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ATI LEADERSHIP EXAM QUESTIONS WITH COMPLETE SOLUTIONS

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ATI LEADERSHIP EXAM QUESTIONS WITH COMPLETE SOLUTIONS A nurse is caring for a client who is a local public official. A newspaper reporter repeatedly phones the unit seeking information and states, "The public has a right to know the health status of elected officials." Which of the following ...

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  • July 2, 2024
  • 109
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • ati leadership exam questions with complete solut

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  • ATI LEADERSHIP
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ATI LEADERSHIP EXAM QUESTIONS WITH COMPLETE
SOLUTIONS

A nurse is caring for a client who is a local public official. A newspaper reporter
repeatedly phones the unit seeking information and states, "The public has a
right to know the health status of elected officials." Which of the following actions
should the nurse take?

A. Acknowledge that the person is a client on the unit but give no specific details
of the client's condition.

B. Refer any calls directly to the client's room so that the client and her family can
decide what to tell the press.

C. Refer all media inquiries to the nursing supervisor.

D. Hang up on media callers because nursing staff members are not required to
speak to them.
C.
Refer all media inquiries to the nursing supervisor.

The HIPAA Privacy Rule prohibits disclosing client information to individuals who are
not involved in care without the client's express consent. The reporter should be told
that, due to confidentiality issues, no information can be given about any client. The
nurse should refer the reporter to the nursing supervisor.

Incorrect Answers:
A. The HIPAA Privacy Rule prohibits disclosing client information to individuals who are
not involved in care without the client's express consent.

B. The nurse should not forward the call to the client's room because this will disclose
the hospitalization.

D. Hanging up on callers from the news media is unprofessional. The nurse should refer
calls to the nursing supervisor.
/
A nurse is speaking with the family member of a client who has early Alzheimer's
disease. The family member would like to keep the client living at home, but the
client requires assistance while the family member is away at work. Which of the
following services should the nurse include in the discussion?

A. Hospice care

,B. Adult day care

C. Assisted-living facility

D. Long-term care facility
B.
Adult day care

Adult day care personnel can provide constant assistance with ADLs while the family
member is at work; the client can live at home during the night and evening hours.

Incorrect Answers:
A. Hospice care is only appropriate for a client who has a terminal illness and a life
expectancy of <6 months.
C. Clients who live in an assisted-living facility need to be able to live independently and
require minimal assistance. Clients can receive assistance with medication and are
offered one prepared meal a day if needed. However, an assisted-living facility is not an
option at this time since the family member wishes to keep the client at home.
D. A long-term care facility is not an option at this time since the family member wishes
to keep the client at home.
/
A nurse is performing a safety audit on all equipment used on the unit. Which of
the following items should the nurse identify as a safety hazard?

A. An electrical cord that is taped to the floor

B. A protective cover that is placed over an unused outlet

C. An electrical cord that is frayed toward the plug

D. An electrical plug that has 3 prongs
C.
An electrical cord that is frayed toward the plug

The nurse should identify that an electrical cord that is frayed toward the plug is
damaged and should not be used. Using an electrical cord that is damaged can
increase the client's risk of acquiring an electrical shock.

Incorrect Answers:
A. An electrical cord taped to the floor prevents others from tripping over the cord or
damaging it.
B. A protective cover placed over an unused outlet prevents young children from playing
with the outlet.
D. An electrical plug with 3 prongs is a grounded piece of equipment, which provides a
path of low resistance to stray electric currents. This is the only type of electrical

,equipment that should be used.
/
A nurse is planning care for several clients. Which of the following clients should
the nurse refer to a case manager?

A. A client who has neurological deficits following a stroke

B. A married female client who has delivered a full-term newborn

C. A client who is postoperative following a cholecystectomy

D. A child who has a fracture of the dominant arm
A.
A client who has neurological deficits following a stroke

The nurse should refer this client to the case manager for care. A client who had a
stroke will likely require long-term treatment. A client who has ongoing needs for care or
rehabilitation should receive care that is directed by a case manager due to the
complexity and cost of the client's needs.

Incorrect Answers:
B. If no complications or social concerns exist, the delivery of a full-term newborn does
not require case management.
C. As long as no complications occur, this procedure does not require a case
management approach.
D. A child who has a fractured arm does not require a case management approach
unless there is evidence that some other pathology precipitated the fracture.
/
An RN and a licensed practical nurse (LPN) are caring for a client who has a small
bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous
suction. Which of the following tasks should the RN perform?

A. Obtain daily weight

B. Inspect the client's oral cavity for dryness hourly

C. Measure and record the NG tube output every 4 hours

D. Assess for bowel sounds every 2 hours
D.
Assess for bowel sounds every 2 hours

Assessments are within the scope of practice for the RN only. While the LPN can also
auscultate the client's abdomen for the presence of sounds, only the RN is qualified to
evaluate the sounds and qualify them as hypoactive, normal, or hyperactive.

, Incorrect Answers:
A. Obtaining a daily weight is within the scope of practice of an LPN. While the RN
could also perform this task, it should be delegated to an LPN so that the RN is
available to perform other tasks.
B. Oral care is considered part of routine hygiene and includes observing the
membranes of the mouth for dryness. It is within the scope of practice for the LPN.
While the RN could also perform this task, it should be delegated to an LPN so the RN
is available to perform other tasks.
//
A nurse is making a client's bed and finds a capsule of medication in the sheets.
Which of the following actions by the nurse is consistent with safe nursing
practice? (Select all that apply.)

A. Administer the medication to the client.

B. Notify the provider.

C. Complete a variance report.

D. Document the finding in the client's electronic medical record.

E. Place the medication back in the medication drawer.
B. Notify the provider.

C. Complete a variance report.

B. Notifying the provider is correct. The nurse should notify the provider of the finding as
a part of the variance reporting process.

C. Completing a variance report is correct. The nurse should complete an incident or
variance report regarding the occurrence.

Incorrect Answers:
A. Administering the medication to the client is incorrect. The nurse should not
administer the medication to the client, because the nurse does not know which dose of
the medication the client missed. Administering the capsule now could result in an
overdose if the client has recently taken the same medication.

D. Documenting the finding in the client's electronic medical record is incorrect. The
nurse should not document the finding in the client's electronic medical record. The
nurse should identify that information in the client's medical record is subject to attorney
review should the client decide, for any reason, to file suit against the facility or the
healthcare staff. Instead, the nurse should follow facility policy and report the incident to
the nurse manager and risk management through the use of a variance report. In
addition, the nurse should avoid documenting in the medical record that a variance
report was filed because this can also allow for the variance report to be subpoenaed

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