ATI Proctored Assessment Leadership 2019 Exam Questions and Answers (Graded A)

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A nurse in the ED is performing triage for a group of clients following a MVC. Which of the following clients should the nurse request the provider assess first? -A client who has a closed leg fractu... re and reports peripheral paresthesia -A client who reports a sprained ankle and has a laceration over the medial ankle -A client who has arm contusions and manifests asymmetrical thoracic movement -A client who has abrasions to the face and is requesting medication for severe pain - ANSWER A client who has arm contusions and manifests asymmetrical thoracic movement A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2 hrs. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next? -Have the client sign the AMAM form -Inform the client about the risks she may encounter by leaving the facility -Document the client's statements in the medical record -Notify the risk manager - ANSWER Inform the client about the risks she may encounter by leaving the facility A nurse case manager is planning a teaching session on the use of critical pathways with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching? -Critical pathways promote individualized care -Critical pathways decrease administrative work time -Critical pathways prevent unnecessary expense -Critical pathways incorporate provider preferences - ANSWER Critical pathways prevent unnecessary expense (answered wrong) A nurse is caring for a client who has an informed consent form for an upcoming procedure in his health record. Which of the following actions should the nurse take to validate that the client understands the procedure? -Review documentation by the provider of discussing the procedure with the client -Verify that the client's signature is on the informed consent form -Ask the client to verbalize the purpose, risks, and benefits of the procedure -Document the client's completed pre-procedure checklist in the medical record - ANSWER Ask the client to verbalize the purpose, risks, and benefits of the procedure A nurse at an urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take to ensure care is provided according to policy? -Check client satisfaction surveys for feedback on this issue -Post an article on pain assessment on the bulletin board -Document this finding on an incident report -Report this issue to the nurse manager - ANSWER Report this issue to the nurse manager A client is being discharged with a post-op infection, requiring daily home IV antibiotics through a PICC line. Which of the following actions should the case manager perform prior to discharge? -Assess the client's home environment for possible reservoirs of infection -Verify the patency of the PICC line -Provide dressing change and wound assessment teaching -Ensure home infusion therapy has been arranged - ANSWER Ensure that home infusion therapy has been arranged (answered wrong) A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark. Which of the following actions should the nurse implement first? -Offer incentives for the staff once the unit's benchmark is above average -Train specific nurses to use a standard discharge teaching plan -Determine the factors that interfere with the documentation of client education -Include client discharge teaching as part of the annual performance evaluation - ANSWER Determine the factors that interfere with the documentation of client education A charge nurse is orienting a newly licensed nurse to the facility's policies regarding EMRs. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? -I will make sure the monitor is turned off when I have to leave the computer terminal -I can share my password with nursing students assigned to my unit -I will allow a client to make changes directly to their medical record -After I finish with the printout of my assignment. I'll put it in the shredder - ANSWER After I finish with the printout of my assignment, I'll put it in the shredder A charge nurse is delegating tasks on a unit that is short staffed. A client has a prescription for a wound irrigation bid. Which of the following actions should the charge nurse take? -Perform the wound irrigation during rounds -Delegate the procedure to an AP -Assign the procedure to a LPN -Reschedule the procedure to be performed once daily - ANSWER Assign the procedure to a LPN A staff nurse detects ETOH on the breath of another nurse working on the unit. The staff nurse observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions should the nurse take? -Notify the charge nurse of the nurse's behavior -Confront the nurse about the behavior -Wait to see if the behavior occurs again before acting -Suggest the nurse request sick leave for the rest of the shift - ANSWER Notify the charge nurse of the nurse's behavior An RN delegates the task of obtaining the BP of a client who is 2hr post-op following a cholecystectomy to a LPN. The LPN reports a BP that is significantly higher than the previous reading. Which of the following actions should the RN take first? -Recheck the client's BP -Treat the client's BP with a prescribed antihypertensive -Ask the LPN to review the technique for obtaining BP -Review the client's medical record for other episodeds of elevated BP - ANSWER Recheck the client's BP A nurse is caring for several clients. Which of the following actions should the nurse take to maintain client confidentiality? - ANSWER Tell the client's partner that the client's lab tests cannot be disclosed without permission (answered wrong) A nurse manager is conducting an annual performance review for a staff nurse. Which of the following strategies should the nurse use in the review process? - ANSWER Include the peer evaluations completed by other staff nurses; Have the nurse conduct a self-appraisal prior to the review; complete a performance checklist A nurse is teaching a newly licensed nurse about using EMRs. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - ANSWER My access to client records might be tracked by my nurse manager A nurse is delegating tasks for a group of clients to an AP. Which of the following statements provides the right direction of communication with the AP? - ANSWER Tell me what time the client in room 205 voids for the first time after the catheter is reomved A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. Which of the following actions should the nurse take first? - ANSWER Check the client's last INR A charge nurse has been asked to determine staff adherence to established standards for post-op VS measurement. Which of the following actions should the nurse take to collect information? - ANSWER Conduct a retrospective chart audit of all surgical clients for the past 6 months A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict? - ANSWER I'm not sure whether I want to apply for the unit manager's position or start a family this year A charge nurse is observing a newly licensed nurse care for a client who has a prescription for application of an aquathermia pad to the right lower leg. Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device? - ANSWER ask the client to report if the aquathermia pad gets too warm; Ensure that the client's call light is in reach A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing. Which of the following referrals should the nurse recommend for the client? - ANSWER Occupational therapy A nurse is presenting information on health care law to a group of newly licensed nurses. Which of the following information should the nurse include? - ANSWER The patient self determination act requires a nurse to give clients information about end-of life options A nurse is caring for 4 clients. Which of the following tasks can the nurse assign to an AP? - ANSWER Perform chest compressions on a client who is in cardiac arrest A nurse is caring for a client who has a potassium level of 3.2. The nurse has been paging the provider for 1 hr to attempt to report the potassium level. Which of the following actions should the nurse take next? - ANSWER Notify the nursing supervisor A charge nurse is planning assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to an AP? - ANSWER Assisting a client who had a hip arthroplasty to a chair A charge nurse is evaluating a plan of care that a newly licensed nurse developed for a client who is to receive a continuous NG tube feeding. Which of the following interventions should the charge nurse ensure is part of the plan of care? - ANSWER Use a 60mL syringe to flush out a clogged tube A nurse has just received report on 4 clients on a med-surg unit. Which of the following clients should the nurse plan to assess first? - ANSWER A client who is post-op following a total knee arthroplasty and has a cap refill of 4 seconds (answered wrong) A nurse is assessing a client who is post-op and has a PCA. The client exhibits restlessness, an elevated pulse, and decreased BP. Which of the following actions should the nurse take? - ANSWER Place the client in a modified Trendelenburg position A nurse is caring for a client who is experiencing adverse effects after receiving a new medication. Which of the following communication tools should the nurse use for management of this complication? - ANSWER SBAR framework A nurse in a mental health facility is teaching a newly licensed nurse about the use of mechanical restraints. Which of the following statements by the newly licensed nurse indicates understanding of the teaching? - ANSWER I should request the provider to examine the client within 1 hr of applying mechanical restraints A RN is working on the surgical unit when a client who has abdominal pain is admitted. Which of the following activities must be performed by the RN? - ANSWER Completing the client's initial admission assessment A nurse manager is reviewing the actions a staff nurse took when they observed smoke coming from a wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when they performed which of the following actions first? - ANSWER Transported the client to the hallway A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order? - ANSWER Latent Perceived Felt Manifest Conflict aftermath A public health nurse is developing a list of recommendations for the supervisor about how to use EBP to improve community outcomes. Which of the following should the nurse recommend as a qualitative research method? - ANSWER Phenomenology A nurse is teaching a client about PPACA and their rights regarding insurance coverage. Which of the following statements by the client indicated an understanding of the teaching? - ANSWER My insurance coverage no longer has lifetime coverage limits A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. Which of the following statements should the nurse make? - ANSWER Let's talk about the benefits of each treatment A nurse is reviewing the components of a surgical informed consent with a newly licensed nurse. Which of the following statements should the nurse include? - ANSWER The nurse should ensure the client understands the information given by the surgeon A nurse us teaching a newly licensed nurse about incident reports. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - ANSWER I should complete an incident report for an unexpected client outcome (answered wrong) A nurse is speaking with the adult child of a client who has sever Alzheimer's disease. The child is crying and tells the nurse, "I don't know how much longer I can keep this up". Which of the following responses should the nurse make? - ANSWER Let's discuss options for respite care A nurse is caring for a group of clients on a unit. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? - ANSWER A client who is 2 days post-op and has a urine output of 20mL/hr A charge nurse notices that a newly hired nurse consistently does not finish client care tasks by the end of the shift. Which of the following statements should the charge nurse make? - ANSWER You should set aside time to plan your day at the beginning of each shift A nurse manager is presenting an in-service about preventing readmission of clients due to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing? - ANSWER Advocacy A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated to an AP? - ANSWER Ambulating a client who uses a walker; Adding thickener to thin liquids on a client's food tray A charger nurse on a medical unit hears the fire alarm and announcement that a fire is occurring on the unit. Which of the following is the priority action by the charge nurse? - ANSWER Instruct ambulatory clients to go to a safe area A nurse manager sends home a nurse who is chemically impaired. Which of the following actions should the nurse manager take? - ANSWER Set up a formal meeting with the nurse within 24hrs (answered wrong) A nurse is receiving change of shift report. Which of the following clients should the nurse assess first? - ANSWER A client who had abdominal surgery 6hrs ago and has had a HR of 120 for the last 2 hrs A nurse is caring for a client who has renal failure. The client tells the nurse that they have decided to stop hemodialysis treatment. Which of the following actions should the nurse take to act in the role of an advocate for the client? - ANSWER Support the client's decision regarding treatment A nurse manager is planning daily work and activities for the unit. Which of the following actions is the nurse manager's priority? - ANSWER Assign client care to staff A nurse is teaching an AP about caring for a client who has a DNR order. Which of the following statements by the AP indicates an understanding of the teaching? - ANSWER I will call for the client's nurse to come to the room if I cannot detect the client's pulse A nurse manager is developing a class for newly licensed nurses on strategies to promote client rights. Which of the following should the nurse manager include in the teaching? - ANSWER Verify that a provider prescription is in the medical [Show More]

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