ATI LEADERSHIP PROCTORED EXAM 2023 NEWEST ACTUAL EXAM 3
VERSIONS EACH VERSION WITH 70 QUESTIONS WITH DETAILED VERIFIED
ANSWERS / ALREADY GRADED A+
33. A nurse is working in the emergency department is assessing several clients. Which of the following
clients is the highest priority?
o A client who has a raised red skin rash on his arms, neck, and face.
o A client who has active bleeding from a puncture wound on the left groin area.
o A client who reports right-sided flank pain and is diaphoretic.
o A client who reports shortness of breath and left neck and shoulder pain - CORRECT
ANSWERS-A client who reports shortness of breath and left neck and shoulder pain
34. A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not
wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should
the charge nurse take?
o Escort the nurses to the nurses' lounge to continue the discussion.
o Make arrangements to take over the client's care.
o Recommend that both nurses be terminated.
o Contact the house supervisor to mediate the conflict. - CORRECT ANSWERS-Escort the
nurses to the nurses' lounge to continue the discussion.
35. A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The
client's partner asks the nurse how that would help. The nurse should explain that respite care would do
which of the following?
o Send a clinician to assess the safety of leaving her partner alone
o Allow her to take time off from attending to her partner
o Provide volunteers who will run errands for her
o Help her arrange transferring her partner to an assisted living facility - CORRECT ANSWERS-
Allow her to take time off from attending to her partner
,36. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change-of-shift report?
o The steps to follow when providing wound care.
o The time the client received his last dose of pain medication.
o The belief that the client has a difficult relationship with his son.
o The client's preferred time for bathing. - CORRECT ANSWERS-The time the client received
his last dose of pain medication.
37. A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the
following actions requires intervention by the charge nurse?
• Assess the client's gag reflex following esophagogastroduodenoscopy.
• Elevates the head of the client's bed to 30 before inserting a nasogastric tube.
• Assists the client into a fetal position on his side in preparation for a lumbar puncture.
• Maintains the chest tube collection device below the level of the insertion site when ambulating the
client - CORRECT ANSWERS-Elevates the head of the client's bed to 30 before inserting a
nasogastric tube.
38. A nurse in a long-term care facility is assessing a client who has returned from an acute care facility
following a brief illness. The nurse observes that the client is confused and agitated.Which of the
following actions should the nurse take first?
• Offer reassurance to the family.
• Reorient the client to his surroundings
• Measure the client's vital signs
• Medicate the client with alprazolam - CORRECT ANSWERS-Reorient the client to his
surroundings
39. A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should
schedule an interdisciplinary conference for which of the following clients?
• A client who has Type 1 diabetes and uses an insulin pump.
• A client who has orthostatic hypotension and is receiving IV fluids.
• A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.
, • A client who is receiving heparin and has an aPTT of 34 seconds. - CORRECT ANSWERS-A
client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.
6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker - CORRECT ANSWERS-Hospice care, Respite care, Social worker
7. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of
the following actions is the priority for the nurse to take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room - CORRECT ANSWERS-Remove the IV pump
from the client's room.
8. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's
injection. For which of the following actions by the newly licensed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration. - CORRECT ANSWERS-Withdraws
the medication from the ampule using a subcutaneous needle.
9. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the bedside
commode. Which of the following actions should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
VERSIONS EACH VERSION WITH 70 QUESTIONS WITH DETAILED VERIFIED
ANSWERS / ALREADY GRADED A+
33. A nurse is working in the emergency department is assessing several clients. Which of the following
clients is the highest priority?
o A client who has a raised red skin rash on his arms, neck, and face.
o A client who has active bleeding from a puncture wound on the left groin area.
o A client who reports right-sided flank pain and is diaphoretic.
o A client who reports shortness of breath and left neck and shoulder pain - CORRECT
ANSWERS-A client who reports shortness of breath and left neck and shoulder pain
34. A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not
wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should
the charge nurse take?
o Escort the nurses to the nurses' lounge to continue the discussion.
o Make arrangements to take over the client's care.
o Recommend that both nurses be terminated.
o Contact the house supervisor to mediate the conflict. - CORRECT ANSWERS-Escort the
nurses to the nurses' lounge to continue the discussion.
35. A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The
client's partner asks the nurse how that would help. The nurse should explain that respite care would do
which of the following?
o Send a clinician to assess the safety of leaving her partner alone
o Allow her to take time off from attending to her partner
o Provide volunteers who will run errands for her
o Help her arrange transferring her partner to an assisted living facility - CORRECT ANSWERS-
Allow her to take time off from attending to her partner
,36. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change-of-shift report?
o The steps to follow when providing wound care.
o The time the client received his last dose of pain medication.
o The belief that the client has a difficult relationship with his son.
o The client's preferred time for bathing. - CORRECT ANSWERS-The time the client received
his last dose of pain medication.
37. A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the
following actions requires intervention by the charge nurse?
• Assess the client's gag reflex following esophagogastroduodenoscopy.
• Elevates the head of the client's bed to 30 before inserting a nasogastric tube.
• Assists the client into a fetal position on his side in preparation for a lumbar puncture.
• Maintains the chest tube collection device below the level of the insertion site when ambulating the
client - CORRECT ANSWERS-Elevates the head of the client's bed to 30 before inserting a
nasogastric tube.
38. A nurse in a long-term care facility is assessing a client who has returned from an acute care facility
following a brief illness. The nurse observes that the client is confused and agitated.Which of the
following actions should the nurse take first?
• Offer reassurance to the family.
• Reorient the client to his surroundings
• Measure the client's vital signs
• Medicate the client with alprazolam - CORRECT ANSWERS-Reorient the client to his
surroundings
39. A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should
schedule an interdisciplinary conference for which of the following clients?
• A client who has Type 1 diabetes and uses an insulin pump.
• A client who has orthostatic hypotension and is receiving IV fluids.
• A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.
, • A client who is receiving heparin and has an aPTT of 34 seconds. - CORRECT ANSWERS-A
client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.
6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker - CORRECT ANSWERS-Hospice care, Respite care, Social worker
7. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of
the following actions is the priority for the nurse to take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room - CORRECT ANSWERS-Remove the IV pump
from the client's room.
8. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's
injection. For which of the following actions by the newly licensed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration. - CORRECT ANSWERS-Withdraws
the medication from the ampule using a subcutaneous needle.
9. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the bedside
commode. Which of the following actions should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
