ATI LEADERSHIP PROCTORED EXAM QUESTIONS AND ANSWERS
A 13-year-old female client tells the charge nurse in the pediatric unit that she does not want the
... [Show More] male nurse assigned to care for her. Which of the following responses should the nurse make? "I'll change the assignment so a female nurse is caring for you today."
A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding? “The pathway shows an estimate of the number of days the client will be hospitalized.”
A case manager is initiating the plan of care for a client receiving warfarin who had a stroke. Which of the following is most important for the case manager to include in the client’s plan of care? Scheduling follow-up tests for prothrombin time and INR.
A charge nurse finds an increased incidence of health-care-associated infections (HAIs) on a long-term care unit. Which priority action should the charge nurse take to address the problem? Conduct a chart review to gather data about clients who developed HAIs.
A charge nurse in an emergency department is making assignments for assistive personnel (AP) during a shift with unexpected staff absences. Which of the following assignments should the charge give to a float AP from the medical-surgical unit? Escorting clients from the emergency department to other areas of the facility for tests.
A charge nurse is assigning tasks to an RN, an LPN, and an AP. Which of the following tasks should the charge nurse delegate to the RN? Completing an admission assessment for a client who has just transferred from the ED.
A charge nurse is conducting an in-service training session on ethics to a group of newly licensed nurses. Which of the following situations should the charge nurse include as an example of the ethical principle of veracity? A nurse truthfully answers the client's questions about upcoming chemotherapy.
A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following is an appropriate action for the charge nurse to take? Assign the procedure to an LPN.
A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take? Assign the procedure to an LPN.
A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize 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."
A charge nurse is evaluating a newly licensed nurse at the end of orientation. Which of the following behaviors indicates the nurse is using effective time management skills? Makes a list of non-essential tasks to perform later.
A charge nurse is evaluating a plan of care that a newly license nurse developed for a client who's is to relieve a continuous NG tube feeding. Which of the following interventions should the charge nurse ensure is part of the plan of care? Use a 60 mL-syringe to flush out a clogged tube.
A charge nurse is evaluating conflict resolution between two staff nurses. Which of the following conflict-resolution styles is an example of one nurse putting aside personal goals to satisfy the other nurse? Accommodation.
A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? Determine goals and objectives.
A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? A client who is disoriented and awaiting a transfer to a long-term care facility.
A charge nurse is making daily assignments for a medical-surgical unit. Which of the following tasks should the nurse delegate to assistive personnel (AP)? Measuring vital signs.
A charge nurse is making shift assignments for a team that includes RNs, licensed practical nurses (LPNs), and assistive personnel. Which of the following clients should the nurse assign to an LPN? A client who has emphysema and pneumonia and is receiving oxygen.
A charge nurse is managing conflict with a staff nurse who does not agree with the client care assignment. 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."
A charge nurse is observing a group of newly licensed nurses. Which of the following actions should the charge nurse report to the nurse manager as a violation of HIPAA? Talking about clients with other nurses in the cafeteria.
A charge nurse is observing a newly licensed nurse's use of time management skills. Which of the following actions by the newly licensed nurse indicated effective use of this skill? Group tasks that are in the same location.
A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique? The nurse places the sterile package with the top flap opening away from her.
A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicated an understanding of the instructions? "After I finish with the printout of my assignment, I'll put it in the shredder receptacle."
A charge nurse is performing a quality-assurance audit on the documentation of several clients' charts. Which of the following documentation items should the charge nurse identify as a correct entry in the client's medical record? "The client ambulated for 10 min three times during the shift."
A charge nurse is performing chart reviews on infection control precautions implemented by nursing personnel during the admission of clients to the unit. Which of the following is an appropriate infection control precaution? Droplet precautions for a client who has meningococcal pneumonia.
A charge nurse is planning a department in-service training session about radioactive implants for a group of staff nurses. Which of the following points should the charge nurse include in the presentation? (SATA) Clients should be placed in a private room. Staff members should wear a dosimeter badge when caring for the client. Clients should be on bedrest.
A charge nurse is planning a performance appraisal for a newly hired assistive personnel (AP). Which of the following factors should the charge nurse take into consideration when planning a performance appraisal interview for the AP? The AP should have a copy of the performance standards before the appraisal interview.
A charge nurse is planning an in-service training session about client advocacy with a group of staff nurses. Which of the following situations should the nurse include as an example of client advocacy? (SATA) Notifying the provider when a client has questions about the procedure. Helping a client make a list of questions to ask the provider. Clarifying the dosage of a medication prescribed for a client who has impaired liver function. Carrying out the end-of-life wishes outlined in the living will of an older adult client who has end-stage renal disease.
A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated to an AP? (SATA) Ambulating a client who uses a walker. Adding thickener to thin liquids on a client’s food tray.
A charge nurse is planning client care assignments for the unit. Which of the following clients should the nurse assign to an LPN? A client who has Crohn’s disease and requires an enteral feeding.
A charge nurse is preparing assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to assistive personnel (AP)? Perform a simple dressing change.
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. Which of the following actions should the charge nurse expect the newly license nurse to take? Place the client in a dorsal recumbent position for the examination and ensure the client relaxes her abdominal muscles. Use the bell of the stethoscope to auscultation for vascular bruits. Begin the assessment by inspecting the client's abdomen for changes in color, contour, and symmetry. Have the client empty the bladder before beginning the procedure for optimal examination of the abdomen.
A charge nurse is responsible for a caseload of clients on a surgical unit. Which of the following occurrences during the shift requires the completion of an incident report? A client’s IV solution infused over 6 hr instead of the prescribed 8 hr.
A charge nurse is reviewing the Code of Ethics for Nurses during a staff meeting. Which of the following statements should the charge nurse include in the teaching? "The Code of Ethics for Nurses is a guide for professional actions."
A charge nurse is reviewing the plan care for a client who has active herpes simplex lesions. Which of the following interventions is appropriate for the plan of care? Wear a gown and gloves when caring for the client.
A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A student nurse is photocopying his assigned client’s diagnostic test results. [Show Less]