ATI RN LEADERSHIP PROCTORED EXAM 2023
3rd VERSIONS RETAKE GUIDE WITH VERIFIED
SOLUTIONS A+ GRADE ASSURED
A nurse enters a client's room & finds him
... [Show More] sitting in his chair. He states, "I fell in the
shower, but I got myself back up & into my chair." How should the nurse document this
in the client's chart?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself back into his chair
C. The nurse should not document this info because she did not witness the fall
D. The client fell in the shower & is now resting comfortably - ANS-B.
By writing what the client states, the info is subjective data
A nursing instructor is reviewing documentation w/a group of nursing students. Which of
the following legal guidelines should they follow when documenting a client's record?
Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - ANS-B, C
The skin barrier covering a client's intestinal fistula keeps falling off when she stands up
to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only
when the client is supine in bed. The nurse telephoned the physical therapist about the
difficulties containing the drainage from the fistula, so the therapist didn't ambulate the
client today. The client sat in a chair during lunch w/an absorbent pad over the fistula.
The client ate all the food on her tray. The wound care nurse confirmed that she will see
the client later today. The client states she feels frustrated at not having physical
therapy, but the nurse thinks the client welcomed having a day to rest. Which of the
following information should the nurse include in the change-of-shift report? Select all.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the - ANS-A, B, D
A nurse is receiving a provider's prescription by telephone for morphine for a client who
is reporting moderate to severe pain. Which of the following nursing actions are
appropriate? Select all.
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone - ANSA, B, C
A nurse is caring for an older adult client who lives alone & is to be discharged in 3
days. He states that it is difficult to prepare adequate nutritious meals at home for just 1
person. To which of the following members of the health care team should the nurse
refer him?
A. Registered dietitian
B. Occupational therapist
C. Physical therapist
D. Social worker - ANS-D. social worker
A social worker can make arrangements for a meal delivery service to provide nutritious
meals daily, or recommend a congregate meal site near the client's home
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral w/which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered
dietitian
D. Occupational therapist - ANS-D.
An occupational therapist can assist clients who have physical challenges to use
adaptive devices & strategies to help w/self-care activities
A client who is postop following a knee arthroplasty is concerned about the adverse
effects of the medication he is receiving for pain management. Which of the following
members of the interprofessional care team may assist the client in understanding the
medication's effects? Select all.
A. Provider
B. CNA
C. Pharmacist
D. RN
E. Respiratory therapist - ANS-A, C, D
A client who has had a cerebrovascular accident has persistent problems w/dysphagia.
The nurse caring for the client should initiate a referral w/which of the following
members of the interprofessional care team?
A. Social worker
B. CNA
C. Occupational therapist
D. Speech-language pathologist - ANS-D
A speech-language pathologist can initiate specific therapy for clients who have
difficulty feeding due to swallowing difficultie [Show Less]