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RN ATI LEADERSHIP 2019 PROCTORED
EXAM CONTAINS 200 QUESTIONS AND
CORRECT ANSWERS ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
AGRADE LATEST UPDATE FOR 2023- 2024
EXAM.
A nurse is preparing an educational program for staff members regarding a new intravenous pump. Identify the sequence of actions the nurse should take when developing the program. (Move the steps into the box on the right, placing them in the selected order of the performance) Develop learning objectives for the program Identify what skills to teach the staff members Conduct program evaluation with staff members Schedule several sessions of the program - ANSWER
Identify what skills to teach the staff members Develop learning objectives for the program Schedule several sessions of the program Conduct program evaluation with staff members A nurse is preparing to discharge a client who as end stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following action should the nurse take?
a. Request another family member assist the client's partner with care b. Recommend the partner place the client in long term-care facility c. Contact the case manager to discuss discharge options d. Ask the provider to delay the clients discharge home for a few more days - ANSWER >>>>c. Contact the case manager to discuss discharge options A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? a. Social worker b. Pharmacist c. Respiratory therapist d. Child protective services - ANSWER >>>>a. Social worker A charge nurse is making staff assignments on a medical- surgical unit. Which of the following tasks should the nurse plan to delegate to an assistive personnel? A. Measuring oxygen saturation for a client who has dyspnea B. Inserting a rectal suppository for a client who is vomiting C. Performing nasal hygiene for a client who has an NG tube D. Pouching a client's ostomy bag for a new colostomy - ANSWER >>>>D. Pouching a client's ostomy bag for a new colostomy A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take? a. Send an oxygen tank from the facility home with the client b. Instruct the client's family to contact the insurance provider about the oxygen equipment c. Contact social services about the delivery of the oxygen equipment d. Notify the provider about the delayed oxygen tank delivery - ANSWER >>>>c. Contact social services about the delivery of the oxygen equipment A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate? a) If you have the procedure now, you wont have to deal with pain and disability later. b) You'll be fine. You'll receive a prescription for pain medication. c) Why didn't you discuss your concerns with your provider? d) I understand and it's not too late to change your mind. - ANSWER >>>>d) I understand and it's not too late to change your mind. A nurse in a long-term care facility is caring for a client who reports the AP repositioned him in bed using excessive force. Which of the following actions should the nurse take? A. Document in the client's chart that an incident report has been filed.
B. Contact the nurse manager. C. Reassure the client that the staff is well trained. D. Call risk management to interview the client. - ANSWER
B. Contact the nurse manager. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately? a. A. Generalized rash over trunk B. Increased temperature C. Decreased level of consciousness D. Report of photophobia - ANSWER >>>>C. Decreased level of consciousness A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients, and visitors. Which of the following actions should the nurse take. a. A. Keep the client in her room with the door closed b. B. Contact a family member to come and sit with the client c. C. Place the client in a wheelchair with a lap tray d. D. Administer a sedative to the client - ANSWER >>>>b. B. Contact a family member to come and sit with the client A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty (completing?) care for his assigned clients. Which of the following interventions is appropriate? A. Offer to provide care for his clients while he takes a break B. Advise him to complete less time-consuming tasks first C. Ask other staff members to take over some of his tasks
a. Refer the AP to the facility procedure manual b. Demonstrate the proper client transfer technique for the AP? c. Instruct the AP to request assistance when unsure about a task d. Help the AP assist the client with the transfer - ANSWER
d. Help the AP assist the client with the transfer A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is
C. Decreased level of consciousness A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients, and visitors. Which of the following actions should the nurse take. a. A. Keep the client in her room with the door closed b. B. Contact a family member to come and sit with the client c. C. Place the client in a wheelchair with a lap tray d. D. Administer a sedative to the client - ANSWER >>>>b. B. Contact a family member to come and sit with the client A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty (completing?) care for his assigned clients. Which of the following interventions is appropriate? A. Offer to provide care for his clients while he takes a break B. Advise him to complete less time-consuming tasks first C. Ask other staff members to take over some of his tasks a. Refer the AP to the facility procedure manual b. Demonstrate the proper client transfer technique for the AP? c. Instruct the AP to request assistance when unsure about a task d. Help the AP assist the client with the transfer - ANSWER >>>>d. Help the AP assist the client with the transfer A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first? A. Remove the restraints from the client's wrists B. Review the chart for nonrestraint alternatives for agitation C. Speak with the AP about the incident D. Inform the unit manager of the incident - ANSWER >>>>A. Remove the restraints from the client's wrists A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of ethical dilemma? a. A visitor experiences a minor burn after spilling coffee B. A client receives an operation on the wrong side of her body C. A parent wants her 14-year-old adolescent to receive radiation treatment against his will D. A nurse witnesses another nurse administer an incorrect medication - ANSWER >>>>C. A parent wants her 14-year-old adolescent to receive radiation treatment against his will A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?
A. The clients health care provider B. A Collaborative, user-edited website C. The facility's case manager D. An evidence-based nursing journal - ANSWER >>>>D. An evidence-based nursing journal A nurse is orientating a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "I can use another nurse's password as long as I log off after using the computer" B. "I should encrypt personal health information when sending emails" C. "I can post the client's vital signs in the client's room" D. "I should discard personal health information documents in the trash before leaving the unit" - ANSWER >>>>B. "I should encrypt personal health information when sending emails" A nurse is assessing a client who is postoperative following a left leg below-the-knee amputation. Which of the following client statements indicates the potential need for a referral to an occupational therapist? a. I hope I can adjust to using crutches while I am recovering b. I am worried about taking care of my toddler at home c. I just don't think I can handle looking at my leg d. I am not sure how I will pay for all the therapy I will need - ANSWER >>>>a. I hope I can adjust to using crutches while I am recovering A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. the client
A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department? a. pertussis b. Group B streptococcal disease c.Respiratory syncytial virus d. rotavirus - ANSWER >>>>a. pertussis Afollowing actions should the nurse plan to take? (Select all that apply) nurse is preparing to complete an incident report regarding a medication error. Which of the a) Make a copy of the incident report for personal keeping b) Identify the medication name and dosage administered to the client in the report c) Obtain an order from the client9s provider to complete the report d) Include the time the medication error occurred in the report e) Place a copy of the completed report in the client9s medical record - ANSWER >>>>b) Identify the medication name and dosage administered to the client in the report d) Include the time the medication error occurred in the report e) Place a copy of the completed report in the client9s medical record a charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit? a. A client who is at 32 weeks of gestation and has premature rupture of membranes
b. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor c. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump d. A client who has gestational diabetes and is receiving biweekly nonstress tests - ANSWER >>>>c. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take? a. Proceed with treatment without obtaining writing consent b. Contact the client9s next of kin to obtain consent for treatment C. Have the client sign a consent for treatment D. Notify risk management before initiating treatment - ANSWER >>>>a. Proceed with treatment without obtaining writing consent A nurse on a med-surg unit is caring for a group of clients with the assistance of an LPN and an AP. Which of the following tasks should the nurse assign to the LPN? A. Reinforce dietary teaching with a client who has heart disease. B. Obtaining a urine specimen from an older adult client c. providing postmortem care for a client who has just died. d. accompanying a client who just had a wound debridement to PT. - ANSWER >>>>A. Reinforce dietary teaching with a client who has heart disease.
d. Treat and discharge the client - ANSWER >>>>c. Ask the clients son to go to the waiting area A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue client9s feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make? a. "You should contact the provider about your wishes for your family member." b. "We'll need to have the nursing supervisor review the client's advance directives." c. "You should speak with the facility's ethics committee about your concerns." d. "As the health care surrogate, the client's partner can make this decision." - ANSWER >>>>d. "As the health care surrogate, the client's partner can make this decision." A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following? A. Assault B. False imprisonment C. Battery D. Libel - ANSWER >>>>C. Battery A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regards to client care? (select all that apply) A. Occupational therapist
B. case manager C. nutritional therapist D. physical therapist E. mental health counselor - ANSWER >>>>B. case manager C. nutritional therapist e. mental health counselor A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicated understanding of isolation guidelines? A. "I will have a client who is on airborne precautions wear a mask when out of her room" B. "I will wear an N95 respirator mask for a client who is on droplet precautions." C. "I will place a client who has compromised immunity in a negative-pressure airflow room" D. "I will instruct visitors to wear a mask when visiting a client who is on contact precautions." - ANSWER >>>>A. "I will have a client who is on airborne precautions wear a mask when out of her room" A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take? a. withhold the benzodiazepine but continue the opioid b. contact the provider about replacing the opioid with an NSAID c. administer the benzodiazepine but withhold the opioid
A. A client who has an open fracture of the femur B. A client who has periorbital ecchymosis C. A client who has asymmetrical thorax D. A client who has a deep-partial thickness burn on the lower extremities - ANSWER >>>>C. A client who has asymmetrical thorax A nurse is caring for a client who has a tumor. The provider recommends 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 partner is the client's durable power of attorney for health care b. Whether the client understand the risk of refusing the procedure c. Whether the clients refusal is based on religious belief d. Whether the faculty ethnic committee reaches a consensus on the case - ANSWER >>>>b. Whether the client understand the risk of refusing the procedure A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take? a. report the infection to the local health department b. apply an antiviral cream to lesions c. instruct the client to use condoms until the treatment is completed d. initiate contact precautions - ANSWER >>>>a. report the infection to the local health department
A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first? a. no transport assistance is available to take the client to PT b. A client is refusing care from an AP of the opposite gender. c. Three staff members have called to say they will be absent d. two nurses had a heated disagreement about a scheduling issue - ANSWER >>>>c. Three staff members have called to say they will be absent 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. Provide coverage for the nurse9s breaks c. Determine the reasons the nurses are not taking scheduled breaks d. Review policies for taking scheduled breaks - ANSWER
c. Determine the reasons the nurses are not taking scheduled breaks A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the clients medical record? A. Morphine sulfate 10 mg IV q 4 IV prn for pain B. MS 10 mg IV every 4 8 prn for pain C. MSO4 10 mg IVP q 4 8 prn for pain D. Morphine sulfate 10.0 mg every 4 hours IV prn for pain - ANSWER >>>>A. Morphine sulfate 10 mg IV q 4 IV prn for pain
A nurse is caring for a client who has a prescription for a transcutaneous electrical nerve stimulation (TENS). Which of the following members of the interdisciplinary team should the nurse contact for assistance. a. Physical Therapist b. Pharmacist c. Respiratory therapist d. Occupational Therapist - ANSWER >>>>a. Physical Therapist A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which of the following statements by the newly licensed nurse indicated an understanding of the teaching? A. "I will check that the room has a high-efficiency participate air filtration system." b. "I will wear an N95 respirator when providing care for the client." c. "I will wear a surgical mask within 3 feet of the client." d. "I will assign the client to a room with a positive airflow." - ANSWER >>>>b. "I will wear an N95 respirator when providing care for the client." A nurse is caring for four clients. Which of the following clients should the nurse assess first? a. a client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dL b. a client who is 3 days postoperative following abdominal surgery and is ready for discharge
c. a client who has Alzheimer's disease and bacterial pneumonia with newly onset restlessness d. a client who is 24 hours postoperative following surgical reduction of a hip fracture and reports a pain level of 7 on a scale from 0 to 10 - ANSWER >>>>c. a client who has Alzheimer's disease and bacterial pneumonia with newly onset restlessness A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need? a. Physical therapy b. Social services c. Occupational therapy d. Home health - ANSWER >>>>d. Home health A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process? a) Implement a fall prevention plan b) Notify staff of the increased fall rate c) Review document literature regarding client falls d) Identify clients who are at risks for falls - ANSWER >>>>d) Identify clients who are at risks for falls A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?
