ATI Leadership Proctored Exam 2023

Extract:

Client wanders yelling obscenities

Question 1 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?

A. Administer a sedative to the clientB. Contact a family member to come and sit with the clientC. Place the client in a wheelchair with a lap trayD. Keep the client in her room with the door closed

Correct Answer: B

Rationale: A family member's presence may calm the client, reducing disruptive behavior without restrictive measures.

Extract:

Client with end-stage bone cancer

Question 2 of 5

A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?

A. Is the client's family present so the AP can show them how to turn the client?B. Does the AP have time to change the client's central IV line dressing after turning her?C. Has data been collected about specific client needs related to turning?D. Has the AP checked the client's pain level prior to turning her?

Correct Answer: C

Rationale: Assessing specific needs ensures the AP can safely turn the client, considering cancer-related vulnerabilities.

Extract:

Question 3 of 5

Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

A. Store opened bottles of normal saline in a refrigerator for up to 48 hrB. Wait to dispose of sharps containers until they are completely fullC. Use clean gloves rather than sterile gloves for colostomy careD. Return unused supplies from the bedside to the unit's supply stock

Correct Answer: C

Rationale: Using clean gloves for colostomy care is cost-effective and safe, as it's a clean procedure.

Extract:

Client with chlamydia

Question 4 of 5

A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

A. Report the infection to the local health departmentB. Initiate contact precautionsC. Instruct the client to use condoms until the treatment is completeD. Apply an antiviral cream to the lesions

Correct Answer: A

Rationale: Chlamydia is a reportable disease, requiring notification to the health department for surveillance and contact tracing.

Extract:

Client is having increased pain

Question 5 of 5

A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescription in the client's medical record?

A. MS 10 mg IV every 4 prn for painB. Morphine sulfate 10 mg IV q 4 hr IV prn for painC. MSO4 10 mg IVP q 4 prn for painD. Morphine sulfate 10.0 mg every 4 hours IV prn for pain

Correct Answer: B

Rationale: This option clearly states the medication, dosage, route, frequency, and indication, avoiding ambiguous abbreviations and ensuring accuracy.

ATI Leadership Proctored Exam 2023 - Nurselytic

Nurselytic

ATI RN

ATI RN