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ATI Leadership Proctored Exam Actual Exam 2025 | All 70 Questions and Correct Answers |, Exams of Leadership and Team Management

The ATI Leadership Proctored Exam Actual document for 2025 provides an extensive overview of the exam, comprising 70 questions and their verified, correct answers. This resource is invaluable for nursing students preparing for leadership roles within healthcare settings, offering insights into real exam scenarios and accurate solutions. The document is already graded A+, ensuring that students have access to high-quality, reliable information. Key topics covered within this exam include quality improvement plans aimed at reducing healthcare-associated infections, as exemplified by client case studies with various diagnoses such as cerebrovascular accidents, pneumonia, wound infections, urinary tract infections, and fractured hips. The document highlights the effectiveness of implemented programs through specific client outcomes.

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2024/2025

Available from 07/16/2025

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A T I Leadership Proctored Exam Actual
Exam 2025 | All 70 Questions and
Correct Answers | Already Graded A+ |
Verified Answers
1. A nurse is reviewing the electronic medical record on clients following the
implementation of a quality improvement plan to reduce health care associated
infections on a medical surgical unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Exhibit 2:
Client 2 Diagnosis: Pneumonia
Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE. ---------
CORRECT ANSWER-----------------Clients 2, 3, 5
2. A nurse manager is overseeing employees on their unit.
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Download ATI Leadership Proctored Exam Actual Exam 2025 | All 70 Questions and Correct Answers | and more Exams Leadership and Team Management in PDF only on Docsity!

A T I Leadership Proctored Exam Actual

Exam 2025 | All 70 Questions and

Correct Answers | Already Graded A+ |

Verified Answers

  1. A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Exhibit 1 Client 1 Diagnosis: Cerebrovascular accident Exhibit 2: Client 2 Diagnosis: Pneumonia Exhibit 3 Client 3: Diagnosis: Wound infection Exhibit 4 Client 4: Diagnosis: Urinary tract infection Exhibit 5 Client 5 Diagnosis: Fractured hip Select the 3 clients whose finding indicates the program is EFFECTIVE. --------- CORRECT ANSWER-----------------Clients 2, 3, 5
  2. A nurse manager is overseeing employees on their unit.

Which of following actions is the nurse manager priority? Select the 1 action that the nurse manager should take first. o Schedule a meeting with the employee to address the occurrence within 24 hr. o Remove the employee from the work environment. o Create a plan for the employee to overcome their substance dependency. o Coordinate a ride home for the employee. o Have the employee sign a contract acknowledging that substance use will not be tolerated. ---------CORRECT ANSWER-----------------Remove the employee from the work environment.

  1. A nurse is triaging a group of clients as they arrive simultaneously in the emergency department following a nearby bus crash. Which of the following clients should the nurse transfer to the three available trauma rooms? Select the 3 clients to transfer for immediate treatment. --------- CORRECT ANSWER-----------------Client 4,5,
  2. A charge nurse on a mental health unit is receiving change of shift report for a group of clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700 to 1900 and is reviewing client care: assignments. Complete the following sentence by using the lists of options. The charge nurse should first assess __________ due to ______________ and ___________ ---------CORRECT ANSWER-----------------The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and DELUSIONS

b. Check the expiration date of the inspection sticker. c. Request a replacement IV pump. d. Remove the IV pump from the client's room ---------CORRECT ANSWER------------- ----Remove the IV pump from the client's room.

  1. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene? o Breaks the top of the ampule using an antiseptic wipe. o Withdraws the medication from the ampule using a subcutaneous needle. o Disposes of the ampule by placing it in a sharps container o Performs 3 checks of medication before administration. ---------CORRECT ANSWER-----------------Withdraws the medication from the ampule using a subcutaneous needle.
  2. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first? o Help the AP assist the client with the transfer. o Instruct the AP to request assistance when unsure about a task. o Demonstrate the proper client transfer technique for the AP. o Refer the AP to the facility procedure manual. ---------CORRECT ANSWER-----------
  • -----Help the AP assist the client with the transfer.
  1. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event? o A sufficient supply of personal protective equipment o A system for tracking client information o A mental health specialist on the response team o A network for communication between staff members families. ---------CORRECT ANSWER-----------------A sufficient supply of personal protective equipment
  2. A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow? o Veracity o Fidelity o Beneficence o Nonmaleficence ---------CORRECT ANSWER-----------------Veracity
  3. A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective? o The nurse shares their performance plan with another nurse. o The nurse attends a critical thinking class. o The nurse verbalizes their understanding of the plan.
  1. A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before.". Which of the following actions should the nurse take first? o Compare the client's medication administration record with the prescriptions of the transfer order. o Call the provider to clarify the client's prescribed medications. o Review the intended purpose of the prescribed medications with the client. o Consult the pharmacist about the client's prescribed medications. --------- CORRECT ANSWER-----------------Compare the client's medication administration record with the prescriptions of the transfer order.
  2. 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? o Child protective services o Pharmacist o Respiratory therapist o Social Worker ---------CORRECT ANSWER-----------------Social worker
  3. A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

o Reinforce facility protocols at the next staff meeting. o Alert the infection control department. o Discuss the issue with the AP. o Notify the unit manager about the incident. ---------CORRECT ANSWER-------------- ---Discuss the issue with the AP.

  1. While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take? o Meet with nursing staff to review the policy regarding advance directives. o Ask nurses who are caring for clients without this information in the medical record to obtain it. o Reinforce the potential consequences of not having this information on record to the nursing staff. o Remind nurses to obtain this information during the admission process. --------- CORRECT ANSWER-----------------Meet with nursing staff to review the policy regarding advance directives.
  2. A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relive the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN? o Fidelity (Keep promise) o Veracity (Open and honest with patients) o Justice (Being fair and or equal)

o A client who has multiple sclerosis and ataxia o A client who sustained a concussion and is being monitored for complications. o A client who has a brain tumor and is admitted for chemotherapy. o A client who has Gullian-Barre syndrome and a tracheostomy ---------CORRECT ANSWER-----------------A client who sustained a concussion and is being monitored for complications.

  1. A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment? o A preschooler who was previously toilet trained and now requires diapers in the hospital. o A school-age child who has several abrasions on their lower legs. o A toddler who cries whenever their parent enters the examination room. o An adolescent who was admitted and refuses to speak to their parents. --------- CORRECT ANSWER-----------------A toddler who cries whenever their parent enters the examination room.
  2. A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newlylicensed nurse should the nurse identify as an indication of effective time management? o Skips lunch to catch up on client documentation. o Reviews a client's medical record before performing a prescribed dressing change. o Obtains client intake and output instead of delegating the task to assistive personnel.

o Documents medications administered throughout the shift at the end of the day. ---------CORRECT ANSWER-----------------Reviews a client's medical record before performing a prescribed dressing change.

  1. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? o I should tie the restraints using a square knot. o I need to tie the restraint to the part of the bed frame that moves. o I will remove a client's restraints every 4 hours. o A provider can write a prescription for restraints "as needed." ---------CORRECT ANSWER-----------------I will remove a client's restraints every 4 hours.
  2. A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
  • Sterile supplies are opened prior to removing the old dressing.
  • Gauze is used to clean the wound from the outside to the center.
  • The soiled dressing is placed on a nearby table.
  • Clean gloves are discarded after removing the old dressing. ---------CORRECT ANSWER-----------------Clean gloves are discarded after removing the old dressing.
  1. A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include?
  1. A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take? o Compare practices within the facility against other high-performing facilities. o Determine how current practice will affect future performance within the facility. o Establish work initiatives to promote a positive environment. o Use root cause analysis to identify gaps in meeting standards. ---------CORRECT ANSWER-----------------Compare practices within the facility against other high- performing facilities.
  2. A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist? o The client has extreme difficulty swallowing. o The client requires assistance getting dressed. o The client is experiencing dysarthria. o The client has four new medications. ---------CORRECT ANSWER-----------------The client requires assistance getting dressed.
  3. A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation? o Laboratory test results

o Reconciled medications o Do-not-resucitate status o Acuity level of client care ---------CORRECT ANSWER-----------------Reconciled medication

  1. A nurse is working in the emergency department is assessing several clients. Which of the following clients is the highest priority? o A client who has a raised red skin rash on his arms, neck, and face. o A client who has active bleeding from a puncture wound on the left groin area. o A client who reports right-sided flank pain and is diaphoretic. o A client who reports shortness of breath and left neck and shoulder pain --------- CORRECT ANSWER-----------------A client who reports shortness of breath and left neck and shoulder pain
  2. A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take? o Escort the nurses to the nurses' lounge to continue the discussion. o Make arrangements to take over the client's care. o Recommend that both nurses be terminated. o Contact the house supervisor to mediate the conflict. ---------CORRECT ANSWER- ----------------Escort the nurses to the nurses' lounge to continue the discussion.
  • Maintains the chest tube collection device below the level of the insertion site when ambulating the client ---------CORRECT ANSWER-----------------Elevates the head of the client's bed to 30 before inserting a nasogastric tube.
  1. A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated.Which of the following actions should the nurse take first?
  • Offer reassurance to the family.
  • Reorient the client to his surroundings
  • Measure the client's vital signs
  • Medicate the client with alprazolam ---------CORRECT ANSWER----------------- Reorient the client to his surroundings
  1. A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
  • A client who has Type 1 diabetes and uses an insulin pump.
  • A client who has orthostatic hypotension and is receiving IV fluids.
  • A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.
  • A client who is receiving heparin and has an aPTT of 34 seconds. --------- CORRECT ANSWER-----------------A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL.
  1. A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
  • Implied consent
  • Good Samaritan Act
  • Living will
  • Nonmaleficence ---------CORRECT ANSWER-----------------Implied consent
  1. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?
  • Critical pathway
  • Maslow's hierarchy of needs
  • Surgical record
  • Provider's prescription ---------CORRECT ANSWER-----------------Critical pathway
  1. A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
  • A client who has peripheral vascular disease and has an absent pedal pulse in the right foot.
  • A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy.
  • A client who is postoperative following a laminectomy 12 hr ago and is unable to void.
  1. A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?
  • Large-handle utensils
  • Nasal cannula and oxygen
  • Yankauer suction device
  • Bite block ---------CORRECT ANSWER-----------------Yankauer Suction Device
  1. A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
  • Obtaining a urine specimen from an older adult client.
  • Providing postmortem care for a client who has just died.
  • Accompanying a client who just had a wound debridement to physical therapy.
  • Reinforcing dietary teaching with a client who has heart disease. --------- CORRECT ANSWER-----------------Reinforcing dietary teaching with a client who has heart disease.
  1. A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?
  • A client who has schizophrenia and uses neologisms.
  • A client who has bipolar disorder and displays constant pacing.
  • A client who has dementia and exhibits aphasia.
  • A client who has depressive disorder and has poor personal hygiene. --------- CORRECT ANSWER-----------------A client who has bipolar disorder and displays constant pacing.
  1. 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?
  • Whether the client's refusal is based on religious belief.
  • Whether the client understands the risk of refusing the procedure.
  • Whether the partner is the client's durable power of attorney for health care.
  • Whether the facility ethics committee reaches a consensus on the case. --------- CORRECT ANSWER-----------------Whether the client understands the risk of refusing the procedure.
  1. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
  • I will place a client who has compromised immunity in a negative-pressure airflow room.
  • I will wear an N95 respirator mask when caring for a client who is on droplet precautions
  • I will have a client who is on airborne precautions wear a mask when out of her room.