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NGN ATI RN LEADERSHIP PROCTORED EXAM 2019 UPDATED VERSION 2023 A+ GRADED
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NGN ATI RN LEADERSHIP PROCTORED EXAM 2019 UPDATED VERSION 2023 A+ GRADED
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NGN ATI RN LEADERSHIP PROCTORED EXAM 2019 UPDATED VERSION2023 A+ GRADED
Leadership
Form A
1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get
better, I’m going to quit.” Which of the following responses by the unit manager is appropriate?
• You should file a written complaint with hospital administration
• Just stick with it a little longer. Things will get better soon
• So, you are upset about all the changes on the unit?
• I think you have a right to be upset. I am tired of the changes, too
2. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts.
Which of the following actions should the nurse take first?
• Provide coverage for the nurses’ breaks
• Review facility policies for taking scheduled breaks
• Determine the reasons the nurses are not taking scheduled breaks
• Discuss time management strategies with the nurses
3. A client has a new permanent pacemaker inserted. Which of the following home care
instructions should the nurse include?
• Regular programming evaluations can be conducted by telephone
• The client should avoid using remote control devices to prevent dysrhythmias
• The client should avoid using a microwave oven to heat food
• Swimming could cause the unit to have an electrical short
4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
• I will use an alcohol-based hand cleanser when caring for a client who has C.diff
• I will wear a cover gown when caring for a client who has herpes simplex
• I will wear an N95 respirator mask when caring for a client who is on contact
precautions
• I will place a client who requires protective isolation in a negative airflow room
5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an
intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse
is appropriate?
, • Adding colored food dye to the formula
• Flushing the tube with 15 mL of water
• Elevating the head of the bed to a 20-degree angle
• Checking residual volume before each feeding
6. 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 code of ethics is a step-by-step approach to decision-making
• A code of ethics is a set of principles for nursing practice
• A code of ethics is legally binding
• A code of ethics outlines the nurse’s scope of practice
7. A nurse receives change-of-shift report for the following four clients. Which of the following
clients should the nurse assess first?
• An older adult client who has bacterial pneumonia and a new onset of restlessness
• 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
• A middle adult client who has diabetes mellitus and a morning blood glucose of 172
mg/dL
• A client who has myasthenia gravis with ptosis and has developed urinary incontinence
8. A charge nurse is assessing staff knowledge about safety procedures regarding needle-stick
injuries. Which of the following statements by a nurse indicates appropriate understanding of
these safety procedures?
• Prophylactic treatment should be initiated after a needle-stick during preparation of an
injection
• The needle should be recapped to prevent injury during transport to the biohazard
container
• I should stop the bleeding as soon as possible following a needle-stick injury
• An incident report should be completed if a client receives a stick from her own used
needle
9. A case manager is reviewing documentation on several clients and notes a progress report
that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse
manager should identify that which of the following torts has occurred?
• Libel
• Battery
• Slander
• Negligence
,10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist
restraints to a client who is agitated and does not have a prescription for restraints. Which of
the following actions should the nurse take first?
• Inform the unit manager of the incident
• Review the chart for nonrestraint alternatives for agitation
• Remove the restraints from the client’s wrists
• Speak with the AP about the incident
11. To resolve a conflict between staff members regarding potential changes in policy, a nurse
manager decides to implement the changes she prefers regardless of the feelings of those who
oppose those changes. Which of the following conflict resolution strategies is the nurse
manager using?
• Compromising
• Collaborating
• Cooperating
• Competing
12. A nurse is caring for a client and notices fraying on the electrical cord of the client’s IV
pump. Which of the following actions is the priority for the nurse to take?
• Remove the IV pump from the client’s room
• Check the expiration date of the inspection sticker
• Report the problem to the engineering team
• Request a replacement IV pump
13. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis
of asthma. The parent states she is unable to afford the nebulizer prescribed for the child.
Which of the following referrals should the nurse recommend?
• Pharmacist
• Child protective services
• Social worker
• Respiratory therapist
14. A charge nurse is completing client care assignments. Which of the following assignments is
appropriate for a licensed practical nurse?
• A client who requires discharge instructions for type 1 diabetes mellitus
• A client who requires a blood transfusion to be administered
• A client who is 1 day postoperative and has a continuous bladder irrigation
• A client who is receiving IV chemotherapy
, 15. A nurse is caring for a client who is comatose and has advance directives designating his
adult daughter as his health care proxy. The client’s partner instructs the nurse to institute CPR
if the client experiences cardiac arrest. Which of the following actions should the nurse take?
• Have the partner notify the daughter about changes to the advance directives
• Inform the partner that the staff must follow the client’s advance directives
• Contact the client’s attorney about the partner’s request
• Initiate new advance directives incorporating the partner’s request
16. 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?
• Inform the nursing supervisor of the lack of experience on the medical-surgical unit
• Request orientation to the medical-surgical unit
• Refer to the assigned resource nurse regarding client assignments
• Clarify competencies with the medical-surgical change nurse
17. A nurse in the emergency department is preparing a married 17-year-old client for an
appendectomy. The client’s parents are en route to the facility but have not spoken with the
surgeon. Which of the following actions should the nurse take?
• Have the client sign the consent form after the surgeon explains the procedure
• Obtain consent from the client’s parents by telephone with another nurse listening as a
witness
• Proceed with the preparation because the client signed a general consent form
• Delay the surgery until the parents arrive to sign the consent form
18. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately
relieved during the first 12 hr postoperatively. The unit manager decides to identify
postoperative pain as a quality indicator. Which of the following data sources will be helpful in
determining the reason why clients are not receiving adequate pain management after
surgery?
• Pain assessment policy - check
• Postoperative care policy
• Prospective chart audit
• Retrospective chart audit
19. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the
following statements by a staff nurse indicate understanding of the teaching? (Select all that
apply.)
• I have the assistive personnel double-check packed RBCs when other nurses are busy
• I can delegate the removal of an IV catheter to an LPN on the unit
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