ATI Leadership Management Proctored Exam with NGN/ Latest / All Screenshots Questions with Detailed Answers.

pg. 1 ATI Leadership Management Proctored Exam with NGN/ Latest / All Screenshots Questions with Detailed Answers. (Detailed Exam Prep Solutions and Resources for the test in 2024)pg. 2pg. 3pg. 4pg. 5pg. 6pg. 7pg. 8pg. 9pg. 10pg. 11pg. 12pg. 13pg. 14pg. 15pg. 16pg. 17pg. 18pg. 19pg. 20pg. 21pg. 22pg. 23pg. 24pg. 25pg. 26pg. 27pg. 28pg. 29pg. 30pg. 31pg. 32pg. 33 ATI LEADERSHIP AND MANGEMENT Question 1 Correct Mark 1.00 out of 1.00 Flag question Question textpg. 34 A nurse is preparing a client who speaks limited English for surgery. Which of the following is the most appropriate nursing action in obtaining informed consent from this client? Select one: a. The nurse should explain the procedures using pictures and hand gestures. b. Do nothing as this is the provider’s primary concern. c. The nurse is responsible for ensuring that the client understands the information provided regarding the procedure. d. Have the nurse respond to the client’s concerns so the provider can prepare for surgery. Feedback The correct answer is: Seek the assistance of a nurse on the floor who is fluent in the client’s language. Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is performing initial teaching with a client who will be receiving electroconvulsive therapy (ECT). Which statement by the client indicates a need for further teaching? Select one: a. “I will stop taking my lithium for 2 weeks prior to my procedure.” b. “Before the procedure, I will have an EKG to assess for heart irregularities.” Seek the assistance of a nurse on the floor who is fluent in the client’s . 35 c. “My Dilantin dose will be increased several days before the procedure.” Because the therapeutic action of ECT is to induce seizures, any medications that affect the client’s seizure threshold must be decreased or discontinued several days before the procedure. d. “I will need to continue taking my regular blood pressure medication.” Question text A daughter of a client with a terminal illness pulls a nurse to the side and says, “Although my mother’s living will states she is not to be resuscitated, the family wants everything done to save her if she has a cardiac arrest.” How should the nurse respond? Select one: a. “I will contact the provider to make him aware of your request.” b. “Since the living will is a legal document a lawyer will have to make the changes.” c. “If your mother has a cardiac arrest, we will begin resuscitation if you wish.” d. “The living will documents your mother’s wishes and must be followed.” A living will is a document that expresses the client’s wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues. The client’s wishes should be followed by the health care provider. Feedback The correct answer is: “My Dilantin dose will be increased several days before the procedure.” Question 3 Correct Mark 1.00 out of 1.00 Flag questionpg. 36 Feedback The correct answer is: “The living will documents your mother’s wishes and must be followed.” Question 4 Correct Mark 1.00 out of 1.00 Flag question Question text A provider informs the wife of a comatose client with terminal cancer that she will need to sign the consent for insertion of a gastrostomy feeding tube. The nurse knows this is against the client’s wishes. What is the appropriate action by the nurse? Select one: a. Prepare the consent for the wife to sign. b. Inform the wife she cannot sign the consent c. Consult the hospital’s ethics committee. If the nurse believes the provider’s actions are directly against the client’s wishes, the nurse should contact the hospital’s ethics committee. These committees are typically multidisciplinary and are organized to consciously and reflectively consider significant and often difficult issues related to client care. Any nurse can consult the hospital’s ethics committee when deemed necessary. d. Ask the provider for an order for a NG tube instead. Feedbackpg. 37 A client is seeking treatment for stress related to unexpected loss of employment and is engaging in the stress management technique of cognitive reframing. Which of the following statements would indicate to the nurse that the client understands this stress management technique? Select one: a. “I have excellent job skills; I just need to find a new employer.” Cognitive reframing is a simple and effective technique for reducing stress by looking at things in a more positive light in order to experience them as less stressful. Cognitive reframing for this client would involve building confidence in job skills and searching for a new job. b. “Once I decided what was most important to me, things got easier.” c. “I can visualize the perfect interview and being offered a new job.” d. “When I do my daily yoga exercises, I feel so much better.” Feedback The correct answer is: “I have excellent job skills; I just need to find a new employer.” The correct answer is: Consult the hospital’s ethics committee. Question 5 Correct Mark 1.00 out of 1.00 Flag question Question textpg. 38 Question 6 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is preparing a client with terminal illness for discharge to a nursing home when he states: “I don’t want to go to a nursing home to die. I would rather die at home.” What would be the most appropriate action by the nurse? Select one: a. Continue to make the discharge arrangements. b. Inform the provider of the client’s decision. c. Assess the client’s reasons for feeling this way. d. Contact the client’s case manager. Contact the client’s case manager would be the most appropriate action by the nurse. The case manger would be able to determine if the client’s wishes could be carried out. Feedback The correct answer is: Contact the client’s case manager. Question 7 Correct Mark 1.00 out of 1.00 Flag question Question text A client is hospitalized for multiple rib fractures following a motor vehicle accident (MVA). The results of an arterial blood gas (ABG’s) are; pH 7.30, pCO2 48, HCO3 26 and pO2 91 on 2 L/min of oxygen per nasal cannula. Which of the following interventions has the highest priority?pg. 39 Select one: a. Increase the client’s O2 delivery to 4 L/min. b. Administer an anti-anxiety agent to calm the client. c. Assist the client to deep breathe, splinting with a pillow. The client is experiencing respiratory acidosis from hypoventilation caused by painful respirations due to fractured ribs. Splinting the chest wall with a pillow will decrease pain associated with deep breathing. Deeper breaths will allow for better gas exchange, which will correct the acidosis. d. Notify the health care provider of the abnormal ABG’s. The nurse is caring for a client admitted with diverticulitis. The client reports severe abdominal pain and assessment reveals that the client’s abdomen is rigid and tender. The client’s vital signs are: T: 101.8 F (38C); HR: 120; B/P: 100/50. Urine output was less than 300 ml during the previous eight hours. The client states the pain is "worse than before". What is the priority nursing intervention for this client? Select one: a. Encourage the client to increase fluids b. Administer the prescribed scheduled antibiotic c. Administer bisacodyl suppository as needed Feedback The correct answer is: Assist the client to deep breathe, splinting with a pillow. Question 8 Correct Mark 1.00 out of 1.00 Flag question Question textpg. 40 d. Notify the client’s health care provider The nurse is caring for four clients receiving chemotherapy. Which of the following clients should the nurse see first? Select one: a. A client with cervical cancer and a hemoglobin level of 8.2 mg/dL b. A client with ovarian cancer with a white blood cell count of 4,500 cells/mcL c. A client with breast cancer and a sodium level of 115 mEq/L A sodium level less than 120 mEq/L is considered a medical emergency and needs immediate assessment and treatment. d. A client with endometrial cancer and a potassium level of 5.0 mEq/L Feedback The correct answer is: A client with breast cancer and a sodium level of 115 mEq/L The client is febrile, tachycardic and hypotensive with verbalization of increased worsening abdominal pain. These are signs of possible rupture of the diverticulum, pelvic abscess, or bowel obstruction and the provider needs to be notified. Feedback The correct answer is: Notify the client’s health care provider Question 9 Correct Mark 1.00 out of 1.00 Flag question Question textpg. 41 Question 10 Correct Mark 1.00 out of 1.00 At 0715 the nurse is assigned to care for the following four clients. Which of the following clients should the nurse plan to see first? Select one: a. A client scheduled for a bronchoscopy at the bedside at 0900. b. A client who will be transferred to a skilled care facility at 0930. c. A client with diabetes mellitus type I waiting for a breakfast tray at 0745. The diabetic client waiting for breakfast should be assessed first. Prior to breakfast the client’s blood glucose needs to be drawn and if insulin coverage is required it is administered before breakfast. Once the client begins to eat and digest food they will be at risk for increasing blood glucose levels without their insulin coverage. d. A client with pneumonia scheduled for a portable chest x-ray at 0730. Feedback The correct answer is: A client with diabetes mellitus type I waiting for a breakfast tray at 0745. Flag question Question text