ATI Leadership Proctored Exam Questions and answers A LEVEL
1. A patient has damage to the cerebellum. Which disorder is most important for the nurse
to assess?
a. Imbalance
b. Hemiplegia
c. Muscle sprain
d. Lower extremity paralysis
ANS: A
Damage to the cerebellum causes problems with balance, and motor impairment is directly
related to the amount of destruction of the motor strip. A stroke can lead to hemiplegia. Direct
trauma to the musculoskeletal system results in bruises, contusions, sprains, and fractures. A
complete transection of the spinal cord can lead to lower extremity paralysis.
2. Which patient will cause the nurse to select a nursing diagnosis of Impaired physical
mobility for a care plan?
a. A patient who is completely immobile
b. A patient who is not completely immobile
c. A patient at risk for single-system involvement
d. A patient who is at risk for multisystem problems
ANS: B
The diagnosis of Impaired physical mobility applies to the patient who has some limitation but is
not completely immobile. The diagnosis of Risk for disuse syndrome applies to the patient who
is immobile and at risk for multisystem problems because of inactivity. Beyond these diagnoses,
the list of potential diagnoses is extensive because immobility affects multiple body systems.
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, 3. The patient has the nursing diagnosis of Impaired physical mobility related to pain in the
left shoulder. Which priority action will the nurse take?
a. Encourage the patient to do self-care.
b. Keep the patient as mobile as possible. 1
c. Encourage the patient to perform ROM.
d. Assist the patient with comfort measures.
ANS: D
The diagnosis related to pain requires the nurse to assist the patient with comfort measures so
that the patient is then willing and more able to move. Pain must be controlled so the patient will
not be reluctant to initiate movement. The diagnosis related to reluctance to initiate movement
requires interventions aimed at keeping the patient as mobile as possible and encouraging the
patient to perform self-care and ROM.
4. A nurse is developing an individualized plan of care for a patient. Which
action is important for the nurse to take?
a. Establish goals that are measurable and realistic.
b. Set goals that are a little beyond the capabilities of the patient.
c. Use the nurse’s own judgment and not be swayed by family desires.
d. Explain that without taking alignment risks, there can be no progress.
ANS: A
The nurse must develop an individualized plan of care for each nursing diagnosis and must set
goals that are individualized, realistic, and measurable. The nurse should set realistic
expectations for care and should include the patient and family when possible. The goals focus
on preventing problems or risks to body alignment and mobility.
5. Which behavior indicates the nurse is using a team approach when caring for a
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1. A patient has damage to the cerebellum. Which disorder is most important for the nurse
to assess?
a. Imbalance
b. Hemiplegia
c. Muscle sprain
d. Lower extremity paralysis
ANS: A
Damage to the cerebellum causes problems with balance, and motor impairment is directly
related to the amount of destruction of the motor strip. A stroke can lead to hemiplegia. Direct
trauma to the musculoskeletal system results in bruises, contusions, sprains, and fractures. A
complete transection of the spinal cord can lead to lower extremity paralysis.
2. Which patient will cause the nurse to select a nursing diagnosis of Impaired physical
mobility for a care plan?
a. A patient who is completely immobile
b. A patient who is not completely immobile
c. A patient at risk for single-system involvement
d. A patient who is at risk for multisystem problems
ANS: B
The diagnosis of Impaired physical mobility applies to the patient who has some limitation but is
not completely immobile. The diagnosis of Risk for disuse syndrome applies to the patient who
is immobile and at risk for multisystem problems because of inactivity. Beyond these diagnoses,
the list of potential diagnoses is extensive because immobility affects multiple body systems.
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, 3. The patient has the nursing diagnosis of Impaired physical mobility related to pain in the
left shoulder. Which priority action will the nurse take?
a. Encourage the patient to do self-care.
b. Keep the patient as mobile as possible. 1
c. Encourage the patient to perform ROM.
d. Assist the patient with comfort measures.
ANS: D
The diagnosis related to pain requires the nurse to assist the patient with comfort measures so
that the patient is then willing and more able to move. Pain must be controlled so the patient will
not be reluctant to initiate movement. The diagnosis related to reluctance to initiate movement
requires interventions aimed at keeping the patient as mobile as possible and encouraging the
patient to perform self-care and ROM.
4. A nurse is developing an individualized plan of care for a patient. Which
action is important for the nurse to take?
a. Establish goals that are measurable and realistic.
b. Set goals that are a little beyond the capabilities of the patient.
c. Use the nurse’s own judgment and not be swayed by family desires.
d. Explain that without taking alignment risks, there can be no progress.
ANS: A
The nurse must develop an individualized plan of care for each nursing diagnosis and must set
goals that are individualized, realistic, and measurable. The nurse should set realistic
expectations for care and should include the patient and family when possible. The goals focus
on preventing problems or risks to body alignment and mobility.
5. Which behavior indicates the nurse is using a team approach when caring for a
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