2023 RN ATI LEADERSHIP PROCTORED RETAKE EXAM WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION.
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Ati Leadership
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Ati Leadership
RN ATI LEADERSHIP PROCTORED RETAKE EXAM 2023 WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION.
2023 RN ATI LEADERSHIP PROCTORED RETAKE EXAM WITH NGN QUESTIONS AND ANSWERS, 100% VERIFIED NEWEST VERSION.
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Ngn Ati Rn Leade...
NGN ATI RN LEADERSHIP PROCTORED RETAKE EXAM
70 QUESTIONS AND VERIFIED ANSWERS / A+ GRADE
1. A nurse is assessment pressure ulcers on four clients to evaluate the
effectiveness of a change in the wound care procedure. Which of the following findings
indicate wound healing.
a. erythema on the skin surrounding a client's wound
b. deep red color on the center of the client's wound
c. inflammation noted on the tissue edges of a client's wound
d. increase in serosanguineous exudate from the client's wound
Answer: b. deep red color on the center of the client's wound
2. A nurse receiving change of shift report at 0700 for four clients. which of the following
actions should the nurse perform first?
a. obtain a breakfast tray for a client who receiving a morning dose of insulin aspart
b. administer pain medication to a client who has rheumatoid arthritis and
received the last dose at 0400
c. restart an infiltrated IV for a client whose antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging for 24
,hours
Answer: a. obtain a breakfast tray for a client who received a morning dose of insulin.
3. A nurse is orienting a newly license nurse on the neurological unit. Which of the
following clients should the nurse assign to the newly licensed nurse?
a. A client who has multiple sclerosis and ataxia
b. a client who has a brain tumor and is admitted for chemotherapy
c. a client who has guillain-barre syndrome and a tracheostomy
d. a client who sustained a concussion and is being monitored for complica- tions.
Answer: a. a client who has MS and ataxia.
4. A nurse is providing teaching to a client about advance directives. Which of the
following client statements by the client indicates an understanding of the teaching?
a. "Once I sign my living will, a family member must co-sign it."
b. "I will wait until I have a serious health problem to sign my advance
directive"
c. "My doctor will need to provide approval for the decisions outlined in my living
will"
d. My durable power of attorney for health care is part of my advance direc- tive"
Answer: d. "My DPOA for health care is part of my advance directive."
5. A nurse is chairing a committee about preventing infant abduction in a new birth
care center. Which of the following quality control tasks should the nurse assign to be
completed first?
,a. identify the industry standards for infant safety
,b. evaluate the selected infant safety system
c. choose an infant safety system
d. establish measurement criteria for infant safety systems
Answer: a. identify the industry standards for infant safety
6. A nurse notes that a client is eating about half of the food in his plate and coughs
frequently during meals. The nurse plans to perform dysphagia
screening to determine the client's need for a referral to which of the following
providers?
a. physical therapist
b. respiratory therapist
c. speech therapist
d. occupational therapist
Answer: c. speech therapist
7. A home health nurse is assessing the home environment during an initial visit to a
client who has a history of falls. Which of the following findings should the nurse
identify as increasing the client's risk for falls? (Select all that apply)
a. wheeled office chair at the client's computer desk
b. a throw rug covering some cracked vinyl flooring in the kitchen
c. a folding chair without arm rests
d. a two wheeled walker used to assist the client with ambulation
Answer: a. wheeled office chair at the client's computer desk
c. a folding chair without arm rests
d. a two wheeled walker used to assist the client with ambulation
,8. A nurse manager is planning to assign care for four clients on a medical surgical
unit. Which of the following clients should the nurse assign to an LPN?
a. an older adult who has lung cancer and has periodic episodes of severe dyspnea
b. a middle adult client who has a below the knee amputation and requires a
dressing change
c. a young adult client who is postoperative, receiving morphine via epidural, and
reports pruritius.
d. an adolescent who is newly diagnosed with diabetes mellitus and requires teaching
regarding insulin administration
Answer: b. a middle adult client who has a below the knee amputation and requires a dressing
change
9. While auditing the medical records of clients currently on an oncology unit, the
nurse manger finds that six of the 15 records lack documentation regarding
advance directives. Which of the following is the priority for the nurse to take?
,a. remind nurses to obtain this information during the admission process
b. reinforce the potential consequences of not having this information on record
to the nursing staff
c. meet with nursing staff to review the policy regarding advance directive
d. ask nurses who are caring for client without his information in the medical record to
obtain it
Answer: c. meet with nursing staff to review the policy regarding advance directive
10. A nurse is caring for a group of clients. Which of the following should the nurse
see first?
a. a client who is postop and has a fever.
b. a client whose pressure ulcer has serosanguineous drainage on the dress- ing
c. a client who has diabetes mellitus and is diaphoretic
d. a client who has a fractured hip and reports a pain level of 7 on a scale from 0-10
Answer: c. a client who has diabetes mellitus and is diaphoretic
11. A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse care for first?
a. a client who is 4hr postoperative following a hernia repair and has pitting edema
of the right leg
b. a client who is scheduled for an intermittent enteral feeding in 2hr and reports
diarrhea
c. a client who has pneumonia and requires a tracheostomy dressing change
d. a client who has a new colostomy and requires discharge teaching
Answer: a. a client who is 4hr postoperative following a hernia repair and has pitting edema of
the right leg
12. A nurse manager discovers there is a conflict between nurses working the day shift
,and nurses working on the night shift. Which of the following actions should the nurse
manager take first?
a. Acknowledge the conflict and encourage the nurses to focus on working as a team.
b. gather information regarding the situation
c. encourage the nurses to resolve the conflict autonomously
d. meet with a committee from each shift o discuss issues related to the conflict
Answer: b. gather information regarding the situation
13. A nurse in an urgent care clinical 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. don PPE
b. irrigate the exposed area with water
,c. remove the client's clothing
d. report the incident to OSHA
Answer: a. don PPE
14. A newly license nurse realizes that she administered metoprolol 25mg PO to the
wrong client. Which of the following actions should the nurse perform first>
a. complete and incident report
b. measure the client's vital signs
c. inform the nurse manager
Answer: b. measure the client's vital signs
15. A nurse is assessing a client who has meningitis. Which of the following findings
should the nurse report to the provider immediately?
a. decreased level of consciousness
b. generalized rash over trunk
c. increased temperature
d. report of photophobia
Answer: a. Decreased level of consciousness
16. A client who is febrile is admitted to the hospital for treatment of pneu- monia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the
following situations requires the nurse to complete a variance report with regard to
the care pathway?
a. antibiotic therapy was initiated 2hr after implementation of the care pathway
b. a blood culture was obtained after antibiotic therapy had been initiated
c. an allergy to penicillin required an alternative anitbiotic to be prescribed HMM
d. the route of antibiotic therapy on the care pathway was changed from IV to PO
Answer: a. antibiotic therapy was initiated 2hr after implementation of the care pathway
,17. A nurse manager is making staffing assignments for the maternal newborn unit.
which of the following clients should the nurse manager assign to a float nurse from the
medical surgical unit?
a. a client who is postterm and is receiving oxytocin for labor induction
b. a client who gad birth to her first child and requires instruction on breast- feeding
techniques
c. a client who is 2 days postop following a caesarean birth and is having difficulty
ambulating
d. a client who has preeclampsia and is receiving a continuous magnesium sulfate
infusion
Answer: c. a client who is 2 days postop following a caesarean birth and is having difficulty
ambulating
18. A nurse is coordinating an interprofessional team to review proposed standards to
reduce the transmission of methicillin-resistant Staphylococcus aureus (MRSA). which
of the following members of the interprofessional team should the nurse consult?
, a. risk management coordinator
b. clinical pharmacist
c. nursing supervisor
d. infection control nurse
Answer: d. infection control nurse
19. A nurse is caring for a client who has uterine prolapse. The provider has
recommended a total abdominal hysterectomy, but the client tells the nurse that the
surgery is not an option. which of the following is an appropriate action for the nurse
to take?
a. discuss with the client her concerns regarding the procedure
b. provide the client with information on treatment options and outcomes
c. inform the client of consequences of uterine prolapse and the need for
intervention
d. initiate a mental health consult to determine the client's reasons for refusing surgery
Answer: a. discuss with the client her concerns regarding the procedure
20. A nurse in the ED is assessing a client who is unconscious following an MVC.
the client requires immediate surgery. Which of the following actions should the
nurse take
a. delay the surgery until the nurse can obtain informed consent
b. obtain telephone consent from the facility administrator before the surgery
c. ask the anesthesiologist to sign the consent
d. transport the client to the OR without verifying informed consent.
Answer: d. trans- port the client to the OR without verifying informed consent.
21. a nurse is planning to delegate client care assignments. which of the following
tasks should the nurse plan to delegate to an assistive personnel?
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