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RN ATI LEADERSHIP PROCTORED EXAM 2023 WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION.

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RN ATI LEADERSHIP PROCTORED EXAM 2023 WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION. 2023 RN ATI LEADERSHIP PROCTORED EXAM WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION. Nextgen, next generation nursing, nursing student, nursing school Ngn Ati Rn Leadership Procto...

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  • May 8, 2024
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NGN ATI RN LEADERSHIP PROCTORED EXAM
70 QUESTIONS AND VERIFIED ANSWERS / A+ GRADE




 A nurse is reviewing the electronic medical record on clients following the
implementation of a quality improvement plan to reduce health care associat- ed
infections on a medical surgical unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident Exhibit 2
Client 2 Diagnosis
Pneumonia Exhibit 3
Client 3
Diagnosis
Wound infection Exhibit 4
Client 4
Diagnosis
Urinary tract infection Exhibit 5
Client 5 Diagnosis
Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE.
Answer: -


,Clients 2, 3, 5


 2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1 action that the
nurse manager should take first.
o Schedule a meeting with the employee to address the occurrence within 24 hr.
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency. o
Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use will not be
tolerated.
Answer: Remove the employee from the work environment.


 3. A nurse is triaging a group of clients as they arrive simultaneously in the
emergency department following a nearby bus crash.


Which of the following clients should the nurse transfer to the three available trauma
rooms? Select the 3 clients to transfer for immediate treatment.
Answer: Client 4,5,6


 4. A charge nurse on a mental health unit is receiving change of shift report for a
group of clients. The charge nurse is working with an RN and PN and assistive
personnel (API from 0700 to 1900 and is reviewing client care assignments.
Complete the following sentence by using the lists of options.
The charge nurse should first assess due to and



,Answer: The charge nurse should first assess CLIENT 1 due to HALLUCINA- TIONS and
DELUSIONS






, 5. An infectious disease nurse is reviewing electronic medical records on a
group of clients.
Select 4 clients whose diagnosis should be reported to the health department. o Client 1
(Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile) o
Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis) o
Client 6 (pertussis)
Answer: Clients 1, 2, 4, 6


 6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client. o Adult
day care
o Hospice care
o Legal assistance o
Respite care
o Social worker
Answer: Hospice care, Respite care, Social worker


 7. A nurse is caring for a client and notices fraying on the electrical cord of the
client's IV pump. Which of the following actions is the priority for the nurse to take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.



,d. Remove the IV pump from the client's room


Answer: Remove the IV pump from the client's room.


 8. A nurse is observing a newly licensed nurse prepare a medication from an
ampule for a client's injection. For which of the following actions by the newly
licensed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle. o
Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration.


Answer: Withdraws the med- ication from the ampule using a subcutaneous needle.


 9. A nurse manager observes an assistive personal (AP) incorrectly trans- ferring a
client to the bedside commode. Which of the following actions should the nurse take
first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task. o
Demonstrate the proper client transfer technique for the AP.






,o Refer the AP to the facility procedure manual.



Answer: Help the AP assist the client
with the transfer.


 10. 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?
o A sufficient supply of personal protective equipment o A
system for tracking client information
o A mental health specialist on the response team
o A network for communication between staff members families.


Answer: A sufficient supply of personal protective equipment


 11. A charge nurse observes a client fall while ambulating with an assistive personnel
and notes that the client's gait belt was not in place. When reviewing the incident report,
the charge nurse finds that the report does not mention the gait belt. Which of the
following ethical principles should the charge nurse follow?
o Veracity
o Fidelity
o Beneficence
o Nonmaleficence


Answer: Veracity


, 12. A charge nurse is evaluating a newly licensed nurse and presents a performance
improvement plan to the nurse for remediation. Which of the following outcomes
should indicate to the charge nurse that the plan has been effective?
o The nurse shares their performance plan with another nurse. o The
nurse attends a critical thinking class.
o The nurse verbalizes their understanding of the plan.
o The nurse performs all tasks as specified.


Answer: The nurse performs all tasks as specified


 13. A nurse manager is discussing responsibilities of the nurse manager role with
a group of newly licensed nurses. Which of the following responsi- bilities should the
nurse include? (Select all that apply)
o Make decisions on the unit.
o Delegate tasks to assistive personal. o
Monitor overall functions of the unit.
o Reward and discipline staff as necessary.
o Ensure goals of the facility are being met.


Answer: Make decisions on the unit. Monitor overall functions of the unit.






,Reward and discipline staff as necessary.
Ensure goals of the facility are being met


 14. A nurse is preparing a client for a cardiac catheterization. Just before the
procedure, the client asks the nurse about the risks of the procedure. Which of the
following actions should the nurse take?
o Check to see if the medical record indicates the provider explained the
procedure to the client.
o Explain the risks of the procedure to the client.
o Convey the client's request to the nurse who witnessed the consent.
o Notify the provider about the client 's concerns.
Answer: Notify the provider about the client's concerns.


 15. A nurse in a rehabilitation facility is administering medications to a client who
was admitted earlier that day. The client refuses two of the medica- tions, stating, "I've
never taken these before.". Which of the following actions should the nurse take first?
o Compare the client's medication administration record with the prescrip- tions of
the transfer order.
o Call the provider to clarify the client's prescribed medications.
o Review the intended purpose of the prescribed medications with the client. o
Consult the pharmacist about the client's prescribed medications.
Answer: Compare the client's medication administration record with the prescriptions of the
transfer order.
 16. 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?
o Child protective services o
Pharmacist
o Respiratory therapist
o Social Worker
Answer: Social worker
 17. A charge nurse witnesses an assistive personnel (AP) failing to follow facility
protocol when discarding contaminated linens. Which of the following actions should
the nurse take first?
o Reinforce facility protocols at the next staff meeting. o
Alert the infection control department.
o Discuss the issue with the AP.
o Notify the unit manager about the incident.
Answer: Discuss the issue with the AP.
 18. While auditing the medical records of clients currently on an oncology unit, the
nurse manager finds that six of the 15 records lack documentation






, regarding advance directives. Which of the following is the priority action for
the nurse to take?
o Meet with nursing staff to review the policy regarding advance directives. o Ask
nurses who are caring for clients without this information in the medical record to
obtain it.
o Reinforce the potential consequences of not having this information on record
to the nursing staff.
o Remind nurses to obtain this information during the admission process.
Answer: -
Meet with nursing staff to review the policy regarding advance directives.
 19. A charge nurse observes a licensed practical nurse (LPN) tell a client that she
will return with a medication to help relive the client's nausea. The LPN does not
return with the medication. The charge nurse should reinforce which of the following
ethical principles with the LPN?
o Fidelity (Keep promise)
o Veracity (Open and honest with patients) o
Justice (Being fair and or equal)
o Nonmaleficence (Do no harm)
Answer: Fidelity
 20. A nurse is caring for a group of clients on the surgical floor. Which of the
following actions should the nurse take to organize their workload and manage time
efficiently?
o Complete similar tasks for all clients before moving on to the next task. o Skip
breaks to complete tasks if short on time
o Document nursing interventions as they are completed.

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