ATI Leadership Proctored Exam
with NGN Questions and Verified Answers,
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this test consisting of 70 multiple-choice ques with Ans
1. 1. A nurse is reviewing the electronic medical record on clients following the
implementation of a quality improvement plan to reduce health care associated
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. 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. 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
,4. 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 o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o o Client 6 (pertussis)
Answer: Clients 1, 2, 4, 6
5. 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
6. 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.
7. 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.
8. 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.
9. 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
10. 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
,11. 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
12. 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
13. 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.
14. 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 medications, 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 prescriptions 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.
,15. 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
16. 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.
17. 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 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.
18. 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 o Justice (Being fair and or equal)
o Nonmaleficence (Do no harm)
Answer: Fidelity
19. 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.
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