ATI RN Leadership Online Practice 2023 A With NGN Questions and Answers, With Rationales Verified Newest Version Updated 2024
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Ati Leadership
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Ati Leadership
ATI RN Leadership Online Practice 2023 A With NGN Questions and Answers, With Rationales Verified Newest Version Updated 2024
ATI RN Leadership Online Practice 2023 A With NGN Questions and Answers, Verified 2024 Newest Version Updated
ATI RN Leadership Online Practice 2023 A With NGN Questio...
ATI RN LEADERSHIP ONLINE PRACTICE A
ACTUAL NGN QUESTIONS AND CORRECT ANSWERS
1. A nurse is caring for a client who is comatose. The client has a living will
that declines the use of artificial enteral nutrition as a life-sustaining measure, but the
client's family has requested that the staff begin tube feedings. Which of the following
actions should the nurse take
Answer: Review the client's request with the family.
Rational: The client's living will states that artificial enteral feedings should not be allowed, and
the nurse should review the client's request with the family. Staff members should use the
client's living will as the guide for treatment unless a durable power of attorney for health care
has been created.
2. A nurse is developing a plan of care for a school-age child whose family is
homeless. Which of the following findings should the nurse identify as the priority
Answer: The child has red fissures at the corners of the mouth.
Rational: Using Maslow's hierarchy of needs, the nurse should determine that the priority
finding is red fissures at the corners of the child's mouth. This can indicate a vitamin B
deficiency, which is a physiological need.
,3. A nurse manager needs to address an increased rate of client medication errors.
Which of the following strategies represents an authoritarian approach to managing
this issue
Answer: Inform the staff of the penalties that can result from medication errors.
Rational: The nurse manager is using penalties to promote behavior change; this is
characteristic of authoritarian leadership.
4. 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
Answer: Determine goals and objectives.
Rational: According to evidence-based practice, the nurse attempting to make a change or
revision to a policy should first develop the initial plan and then determine goals and objectives.
Objectives define strategies or implementation steps to attain the identified goals.
5. A nurse is caring for a client who is terminally ill and receiving nutritional support.
The client's adult children disagree about continuing nutritional sup- port. The
dilemma is referred to the ethics committee. Which of the following actions should the
nurse expect the committee to take
Answer: Assist in weighing the options involved in the decision.
Rational: Ethics committees are members of the interprofessional team who assist with
problem solving related to ethical dilemmas. The ethics committee examines all of the facts and
provides support for the clients and caregivers.
,6. A nurse receives notification of a fire on the unit. Which of the following actions
should the nurse take first
Answer: Assist clients who are in immediate danger to a safe location.
,Rational: The greatest risk to clients is injury from the fire. Therefore, the first action
the nurse should take is to move clients who are in immediate danger to a safe location.
7. A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr. The
nurse should identify that which of the following assessments is the priority
Answer: Obtain the client's serum potassium level.
Rational: Because vomiting and diarrhea contribute to the loss of potassium through body
fluids, the greatest risk to this client is life-threatening cardiac dysrhythmias as a result of
hypokalemia; therefore, the nurse should identify that the priority assessment is the client's
serum potassium level.
8. A nurse is conducting an orientation class for new clients and their families at a long-
term care facility. Which of the following client rights should the nurse address at the
orientation? (Select all that apply.): The right to be treated with respect and dignity
The right to refuse their medications
The right to leave regardless of provider recommendations The right
to be fully informed of their health conditions
9. A nurse in an emergency department is admitting clients following an earthquake.
The emergency disaster plan has been implemented due to the anticipated arrival of a
large number of casualties. Which of the following clients should the nurse
recommend the provider evaluate first
Answer: A client who has a sucking chest wound
Rational: A client who has a sucking chest wound has an immediate threat to life and requires
,immediate intervention for survival; therefore, when using the survival approach to client care,
the nurse should recommend the provider evaluate this client first.
10. A nurse manager is teaching about confidentiality requirements to the staff. Which
of the following staff comments indicates an understanding of the teaching
Answer: "Change-of-shift report can be given at the client's bedside."
Change-of-shift report is often given at the client's bedside to help protect the client's privacy.
This allows the client to be involved with their care. The nurse should avoid giving report in
public areas, such as in the hallway.
11. A nurse is observing a newly licensed nurse perform a sterile dressing change on a
client who has a central venous catheter. Which of the following actions should the
newly licensed nurse take
Answer: Pick up the first sterile glove by grasping the folded cuff edge.
The nurse should pick up the first sterile glove by grasping the folded cuff edge, which is the
palmar side, to prevent contamination of the outside of the glove.
,12. A nurse is caring for a client who is 3 days postoperative following open
heart surgery and will be transferred to the medical-surgical unit. Which of the
following information should the nurse plan to include in the verbal report
Answer: The client's level of consciousness
The nurse should include objective data regarding the client's current consciousness status in the
verbal report.
13. A nurse manager is planning an in-service for a group of nurses about caring for
clients following stem cell transplants. Which of the following in- structions should the
nurse manager include in the teaching
Answer: Place clients in positive-pressure airflow rooms.
The nurse should place a client who requires protective environment precautions following a
stem cell transplant in a private, positive-pressure airflow room. The room air is filtered through
a HEPA filter and the airflow rate is set at more than 12 air exchanges each hour.
14. 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 licensed nurse to take
Answer: Place the client in a dorsal recumbent position for the examination.
To prepare the client for a routine abdominal assessment, the nurse should place the client in a
dorsal recumbent or supine position and ensure that the client relaxes her abdominal muscles.
,15. A charge nurse is supervising the care of several clients. Which of the following
actions requires intervention by the charge nurse
Answer: A nurse is pho- tocopying their assigned client's diagnostic test results.
Photocopying diagnostic test results is a breach of the client's confidentiality and privacy.
16. A nurse is reviewing a client's clinical pathway upon discharge following hip
arthroplasty. Which of the following information can assist the nurse in evaluating the
cost effectiveness of the care
Answer: The length of the client's stay The client's clinical pathway is a standardized approach
to assist the nurse to provide cost-effective client care and shorten the length of stay.
17. A nurse is caring for a client who has a terminal illness and voices concern about
performing self-care after discharge. Which of the following statements should the
nurse make
Answer: "Your case manager will coordinate the resources you will need."
A case manager coordinates a client's care, including resources for home care.
18. An assistive personnel (AP) tells a charge nurse that it is unfair that they have to
take care of all the clients who are incontinent. Which of the following responses
should the charge nurse make
Answer: "I delegate tasks to personnel based
,on their job descriptions."
This response addresses the AP's concerns and provides clear information about the charge
nurse's responsibility when delegating tasks.
19. A nurse is caring for a client who is scheduled for outpatient surgery. Which of the
following actions should the nurse take to verify the client gave informed consent
Answer: Ask the client to explain the procedure that is being performed.
The nurse should ask the client to explain the procedure that is being performed. This allows
the nurse to verify the client's understanding of the information provided by the provider prior
to witnessing the client's signature on the consent form.
20. A nurse is caring for a client who is hospitalized and has expressive aphasia. The
client's family reports that the nurse failed to obtain written informed consent before
inserting an indwelling urinary catheter. Which of the following responses should the
nurse make
Answer: "This is a procedure that does not require written informed consent."
The client does not need to sign an informed consent form for insertion of an indwelling
urinary catheter. The client gives implied consent by complying with the procedure.
21. A charge nurse observes that a staff nurse's behavior has changed over the past
few weeks. Which of the following behaviors should the charge nurse identify as an
indication that the staff nurse might be working while impaired
Answer: Frequent use of restroom
Frequent use of the restroom can indicate that the nurse might be working while impaired.
Other indications can include frequent errors, mood swings, inability to focus, and
excessive wasting of controlled substances.
22. Two nurses on a unit each contend that the other is not doing a fair share of
work. The conflict is affecting the functioning of the unit. A charge nurse should
approach this conflict in which of the following ways
,Answer: Explore alternative solutions to address unit workflow with the nurses.
Exploring alternative solutions will allow the nurses to collaborate, which creates a higher
probability that the nurses will reach a successful resolution.
23. A client is considering having a tubal ligation and reports being uncertain about if
it is the right thing to do. Which of the following actions should the nurse take
Answer: Discuss the client's feelings about the procedure.
The nurse should encourage the client to discuss any feelings or concerns about the procedure.
24. A nurse on a quality improvement team is implementing a plan to decrease the rate
of pressure injuries in a long-term care facility. Which of the following actions should
the team take to evaluate the effectiveness of the plan
Answer: Com- pare data from client's records regarding skin integrity with established
criteria.
, Chart audits are an efficient and accurate way to measure if a change in a perfor-
mance improvement indicator has occurred after an intervention is implemented.
25. A nurse is caring for four clients. Which of the following assessment findings is the
priority
Answer: A client who has a femur fracture and reports feeling short of breath
When using the urgent vs. nonurgent approach to client care, the nurse determines that the
priority finding is a client who has a femur fracture and reports feeling short of breath. Clients
who have a fracture can develop a deep-vein thrombosis, which can lead to pulmonary
embolism.
26. A nurse is reviewing safe use of a wheelchair with a group of assistive per- sonnel.
Which of the following instructions should the nurse include
Answer: Raise the footplates of the wheelchair before transferring the client.
The nurse should raise the footplates of the wheelchair before transferring the client to prevent
injury.
27. 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 demonstrating
sterile technique
Answer: The nurse places the sterile package with the top flap opening away from the body.
The nurse should place the sterile package on a flat surface so that the top flap opens away
from the body. This prevents the contents of the sterile package from becoming contaminated.
28. A charge nurse is observing a newly licensed nurse's use of time-man- agement
skills. Which of the following actions by the newly licensed nurse indicates effective
use of this skill
Answer: Groups tasks that are in the same location The newly licensed nurse should group
tasks that are in the same location to effectively use time. This prevents the nurse from going
back and forth from one area to another. This action promotes effective time-management
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