NGN ATI RN LEADERSHIP PROCTORED NEWEST
2024 EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
A nurse is preparing to complete morning assignments on several assigned clients.
Which of the following clients should the nurse plan to assess first?
• A client who had a bladder scan that indicated 250 mL of urine in the bladder
• A client who is 3 days postoperative and who's dressing has
serosanguinous drainage
• A client who has diabetes and an early morning blood glucose of 220 mg/dL
• A client who has a nasogastric tube to intermittent suction and reports
nausea (ANS- d. A client who has a nasogastric tube to intermittent suction
and reports nausea
A client is brought to the emergency department following a motor-vehicle
crash. Drug use is suspected in the crash, and a voided urine specimen is
ordered. The client repeatedly refuses to provide the specimen. Which of the
following is the appropriate action by the nurse?
• Tell the client that a catheter will be inserted.
• Document the client's refusal in the chart.
• Assess the client for urinary retention.
• Obtain a provider's prescription for a blood alcohol
level.(ANS- b. Document the client's refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse?
• Pick up the meal trays after lunch.
,• Administer a nasogastric tube feeding.
• Plan break times for assistive personnel.
• Determine adequacy of ventilator settings.
(ANS- b. Administer a nasogastric tube
feeding.
A nurse preceptor is evaluating a newly licensed nurse's competency in
assistingwith a sterile procedure. Which of the following actions indicates the
newly licensed nurse is maintaining sterile technique? (SATA)
• Places sterile items within a 1.25 cm (0.5 in) border around the edges of
thesterile field
• Opens the sterile pack by first unfolding the top flap away from her body
• Prepares a container of sterile solution on the field after putting on sterile gloves
• Removes the outside packaging of a sterile instrument before dropping it
ontothe sterile field
• Holds the sterile solution bottle with the label facing
up(ANS-
b. Opens the sterile pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it
ontothe sterile field
A nurse enters a client's room and identifies that the client is receiving too much
IV fluid because the IV pump is not working properly. Which of the
following actions should the nurse take first?
• Auscultate the client's lungs.
• Notify the provider.
,• Place a faulty equipment tag on the pump.
• Complete an incident report.
(ANS- a. Auscultate the client's lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the
following tasks should the nurse assign to the LPN?
• Reinforcing teaching with a client who is learning to self administer insulin
• Ambulating a client who is scheduled for discharge later in the day
• Administering morphine IV bolus to a client who is hr postoperative
• Admitting a new client who has chronic back pain to the unit
(ANS- a. Reinforcing teaching with a client who is learning to self administer
insulin
A nurse is supervising a newly licensed nurse who is performing surgical
asepsis. After donning a sterile gown and gloves, which of the following
actions by the newly licensed nurse demonstrates correct aseptic technique?
• The nurse applies goggles.
• The nurse turns her back to the sterile field.
• The nurse holds her hands above her waist.
• The nurse puts on a face mask.
(ANS- c. The nurse holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to
anassistive personnel (AP). Which of the following actions should the nurse take
to evaluate the delegated task?
• Review vital sign trends at the end of the shift.
, • Recheck vital signs that are outside the expected reference range.
• Ask the AP to write a summary of the delegated tasks during the shift.
• Compare the vital signs the AP obtained with those taken by another AP on
aprevious shift.
(ANS- b. Recheck vital signs that are outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated
toan assistive personnel?
• Obtaining a stool sample from a client who has renal failure
• Monitoring a client who has a fluid restriction
• Assessing a client who just returned from hemodialysis
• Reviewing dietary instructions for a client who has kidney stones
(ANS- a. Obtaining a stool sample from a client who has renal
failure
A nurse is triaging a group of clients following a disaster. Which of the following
clients should the nurse recommend for treatment first?
• A client who has a neck injury and is unable to breathe spontaneously
• A client who has two open chest wounds with a left tracheal deviation
• A client who has major burns over 75% of her body surface area
• A client who has bipolar disorder and is exhibiting signs of
hallucination(Class 3)
(ANS- b. A client who has two open chest wounds with a left tracheal deviation
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