ATI LEADERSHIP PROCTORED EXAM-2019 FORM B
ATI
Leadership
Form B
QUESTIONS AND ANSWERS 100 VERIFIED
1. A nurse is assessing a client who had a
... [Show More] stroke 2 days ago. Which of the following findings should the nurse identify as a need for referral to speech-language pathology?
a. Altered level of consciousness
b. Diminished hand-to-mouth coordination
c. Impaired voluntary cough
d. Unilateral ptosis
2. 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? (Select all that apply.)
a. A raised vinyl seat on the toilet in the bathroom
b. A wheeled office chair at the client’s computer desk
c. A folding chair without arm rests
d. A two-wheeled walker used to assist the client with ambulation
e. A throw rug covering some cracked vinyl flooring in the kitchen
3. The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make this healthcare decision?
a. The oldest adult child
b. The client
c. The partner
d. The provider
4. A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
a. Contact the client’s next of kin to obtain consent for treatment.
b. Notify risk management before initiating treatment.
c. Proceed with treatment without obtaining written consent.
d. Have the client sign a consent for treatment.
5. The charge nurse is evaluating a newly licensed nurse’s understanding of infection control procedures. Which of the following actions demonstrates that the nurse is following the appropriate protocol for a client to a streptococcal pharyngitis?
a. Wearing a mask when was in 1 m (3.3 ft) of the client.
b. Placing the client in a positive-airflow room with 12 air exchanges per hour.
c. Explaining to the client that he can have visitors until his manifestations resolve.
d. Donning sterile gloves when performing routine oral care.
6. A nurse is comparing the rate of medication errors on the medical unit to the rate of a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
a. Riskbenefit analysis
b. Root cause analysis
c. Benchmarking
d. Structure audit
7. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include?
a. A code of ethics outlines the nurse’s scope of practice.
b. A code of ethics is a step-by-step approach to decision making.
c. A code of ethics is a set of principles for nursing practice.
d. A code of ethics is legally binding.
8. A charge nurse witnesses an assistive personnel (AP) giving an oral medication to a client who has dysphagia. Upon questioning, the AP states that a nurse poured the medication into a cup and asked the AP to give it to the client. Which of the following actions should the charge nurse take first?
a. Auscultate the client's breath sounds.
b. Complete the appropriate documentation of the incident.
c. Reinforce faculty policy regarding medication administration with the AP.
d. Discuss the situation with the nurse who poured the medication.
9. A nurse is evaluating care for a group of clients. The nurse should consult the provider for which of the following clients?
a. A client who requires an IV intermittent bolus dose of Vancomycin and has a creatinine level of 1.5 mg/dL.
b. A client who has a pacemaker and whose cardiac monitor shows sinus rhythm with intermittent periods of a wide QRS complex after each pacer spike.
c. A client who is ready for discharge after coronary artery stent placement and has a prescription for clopidogrel.
d. A client who has atrial fibrillation and a rapid ventricular rate of 105/min and is receiving diltiazem IV and weight-based heparin.
10. A nurse receives change-of-shift report for the following four clients. Which of the following clients or the nurse'sassess first?
a. An older adult client who has bacterial pneumonia and a new onset of restlessness.
b. A client who is 1-day postoperative following hip fracture repair and reports a pain level of 6 on a scale from 0 to 10.
c. A middle adult client who has diabetes mellitus in the morning blood glucose of 172 mg/dL.
d. A client who has myasthenia gravis with ptosis and has developed urinary incontinence. [Show Less]