ATI Leadership 2019 B Updated 2023-2024 New Latest Version, Exams of Nursing

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1. Which of the following actions must be performed by RN?: Initial admission assessment.
2. Which of the following actions should the nurse take to collect informa- tion?: Conduct a retrospective audit for the past 6 months.
3. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (incident reports): "Incident reports are for unexpected

client occurrences."

4. Which of the following should the nurse recommend as a qualitativeresearch method?: Phenomenology.
5. Which of the following conditions is considered a nationally notifiableinfectious disease?: Chlamydia.
6. Which of the following actions should the charge nurse take? (delegatingwound care): Delegate wound irrigation to LPN.
7. Which of the following actions demonstrates that the nurse is practicing in an ethical

manner when caring for the client?: Discuss end-of-life care goals with the client.

8. Which of the following actions should the nurse take? (alcohol on breath)- : Notify the charge nurse of the nurse's behavior.
9. Which of the following actions should the RN take first? (LPN gets high BP reading): Recheck the patient's blood pressure.
10. Which of the following actions should the nurse take to validate that the client understands the procedure? (informed consent): Ask the client to verbalize the purpose, risks, and benefits of the procedure.
11. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse?: A client who is 2 days postoper- ative and has a urine output of 20 ml/hr.
12. Which of the following responses displays client advocacy by the nurse?- : "Let's review what you understand about this test result."
13. Which of the following interventions should the charge nurse ensure is part of the plan of care? (NG tube feeding): Use a 60 ml syringe to flush out a clogged tube.

14. Which of the following statements by the nurse provides the right direc- tion of communication with the AP?: "Tell me what time the client in room 205 voids for the first time after the catheter is removed."

15. Which of the following statements by the AP indicates an understandingof the teaching? (DNR): "I will call for the client's nurse to come to the room if I cannot detect the client's pulse."
16. Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device? Select all that apply. (Aquathermia pad): Ask the client to report if the aquathermia pad gets too warm. Ensures that the client's call light is in reach.
17. Which of the following referrals should the nurse recommend for theclient? (Rheumatoid arthritis): Occupational therapy.
18. Which of the following statements by the newly licensed nurse indicatesunderstanding of the teaching? (restraints): "I should request the provider to examine the client within 1 hours of applying mechanical restraints."
19. Which of the following communication tools should the nurse use formanagement of this complication? (adverse effects):

SBAR framework.

20. Which of the following actions should the nurse take next? (low potassi- um): Notify the nursing supervisor.
21. Which of the following is the priority action by the charge nurse? (fire): - Instruct ambulatory clients to go to a safe area.
22. Which of the following clients should the nurse assess first?: A client who has abdominal surgery 6 hours ago and has had a heart rate of 120/min for the last 2 hours.
23. Which of the following actions should the case manager perform performprior to discharge? (PICC line): Ensure that home infusion therapy has been arranged.
24. Which of the following should the nurse manager include in the teaching? (promote client rights): Verify that a provider prescription is in the medical record for clients who have restraints.
25. Which of the following statements by the client indicates an understand- ing of the teaching? (insurance): "My insurance coverage no longer has lifetime coverage limits."

26. Which of the following statements by the newly licensed nurse indicatesan understanding of the instructions? (eMAR): "After I finish with the printout of my assignment, I'll put it in the shredder receptacle."

27. Which of the following statements is an example of using the conflict resolution strategy known as smoothing?: "You always complete your work on time and do a great job. I believe you can handle the assignment well."
28. Which of the following actions should the nurse take? (overhears staff in elevator): Report the incident to the nurse manager.
29. A nurse should identify that which of the following clients is safe to discharge?: A client who has multiple sclerosis and reports ataxia.
30. Which of the following statements should the charge nurse make? (new nurse doesn't finish client care tasks): "You should set aside time to plan your day at the beginning of each shift."
31. Which of the following actions should the nurse take to ensure care is provided according to policy? (pain assessments): Report this issue to the nurse manager.
32. Which of the following actions should the nurse implement first? (audit)-

: Determine the factors that interfere with the documentation of client education.

33. Which of the following statements by the client indicates an understand- ing of the teaching? (AD): "These will outline my wishes for medication treat- ment."
34. Which of the following tasks should be delegates to an assistive person- nel (AP)? Select all that apply.: Ambulating a client who uses a walker. Adding thickener to thin liquids on a client's food tray.
35. Which of the following strategies should the nurse use in the review process? Select all that apply. (annual performance review): Include peer evaluations completed by other staff nurses. Have the nurse conduct a self- appraisal prior to the review. Complete a performance checklist.
36. Which of the following responses should the nurse give? (rotator cuff): "I will notify your

10 / 5 provider of your decision."

37. The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order?: Latent conflict. Perceived conflict.

ATI Leadership 2019 B Felt conflict. Manifest conflict. Conflict aftermath.

38. When evaluating statements by the staff nurse, the charge nurse shouldrecognize that which of the following reflects an intrapersonal conflict?: "I'm not sure whether I want to apply for the unit manager's position or start a family this year."
39. Which of the following responses should the nurse make? (adult childcrying): "Let's discuss options for respite care."
40. After notifying the surgeon, which of the following actions should the nurse take next?: Inform the client about the risks she may encounter by leaving the facility.
41. The nurse manager should verify that the

ATI Leadership 2019 B nurse acted appropriately whenthey performed which of the following actions? (Smoke in wastebasket): - Transported the client to the hallway.

42. Which of the following clients should the nurse plan to assess first?: A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds.
43. Which of the following tasks should the charge nurse delegate to anassistive personnel (AP)?: Assisting a client who had a hip arthroplasty to a chair.
44. Which of the following actions is the nurse manager's priority?: Assign client care to staff.
45. Which of the following statements should the nurse include? (informed consent): "The nurse should ensure the client understands the information given by the surgeon."
46. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (telephone prescription): "I should repeat the prescription back to the provider."

ATI Leadership 2019 B

47. Which of the following tasks can the nurse assign to an assistive person- nel (AP)?: Perform chest compressions on a client who is in cardiac arrest.
48. Which of the following actions should the nurse manager take? (chemi- cally impaired): Set up a formal meeting with the nurse within 24 hours.

ATI Leadership 2019 B

49. Which of the following actions should the nurse take to maintain client confidentiality?: Tell a client's partner that the client's laboratory tests cannot be disclosed without permission.
50. Which of the following statements should the nurse make? (cancer treat- ment): "Let's talk about the benefits of each treatment."
51. The nurse should instruct the staff that which of the following clientsrequires droplet precautions?: A client who has pertussis.
52. Which of the following information should the nurse include in the teach- ing? (critical pathways): Critical pathways prevent unnecessary expense.
53. Which of the following leadership tasks is the nurse performing? (in-ser- vice): Advocacy.
54. Which of the following should be the first step in the process? (UTI's): - Establish best practice guidelines for reducing the incidence of UTI's.
55. Which of the following statements by the newly licensed nurse indicatesan

ATI Leadership 2019 B understanding of the teaching? (newly licensed nurse and eMAR): "My access to client electronic records might be tracked by my nurse manager."

56. Which of the following actions should the nurse take first? (warfarin): - Check the client's last INR.
57. Which of the following clients should the nurse request the provider assess first?: A client who has arm contusions and manifests asymmetrical thoracic movement.
58. Which of the following information should the nurse include? (health carelaw): The Patient Self-Determination Act (PSDA) requires a nurse to give clients information about end-of-life options.
59. Which of the following actions should the nurse take to act in the role of an advocate for client? (hemodialysis): Support the client's decision regarding treatment.
60. Which of the following actions should the nurse take? (PCA): Place the client in modified Trendelenburg position.