ATI Leadership Proctored Exam 2023

Extract:

Client with stable blood pressure; client post-PACU; client with chest pain; client with normal glucose

Question 1 of 5

A nurse is preparing to delegate tasks to an assistive personnel after receiving change-of-shift report. The nurse should assign the AP to obtain vital signs from which of the following clients?

A. A client who has just returned from the PACUB. A client who has a blood pressure of 110/68 mm HgC. A client who is experiencing chest painD. A client who has a fasting blood glucose of 104 mg/dL

Correct Answer: B

Rationale: Stable vital signs like 110/68 mm Hg are suitable for AP delegation, ensuring safe task assignment.

Extract:

Question 2 of 5

A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

A. Institute rounds every 2 hr during the day to offer toiletingB. Apply vest restraints on residents who are confusedC. Accompany residents older than 85 years of age during ambulationD. Keep the four side rails up on beds at night

Correct Answer: A

Rationale: Regular toileting rounds reduce fall risk by addressing urgent needs, promoting safety.

Extract:

Client is having increased pain

Question 3 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.

Extract:

Client has cancer

Question 4 of 5

A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?

A. I will ask your mother's primary care provider to speak with you.B. You will have to speak directly to your mother about her treatment.C. What would you like to know about your mother's treatment.D. I cannot provide this information to you without your mother's consent.

Correct Answer: D

Rationale: HIPAA requires client consent before sharing treatment information, ensuring confidentiality.

Extract:

Client with Alzheimer's and pneumonia; client with diabetes; client post-hip fracture; client post-abdominal surgery

Question 5 of 5

A nurse is caring for four clients. Which of the following should the nurse assess first?

A. A client who has Alzheimer's disease and bacterial pneumonia with newly onset restlessnessB. A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dLC. A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7 on a scale from 0 to 10D. A client who is 3 days postoperative following abdominal surgery and is ready for discharge

Correct Answer: A

Rationale: Newly onset restlessness in Alzheimer's and pneumonia may indicate delirium or worsening infection, requiring immediate assessment.

ATI Leadership Proctored Exam 2023 - Nurselytic

Nurselytic

ATI RN

ATI RN