1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells the nurse she can no lon...
ATI RN
LEADERSHIP
PROCTORED EXAM
2019
VERSION 1, 2 & 3
,ATI RN LEADERSHIP PROCTORED EXAM 2019 VERSION 1
ATI Leadership Proctored Exam
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the
nurse recommend for an interdisciplinary care conference?
A iclient iwho iis iat i35 iweeks iof igestation iand ihas ia ibiophysical iprofile
iof i6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells the
nurse she can no longer handle caring for the client. Which of the following actions should the nurse
take?
Contact ithe icase imanager ito idiscuss
idischarge ioptions
3. 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?
Social iworke
r
4. A nurse is supervising assistive personnel who’s feeding a client with dysphagia. Which of
the following actions by the AP should the nurse identify as correct technique?
Instructing ithe iclient ito iplace itheir ichin ito ichest
iwhile iswallowing
5. A nurse is providing an in-service about client rights for a group of nurses. Which of the
following statements should the nurse include in the in-service?
“A inurse ican idisclose iinformation ito ia ifamily imember iwith ithe iclient’s
ipermission.”
6. 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 action should the nurse take?
Contact isocial iservices iabout ithe idelivery iof ithe
ioxygen iequipment.
7. 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 response
by the nurse is appropriate?
I iunderstand, iand iit’s inot itoo ilate ito
ichange iyour imind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel
position him in bed with excessive force. Which of the following actions should the nurse
take?
Contact ithe inurse imanage
r
9. A nurse is assessing a client who has meningitis. Which of the following finding should the
nurse report to the provider immediately?
Decreased ilevel iof iconsciousnes
s
10. A nurse is caring for a client who wanders through the halls yelling obscenities at staff other
clients and visitors. Which action should the nurse take?
A) Administer sedatives
B) Keep the client in her room with the door closed
C) Contact ifamily imembers ito icome isit
D) Place
iwith ithe
the client
iclientin a wheelchair with a lap tray
11. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is
having trouble focusing and had difficulty completing care for his assigned client. Which of the
following intervention is appropriate?
, Recommend ithat ihe itake itime ito iplan iat ithe ibeginning iof ihis
ishift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage
bone cancer to an experienced AP. Which of the following assessment should the nurse make
before delegating care?
Has idata ibeen icollected iabout ispecific iclient
ineeds irelated ito iturning?
13. 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?
A isufficient isupply iof .
ipersonal iprotective iequipment
14. A nurse manger observes an assistive personnel incorrectly transferring a client to the
bedside commode. Which of the following actions should the nurse take first?
Help ithe iAP itransfer ithe ipatien
t
15. A nurse manager is leading discussion about ethical dilemmas. Which of the following
situations should the nurse manager include as an example of an ethical dilemma?
A) a nurse witnesses another nurse administer incorrect medication
B) a visitor experiences minor burns at a facility after receiving….
C) a iparent iwants ia i14-year-old iadolescent ito ireceive iradiation itreatment iagainst ihis
D) iawill
client receives operation on the wrong side of the body
16. A nurse a caring for a client who request information about the prevalence of Tay-Sachs
disease. Which of the following resources should the nurse use to obtain this information?
An ievidence-based inursing
ijournal
17. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the
following statement by the newly licensed nurse indicates an understanding of the teaching?
I ishould iencrypt ipersonal ihealth iinformation iwhen isending
iemail.
18. A nurse in the emergency department is assessing a client who is unconscious following a motor-
vehicle crash. The client requires immediate surgery. Which of the following actions should the
nurse take?
Transport ithe iclient ito ithe ioperating iroom iwithout iverifying
iinformed iconsent.
19. A nurse enters a clients room to witness an informed consent for a gastroscopy. The client states
he does not understand the procedure. Which of the following actions should the nurse take?
Inform ithe iprovider ithat ithe iclient irequires iclarification iabout ithe
iprocedure
20. A case manager is preparing a discharge plan for a client following coronary artery bypass
graphing surgery. Which of the following client issues should the nurse address first?
Inadequate ifood isuppl
y
21. 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?
Pertussis
22. A nurse is preparing to complete an incident report regarding a medication error. Which of
the following actions should the nurse plan to take SATA.
A. Place a copy of the completed report in the client’s medical record
, B. Make a copy of the incident report for personal record keeping
C. Include ithe itime ithe imedication ierror ioccurred iin ithe ireport
D. identify ithe imedication iname iand ithe idose iadministered ito ithe iclient iin ithe ireport
E. Obtain and order from the client’s provider to complete the report
23. 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 iprimigravida iclient iwho iis i1 iday ipostoperative ifollowing ia iCesarean isection iand ihas ia
Pi CA ipump
24. 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?
Proceed iwith itreatment iwithout iobtaining iwritten
iconsent
25. A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a
licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN?
Reinforcing idietary iteaching iwith ia iclient
iwho ihas iheart idisease
26. A nurse working on a medical-surgical unit is managing care of four clients. The nurse
should schedule an interdisciplinary conference for which of the following clients?
A iclient iwho iis ireceiving iheparin iand ihas ian iaPTT iof i34
iseconds
27. A nurse enters the hallway and discovers a visitor looking at a clients medical information on
the computer. Which of the following actions should the nurse take first?
Close ithe idocumentation iprogram ion ithe icompute
r
28. A nurse is assessing an older adult client who was brought to the emergency department by his adult
son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the following
actions should the nurse take?
Ask ithe iclient’s ison ito igo ito ithe iwaiting
iarea.
29. A nurse is caring for a client who is unconscious and whose partner is their healthcare surrogate.
The partner wishes to discontinue the client’s feeding tube, but another family member tells the
nurses they want the client to continue receiving treatment. Which of the following responses
should the nurse make?
As ithe ihealthcare isurrogate ithe iclient’s
ipartner ican imake ithe idecision
30. 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?
Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary
team members should be consulted in regard to this client’s care? (select all that apply.)
Nutritional itherapist
iMental ihealth
icounseloriCase imanager
32. 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?
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