2023 ATI RN Proctored Leadership Form A Exam With NGN Questions and Answers, With Rationales Verified Newest Version Updated 2024
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Ati Leadership
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Ati Leadership
2023 ATI RN Proctored Leadership Form A Exam With NGN Questions and Answers, With Rationales Verified Newest Version Updated 2024
2023 ATI RN Leadership Proctored Form A Exam With NGN Questions and Answers, With Rationales Verified Newest Version Updated 2024
Ati rn proctored leadership form a ...
ATI RN LEADERSHIP PROCTORED EXAM 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.
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