ATI RN LEADERSHIP PROCTORED NEWEST 2024
PRACTICE EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
... [Show More] |ALREADY
GRADED A+
A nurse is working with an AP who appears to be under the
influence of alcohol during the night shift. Which of the
following is the priority action the nurse should take?
a. Confront the AP regarding alcohol use and remove him
from the client care
b. Ask the nursing supervisor to obverse the AP and validate
the nurse's suspicions
c. Document observations made about the AP's behavior in a
factual manner - ...ANSWER...b. Ask the nursing supervisor
to observe the AP and validate the nurse's suspicions
A nurse is reviewing lab results for a client who is at 12
weeks gestation. Which of the following findings should the
nurse report to the provider?
a. Hgb 12 g/dL
b. WBC 15,000/mm3
c. Fasting blood glucose 80 mg/dL
d. Serum creatinine 0.4 mg/dL - ...ANSWER...d. Serum
creatinine 0.4 mg/dL
A nurse is providing discharge teaching about home safety
with an older adult client and his family. Which of the
following statements should the nurse include in the teaching?
a. you should set the water heater temp to 125 degrees F
b. you should grasp the cord when unplugging it
c. you should use a gas stove for cooking
d. you should install a handrail on at least one side of the
stairs - ...ANSWER...d. you should install a handrail on at
least one side of the stairs
A charge nurse is observing a group of new RNs. Which of
the following observations should the charge nurse report to
the nurse manager as a violation of HIPAA?
a. assigning a client who requested a private room to a semi
private due to unavailability
b. placing a client who is confused in restraints
c. talking about clients with other nurses in the cafe -
...ANSWER...c. talking about clients with other nurses in the
cafe
A charge nurse on a ped unit is delegating tasks to an AP who
is pregnant and reports that she is unsure of her immune
status. Which of the following clients should the charge nurse
assign to the AP?
a. A 9 yr old child who has fifths disease
b. A 4 yr old child who has varicella
c. A 6 yr old child who has rubella
d. A 2 yr old child who has impetigo contagiosa (impetigo) -
...ANSWER...d. A 2 yr old child who has impetigo contagiosa
this is a safe assignment. if the ap practices universal
precautions, there is no risk for contracting impetigo.
A charge nurse receives a call from his nursing supervisor
about an explosion at a local factory and an urgent need for
facility beds for newly admitted clients. Which of the
following clients should the nurse recommend for discharge?
a. A 60 yr old client who has type 2 diabetes mellitus admitted
48 hr ago with uncontrolled glucose levels
b. A 58 yr old client who is 12 hr post-op following a total
knee arthoplasty
c. A 80 yr old client admitted 24 hr ago for vomiting and
diarrhea
d. A 44 yr old client who has asthma and was admitted for
carpal tunnel surgery - ...ANSWER...d. A 44 yr old client who
has asthma and was admitted for carpal tunnel surgery
A nurse is discussing with a newly licensed nurse about how
to obtain informed consent from a client who is to undergo an
epidural procedure. Which of the following ethical principles
should the nurse include in the teaching?
a. Benedicence
b. Autonomy
c. Paternalism - ...ANSWER...b. Autonomy
Informed consent is based on the ethical principle of
autonomy, which is the right to self-determination,
independence, and freedom of choice.
Based on the principle that actions should be taken with the
intent to do good. It is associated with nonmaleficence, which
is the requirement that health care providers do no harm to
their clients. - ...ANSWER...beneficence
the right to self determination, independence, and freedom of
choice - ...ANSWER...Autonomy
a principle that is based on the assumption that one person can
assume responsibility for making the decisions for another
person - ...ANSWER...paternalism
A nurse is caring for a client who is a local public official. A
local newspaper reporter repeatedly phones the unit seeking
info and states, "it is the public's right to know that health
status of elected officials." Which of the following actions
should the nurse take?
a. Acknowledge that the person is a client on the unit but give
no specific details
b. Refer any calls directly to the client's room so that the client
and the family can decide what to tell the press
c. Refer media inquires to the nursing supervisor
d. Hang up on callers from the news media because the nurse
is not required to speak to them - ...ANSWER...Refer the
media inquires to the nursing supervisor
A nurse is caring for four clients who are scheduled for
diagnostic tests. For which of the following tests should the
nurse obtain written consent from the client?
a. Cerebral arteriogram
b. MRI
c. CT scan - ...ANSWER...a. Cerebral arteriogram
(because it is an invasive procedure)
A nurse is completing an incident report after administering
an incorrect dose of med to a patient, even though the client
experienced no ill effects from the error. Which of the
following should the nurse recognize as the purpose for
completing the incident report?
a. Alerts facility administration of a possible litigation
situation
b. Tracks employee performance for possible disciplinary
action
c. Provides detailed report of the occurrence for the family
d. Identifies situations that contribute to the occurrence of
med erros - ...ANSWER...d. Identifies situations that
contribute to the occurrence of med errors [Show Less]