2023 RN ATI LEADERSHIP PROCTORED EXAM WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION.
18 views 0 purchase
Course
Ati Leadership
Institution
Ati Leadership
2023 RN ATI LEADERSHIP PROCTORED EXAM WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION.
2023 RN ATI LEADERSHIP PROCTORED EXAM WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION.
2023 RN ATI LEADERSHIP PROCTORED EXAM WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSIO...
NGN ATI RN LEADERSHIP PROCTORED EXAM
70 QUESTIONS AND VERIFIED ANSWERS / A+ GRADE
1. A nurse is caring for four clients. For which of the following clients should the
nurse collaborate with the facility ethics committee?
a. A middle adult client who leaves the facility against medical advice
b. An older adult client who has advanced directives on file
c. A young adult client who is participating in a medical research study
d. An adolescent client whose parents refuse a blood transfusion for religious reasons
Answer: d. An adolescent client whose parents refuse a blood transfusion for religious
reasons
2. A nurse in an ambulatory care setting is orienting a newly licensed nurse who is
preparing to return a call to a client. The nurse should explain that which of the
following is an objective of telehealth?
a. Assessing client needs
b. Developing client treatment protocols
c. Providing medication reconciliation
d. Establishing communication between providers (Community Health pg. 75)
Answer: d. Establishing communication between providers (Community Health pg. 75)
,3. . A nurse is providing discharge teaching to a client who has a new diag- nosis of
diabetes. The client expresses concern about the cost of blood-glu- cose monitoring
supplies. Which of the following actions should the nurse take?
a. Refer the client to the social services department.
b. Provide the client with a week's worth of supplies from the hospital (still needs
help paying after)
c. Ask the provider about the possibility of less frequent monitoring (pt needs to
monitor often) d. Recommend the client reuse the testing lancets (breaks the safety &
infection protocol)
Answer: a. Refer the client to the social services department.
,4. A charge nurse is receiving change-of-shift report. Which of the follow-
ing situations should the charge nurse address first?
a. A nurse on the previous shift wrote an incident report about a medication error.
b. Two staff members have called to say they will be absent.
c. Transport assistance is unavailable to take a client to occupational therapy.
d. The emergency department nurse is waiting to give report on a new ad- mission.
Answer: d. The emergency department nurse is waiting to give report on a new admission.
5. A nurse who is precepting a newly licensed nurse is discussing the client
assignment for the shift. Which of the following actions should the nurse preceptor take
first to demonstrate appropriate time management?
a. Complete required tasks.
b. Review the client's new laboratory values.
c. Determine client care goals (set/plan goals)
d. Document assessment data.
Answer: c. Determine client care goals (set/plan goals)
6. A charge nurse is reviewing information about HIPAA with a group of staff
nurses. Which of the following statements by a staff nurse indicates understanding?
a. "Clients who participate in research studies forfeit their HIPAA right to
privacy."
b. "HIPAA allows facility-specific coding of client health care information to ensure
privacy."
c. "HIPAA prohibits the uploading of photographs of client's providers to social
media sites."
d. "HIPAA allows clients to request a review of their own medical records."
Answer: d. "HIPAA allows clients to request a review of their own medical records."
,7. . A nurse is caring for a client who has a tumor. The provider recom- mends
surgery. The client refuses, but the client's partner wants the surgery performed.
Which of the following is the deciding factor in determining if the surgery will be
done?
a. Whether the client understands the risk of refusing the procedure
b. Whether the facility ethics committee reached a consensus on the case
c. Whether the partner is the client's durable power of attorney for health care
d. Whether the client's refusal is based on religious belief
Answer: a. Whether the client understands the risk of refusing the procedure
8. A charge nurse is planning the care of four newborns. An assistive personnel and
licensed practical nurse are available for staffing. Which of the following tasks should
the nurse assign to a licensed practical nurse?
,a. Conduct the newborn hearing screening. (RN assessment)
b. Administer a hepatitis B vaccine.
c. Perform a New Ballard screening. (RN assessment)
d. Obtain vital signs. (CNA)
Answer: b. Administer a hepatitis B vaccine
9. During a staff meeting a unit manager reviews the results for document- ing client
education and finds that they are below the benchmark. Which of the following
strategies should the nurse manager implement first?
a. Train LPNs to reinforce teaching with clients using a standardized teaching plan.
b. Determine factors that interfere with the documentation of client education.
c. Include documentation of client education as part of unit nurses' annual
performance evaluation.
d. Offer incentives for the staff once the unit's results are back in adherence with the
benchmark.
Answer: b. Determine factors that interfere with the documentation of client education.
10. A nurse is explaining ethics and values to a newly licensed nurse. The nurse
should explain that preventing client injury by removing a fall hazard demonstrates
which of the following ethical principles?
a. Utility
b. Autonomy
c. Nonmaleficence
d. Veracity
Answer: c. Nonmaleficence
11. . A nurse is caring for a group of clients. Which of the following clients should the
nurse plan to assess first?
,a. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr
(improvement)
b. A client who has diabetes mellitus and reports paresthesia in his fingers and toes
(ABC--circulation)
c. A client who has a nasogastric tube and has crackles in the lungs (ABC--air- way)
d. A client who has a new diagnosis of Graves' disease and a TSH level of 0.2
microunits/mL
Answer: c. A client who has a nasogastric tube and has crackles in the lungs (ABC--airway)
12. A charge nurse is planning to evacuate clients on the unit because there is a fire on
another floor. Which of the following clients should the nurse evacuate first?
a. A client who is in Buck's traction for a left hip fracture (can't necessarily move
too much)
b. A client who is 1 day postoperative following thoracic surgery and has a
,chest tube (possible physical instability)
c. A client who is confused and restrained for safety (still needs continual nursing
care/assessment)
d. A client who is receiving IV chemotherapy and is ambulatory
Answer: d. A client who is receiving IV chemotherapy and is ambulatory
13. . A nurse enters the room of a client who is unconscious and finds
that the client's son is reading her electronic medical records from a monitor located
at the bedside. Which of the following actions should the nurse take first?
a. Recommend the son meet with the provider to get information about his
mother's condition.
b. Report the possible violation of client confidentiality to the nurse manager.
c. Complete an incident report regarding the breach of the client's confiden- tiality.
d. Log out the computer so that the client's son is unable to view his mother's
information
Answer: d. Log out the computer so that the client's son is unable to view his mother's
information
14. A nurse is preparing a client for cardiac catheterization. Just before the procedure,
the client asks the nurse about the risks of the procedure. Which of the following
actions should the nurse take?
a. Explain the risks of the procedure to the client.
b. Convey the client's request to the nurse who witnessed the consent.
c. Check to see if the medial record indicates the provider explained the
procedure to the client.
d. Notify the provider about the client's concerns.
Answer: d. Notify the provider about the client's concerns.
,15. 25. A nurse is prioritizing care after receiving change-of-shift report on four clients.
Which of the following clients should the nurse assess first?
a. A client who reports a headache with sensitivity to light
b. A client who reports an urge to void but has not urinated during the prior shift
c. A client who reports indigestion and pain in her jaw
d. A client who reports feeling lightheaded when he stands up from a lying position
Answer: c. A client who reports indigestion and pain in her jaw
16. 26. 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?
a. Discuss time management strategies with the nurses.
b. Determine the reasons the nurses are not taking scheduled breaks. Assess first
,c. Provide coverage for the nurses' breaks.
d. Review facility policies for taking scheduled breaks.
Answer: b. Determine the rea- sons the nurses are not taking scheduled breaks. Assess first
17. 27. A nurse is preparing to delegate bathing and turning of a newly ad- mitted
client who has end-stage bone cancer to an experienced assistive personnel (AP).
Which of the following assessments should the nurse make before delegating care?
a. Has the AP checked the client's pain level prior to turning her? (RN only - do not
delegate what you can EAT = evaluate, assess, teach)
b. Is the client's family present so the AP can show them how to turn the client? (this is
not necessary)
c. Has data been collected about specific client needs related to turning?
(Assessment of holistic care r/t pt needs and what the experienced AP can do)
d. Does the AP have the time to change the client's central IV line dressing after
turning her? (AP cannot change dressings)
Answer: c. Has data been collected about specific client needs related to turning?
(Assessment of holistic care r/t pt needs and what the experienced AP can do)
18. 28. A nurse is preparing to transfer a client from the emergency department to a
medical-surgical unit using the SBAR communication tool. Which of the following
information should the nurse include in the background portion of the report?
a. A prescribed consultation -under situation
b. The client's vital signs
c. The client's name -under situation
d. The client's code status -under situation
Answer: b. The client's vital signs
19. 29. A nurse is planning discharge for a client who has rheumatoid arthritis. Which of
, the following statements by the client should the nurse identify as an indication that a
referral to an occupation therapist is necessary?
a. "I need some help planning my meals to maintain my weight."
b. "I am tired of having pain in my joints all the time."
c. "I'm having difficulty climbing the stairs at my house."
d. "I will need assistance with bathing."
Answer: d. "I will need assistance with bathing."
20. 30. A nurse in the emergency department is caring for a 16-year-old client who
reports abdominal pain and is accompanied by an adult neighbor. The provider
diagnoses a ruptured appendix and states that the client requires an emergency
appendectomy. Which of the following actions should the nurse?
a. Ask the adult neighbor to sign the consent form.
b. Obtain consent from the hospital administrator.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectHarrison. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
