ATI Leadership Proctored Exam 2023

Extract:

Question 1 of 5

A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?

A. Root cause analysisB. BenchmarkingC. Risk benefit analysisD. Structure audit

Correct Answer: B

Rationale: Benchmarking compares performance to best practices, identifying improvement areas.

Extract:

Client is agitated without a prescription for restraints

Question 2 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?

A. Review the chart for nonrestraint alternatives for agitationB. Inform the unit manager of the incidentC. Speak with the AP about the incidentD. Remove the restraints from the client's wrists

Correct Answer: D

Rationale: Removing unauthorized restraints prevents harm and ensures client safety, making it the first action.

Extract:

LPN with alcohol odor on breath

Question 3 of 5

A nurse manager observes a licensed practical nurse who has a strong odor of alcohol on their breath. Which of the following actions should the nurse manager take?

A. Document an objective description of the situationB. Schedule a formal meeting with the LPN within 48 hrC. Interview clients about the nurse's actionsD. Check the unit narcotic records for discrepancies

Correct Answer: A

Rationale: Documenting the observation objectively creates a factual record, initiating appropriate follow-up.

Extract:

Client with respiratory tuberculosis; client with Clostridium difficile; client with infected surgical wound; client with MRSA

Question 4 of 5

A nurse on a medical-surgical unit is evaluating an assistive personnel's use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

A. The AP wears a surgical mask when caring for a client who has respiratory tuberculosisB. The AP uses alcohol-based hand sanitizer after emptying the bed pan on a client who has Clostridium difficileC. The AP bundles the client side of linen inward when changing the sheets for a client who has an infected surgical woundD. The AP removes her gloves before leaving the room of a client who has MRSA

Correct Answer: C

Rationale: Bundling linen inward minimizes contamination spread, correctly applying infection control for an infected wound.

Extract:

Client is unconscious following a motor-vehicle crash

Question 5 of 5

A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?

A. Transport the client to the operating room without verifying informed consentB. Delay the surgery until the nurse can obtain informed consentC. Obtain telephone consent from the facility administrator before the surgeryD. Ask the anesthesiologist to sign the consent

Correct Answer: A

Rationale: In emergencies, implied consent allows treatment without formal consent to prevent harm, justifying immediate surgery for the unconscious client.

ATI Leadership Proctored Exam 2023 - Nurselytic

Nurselytic

ATI RN

ATI RN