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ATI RN LEADERSHIP PROCTORED EXAM 2023 VERSION 1,2,3 A+
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ATI RN LEADERSHIP PROCTOREDEXAM 2023 VERSION 1,2,3 A+
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 iworker
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 imanager
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 iconsciousness
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 iwith ithe iclient
D) Place the client in 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 ipatient
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 iwill
D) a 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 isupply
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
iPCA 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 icomputer
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
icounselorCi ase 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?
, “I iwill ihave ia iclient iwho iis ion iairborne iprecautions iwear ia imask iwhen iout iof iher iroom.”
33. Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following is
appropriate to include in the cost-containment plan?
Use iclean igloves irather ithan isterile igloves ifor icolostomy icare.
34. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information
about the client’s treatment plan. Which of the following responses should the nurse make?
I icannot iprovide ithis iinformation ito iyou iwithout iyour imother’s iconsent
35. A nurse in the emergency department is performing triage for a group of clients who were in a train
crash. Which of the following clients should the nurse tag as emergent?
A) A client who has a deep partial thickness burn on the lower extremities
B) A client who has an open fracture of the femur
C) i A iclient iwho ihas ian iasymmetrical ithorax
D) A client who has a peri fatal ecchymosis
36. 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 ithe iclient iunderstands ithe irisk iof irefusing ithe iprocedure
37. A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions
should the nurse take?
Report ithe iinfection ito ithe ilocal ihealth idepartment
38. A nurse manager is receiving report and is faced with the following situations that requires
intervention. Which of the following should the nurse manager 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 iemergency idepartment inurse iis iwaiting ito igive ireport ion ia inew iadmission.
39. A charge nurse notices that two staff nurses are not taking meal breaks during their regular 8-hr shifts.
Which of the following actions should the nurse take first?
Determine ithe ireasons ithe inurses iare inot itaking ischeduled ibreaks.
40. A nurse is receiving a verbal prescription from the provider for a client who is having increase pain.
The nurse should transcribe which of the following prescription in the client’s medical records?
It isn’t the two with the 4o and not the one that says 10.0 mgIt’s
like “Morphine sulfate 10 mg IV q 4 hr for pain”
41. A nurse working in the emergency department is assessing several clients. Which of the following
clients is the highest priority?
A iclient iwho ireports ishortness iof ibreath iand ileft ineck iand ishoulder ipain
42. A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation
(TENS). Which of the following members of the interdisciplinary team should the nurse contact for
assistance?
Physical itherapist
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