM careM teamM membersM suchM a
sMphysicalM orM occupationalM therapistsM whenM consideringM mobilityM needs.M ForM
example,MphysicalMtherapistsMareMaMresourceMforMplanningMROMMorMstrengtheni
ngMexercises.
NursesMoftenMdelegateMsomeMinterventionsMtoMnursingMassistiveMpersonnel,M but 2
assessmentMofM lungM soundsM isM theMnurse’sM responsibility.M NursingMassistiveM personnel
mayMturnMandMposition




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patients,MapplyM elasticMstockings,M helpMpatientsMuseMtheMincentiveM spiromete
r,M etc.MOccupationalMtherapistsM areMaM resourceM forM planningM activitiesMofM d
ailyM livingM that
patientsMneedMtoMmodifyMorMrelearn.MAMmentalMhealthMadvancedMpracticeMnurs
eM orMpsychologistMshouldMbeMusedMforMsevereManxiety.
6. TheMpatientMisMbeingMadmittedMtoMtheMneurologicalMunitMwithMaMdiagnosisM ofMstroke.

WhenMwillM theM nurseM beginM dischargeMplanning?
a. AtMtheMtimeMofMadmission

b. TheMdayMbeforeMtheMpatientMisMtoMbeMdischarged
c. WhenMoutpatientMtherapyMwillM noMlongerMbeM needed
d. AsMsoonMasMtheMpatient’sMdischargeMdestinationMisMknown


ANS:MA
DischargeMplanningMbeginsMwhenMaMpatientMentersMtheMhealthMcareMsystem.M
InManticipationMofMtheMpatient’sMdischargeMfromManMinstitution,MtheMnurseMm
akesMappropriateMreferralsMorM consultsMaM caseMmanagerM orMaMdischargeMplan
nerMtoM ensureMthatMtheMpatient’sMneedsMareMmetMatMhome.MReferralsMtoMhom
eMcareMorMoutpatientMtherapyMareMoftenMneeded.MPlanningMtheMdayMbeforeMdi
scharge,M whenMoutpatientMtherapyMisMnoMlongerMneeded,MandMasMsoonMasMth
eMdischargeMdestinationMisMknownMisMtooMlate.
7. WhichMgoalM isM mostM appropriateMforM aMpatientM whoM hasMhadM aM totalMhipM replacement?
TheMpatientMwillMambulateMbrisklyM onMtheMtreadmillMbyMtheMtimeMof
a. discharge.
b. TheMpatientMwillMwalkM100MfeetMusingMaMwalkerMbyMtheMtimeMofMdischarge.

c. TheMnurseMwillMassistMtheMpatientMtoMambulateMinMtheMhallM2MtimesMaM day.
d. TheMpatientMwillMambulateMbyMtheMtimeMofMdischarge.

ANS:MB
“TheMpatientMwillMwalkM100MfeetMusingMaMwalkerMbyMtheMtimeM ofMdischarge”M
isMindividualized,M realistic,MandM measurable.M “AmbulatingMbrisklyM onMaM tread
mill”M isMnotMrealisticMforMthisMpatient.MTheMoptionMthatMfocusesMonMtheMnurse,
M notM theM patient,MisMnotMaM measurableM goal;MthisMisM anMintervention.M “TheM pat
ientM willMambulateMbyMtheMtimeMofMdischarge”M isMnotM measurableMbecauseM itM
doesM notMspecifyM theMdistance.M EvenMthoughMweMcanMseeMthatMtheMpatientMwil
lMambulate,MthisMdoesMnotMquantifyMhowMfar.
8. TheMnurseM isM workingM onManMorthopedicM rehabilitationMunitM thatM requiresMlifting

andMpositioningMofMpatients.MWhichMpersonalMinjuryMwillMthe MnurseMmostMlikelyMtryM 3
toMprevent?
a. Arm




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