ATI Leadership Proctored Retake Exam
with NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass Score
this test consisting of 70 multiple-choice ques with Ans
1. There has been a community disaster and stable clients must be discharged
from a facility to prepare for the influx of new casualties. A nurse should identify that
which of the following clients is safe to discharge?
A client who has multiple sclerosis and reports ataxia
A client who has deep-vein thrombosis and an aPTT within the expected reference range
A client who has right lower quadrant pain and positive rebound tenderness A client
whose amylase and lipase levels are twice the expected value
Answer: a client who has multiple sclerosis and reports ataxia. This client is safe to discharge
because multiple sclerosis is a chronic disorder and ataxia is an expected finding. A client who
has deep-vein thrombosis requires aPTT monitoring at least daily and is at risk for developing a
pulmonary embolism. The nurse should not recommend this client for discharge. A client who
has right lower quadrant pain and positive rebound tenderness likely has appendicitis and is at
risk for developing peritonitis. The nurse should not recommend this client for discharge.
Amylase and lipase levels above the expected reference range indicate pancreatitis, which places
the client at risk for sepsis or hemorrhage. The nurse should not recommend this client for
discharge.
,2. A nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority?
A client who is scheduled for a tubal ligation in 2 hr and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes mellitus and needs the first dressing change for an ulcer
A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary
temperature of 38° C (100.4° F)
Answer: A client who has peripheral vascular disease and has an absent pulse in the right foot.
When using the airway, breathing, circulation approach to client care, the nurse determines that
the priority finding is an absent pulse, which indicates no blood flow to the extremity. The nurse
should assess this client to determine why they are crying; however, this finding is not the
nurse's priority. The nurse should change this client's dressing to promote adequate wound
healing; however, this finding is not the nurse's priority. The nurse should implement measures
to reduce the client's temperature; however, this finding is not the nurse's priority.
3. A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the
rate was set at 100 mL/hr. After notifying the provider and verifying that the pump was
properly programmed, which of the following is the nurse's priority?
Fill out an incident report and submit it to the nurse manager.
Consult with other nurses who have experience with this type of pump.
Tag the pump for maintenance and acquire a new pump for the client.
Call the biomedical engineering department and report the problem.
Answer: Tag the pump for maintenance and acquire a new pump for the client
The greatest risk is the potential for injury to a client if a nurse uses the pump again before
repair; therefore, the priority for the nurse is to tag the pump for maintenance and acquire a new
pump for the client.
4. A charge nurse is planning care for a group of clients. Which of the following tasks should
,be delegated to an assistive personnel (AP)? select all that apply Flushing a client's saline
lock
Ambulating a client who uses a walker
Adding thickener to thin liquids on a client's food tray Teaching a
client how to use an incentive spirometer
Evaluating a client's gag reflex before mealtime
Answer: ambulating a client who uses a walker, adding thickener to thin liquids on a client's
food tray
5. A nurse is reviewing the plan of care for a client following a total hip arthroplasty.
Which of the following actions should the nurse plan to take?
Assess the client's incision every 8 hr for the first 48 hr.
Inform the assistive personnel (AP) of the client's weight-bearing status.
Instruct the client to cross their legs at the ankles when sitting in a chair.
Teach the client's partner to assist the client to flex the hip at least 120° each hr.
Answer: Inform the assistive personnel (AP) of the client's weight-bearing status. APs can
assist clients with ambulation in most cases with appropriate delegation from the nurse. The
nurse should inform the AP of postoperative prescriptions
for weight-bearing as part of safe care delegation. The nurse should assess the incision every 4
hr during the first postoperative day and every 8 to 12 hr thereafter, depending on facility or
surgeon protocol. The nurse should teach the client's partner that the client should not flex their
hip more than 90° after surgery or cross their surgical leg beyond the midline to prevent
dislocation of the joint.
6. A nurse case manager is planning a teaching session on the use of critical pathways
,with a group of newly licensed nurses. Which of the following information should the
nurse include in the teaching?
Critical pathways promote individualized care.
Critical pathways decrease administrative work time.
Critical pathways prevent unnecessary expense.
Critical pathways incorporate provider preferences.
Answer: Critical pathways prevent unnecessary expense
Nurses use critical pathways (also called clinical pathways) to implement evi- dence-based
strategies and promote cost-effective care for clients who have a specific, common diagnosis.
Nurses who use critical pathways (also called clinical pathways) usually spend more time on
administrative duties, which often increases the amount of paperwork and review time required
of a case manager.
7. A nurse is caring for a client who is scheduled for outpatient surgery. Which of the
following actions should the nurse take to verify the client gave informed consent?
Verify that the client understands the risks of the surgery.
Ask the client to explain the procedure that is being performed.
Answer the client's questions about the outcomes of the surgery.
Determine if the client understands the benefits of the procedure.
Answer: Ask the
client to explain the procedure that is being performed. The nurse should ask the client to
explain the procedure that is being performed. This allows the nurse to verify the client's
understanding of the information provided by the provider prior to witnessing the client's
signature on the consent form.
8. A nurse is caring for a client who has a terminal illness and voices concern about
performing self-care after discharge. Which of the following statements should the nurse
make?
"A social worker will address your concerns once you are discharged."
,"You should plan to go to a skilled nursing facility after discharge."
"Your case manager will coordinate the resources you will need."
"You will need hospice care until you feel stronger."
Answer: "Your case manager will coordinate the resources you will need." A case manager
coordinates a client's care, including resources for home care.
9. A grandparent brings their 15-year-old grandchild to the emergency de- partment
reporting that they have severe abdominal pain and are sched- uled for an immediate
appendectomy. The nurse confirms that the client's guardians are unavailable. Which of
the following actions is appropriate?
Delay the procedure until the guardians can provide consent.
Proceed with the surgery via implied consent.
Have the grandparent sign the consent form.
Obtain consent from the client.
Answer: Have the grandparent sign the consent form Delaying the procedure places the client
at risk for complications of appendicitis, such as rupture of the appendix. The nurse should
assist in obtaining informed consent from the client's grandparent in an emergency situation
when parents are not available. A minor may not legally give informed consent for surgery, unless
they are emancipated or lawfully married.
10. A charge nurse is observing a newly licensed nurse who is caring for a client who
has pulmonary tuberculosis. The charge nurse should expect the newly licensed nurse to
take which of the following actions?
Place the client on droplet precautions.
Place the client in a room with positive-pressure airflow.
Wear a surgical mask when taking the client out of the room.
Wear an N95 respirator mask when in the client's room.
Answer: Wear an N95 respirator mask when in the client's room
,11. A nurse is planning the discharge of a newborn who requires apnea monitoring at
home. To which of the following community agencies should the nurse anticipate
referring the guardian of the newborn?
Child protective services
,Public health
Home health
Women, Infants, and Children
Answer: Home health - A home health agency can provide nurses who will visit the home and
help the guardian learn necessary skills, as well as assess the progress of the infant. A public
health agency's primary focus is on the health of a community and not that of individual clients.
Child protective services agencies are appropriate resources to use when child abuse or
endangerment is suspected. Women, Infants, and Children (WIC) provides nutritional subsidies
to pregnant and lactating mothers, and infants and children up to age 5.
12. A nurse manager is developing a class for newly licensed nurses on strategies to
promote client rights. Which of the following should the nurse manager include in the
teaching?
Spend equal amounts of time providing care for each client.
Verify that a provider prescription is in the medical record for clients who have restraints.
Ensure that competent clients do not leave the hospital without medical discharge.
Present the purpose, risks, and benefits of a surgery when the provider is unavailable.
Answer: Verify that a provider prescription is in the medical record for clients who have
restraints. A nurse should verify that there is a provider prescription for a client who has
restraints to prevent false imprisonment. A nurse should meet the
needs of each client using priority of need, rather than using a time-based schedule. A nurse
should educate clients on the purpose of treatment but should not prevent a competent client
from leaving the facility. A nurse should verify that clients have given informed consent, but it is
up to the provider to provide the information the client needs to make an informed decision.
13. A charge nurse is supervising a team of licensed practical nurses (LPNs) and
assistive personnel (AP). The charge nurse should intervene in which of the following
situations?
An LPN delegates an AP to place a fall-risk identification bracelet on a client. An AP turns
a client who is immobile every 2 hr.
, An LPN develops the nursing plan of care for a client who has pneumonia. An AP uses a
transfer board to assist a client with moving from the bed to a chair.
Answer: An LPN develops the nursing plan of care for a client who has pneumonia. Developing
a nursing plan of care is not within the LPN's scope of practice.
14. A charge nurse on a medical-surgical unit is making assignments for the next shift. A
licensed practical nurse (LPN) and an assistive personnel (AP) are members of the team.
Which of the following client care assignments should the nurse assign to the LPN?
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