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ATI LEADERSHIP PROCTORED
EXAM WITH 100% CORRECT
ANSWERS 2025 GRADED A+
Reconciled medication correct answers >> 32. A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation? o Laboratory test results o Reconciled medications o Do-not-resucitate status o Acuity level of client care Determine the reasons the nurses are not taking scheduled breaks. correct answers >> 50. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?
- Determine the reasons the nurses are not taking scheduled breaks.
- Discuss time management strategies with the nurses.
- Provide coverage for the nurses' breaks.
- Review facility policies for taking scheduled breaks. Remove the employee from the work environment. correct answers >> 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.term- 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. Client 4,5,6 correct answers >> 3. A nurse is triaging a group of clients as they arrive simultaneously in the emergency department following a nearby bus crash.
o Client 5 (Streptococcal pharyngitis) o Client 6 (pertussis) Hospice care, Respite care, Social worker correct answers >>
- 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 Remove the IV pump from the client's room. correct answers
- 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
Withdraws the medication from the ampule using a subcutaneous needle. correct answers >> 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. Help the AP assist the client with the transfer. correct answers >> 9. A nurse manager observes an assistive personal (AP) incorrectly transferring 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.
The nurse performs all tasks as specified correct answers >>
- 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. 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 correct answers >>
- A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities 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. Notify the provider about the client's concerns. correct answers >> 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. Compare the client's medication administration record with the prescriptions of the transfer order. correct answers >>
- 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 Discuss the issue with the AP. o Notify the unit manager about the incident. Meet with nursing staff to review the policy regarding advance directives. correct answers >> 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 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. Fidelity correct answers >> 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 Justice (Being fair and or equal) o Nonmaleficence (Do no harm) Document nursing interventions as they are completed. correct answers >> 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. o Skip breaks to complete tasks if short on time o Document nursing interventions as they are completed. o Complete the lowest priority task at the beginning of the shift. A, C, D, E correct answers >> 21. A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply) A. Providing written information to a client regarding palliative care
A toddler who cries whenever their parent enters the examination room. correct answers >> 23. A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment? o A preschooler who was previously toilet trained and now requires diapers in the hospital. o A school-age child who has several abrasions on their lower legs. o A toddler who cries whenever their parent enters the examination room. o An adolescent who was admitted and refuses to speak to their parents. Reviews a client's medical record before performing a prescribed dressing change. correct answers >> 24. A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newlylicensed nurse should the nurse identify as an indication of effective time management? o Skips lunch to catch up on client documentation. o Reviews a client's medical record before performing a prescribed dressing change.
o Obtains client intake and output instead of delegating the task to assistive personnel. o Documents medications administered throughout the shift at the end of the day. I will remove a client's restraints every 4 hours. correct answers >> 25. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? o I should tie the restraints using a square knot. o I need to tie the restraint to the part of the bed frame that moves. o I will remove a client's restraints every 4 hours. o A provider can write a prescription for restraints "as needed." Clean gloves are discarded after removing the old dressing. correct answers >> 26. A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
- Sterile supplies are opened prior to removing the old dressing.
Verify the spelling of the medication with the provider. correct answers >> 27. A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include? o Verify the spelling of the medication with the provider. o Request that the provider call prescriptions in to the pharmacy. o Transcribe prescriptions received via a voicemail recording. o Use standard abbreviations when obtaining a telephone prescription. You must submit a written request before you can receive a copy. correct answers >> 28. A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make? o I will make a copy of your medical records right away. o What are you planning on doing with your medical record? o The facility is unable to release your records. o You must submit a written request before you can receive a copy. Includes the client's account of the fall in the incident report. correct answers >> 29. A charge nurse is supervising the
actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure? o Includes the client's account of the fall in the incident report. o Lists names of witnesses to the fall in the nurses' notes. o Documents in the client's record that an incident report was filed. o Sends the incident report to the ethics committee. Compare practices within the facility against other high- performing facilities. correct answers >> 30. A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take? o Compare practices within the facility against other high- performing facilities. o Determine how current practice will affect future performance within the facility. o Establish work initiatives to promote a positive environment. o Use root cause analysis to identify gaps in meeting standards.
Escort the nurses to the nurses' lounge to continue the discussion. correct answers >> 34. A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take? o Escort the nurses to the nurses' lounge to continue the discussion. o Make arrangements to take over the client's care. o Recommend that both nurses be terminated. o Contact the house supervisor to mediate the conflict. Allow her to take time off from attending to her partner correct answers >> 35. A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following? o Send a clinician to assess the safety of leaving her partner alone o Allow her to take time off from attending to her partner o Provide volunteers who will run errands for her
o Help her arrange transferring her partner to an assisted living facility The time the client received his last dose of pain medication. correct answers >> 36. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change- of-shift report? o The steps to follow when providing wound care. o The time the client received his last dose of pain medication. o The belief that the client has a difficult relationship with his son. o The client's preferred time for bathing. Elevates the head of the client's bed to 30 before inserting a nasogastric tube. correct answers >> 37. A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?
- Assess the client's gag reflex following esophagogastroduodenoscopy.
- Elevates the head of the client's bed to 30 before inserting a nasogastric tube.
