ATI RN LEADERSHIP PROCTORED EXAM

ATI RN LEADERSHIP PROCTORED EXAM

VERSION 25

• A charge nurse for the emergency department is supervising a nurse who

has been temporarily reassigned from the medical-surgical unit during a b usy time. Which of the following assignments is most appropriate for this nurse?

Obtaining a medical history from a client who attempted suicide

Collecting a catheter urine specimen from a 2-year-old child with a fever

Setting up a trauma room for an incoming motor-vehicle crash victim

Performing triage for three clients who have just arrived in the waiting ar ea

• A nurse should first provide care for which of the following clients?

An older adult with dyspnea and a respiratory rate of 22/min

A toddler who has a head laceration oozing dark red blood

An adult client with large ecchymoses on both legs

An adolescent with an injured ankle and pain rated at 10 on a 0-10 scale

• A client with methicillin-resistant Staphylococcus aureus (MRSA) of the

urine is being admitted into the hospital and is placed on contact isolation . Which of the following should cause the charge nurse to intervene?

The client is dressed in an isolation gown for transport to x-ray.

The door for the isolation room is left open.

A nurse checks the client's IV without wearing gloves.

A provider uses alcohol-based hand cleanser after providing care. 1 / 3

• A nurse is caring for a competent client who is newly diagnosed with a t

erminal illness. Which of the following statements by the client indicates a correct understanding of advance directives?

"From this point on, my partner has control over my health care decisions ."

"I am so relieved that the decisions about my care are finalized."

"I'm glad that the doctors now can make all the final decisions."

"When I can no longer make decisions, people now know what I want."

• A client who is intoxicated presents to the emergency department and repo

rts struggling with depression lately. The next day, the client is ready for discharge and states, “It’s okay. Soon everything will be just fine.” Which o f the following is the nurse's priority action?

Ask the client if he is feeling suicidal.

Remind the client that change is always possible.

Inquire about the client's regular alcohol consumption.

Reinforce the need to follow up with the discharge referral.

• A client diagnosed with an inferior MI 2 days ago suddenly reports nause

a and midsternal chest pain. After ensuring that oxygen support is patent, w hich of the following interventions should the nurse anticipate taking next?

Assess for S3 heart sounds.

Administer a prescribed antiemetic.

Notify the primary care provider. 2 / 3

Obtain a 12-lead ECG.

• The staff on an orthopedic unit have implemented a plan to prevent loss

of revenue from supply and equipment charges. Which of the following indic ates that the plan is successful?

Supplies for dressing changes are kept at the bedside.

Billing for the unit has increased in the last quarter.

Unused supplies from discharged clients are saved for future use.

Documentation of the supplies used for each client is complete.

• A nurse working in an emergency department has been assigned four clien

ts. Which of the following client conditions should be reported to the appr opriate authorities?

A female client with deep bruising to her lower leg

An adolescent client with Clostridium difficile

An older adult client with a stage I pressure ulcer

A male client with a bite from an unknown dog

• A nurse is caring for an older adult client with type 1 diabetes mellitus

and a stage II ulcer on his left leg. The client’s medical history indicates t hat he drinks a pint or two of vodka each day. Which of the following should t he nurse include in the client’s plan of care?

Coordinate a referral to an outpatient alcohol treatment center.

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