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ATI RN LEADERSHIP PROCTORED EXAM 2019 3 VERSIONS EACH WITH 70 QUESTIONS (NGN) /A+ GRADE
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ATI RN LEADERSHIP PROCTORED EXAM 2019 3 VERSIONS EACH WITH 70 QUESTIONS (NGN) /A+ GRADE
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NGN ATI LEADERSHIP PROCTORED RETAKE EXAM2023 ACTUAL EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
1. A client is brought to the emergency department following a motor-vehicle crash Drug
use is suspected in the crash and a voided urine specimen is ordered. The client
repeatedly refuses to provide the specimen. Which of the following is the appropriate
action by the nurse?
a. Tell the client that a catheter will be inserted
b. Document the client refusal in the chart
c. Assess the client for urinary retention
d. Obtain a provider’s prescription for a blood alcohol level
2. A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse?
a. Pick up the meal trays after lunch
b. Administer a nasogastric tube feeding
c. Plan break times for assistive personnel
d. Determine adequacy of ventilator settings
3. Nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a
sterile procedure. Which of the following actions indicates the newly licensed nurse is
maintaining sterile technique? (SATA)
a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile
field.
b. Opens the sterile pack by first unfolding the top flap away from her body
c. Prepares a container of sterile solution on the field after putting on sterile gloves
d. Remove the outside packaging of a sterile instrument before dropping it onto the
sterile field.
e. Holds the sterile solution bottle with the label facing up
,4. A nurse enters a client’s room and identifies that the client is receiving too much IV fluid
because the IV pump is not working properly. Which of the following actions should the
nurse take first?
a. Auscultate the client’s lungs
b. Notify the provider
c. Place a faulty equipment tag on the pump.
d. Complete an incident report
5. A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks should the
nurse assign to the LPN?
a. Reinforcing teaching with a client who is learning to self-administer insulin
b. Ambulating a client who is scheduled for discharge later in the day
c. Administering morphine IV bolus to a client who is hr postoperative
d. Admitting a new client who has chronic back pain to the unit
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis after
donning a sterile gown and gloves, which of the following actions by the newly licensed
nurse demonstrate correct aseptic technique?
a. The nurse applies goggles
b. The nurse turns her back to the sterile field
c. The nurse holds her hands above her waist
d. The nurse puts on a face mask
7. A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task?
a. Review vital sign trends at the end of the shift
b. Recheck vital signs that are outside the expected reference range
c. Ask the AP to write a summary of the delegated tasks during the shift
d. Compare the vital signs the AP obtained with those taken by another AP on a
previous shift.
,8. A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel?
a. Obtaining a stool sample from a client who has renal failure
b. Monitoring a client who has a fluid restriction
c. Assessing a client who just returned from hemodialysis
d. Reviewing dietary instructions for a client who has kidney stones
9. A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommended for treatment first?
a. A client who has a neck injury and is unable to breathe spontaneously
b. A client who has two open chest wounds with a left tracheal deviation
c. A client who has major burns over 75% of her body surface area.
d. A client who has bipolar disorder and is exhibiting signs of hallucination (class 3 )
10. A nurse manager is reviewing guidelines for informing consent with the nursing staff.
Which of the following statement by the staff nurse indicates that the teaching was
effective?
a. “ A family member can interpret to obtain informed consent from a client who is
deaf”
b. “ consent can be given by a durable power of attorney.”
c. “Guardian consent is required for an emancipated minor.”
d. “ The nurse can answer any question the client has about the procedure.”
11. A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee?
a. A middle adult client who leaves the facility against medical advice.
b. An older adult client who has advanced directives on file
c. A young adult client who is participating in a medical research study
d. An adolescent client whose parents refuse a blood transfusion for religious reasons
, 12. A nurse in an ambulatory care setting is orient 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 telehealth?
a. Assessing client needs
b. Developing client treatment protocol
c. Providing medication reconciliation
d. Establishing communication between providers ( community health pg 75 )
13. A nurse is providing discharge teaching to client who has a new diagnosis of diabetes.
The client expresses concern about the cost of blood-glucose monitoring supplies.
Which of the following actions should the nurse take?
a. Refer the client to the social services department
b. Providing the client with a week’s worth of supplies from the hospital ( still needs
help paying after )
c. Ask the provider about the possibility of less frequent monitoring ( pt needs to
monitor often )
d. Recommend the client reuse the testing lancets ( breaks the safety and infection
protocol)
14. A charge nurse is receiving change-of-shift report. Which of the following situations
should the charge nurse 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 emergency department nurse is waiting to give report of a new admission
15. A nurse who is precepting a newly licensed nurse is discussing the client assignment for
the shift. Which of the following actions should the nurse preceptor take first to
demonstrate appropriate time management?
a. Complete required tasks.
b. Review the client’s new laboratory values
c. Determine client care goals (set/plan goals )
d. Document assessement data
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