ATI LEADERSHIP PROCTORED ACTUAL EXAM
ATI LEADERSHIP PROCTORED
ACTUAL EXAM. GRADED A+. WITH
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES.
LATEST UPDATE
QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is assessing pressure ulcers on four clients to evaluate the
effectiveness of a change in the wound care procedure. Which of the
following findings indicate wound healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the centre of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients' wound (damaged
capillaries)
Rationale: Leadership 7.0 pg
329:
- Stages of Wound Healing
- Inflammatory stage - beginning stage, also usually suggests infection
- Begins with the injury and lasts 3 to 6 days
- Effects to the wound: controlling bleeding with
vasoconstriction and retraction of blood vessels, and with
clot formation. Delivering oxygen, WBCs, nutrients to the
area via the blood supply. Hemostasis occurs along with
fibrin formation.
,ATI LEADERSHIP PROCTORED ACTUAL EXAM
Macrophages engulf microorganisms and cellular debris
(phagocytosis).
- Proliferative stage
- Lasts the next 3 to 24 days
- Effects to the wound: replacing lost tissue with connective or
granulated tissue or collagen. Contracting the wound’s edges.
Resurfacing of new epithelial cells. Healthy granulation tissue
does not bleed easily. Dark granulation tissue can be a sign of
infection, ischemia, or poor perfusion. In the final phase of the
proliferative stage of wound healing, epithelial cells resurface
the injury.
- Maturation or remodelling stage
- Occurs after day 21 and involves the strengthening of the
collagen scar and restoration of a more normal appearance. It
can take more than 1 year to complete, depending on the
extent of the original wound. When scar tissues are forming.
- Appearance:
- Note the color of open wounds.
- Red: healthy regeneration of tissue.
- Yellow: the presence of purulent drainage and slough
- Black: the presence of eschar that hinders healing and requires
removal.
2. A nurse received change of shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
,ATI LEADERSHIP PROCTORED ACTUAL EXAM
a. Obtain a breakfast tray for a client who received a morning dose
of insulin aspart. - (fast-acting insulin...usually takes effect after
15 minutes)
b. Administer pain medication to a client who has rheumatoid
arthritis and received the last dose at 0400.
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging
for 24 hours
3.A nurse is orienting a newly licensed nurse on the neurological unit. Which of
the following clients should the nurse assign to the newly licensed nurse?
, ATI LEADERSHIP PROCTORED ACTUAL EXAM
a. A client who has multiple sclerosis and ataxia - (normal finding for
someone that has multiple sclerosis = most stable - showed up on
online practice tests)
b. A client who has a brain tumor and is admitted for chemotherapy ←dead
c. A client who has guillain-barre syndrome and a tracheostomy -unstable
d. A client who sustained a concussion and is being monitored for complication -
unstable
4. A nurse is providing teaching to a client about advance directives. Which of the
following statements by the client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co-sign it”
b. “I will wait until I have a serious health problems to sign my advance directives”
c. “My doctor will need to provide approval for the decisions outlines in my living will
d. “My durable power of attorney for health care is part of my advance
directives”-durable power of will and living will are components of
advance directives.
Rationale: Leadership 7.0 page 38
5. A nurse is chairing a committee about preventing infant abduction in a new
birth care center. Which of the following quality control tasks should the nurse
assign to be completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. Anurse notes that a client is eating about half of the food on his plate and
coughs frequently during meals. The nurse plans to perform dysphagia
screening to determine the client's need for a referral to which of the following
providers?
a. Physical therapist
b. Respiratory therapist
c. Speech therapist
d. Occupational therapist
7. Ahome health nurse is assessing the home environment during an initial visit to
a client who has a history of falls. Which of the following findings should the
ATI LEADERSHIP PROCTORED
ACTUAL EXAM. GRADED A+. WITH
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES.
LATEST UPDATE
QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is assessing pressure ulcers on four clients to evaluate the
effectiveness of a change in the wound care procedure. Which of the
following findings indicate wound healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the centre of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients' wound (damaged
capillaries)
Rationale: Leadership 7.0 pg
329:
- Stages of Wound Healing
- Inflammatory stage - beginning stage, also usually suggests infection
- Begins with the injury and lasts 3 to 6 days
- Effects to the wound: controlling bleeding with
vasoconstriction and retraction of blood vessels, and with
clot formation. Delivering oxygen, WBCs, nutrients to the
area via the blood supply. Hemostasis occurs along with
fibrin formation.
,ATI LEADERSHIP PROCTORED ACTUAL EXAM
Macrophages engulf microorganisms and cellular debris
(phagocytosis).
- Proliferative stage
- Lasts the next 3 to 24 days
- Effects to the wound: replacing lost tissue with connective or
granulated tissue or collagen. Contracting the wound’s edges.
Resurfacing of new epithelial cells. Healthy granulation tissue
does not bleed easily. Dark granulation tissue can be a sign of
infection, ischemia, or poor perfusion. In the final phase of the
proliferative stage of wound healing, epithelial cells resurface
the injury.
- Maturation or remodelling stage
- Occurs after day 21 and involves the strengthening of the
collagen scar and restoration of a more normal appearance. It
can take more than 1 year to complete, depending on the
extent of the original wound. When scar tissues are forming.
- Appearance:
- Note the color of open wounds.
- Red: healthy regeneration of tissue.
- Yellow: the presence of purulent drainage and slough
- Black: the presence of eschar that hinders healing and requires
removal.
2. A nurse received change of shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
,ATI LEADERSHIP PROCTORED ACTUAL EXAM
a. Obtain a breakfast tray for a client who received a morning dose
of insulin aspart. - (fast-acting insulin...usually takes effect after
15 minutes)
b. Administer pain medication to a client who has rheumatoid
arthritis and received the last dose at 0400.
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging
for 24 hours
3.A nurse is orienting a newly licensed nurse on the neurological unit. Which of
the following clients should the nurse assign to the newly licensed nurse?
, ATI LEADERSHIP PROCTORED ACTUAL EXAM
a. A client who has multiple sclerosis and ataxia - (normal finding for
someone that has multiple sclerosis = most stable - showed up on
online practice tests)
b. A client who has a brain tumor and is admitted for chemotherapy ←dead
c. A client who has guillain-barre syndrome and a tracheostomy -unstable
d. A client who sustained a concussion and is being monitored for complication -
unstable
4. A nurse is providing teaching to a client about advance directives. Which of the
following statements by the client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co-sign it”
b. “I will wait until I have a serious health problems to sign my advance directives”
c. “My doctor will need to provide approval for the decisions outlines in my living will
d. “My durable power of attorney for health care is part of my advance
directives”-durable power of will and living will are components of
advance directives.
Rationale: Leadership 7.0 page 38
5. A nurse is chairing a committee about preventing infant abduction in a new
birth care center. Which of the following quality control tasks should the nurse
assign to be completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. Anurse notes that a client is eating about half of the food on his plate and
coughs frequently during meals. The nurse plans to perform dysphagia
screening to determine the client's need for a referral to which of the following
providers?
a. Physical therapist
b. Respiratory therapist
c. Speech therapist
d. Occupational therapist
7. Ahome health nurse is assessing the home environment during an initial visit to
a client who has a history of falls. Which of the following findings should the
