ATI LEADERSHIP MANAGEMENT PROCTORED EXAM
1.A nurse manager is preparing to institute a new system for
scheduling staff. Several nurses have verbalized their concern
over the possible changes that will occur. Which of
...
ATI LEADERSHIP MANAGEMENT PROCTORED EXAM
1.A nurse manager is preparing to institute a new system for
scheduling staff. Several nurses have verbalized their concern
over the possible changes that will occur. Which of the following is
an appropriate method to facilitate the adoption of the new
scheduling system?
A. Provide a brief overview of the new scheduling system
immediately before it implementation
B. Offer to reassign staff who do not support the change to another
unit
2.A client who is febrile is admitted to the hospital for treatment of
pneumonia. 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. A blood culture was obtained after antibiotic therapy has been
initiated
B. An allergy to penicillin required an alternative antibiotic to be
prescribed.
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C. A client refuses to attend physical therapy
5. Client satisfactory surveys from a med-surg unit indicate the pain is
not being adequately relieved during the first 12 hr post-opt. The unit
manager decides to identify post-opt pain as a quality indicator. Which
of the following data sources will be helpful in determine the reason
why clients are not receiving adequate pain management after surgery?
A. Pain assessment policy
6. A nurse precepting a newly licenced nurse who is caring for a
client who is confused and has an IV infusion. The newly licensed
nurse has placed the client in wrist restraints to prevent dislodging the
IV catheter. Which of the following questions should the precepting
nurse ask?
A. “Are you able to insert two fingers between the
restraint and the client s skin?” ‟
B. “Are you removing the client s restraints every 4 ‟
hr?”
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7. A nurse is caring for an older adult client who has stage III pressure
ulcer. The nurse request a consultation with the wound care specialist.
Which of the following actions by the nurse is appropriate when
working with a consultant?
A. Arrange the consultation for time when the nurse is caring for the
client is able to be present for consultation
B. Arrange for the wound care nurse specialist to see the client daily
to provide the recommended treatment
8. A client is admitted wit TB and placed in a negative pressure room.
Which of the following actions is appropriate?
A. Determine who had contact with the client in the last 48 hr
9. A nurse is caring for a client who is unconscious and whose partner
is health care proxy. The partner has spoken with the provider and
wishes to discontinue the client s feeding tube. The provider states the ‟
nurse, “I will not discontinue the client s treatment. His partner has no ‟
right to make decisions regarding the client s care. “Which of the ‟
following responses by the nurse is appropriate?
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A. You should consider speaking with the facility s ethics ‟
committee before making your decision B. You have the right to
make decision, even if the partner is the client s health care proxy ‟
C. The client has designated his partner as health care
proxy in his advance directives
10.A nurse is caring for a client who has increased
intracranial pressure and is receiving IV corticosteroids.
Which of the following info is most important for the
nurse to report at shift change?
A. Gasglow Coma scale score
B. Reddened area on the coccyx
11.A nurse is assigned the following four clients for the
current shift. Which of the following clients should the
nurse assess first?
A. A client who has a C diff infection and needs a stool specimen
collected
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