LEADERSHIP
MANAGEMENT
PROCTORED EXAM
GRADED A+
# 2023 ATI PN LEADERSHIP MANAGEMENT
PROCTORED EXAM
## SECTION 1: SAFETY & INFECTION CONTROL
,**Question 1**
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.)
- A. Induce shivering
- **B. Reduce blood loss**
- C. Induce pressure ulcers
- **D. Reduce cardiac arrests**
- **E. Reduce surgical site infection**
**Answer: B, D, E**
**Rationale:** 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, surgical site infection, pressure ulcers, and
mortality .
,---
**Question 2**
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.)
- **A. Maintain normoglycemia**
- B. Use a straight razor to remove hair
- C. Provide bath and linen change daily
- D. Perform first dressing change 2 days postoperatively
- **E. Perform hand hygiene before and after contact with the
patient**
- F. Administer antibiotics within 60 minutes before surgical
incision
**Answer: A, E**
, **Rationale:** Performing hand hygiene before and after
contact with the patient helps to decrease the number of
microorganisms and break the chain of infection. Maintaining
blood glucose levels at less than 150 mg/dL has resulted in
decreased wound infection. Removing unwanted hair by
clipping instead of shaving decreases nicks and cuts .
---
**Question 3**
A nurse is assigned the following four clients for the current
shift. Which of the following clients should the nurse assess
first?
- A. A client who has a hip fracture and is in Buck's traction
- B. A client who has aspiration pneumonia and a respiratory
rate of 28/min
- C. A client who has diabetes mellitus and a stage 2 pressure
ulcer on his foot
- **D. A client who has a C. diff infection and needs a stool
specimen collected**