ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client is agitated without a prescription for restraints
Question 1 of 5
A charge nurse making rounds observes that an assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct first action is to remove the restraints from the client's wrists (Option
D) because the client does not have a prescription for restraints, indicating a violation of their rights. Removing the restraints is a priority to ensure the client's safety and prevent harm. Reviewing the chart for nonrestraint alternatives (Option
A) should follow after ensuring the client's immediate safety by removing the restraints. Informing the unit manager (Option
B) can be done after addressing the immediate issue. Speaking with the AP (Option
C) can be done later to discuss the incident and educate on proper restraint use.
Extract:
Client scheduled for endoscopy; client with sickle cell anemia; client post-myocardial infarction; client with diabetes mellitus
Question 2 of 5
A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?
Correct Answer: A
Rationale: The correct answer is A because administering an enema is within the scope of practice of a licensed practical nurse (LPN). LPNs are trained to perform basic nursing care tasks such as enema administration under the supervision of a registered nurse (RN). Administering an enema is a routine procedure that does not require advanced assessment or critical thinking skills.
Choice B is incorrect because developing an initial plan of care for a client with sickle cell anemia requires a higher level of assessment and critical thinking skills typically performed by an RN.
Choice C is incorrect as a client transferring from the CCU after a myocardial infarction requires close monitoring and advanced nursing care, which is beyond the scope of an LPN.
Choice D is incorrect as teaching self-administration of insulin involves complex medication management and education that is typically done by an RN.
In summary, the LPN should be assigned to the client requiring an enema as it falls within their scope of practice, while the other choices involve
Extract:
Newly licensed nurse having trouble focusing
Question 3 of 5
A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?
Correct Answer: B
Rationale:
Correct
Answer: B. Recommend that he take time to plan at the beginning of his shift.
Rationale: Planning at the beginning of the shift helps prioritize tasks, organize workflow, and set realistic goals, which can enhance focus and efficiency. By taking time to plan, the nurse can strategize how to approach and complete care for assigned clients. This intervention promotes time management skills and can alleviate feelings of being overwhelmed.
Incorrect
Choices:
A: Advising him to complete less time-consuming tasks first does not address the root cause of his difficulty focusing and may not improve his overall efficiency.
C: Offering to provide care for his clients while he takes a break does not empower the nurse to develop his own skills in managing workload.
D: Asking other staff members to take over some tasks may not foster independence or help the nurse build competence in managing his workload effectively.
Extract:
Client wanders yelling obscenities
Question 4 of 5
A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients, and visitors. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Contact a family member to come and sit with the client. This option involves involving a familiar support system for the client, which can help calm the client down and provide comfort. This approach is person-centered and focuses on addressing the underlying cause of the behavior rather than just sedating or restraining the client. Administering a sedative (
A) without addressing the root cause of the behavior is not the best approach. Placing the client in a wheelchair with a lap tray (
C) or keeping the client in her room with the door closed (
D) may further agitate the client and does not address the client's emotional needs.
Extract:
Client wants to appoint a health care proxy
Question 5 of 5
A nurse on a medical-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: A health care proxy can make decisions for you when you are unable to do so. This is the correct answer because a health care proxy is an individual chosen by a person to make medical decisions on their behalf in case they become unable to do so. It is important to appoint a health care proxy before any unforeseen circumstances arise.
Choice A is incorrect because the client is not obligated to choose a family member as their health care proxy; they can choose anyone they trust.
Choice C is incorrect as the timing of appointing a health care proxy is not necessarily linked to undergoing invasive procedures.
Choice D is incorrect as legal approval by an attorney is not required to appoint a health care proxy.