Exam (elaborations)
ATI PN LEADERSHIP PROCTORED EXAM VERSION 1 Graded A+ LATEST UPDATE 100% 2023/2024
Institution
ATI PN LEADERSHIP
ATI PN LEADERSHIP PROCTORED EXAM VERSION 1
Graded A+ LATEST UPDATE 100% 2023/2024
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ATI PN LEADERSHIP
PROCTORED EXAM VERSION 1
Graded A+ LATEST UPDATE
100% 2023/2024
1. A .nurse .is .assigned .the .following .four .clients .for .the .current
.shift..Which .of .the .following .clients .should .the .nurse .assess .first?
A. A .client .who .has .a .hip .fracture .and .is .in .Buck’s .traction
B. A .client .who .has .aspiration .pneumonia .and .a .respiratory .rate
.of.28/min
C. A .client .who .has .diabetes .mellitus .stage .2 .pressure .ulcer .on .his .foot
D. A .client .who .has .a .C .diff .infection .and .needs .a .stool
.specimen.collected
2. A .nurse .is .caring .for .a .client .who .fell .and .is .reporting .pain .in .the
.left.hip .with .external .rotation .of .the .left .leg. .The .nurse .has .been
.unable .to .reach .the .provider .despite .several .attempts .over .the .past
.30 .min. .Which .of .the .following .actions .should .the .nurse .take?
A. Notify .the .nursing .supervisor .about .the .issues
B. Contact .the .client’s .physical .therapist
C. Apply .a .warm .compress .to .the .hip
D. Reposition .the .client .for .comfort
3. The .mother .of .a .client .with .breast .cancer .states, .it’s .been .hard .for
.her, .especially .after .losing .her .hair. .And .it .has .been .difficult .to
.pay.for .all .the .treatments. .Which .of .the .following .actions .is
.appropriate.client .advocacy?
A. The .nurse .investigates .potential .resources .to .help .the .client
.purchase.wig
B. The .nurse .explains .to .the .mother .that .most .clients .with .cancer
.lose.their .hair
C. The .nurse .informs .the .next .shift .nurse .regarding .the
.mother’s.concerns.
D. The .nurse .suggests .counseling .for .the .client’s .body .image .issues
4. Which .of .the .following .items .must .be .discarded .in .a .biohazard
.waste.receptacle?
A. A .urinary .catheter .drainage .bag .from .a .client .who .is .post-opt
, B. A .bed .sheet .from .a .client .with .bacterial .pneumonia
C. A .perineal .pad .from .a .client .who .is .24-hr .post-vaginal .delivery
D. An .empty .IV .bag .removed .from .a .client .who .has .HIV
5. A .nurse .tells .the .unit .manager, .“I .am .tired .of .all .the .changes .on
.the.unit. .If .things .don’t .get .better, .I’m .going .to .quit. .“Which .of
.the .following .responses . appropriate?
A. “So .you .are .upset .about .all .the .changes .on .the .Unit”
B. “I .think .you .have .a .right .to .be .upset, .I .am .tired .of .the .changes .too”
C. “Just .stick .with .it .a .little .longer. .Things .will .get .better .soon
D. “ .You .should .file .complaints .with .hospital .administrator
6. According .to .the .HIPAA .regulations, .which .of .the .following .is
.a.violation .of .client .confidentiality?
A. Telephone .the .pharmacy .with .a .prescription .for .the .spouse .to .pick .up
B. Providing .a .copy .of .the .record .to .the .transporting .paramedic
C. Reporting .a .client’s .disposition .to .the .referring .provider
D. Informing .housekeeping .staff .that .the .client .is .in .dialysis .unit
7. A .Nurse .preceptor .is .evaluating .a .newly .licensed .nurse’s
.competency .in .assisting .with .a .sterile .procedure. .Which .of
.the.following .actions .indicates .the .nurse .is .maintaining
.sterile .technique? .(Select . all .that .apply.)
A. Open .the .sterile .pack .by .first .unfolding .the .flap .farthest .from
.her.body
B. Rests .the .cap .of .a .solution .container .upside .down .on .the .sterile .field
C. Removes .the .outside .packaging .of .a .sterile .instrument
.before.dropping .into .the .sterile .field
D. Holds .a .bottle .of .a .sterile .solution .15 .cm .(6 .inches) .above .the
.sterile.field
E. Places .sterile .items .within .1.25 .cm .(0.5 .inch) .border .around .the
.edge.of .the .sterile .field
8. A .nurse .is .providing .care .for .4 .post-opt .clients. .The .nurse
.should.first .assess .the .client
A. Whose .pulse .has .been .steadily .increasing .during .the .past .shift
B. Who .is .reporting .a .pain .level .of .8 .on .a .scale .of .0 .to .10.
C. Whose .urine .output .averaged .32 .ml/hr .for .the .past .24 .hr
D. Who .is .reporting .nausea .after .the .prescribed .antiemetic
.was.administered
, 9. A .nurse .is .preparing .to .transcribe .a .client’s .med .prescription .in
.the .medical .record. .Which .of .the .following .should .the .nurse
.recognize .as .containing .the .essential .components .of .a .medication
.order?
A. NPH .insulin .10 .Units .before .and .at .bedtime
B. Haloperidol .(Hadol) .1mg .per .mouth
C. Multivit .every .morning .by .mouth
D. Aspirin .650 .mg .by .mouth .every .4hr
10. A .nurse .is .assisting .with .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. Recommend .that .he .takes .time .to .plan .at .the .beginning .of .shift
B. Advise .him .to .complete .less .time-consuming .tasks .first
C. Ask .other .staff .members .to .take .over .some .of .his .staffs
D. Offer .to .provide .care .for .his .clients .while .he .takes .a .break
11. A .nurse .in .an .urgent .care .clinic .is .admitting .a .client .who .has
.been .exposed .to .a .liquid .chemical .in .an .industrial .setting, .which
.of .the .following .actions .should .the .nurse .take .first?
A. Remove .the .client’s .clothing
B. Irrigate .the .exposed .area .with .water
C. Report .the .incident .to .OSHA .Don .personal .protective .equipment.
12. A .facility .provides .annual .staff .education .regarding .ethical
.practice. .A .charge .nurse .recognizes .a .need .for .further .education
.when .which.of .the .following .behaviors .is .observed?
A. A .nurse .refuses .to .actively .participate .during .an .elective
.abortion.procedure .scheduled .for .her .client.
B. A .nurse .gives .prescribed .opioids .to .a .client .who .has .a .terminal
.illness.and .respirations .of .8/min
C. A .nurse .explains .to .a .client’s .family .that .a .DNR .order
.includes.withholding .comfort .measures
D. A .nurse .informs .a .confused .client .who .wants .to .go .home .that .he
.is.going .to .stay .at .the .facility .until .he .is .better
13. A .nurse .is .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
.tele .health?
A. Assessing .client .needs