ATI
2019
Leadership
Proctored
1.
A
nurse
manager
is
preparing
to
institute
a
new
system
for
scheduling
staff.
Several
nurses
have
verbalized
their
concern
over
the
possible
changes
that
will
occur.
Which
of
the
following
is
an
appropriate
method
to
facilitate
the
adoption
of
the
new
scheduling
system?
A.
Identify
nurses
who
accept
the
change
to
help
influence
other
staff
nurses
B.
Provide
a
brief
overview
of
the
new
scheduling
system
immediately
before
it
implementation
C.
Introduce
the
new
scheduling
system
by
describing
how
it
will
save
the
institution
money
D.
Offer
to
reassign
staff
who
do
not
support
the
change
to
another
unit
-
ANS
B.
Provide
a
brief
overview
of
the
new
scheduling
system
immediately
before
it
implementation
OR
A.
Identify
nurses
who
accept
the
change
to
help
influence
other
staff
nurses
2.
A
client
who
is
febrile
is
admitted
to
the
hospital
for
treatment
of
pneumonia.
In
accordance
with
the
care
pathway,
antibiotic
therapy
is
prescribed.
Which
of
the
following
situations
requires
the
nurse
to
complete
a
variance
report
with
regard
to
the
care
pathway? A.
Antibiotic
therapy
was
initiated
2hr
after
implementation
of
the
care
pathway
B.
A
blood
culture
was
obtained
after
antibiotic
therapy
has
been
initiated
C.
The
route
of
antibiotic
therapy
on
the
care
pathway
was
changed
from
IV
to
PO
D.
An
allergy
to
penicillin
required
an
alternative
antibiotic
to
be
prescribed
-
ANS
A.
Antibiotic
therapy
was
initiated
2hr
after
implementation
of
the
care
pathway
3.
A
nurse
should
recognize
that
an
incident
report
is
required
when
A.
A
client
refuses
to
attend
physical
therapy
B.
A
visitor
pinches
his
finger
in
the
client‟s
bed
frame
C.
A
client
throws
a
box
of
tissues
at
a
nurse
D.
A
nurse
gives
a
med
30
min
late
-
ANS
A.
A
client
refuses
to
attend
physical
therapy
5.
Client
satisfactory
surveys
from
a
med-surg
unit
indicate
the
pain
is
not
being
adequately
relieved
during
the
first
12
hr
post-opt.
The
unit
manager
decides
to
identify
post-opt
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?
A.
Prospective
chart
audit B.
Retrospective
chart
audit
C.
Post-operative
care
policy
D.
Pain
assessment
policy
-
ANS
D.
Pain
assessment
policy
6.
A
nurse
precepting
a
newly
licenced
nurse
who
is
caring
for
a
client
who
is
confused
and
has
an
IV
infusion.
The
newly
licensed
nurse
has
placed
the
client
in
wrist
restraints
to
prevent
dislodging
the
IV
catheter.
Which
of
the
following
questions
should
the
precepting
nurse
ask?
A.
"Did
you
secure
the
restraints
to
the
side
rails
of
the
bed?"
B.
"Are
you
able
to
insert
two
fingers
between
the
restraint
and
the
client's
skin?"
C.
"Did
you
tie
the
restraints
using
double
knot?"
D.
"Are
you
removing
the
client‟s
restraints
every
4
hr?"
-
ANS
B.
"Are
you
able
to
insert
two
fingers
between
the
restraint
and
the
client's
skin?"
7.
A
nurse
is
caring
for
an
older
adult
client
who
has
stage
III
pressure
ulcer.
The
nurse
request
a
consultation
with
the
wound
care
specialist.
Which
of
the
following
actions
by
the
nurse
is
appropriate
when
working
with
a
consultant?
A.
Arrange
the
consultation
for
time
when
the
nurse
is
caring
for
the
client
is
able
to
be
present
for
consultation B.
Provide
the
consultant
with
subjective
opinions
and
beliefs
about
the
client's
wound
care.
C.
Request
the
consultation
after
several
wound
care
treatment
tried
D.
Arrange
for
the
wound
care
nurse
specialist
to
see
the
client
daily
to
provide
the
recommended
treatment
-
ANS
A.
Arrange
the
consultation
for
time
when
the
nurse
is
caring
for
the
client
is
able
to
be
present
for
consultation
8.
A
client
is
admitted
with
TB
and
placed
in
a
negative
pressure
room.
Which
of
the
following
actions
is
appropriate?
A.
Notify
the
local
health
department
of
the
admission
B.
Place
a
sign
on
the
client's
door
with
the
diagnosis
C.
Ensure
that
admitting
staff
undergo
PPD
skin
tests
D.
Determine
who
had
contact
with
the
client
in
the
last
48
hr
-
ANS
D.
Determine
who
had
contact
with
the
client
in
the
last
48
hr
(maybe
wrong)
POSSIBLY:
A.
Notify
the
local
health
department
of
the
admission
9.
A
nurse
is
caring
for
a
client
who
is
unconscious
and
whose
partner
is
healthcare
proxy.
The
partner
has
spoken
with
the
provider
and
wishes
to
discontinue
the
client‟s
feeding
tube.
The
provider
states
the
nurse,
"I
will
not
discontinue
the
client‟s
treatment.
His
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