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ATI Leadership Exam (CHECK THE LAST PAGE FOR DETAIL SOLUTION) 1. A nurse manager is preparing to institute a new system for scheduling staff. Severalnurses have verbalized their concern over the p... ossible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new schedulingsystem? A. Identify nurses who accept the change to help influence other staffnurses B. Provide a brief overview of the new scheduling system immediately beforeit implementation C. Introduce the new scheduling system by describing how it will save the institutionmoney D. Offer to reassign staff who do not support the change to anotherunit 2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the carepathway? A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway B. A blood culture was obtained after antibiotic therapy has beeninitiated C. The route of antibiotic therapy on the care pathway was changed from IV toPO D. An allergy to penicillin required an alternative antibiotic to beprescribed. 3. A nurse should recognize that an incident report is requiredwhen A. A client refuses to attend physicaltherapy B. A visitor pinches his finger in the client‟s bedframe C. A client throws a box of tissues at anurse D. A nurse gives a med 30 min late 5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality indicator. Which of the following data sources will be helpful in determine the reason why clients are not receiving adequate pain management aftersurgery? A. Prospective chartaudit B. Retrospective chartaudit C. Postoperative carepolicy D. Pain assessmentpolicy 1. A home 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 nurse identify as increasing the client's risk for falls (SATA) [repeat] • A wheeled office chair at the client's computer desk • A raised vinyl seat on the toilet in the bathroom • A throw rug covering some cracked floor • A folding chair without arm rests • A two wheeled walker used to assist the client with ambulation 2. A nurse manager is planning to assign care for four clients on a medical surgical unit. Which of the following clients should the nurse assign to a LPN a. An older adult who has lung cancer and has periodic episodes of severe dyspnea b. A middle adult client who has a below the knee amputation and requires a dressing change c. A young adult client who is postoperative, receiving morphine via epidural, and reports pruritus d. An adolescent who requires teaching regarding insulin administration e. Remind nurses to obtain this information during the admission process f. Reinforce the potential consequences of not having his information on record to the nursing staff g. Meet with nursing staff to review the policy regarding advance directive h. Ask nurse who are caring for client without his information in the medical record to obtain it [Show More]

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