ATI LEADERSHIP PROCTORED EXAM Q&A
1. A nurse is working on a quality improvement team that is assessing an increase in clients falls at the facility
... [Show More] after problem identification which of the following actions should the nurse plan to take first as part of a quality improvement process
a. Notify staff of increase fall rate
b. review current literature regarding clients fall
c. identify clients who are at risk for falls
d. implemented A fall prevention plan
2. A client who is febrile is admitted to the hospital for the treatment of pneumonia. In accordance with the care pathway antibiotic therapy is prescribed which of the following situations require the nurse to complete a variance report with regards to the care pathway?
a. The route of antibiotic therapy on the care pathway was from IV to PO
b. A blood culture was obtained after antibiotic therapy had been initiated
c. An allergy to penicillin requires an alternative antibiotic to be prescribed
d. antibiotic therapy was initiated 2 hours after implementation of the care pathway
3. A nurse is caring for a client who has cancer the client and her partner are asking the nurse about Hospice care which of the following statements by the nurse is appropriate
a. Hospital is no longer available for clients who are in Hospice care
b. Hospice care will prolong the life expectancy of the client who are terminally ill
c. Hospice care is a multi-disciplinary program for clients who are terminally ill
d. hospice care is helpful for clients are very stages of chronic
4. A nurse manager discovers there is conflict between nurses working the day shift and the nurses working night shift. Which of the following actions should the nurse manager take first?
a. Meet with a committee of nurses from each shift to discuss issues related to the conflict
b. Gathering information regarding the situation
c. Acknowledge the conflict and encourage the nurses to focus on working as a team
d. Encourage the nurses to resolve the conflict autonomously
5. A nurse working in the emergency Department is assessing several clients which of the following clients is the highest priority
a. A client who reports right sided flank pain and diaphoretic
b. A client who has active bleeding from a puncture wound of the left groin area
c. A client who has raised skin rash on his arm neck and face
d. a client who reports shortness of breath and left neck and shoulder pain
6. A nurse is providing change your shift report to an oncoming nurse which of the following information should the nurse include in the report?
a. The client is in the radiology department for a chest X Ray
b. The client is the president of the local bank
c. The client's partner came to visit him two hours ago
d. the client has routine vital signs prescribed
7. A nurse is planning discharge for a client who had a lung reception. The nurse initiates a referral to a social worker which of the following assessment data supports his referral?
a. client is to have a range of motion exercises Ambulation (OT)
b. client is to have someone bring oxygen tanks and equipment to her home (CM)
c. client needs to have someone come in to Help her bathe at home (CM)
d. client needs to arrange financial resources to purchase equipment (CS)
8. A nurse is caring for client who request information about the prevalence of Tay-Sachs disease, which of the following resources should the nurse use to obtain this information
a. The client’s health care provider
b. an evidence-based nursing Journal special one
c. A collaborate user- edited website
d. The facility's case manager
9. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
a. I can use another nurse’s password as long as I log off after using the computer
b. I should encrypt personal health information when sending emails
c. I should discard personal health information documents in the trash before leaving the unit
d. I can post the clients vitals in the client's room
10. A nurse is providing instructions about chemotherapy for a client who has a new diagnosis of breast cancer. The client has decided to try an alternative treatment rather than starting chemotherapy which of the following actions should the nurse take
a. Tell client they cannot change their mind once consent is given
b. Inform the client about the risks of not starting chemotherapy immediately
c. notify its spiritual services to speak with the client about their decision
d. respect the client decision about not receiving chemotherapy
11. A charge nurse notices that two staff nurses are not taking meal breaks during their shift which of the following actions should the nurse take first?
a. Discuss time management strategies with the nurses
b. provide coverage for the nurse’s breaks
c. review facility policies for taking schedule breaks
d. determine the reasons the nurses are not taking a scheduled break
12. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube, the nurse should access the clients need for which of the following supplies to manage the tracheostomy at home (select all that apply)
a. Obturator
b. Cotton balls
c. oxygen tank
d. petroleum Jelly
e. pipe cleaners
13. 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 arrhythmias. Which of the following actions should the nurse take?
a. Have the client sign a consent for treatment
b. notify risk management before initiating treatment
c. contact the clients next of kin to obtain consent for treatment
d. proceed with treatment without obtaining written consent
14. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following column reception. Which of the following resources should the nurse use?
a. Provide prescription
b. Maslow hierarchy of needs
c. Surgical record
d. critical pathway
15. A nurse who is precepting a newly licensed nurse is discussing the client assignments for the shift. Which of the following action should the nurse preceptor take first to demonstrate appropriate time management?
a. Document assignment data
b. determine clients care goals
c. review the client new laboratory values
d. complete required tasks
16. A nurse is planning preoperative teaching for a client who is scheduled for a cholecystectomy the client does not speak the same language as the nurse, she is accompanied by her adolescent daughter which of the following action should the nurse take?
a. Use it bilingual dictionary to translate
b. access the language line to interpret what is being said
c. ask the client's daughter to interpret the conversation
d. talk loudly while facing the client
17. A charge nurse is making room for new admissions following a community disaster which of the following clients should the nurse recommend for discharge?
a. A client who has an angina and a troponin level of 3ng/ml
b. a client who has a deep vein thrombosis an in INR of 2.0
c. a client who is receiving chemotherapy and has a tumor lysis syndrome
d. a client who has a new onset of left sided weakness
18. A nurse is planning to discharge a client who has a terminal cancer and suggest that the family might benefit from respite services when the clients partner ask how this service can help, which of the following responses by the nurse is appropriate?
a. This service offers psychological interventions during and after your wife's illness
b. this service delivers meals and supplies to reduce your errands away from home
c. It makes it possible for you to have some time away from caring for your wife
d. the clinician help reduce the severity of your wife's physical problems
19. A home health nurse is performing a safety assessment for a client home which of the following findings should the nurse identify as a safety hazard?
a. The client has used tacks to secure the carpet on the stairs
b. the client is stores cleaning supplies in a lock cabinet above his head
c. the client bedside lamp is plugged in using an extension cord with two prongs
d. the client's electrical cord is taped to the floor
20. A nurse from the labor and delivery unit is assigned to float to a medical surgical unit which of the following actions should the nurse take first?
a. Clarify competencies with the medical surgical charge nurse
b. inform the nursing supervisor of the lack of experience on the medical surgical unit
c. Request orientation to the medical surgical unit
d. refer to the assigned resource nurse regarding client assignments [Show Less]