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ATI Leadership Proctored - Exam Best Answers 2024-2025 With 100% Guaranteed Solutions, Exams of Health sciences

Chamberlain College of NursingHealth sciences

ATI Leadership Proctored - Exam Best Answers 2024-2025 With 100% Guaranteed Solutions 1. A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit.

Typology: Exams

2024/2025

Available from 04/09/2025

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ATI Leadership Proctored - Exam Best
Answers 2024-2025 With 100% Guaranteed
Solutions
1. A nurse is reviewing the electronic medical record on clients following the implementation of
a quality improvement plan to reduce health care associated infections on a medical surgical
unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Exhibit 2:
Client 2 Diagnosis: Pneumonia
Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE.
Clients 2, 3, 5
2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1 action that the nurse
manager should take first.
o Schedule a meeting with the employee to address the occurrence within 24 hr.
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use will not be tolerated.
Remove the employee from the work environment.
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Partial preview of the text

Download ATI Leadership Proctored - Exam Best Answers 2024-2025 With 100% Guaranteed Solutions and more Exams Health sciences in PDF only on Docsity!

ATI Leadership Proctored - Exam Best

Answers 2024-2025 With 100% Guaranteed

Solutions

  1. A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Exhibit 1 Client 1 Diagnosis: Cerebrovascular accident Exhibit 2: Client 2 Diagnosis: Pneumonia Exhibit 3 Client 3: Diagnosis: Wound infection Exhibit 4 Client 4: Diagnosis: Urinary tract infection Exhibit 5 Client 5 Diagnosis: Fractured hip Select the 3 clients whose finding indicates the program is EFFECTIVE. Clients 2, 3, 5
  2. A nurse manager is overseeing employees on their unit. Which of following actions is the nurse manager priority? Select the 1 action that the nurse manager should take first. o Schedule a meeting with the employee to address the occurrence within 24 hr. o Remove the employee from the work environment. o Create a plan for the employee to overcome their substance dependency. o Coordinate a ride home for the employee. o Have the employee sign a contract acknowledging that substance use will not be tolerated. Remove the employee from the work environment.
  1. A nurse is triaging a group of clients as they arrive simultaneously in the emergency department following a nearby bus crash. Which of the following clients should the nurse transfer to the three available trauma rooms? Select the 3 clients to transfer for immediate treatment. Client 4,5,
  2. A charge nurse on a mental health unit is receiving change of shift report for a group of clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700 to 1900 and is reviewing client care: assignments. Complete the following sentence by using the lists of options. The charge nurse should first assess __________ due to ______________ and ___________ The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and DELUSIONS
  3. An infectious disease nurse is reviewing electronic medical records on a group of clients. Select 4 clients whose diagnosis should be reported to the health department. o Client 1 (Lyme disease) o Client 2 (Acute Hepatitis C) o Client 3 (Clostridium difficile) o Client 4 (Salmonellosis) o Client 5 (Streptococcal pharyngitis) o Client 6 (pertussis) Clients 1, 2, 4, 6
  4. 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 Hospice care, Respite care, Social worker
  5. 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.

Veracity

  1. A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective? o The nurse shares their performance plan with another nurse. o The nurse attends a critical thinking class. o The nurse verbalizes their understanding of the plan. o The nurse performs all tasks as specified. The nurse performs all tasks as specified
  2. A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply) o Make decisions on the unit. o Delegate tasks to assistive personal. o Monitor overall functions of the unit. o Reward and discipline staff as necessary. o Ensure goals of the facility are being met. Make decisions on the unit. Monitor overall functions of the unit. Reward and discipline staff as necessary. Ensure goals of the facility are being met
  3. A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take? o Check to see if the medical record indicates the provider explained the procedure to the client. o Explain the risks of the procedure to the client. o Convey the client's request to the nurse who witnessed the consent. o Notify the provider about the client 's concerns. Notify the provider about the client's concerns.
  4. A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before.". Which of the following actions should the nurse take first? o Compare the client's medication administration record with the prescriptions of the transfer order.

o Call the provider to clarify the client's prescribed medications. o Review the intended purpose of the prescribed medications with the client. o Consult the pharmacist about the client's prescribed medications. Compare the client's medication administration record with the prescriptions of the transfer order.

  1. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? o Child protective services o Pharmacist o Respiratory therapist o Social Worker Social worker
  2. A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first? o Reinforce facility protocols at the next staff meeting. o Alert the infection control department. o Discuss the issue with the AP. o Notify the unit manager about the incident. Discuss the issue with the AP.
  3. While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take? o Meet with nursing staff to review the policy regarding advance directives. o Ask nurses who are caring for clients without this information in the medical record to obtain it. o Reinforce the potential consequences of not having this information on record to the nursing staff. o Remind nurses to obtain this information during the admission process. Meet with nursing staff to review the policy regarding advance directives.
  4. A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relive the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN? o Fidelity (Keep promise)
  1. A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newlylicensed nurse should the nurse identify as an indication of effective time management? o Skips lunch to catch up on client documentation. o Reviews a client's medical record before performing a prescribed dressing change. o Obtains client intake and output instead of delegating the task to assistive personnel. o Documents medications administered throughout the shift at the end of the day. Reviews a client's medical record before performing a prescribed dressing change.
  2. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? o I should tie the restraints using a square knot. o I need to tie the restraint to the part of the bed frame that moves. o I will remove a client's restraints every 4 hours. o A provider can write a prescription for restraints "as needed." I will remove a client's restraints every 4 hours.
  3. A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
  • Sterile supplies are opened prior to removing the old dressing.
  • Gauze is used to clean the wound from the outside to the center.
  • The soiled dressing is placed on a nearby table.
  • Clean gloves are discarded after removing the old dressing. Clean gloves are discarded after removing the old dressing.
  1. A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include? o Verify the spelling of the medication with the provider. o Request that the provider call prescriptions in to the pharmacy. o Transcribe prescriptions received via a voicemail recording. o Use standard abbreviations when obtaining a telephone prescription. Verify the spelling of the medication with the provider.
  2. A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make? o I will make a copy of your medical records right away. o What are you planning on doing with your medical record?

o The facility is unable to release your records. o You must submit a written request before you can receive a copy. You must submit a written request before you can receive a copy.

  1. A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure? o Includes the client's account of the fall in the incident report. o Lists names of witnesses to the fall in the nurses' notes. o Documents in the client's record that an incident report was filed. o Sends the incident report to the ethics committee. Includes the client's account of the fall in the incident report.
  2. A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take? o Compare practices within the facility against other high-performing facilities. o Determine how current practice will affect future performance within the facility. o Establish work initiatives to promote a positive environment. o Use root cause analysis to identify gaps in meeting standards. Compare practices within the facility against other high-performing facilities.
  3. A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist? o The client has extreme difficulty swallowing. o The client requires assistance getting dressed. o The client is experiencing dysarthria. o The client has four new medications. The client requires assistance getting dressed.
  4. A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation? o Laboratory test results o Reconciled medications o Do-not-resucitate status o Acuity level of client care Reconciled medication
  1. 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 Elevates the head of the client's bed to 30 before inserting a nasogastric tube.
  1. 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 Reorient the client to his surroundings
  1. 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. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.
  1. A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
  • Implied consent
  • Good Samaritan Act
  • Living will
  • Nonmaleficence Implied consent
  1. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?
  • Critical pathway
  • Maslow's hierarchy of needs
  • Surgical record
  • Provider's prescription Critical pathway
  1. A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
  • A client who has peripheral vascular disease and has an absent pedal pulse in the right foot.
  • A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy.
  • A client who is postoperative following a laminectomy 12 hr ago and is unable to void.
  • A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38 (101 F). A client who is postoperative following a laminectomy 12 hr ago and is unable to void.
  1. A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (SATA) A. A nurse is faxing data about a client to a referredprovider. B. An assistive personnel logs out of the computer prior to responding to a call light. C. A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present. D. A nurse is reviewing an electronic list of all clients admitted to the unit. E. An assistive personnel is informing a friend of the client about their condition. C. A nurse and a provider are discussing a client's condition at the nurses' station while a visitor is present. D. A nurse is reviewing an electronic list of all clients admitted to the unit. E. An assistive personnel is informing a friend of the client about their condition.
  2. A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
  • Replace total parenteral nutrition solution bags every 48 hr.
  • Change peripheral IV primary tubing every 96 hr.
  • Replace peripheral IV solution bags every 96 hr.
  • Change total parenteral nutrition IV tubing every 48 hr. Change peripheral IV primary tubing every 96 hr.
  1. A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?
  • I will have a client who is on airborne precautions wear a mask when out of her room.
  • I will instruct visitors to wear a mask when visiting a client who is on contact precautions. I will have a client who is on airborne precautions wear a mask when out of her room.
  1. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?
  • Determine the reasons the nurses are not taking scheduled breaks.
  • Discuss time management strategies with the nurses.
  • Provide coverage for the nurses' breaks.
  • Review facility policies for taking scheduled breaks. Determine the reasons the nurses are not taking scheduled breaks.
  1. A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching?
  • Nurses rely on consent to perform interventions
  • Consent can be verbal or written.
  • The nurse's signature indicates they witnessed the client's signature
  • The nurse is responsible for disclosing the expected outcomes of the proposed treatment The nurse's signature indicates they witnessed the client's signature
  1. A nurse initiates a referral to a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings support the need for this referral?
  • The client expresses the desire to join a support group.
  • The client reports pain when chewing solid foods.
  • The client has difficulty ambulating with a walker.
  • The client requires assistance with completing oral hygiene. The client requires assistance with completing oral hygiene
  1. A nurse in the emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?
  • Tell the client that her blood alcohol level will be checked.
  • Assess the client for urinary retention.
  • Document the client's refusal in their chart.
  • Inform the client that a catheter will be inserted. Document the client's refusal in their chart.
  1. A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process?
  • Observe staff medication administration procedures.
  • Re-evaluate staff performance in relation to the established standard.
  • Require staff to complete a medication administration review module
  • Identify data that should be collected related to medication errors. Identify data that should be collected related to medication errors
  1. A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?
  • Increase the amount of time the client spends out of bed each day.
  • Ensure the client consumes an adequate amount of fluids.
  • Instruct the client to use the incentive spirometer.
  • Reposition the client frequently. Instruct the client to use the incentive spirometer.
  1. A nurse manager is discussing critical pathway use during a staff meeting. Which of the following information should the nurse manager include as an outcome of critical pathway use?
  • Increased length of stay
  • Decreased care delays
  • Increased variation in clinical interventions
  • Decreased cost-effectiveness Decreased care delays
  1. A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
  • "A nurse can recommend clients who are stable for discharge during a disaster."
  • "A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes."
  • "A unit nurse has the authority to prescribe emergency medications during a disaster to improve client outcomes."
  • "A unit nurse can provide information to the media during a disaster."
  1. A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
  • Observe the client's condition.
  • Notify the provider.
  • Informs the nursing supervisor.
  • Complete and incident report. Observe the client's condition
  1. A nurse is preparing to fax information to a rehabilitative facility prior to transferring a client. Which of the following actions should the nurse plan to take?
  • Avoid using a fax cover sheet in order to reduce paper waste.
  • Shred extra copies of the client's records when they are no longer needed.
  • Call the facility to confirm the fax number after sending the client's information.
  • Send the facility a copy of the client's complete medical record. Shred extra copies of the client's records when they are no longer needed.
  1. A nurse in the emergency department is preparing to care for a client who arrive via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
  • Proceed with treatment without obtaining written consent.
  • Notify risk management before initiating treatment.
  • Have the client sign a consent for treatment.
  • Contact the client's next of kin to obtain consent for treatment. Proceed with treatment without obtaining written consent.
  1. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?
  • The client needs to have someone bring oxygen tanks and equipment to her home.
  • The client needs to have someone come in to help her bathe at home.
  • The client needs to have range-of-motion exercises to assist with ambulation.
  • The client needs to arrange financial resources to purchase equipment. The client needs to arrange financial resources to purchase equipment.
  1. A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
  • A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min.
  • A nurse raises all four side rails on the bed of a client who is confused.
  • A nurse elects not to care for a client who had an abortion.
  • A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min
  1. A nurse is teaching a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
  • I will have a nurse witness the signing of my living will.
  • I should choose a family member as my health care proxy.
  • I need to have my attorney review my advance directives.
  • I can make changes to my living will even after I sign it. I can make changes to my living will even after I sign it.
  1. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
  • I will place a client who requires protective isolation in a negative airflow room
  • I will wear a cover gown when caring for a client who has herpes simplex
  • I will wear an N95 respirator mask when caring for a client who is on contact precautions
  • I will use an alcohol-based hand cleanser when caring for a client who has Clostridium difficile I will wear a cover gown when caring for a client who has herpes simplex
  1. A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
  • A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump.
  • A multigravida client who has preeclampsia and is receiving misoprostol for induction and labor.
  • A client who has gestational diabetes and is receiving biweekly nonstress tests.
  • A client who is at 32 weeks of gestation and has premature rupture of membranes A primigravida client who is 1 day postoperative following a Cesarean section and