2023 ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM WITH NGN QUESTIONS
The nurse is using a forced air warmer for a surgical patient preoperatively.
Which goals is the nurse trying to achieve? (Select all that apply.) - (correct Answer) - B.Reduce blood
loss.
D. Reduce cardiac arrests.
E. Reduce surgical site infection.
ANS: B, D, E
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of
hypothermia. Prevention of hypothermia (core temperature < 36° C) helps to reduce complications such
as shivering, cardiac arrest, blood loss, SSI, pressure ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to
decrease wound infections? (Select all that apply.) - (correct Answer) - A. Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient.
ANS: A, E
A nurse is assigned the following four clients for the current shift. Which of the following clients should
the nurse assess first? - (correct Answer) - D. A client who has a C diff infection and needs a stool
specimen collected
The nurse is participating in a "time-out." In which activities will the nurse be involved? (Select all that
apply.) - (correct Answer) - Verify the correct site.
Verify the correct patient.
Verify the correct procedure.
A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left
leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min.
Which of the following actions should the nurse take? - (correct Answer) - Notify the nursing supervisor
about the issues
The mother of a client with breast cancer states, it's been hard for her, especially after losing her hair.
And it has been difficult to pay for all the treatments. Which of the following actions is appropriate client
, advocacy? - (correct Answer) - The nurse investigates potential resources to help the client purchase wig
Which of the following items must be discarded in a biohazard waste receptacle? - (correct Answer) - An
empty IV bag removed from a client who has HIV
A nurse tells the unit manager, "Iam tired of all the changes on the unit. If things don't get better, I'm
going to quit. "Which of the following responses appropriate? - (correct Answer) - So you are upset
about all the changes on the Unit
According to the HIPAA regulations, which of the following is a violation of client confidentiality? -
(correct Answer) - Informing housekeeping staff that the client is in dialysis unit
According to the HIPAA regulations, which of the following is a violation of client confidentiality? -
(correct Answer) - Informing housekeeping staff that the client is in dialysis unit
A Nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile
procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all
that apply.) - (correct Answer) - Open the sterile pack by first unfolding the flap farthest from her body
Removes the outside packaging of a sterile instrument before dropping into the sterile
Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field
A nurse is providing care for 4 post-opt clients. The nurse should first assess the client: - (correct Answer)
- Who is reporting a pain level of 8 on a scale of 0 to 10.
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: - (correct Answer)
- Seek the assistance of a nurse on the floor who is fluent in the client's language
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? - (correct Answer) - My Dilantin
dose will be increased several days before the procedure
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? - (correct Answer) - "The living
will documents your mother's wishes and must be followed."
The post anesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-
surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs.
What is the rationale for this nursing action? - (correct Answer) - This is done to compare and monitor
for vital sign variation during transport
The nurse is caring for a patient who will undergo a removal of a lung lobe.
The nurse is using a forced air warmer for a surgical patient preoperatively.
Which goals is the nurse trying to achieve? (Select all that apply.) - (correct Answer) - B.Reduce blood
loss.
D. Reduce cardiac arrests.
E. Reduce surgical site infection.
ANS: B, D, E
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of
hypothermia. Prevention of hypothermia (core temperature < 36° C) helps to reduce complications such
as shivering, cardiac arrest, blood loss, SSI, pressure ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to
decrease wound infections? (Select all that apply.) - (correct Answer) - A. Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient.
ANS: A, E
A nurse is assigned the following four clients for the current shift. Which of the following clients should
the nurse assess first? - (correct Answer) - D. A client who has a C diff infection and needs a stool
specimen collected
The nurse is participating in a "time-out." In which activities will the nurse be involved? (Select all that
apply.) - (correct Answer) - Verify the correct site.
Verify the correct patient.
Verify the correct procedure.
A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left
leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min.
Which of the following actions should the nurse take? - (correct Answer) - Notify the nursing supervisor
about the issues
The mother of a client with breast cancer states, it's been hard for her, especially after losing her hair.
And it has been difficult to pay for all the treatments. Which of the following actions is appropriate client
, advocacy? - (correct Answer) - The nurse investigates potential resources to help the client purchase wig
Which of the following items must be discarded in a biohazard waste receptacle? - (correct Answer) - An
empty IV bag removed from a client who has HIV
A nurse tells the unit manager, "Iam tired of all the changes on the unit. If things don't get better, I'm
going to quit. "Which of the following responses appropriate? - (correct Answer) - So you are upset
about all the changes on the Unit
According to the HIPAA regulations, which of the following is a violation of client confidentiality? -
(correct Answer) - Informing housekeeping staff that the client is in dialysis unit
According to the HIPAA regulations, which of the following is a violation of client confidentiality? -
(correct Answer) - Informing housekeeping staff that the client is in dialysis unit
A Nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile
procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all
that apply.) - (correct Answer) - Open the sterile pack by first unfolding the flap farthest from her body
Removes the outside packaging of a sterile instrument before dropping into the sterile
Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field
A nurse is providing care for 4 post-opt clients. The nurse should first assess the client: - (correct Answer)
- Who is reporting a pain level of 8 on a scale of 0 to 10.
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: - (correct Answer)
- Seek the assistance of a nurse on the floor who is fluent in the client's language
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? - (correct Answer) - My Dilantin
dose will be increased several days before the procedure
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? - (correct Answer) - "The living
will documents your mother's wishes and must be followed."
The post anesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-
surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs.
What is the rationale for this nursing action? - (correct Answer) - This is done to compare and monitor
for vital sign variation during transport
The nurse is caring for a patient who will undergo a removal of a lung lobe.
