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ATI LEADERSHIP PROCTORED EXAMS TEST BANK|LATEST
UPDATE| 2025 - 202 6|ACTUAL EXAMS WITH CORRECT
DETAILED ANSWERS AND RATIONALES|A+ GRADE
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ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM (VERSION 1 .................................. 1 ATI LEADERSHIP MANAGEMENT PROCTORED EXAM (VERSION 2) .................................... 51 ATI PN LEADERSHIP & MANAGEMENT PROCTORED EXAM (VERSION 3) ......................... 107 ATI LEADERSHIP MANAGEMENT PROCTORED EXAM (VERSION 4) .................................. 131 ATI PN LEADERSHIP AND MANAGEMENT ONLINE PRACTICE 2019 B ................................ 185 LEADERSHIP ROLES AND MANAGEMENT FUNCTIONS TEST BANK (10TH EDITION) ....... 195
ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM
(VERSION 1 )
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about safe home disposal of insulin syringes and needles. Which of the following statements by the client indicates an understanding of the teaching? A) "I'll recap the needles and discard them in their original wrappers in a metal trash can." B) "I'll collect the needles in a rigid plastic laundry detergent container and take them to a hazardous waste facility." C) "I'll put the needles in a sealed red bag and bring them to the hospital for disposal." D) "I'll collect the needles in a disposable aluminum pie plate and fold it in half before I put it in the trash." - CORRECT ANSWER "I'll collect the needles in a rigid plastic laundry detergent container and take them to a hazardous waste facility." Rationale: The client should use an impervious container made of heavy plastic, such as a laundry detergent container, to prevent self-injury. The client can take the container to a community drop-off program or a hazardous waste facility for disposal.
"I'll recap the needles and discard them in their original wrappers in a metal trash can." The client risks injury to themself and others by recapping the needles and discarding them in a trash can. "I'll put the needles in a sealed red bag and bring them to the hospital for disposal."
Discontinue nursing interventions related to the goal. The nurse should not discontinue nursing interventions related to the goal. The nurse should assist the RN to revise the interventions to meet the goal of the plan of care. Create a new plan of care. It is beyond the scope of practice for the PN to create a new plan of care. The nurse should assist the RN in revising the client's plan of care. A nurse observes two assistive personnel (AP) at a client's bedside disagreeing about the way to bathe a client. Which of the following actions should the nurse take? A) Ask the client if they want a bath. B) Tell the AP to proceed with the client's bath. C) Ask the AP to speak to the nurse outside the client's room. D) Request assistance from a security officer. - CORRECT ANSWER C) Ask the AP to speak to the nurse outside the client's room. Rationale: The nurse should remove the AP from the client's room and use active listening to resolve the conflict. Ask the client if they want a bath.
It is not appropriate to ask the client if they want a bath while the staff is having a conflict. The conflict should be resolved without involving the client. Tell the AP to proceed with the client's bath. Instructing the AP to proceed with the client's bath is not in the best interest of the client. The conflict must be addressed, and without resolution, the conflict might have a negative impact on the client. Request assistance from a security officer. There is no indication that a security officer needs to be involved in the conflict. A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following statements should the nurse make to the client? A) "We will keep your vital signs on a message board in your room." B) "You need to give written permission for your medical information to be released." C) "We must let you know each time new health care personnel looks at your chart." D) "You can sign a general consent now that will cover all hospital procedures." - CORRECT ANSWER B) "You need to give written permission for your medical information to be released." Rationale: Under HIPAA privacy laws, client consent is required to release medical information. The nurse should reinforce with the client that the requirement is in place to protect the
A) A young adult client who has schizophrenia B) A 17 - year-old client who dropped out of high school C) A 16 - year-old client who has a newborn D) An older adult client who has brain cancer - CORRECT ANSWER B) A 17 - year- old client who dropped out of high school Rationale: Minors are required to have a parent or guardian provide consent for general medical care. Some states allow minors to give consent for certain treatments, such as for a mental illness or sexually transmitted infection. An emancipated minor can give consent. A young adult client who has schizophrenia Mental illness does not make an individual incapable of providing consent. If the client's mental capacity becomes questionable, health care personnel should determine whether the client is still competent. A court ruling might be required to declare incompetence. A 16 - year-old client who has a newborn A minor who has a child is considered emancipated and can provide consent. Minors also are able to provide consent for children of whom they are guardians or have custody. In some states a client who is pregnant might be considered emancipated. An older adult client who has brain cancer
An older adult client who has brain cancer can provide legal consent for care and treatment. The nurse should encourage all clients to complete advance directives, especially in situations where the client's diagnosis could affect judgment in the future. A nurse is assisting with planning care for a client who has had a stroke. The nurse should initiate a referral to an occupational therapist for which of the following tasks? A) Assisting with ambulatory devices B) Introducing a bladder training program C) Incorporating RDAs D) Completing ADLs - CORRECT ANSWER D) Completing ADLs Rationale: An occupational therapist assists the client to develop fine motor skills and coordination, such as improving hand strength and hand movements. The occupational therapist focuses on self-management of ADLs, such as skills needed for eating, hygiene, and dressing. Assisting with ambulatory devices A physical therapist assists a client with mobility skills, including the use of ambulatory devices such as a walker or a cane. Introducing a bladder training program
A physical therapist provides treatment to improve mobility and strength for clients who have musculoskeletal difficulties. There is no indication this client requires physical therapy. Social worker A social worker helps meet the client's psychosocial needs by coordinating financial and community resources, completing advance directives, and discharge planning. There is no indication this client requires a social worker. Respiratory therapist A respiratory therapist administers oxygen and performs respiratory treatments for clients who have respiratory difficulties. There is no indication this client requires respiratory assistance. A nurse is assisting with assigning care for a group of clients. The nurse should instruct the assistive personnel (AP) to assist with ADLs for which of the following clients? (Select all that apply). A) A client who is newly admitted and is having an episode of status asthmaticus B) A client who has a history of mild chronic heart failure and had a knee arthroplasty 2 days ago C) A young adult client who is 1 day postoperative following a laparoscopic appendectomy D) A client who is being discharged to home and has a new diagnosis of Crohn's disease E) A client who has diabetic ketoacidosis and is receiving regular insulin via a continuous IV infusion - CORRECT ANSWER B, C, D
Rationale: A client who is newly admitted and is having an episode of status asthmaticus is incorrect. Status asthmaticus is a life-threatening episode of bronchoconstriction that can be unresponsive to usual treatment. Manifestations include wheezing and labored respirations, which can lead to cardiac or respiratory arrest. The range of function for an AP includes assisting with ADLs for stable clients; a client experiencing status asthmaticus is not stable. A client who has a history of mild chronic heart failure and had a knee arthroplasty 2 days ago is correct. Heart failure occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output. Knee arthroplasty is the replacement of the knee that requires a short hospital stay followed by physical therapy and rehabilitation. The range of function for an AP includes assisting with ADLs for stable clients; a client who has a history of mild chronic heart failure and is 2 days postoperative is stable. A young adult client who is 1 day postoperative following a laparoscopic appendectomy is correct. Clients are usually discharged to home 12 to 24 hr following a laparoscopic appendectomy. The range of function for an AP includes assisting with ADLs for stable clients; a client who is 1 day postoperative following a laparoscopic appendectomy is stable. A client who is being discharged to home and has a new diagnosis of Crohn's disease is correct.
The nurse should not place a copy of the report in the client's medical record. The incident report is an internal document and is not part of the medical record, which is a legal document. "Document the completion of the incident report in the nurse's notes." The nurse should document the facts of the event in the client's medical record. However, they should not document that an incident report was completed in the nurse's notes. "Include subjective data in the incident report." The nurse should include objective statements that are factual and complete, with a clear description of the incident that occurred. A nurse in an outpatient clinic is reviewing the medical record of a school-age child who had a negative rapid strep test 2 days ago. The nurse notes a positive throat culture result for a group A streptococcus B- hemolytic. Which of the following actions is the nurse's priority? A) Notify the guardian of the need to start antibiotic therapy. B) Instruct the guardian to replace the child's toothbrush. C) Tell the guardian to have the child gargle with warm saline several times daily. D) Instruct the guardian to increase the child's daily fluid intake. - CORRECT ANSWER A) Notify the guardian of the need to start antibiotic therapy. The greatest risk to this client is injury due to complications from a streptococcal infection, including rheumatic fever and glomerulonephritis. Therefore, the priority action is to initiate antibiotic therapy. The nurse should also reinforce the importance of
completing the entire course of antibiotic therapy, even if manifestations subside. The child is no longer infectious to others 24 hr after initiating antibiotic therapy. Manifestations of group A streptococcus ß-hemolytic infection include swollen and red tonsils, exudate on the pharynx, nasal discharge, fever, arthralgia, and an enlarged local lymph node. A nurse is reinforcing teaching with a client who is postoperative about the use of an incentive spirometer. Which of the following information should the nurse include? A) Take shallow breaths when using the spirometer. B) Cough prior to using the spirometer. C) Use the spirometer twice every 3 hr. D) Hold breath for 2 seconds, then exhale slowly. - CORRECT ANSWER D) Hold breath for 2 seconds, then exhale slowly. Rationale: The nurse should instruct the client to inhale slowly and deeply, hold their breath for 2 to 3 seconds, and then exhale slowly. This allows for the alveoli of the lungs to expand, which reduces the risk of progressive collapse of the alveoli. The client should work up to holding their breath for 6 seconds following inhalation. Take shallow breaths when using the spirometer. The nurse should instruct the client to take slow, deep breaths when using an incentive spirometer. The client should hold their breath after inhalation to maintain lung expansion. Cough prior to using the spirometer.
Advance directives are not required for a client to refuse treatment. Advance directives are helpful in showing decisions made by a once-competent individual. A client can determine in advance directives which treatments should not be administered in the future. A family can overrule a competent adult's choice to refuse life-saving treatment. Competent clients have the right to refuse treatment. The nurse should encourage communication between the client and family to promote understanding, but the decision is up to the client. When competency is questioned, the nurse should consider the client's advance directives. A client attempting to cause harm can refuse chemical restraint. A client who is actively attempting to harm themselves or another person can be given sedation against their will. A court hearing may be required to determine whether a client is competent to refuse medication for mental health disorders in non-emergent situations. A nurse is participating in disaster planning for an acute care facility. When using the color-coded triage tag system, which of the following tag colors should the nurse assign to a client who as an open fracture? A) Red B) Yellow C) Green D) Black - CORRECT ANSWER B) Yellow Rationale:
The nurse should issue a yellow tag to clients whose injuries are urgent, such as open fractures or large wounds. Clients who have a yellow tag can wait a short time for treatment, but that treatment should occur within 30 min to 2 hr. Red The nurse should issue a red tag to clients whose injuries are emergent, including those who have life-threatening injuries, such as hemorrhagic shock or airway compromise. Clients who have a red tag typically have critical injuries that require immediate intervention to preserve life. Green The nurse should issue a green tag to clients whose injuries are nonurgent, such as those who have contusions, sprains, strains, and closed fractures. Clients who have a green tag have injuries that can wait more than 2 hr for treatment without serious consequence. Black The nurse should issue a black tag to clients who are not expected to live, even with extensive intervention. These clients are given the lowest priority and are allowed to die naturally. The nurse should also place a black tag on clients who have already died. A nurse is providing change-of-shift report for a client who is 3 days postoperative following a transurethral resection of the prostate. Which of the following information should the nurse include?
The nurse should not offer personal opinions about the client's behavior during change- of-shift report. The nurse should keep the report factual and objective. A nurse is assisting in planning care for a group of clients. Which of the following clients should the nurse recommend for an interprofessional client care conference? A) A client who has cystic fibrosis B) A client who has appendicitis C) A client who has pyelonephritis D) A client who has a kidney stone - CORRECT ANSWER A) A client who has cystic fibrosis Rationale: The nurse should recommend interprofessional care for a client who has a chronic disease, such as cystic fibrosis (CF). CF is a genetic disease that affects many organs, including the lungs, pancreas, liver, salivary glands, and reproductive system. Potential complications of CF include respiratory infections, intestinal obstruction, poor growth, malnourishment, cirrhosis, osteoporosis, and diabetes mellitus. Management of CF is complex and requires a lifelong multidisciplinary approach. A client who has appendicitis Appendicitis is an acute inflammation of the appendix. Manifestations include pain in the lower right quadrant of the abdomen, fever, nausea, and vomiting. This client has an acute illness and does not require an interprofessional client care conference. A client who has pyelonephritis
Acute pyelonephritis is an infection in the kidneys. Manifestations include fever, flank pain, chills, nausea, vomiting, and fatigue. This client has an acute illness and does not require an interprofessional client care conference. A client who has a kidney stone Manifestations of a kidney stone can include flank pain, nausea, and vomiting. Treatment includes increased fluid intake, analgesics, insertion of a urinary stent, and extracorporeal shock waves to break up the stone. This client has an acute illness and does not require an interprofessional client care conference. A nurse is assisting in planning an in-service about time-management strategies with a group of newly licensed nurses. Which of the following information should the nurse plan to include? A) Organize client care tasks based on data from change-of-shift report. B) Perform simple tasks before performing more complex tasks. C) Fulfill client requests as soon as they are made. D) Plan to multitask several client care activities. - CORRECT ANSWER A) Organize client care tasks based on data from change-of-shift report. Rationale: The nurse should use data from change-of-shift report to help determine priorities of care. The nurse should delegate tasks to assistive personnel to allow more time for tasks that cannot be delegated. Perform simple tasks before performing more complex tasks.
