ATI Complete Leadership Proctored 1(2021), (A Grade), Questions and Answers,

All Correct Study Guide, Download to Score A

1. A nurse is evaluating a newly licensed nurse who is administering a vitamin K injection to

a newborn. Whichof the following actions by the newly licensed nurse indicates understanding

of the teaching? (SATA)

a. Applies gentle pressure at the site after injection

b. Aspirates the syringe for blood return after needle insertion

c. Selects the dorsogluteal site to administer the injection

d. Inserts the needle at a 45° angle - IM should be 90

e. Cleans the injection site with alcohol

2. A nurse manager is reviewing guidelines for informed consent with the nursing staff.

Which of the followingstatements by a staff nurse indicates that the teaching was effective?

a. “Guardian consent is required for an emancipated minor.”

b. “Consent can be given by a durable power of attorney.”

c. “The nurse can answer any questions the client has about the procedure.”

d. “A family member can interpret to obtain informed consent from a client who is deaf.”

3. A nurse is teaching a client how to use a finger-stick glucometer at home. Which of the

following instructionsshould the nurse include?

a. Obtain the blood sample from the finger pads.

b. Elevate the arm for 1 min before taking the blood sample.

c. Cap the lancet prior to putting it in the trash.

d. Warm the hands prior to piercing the skin

4. A client is admitted with COPD. Which of the following findings should the nurse report to

the provider?

a. Report of dyspnea on exertion

b. Oxygen saturation 89% on room air

c. White blood cell count 9,000/mm3

d. Bilateral crackles on auscultation of lungs

5. A client schedule for a tubal ligation procedure starts to cry as she is wheeled into the

surgical suite. Which ofthe following nursing statements is an appropriate nursing response?

a. “You shouldn’t be worried because the procedure is very safe.”

b. “This won’t take long and it will be over before you know it.”

c. “Why did you make the decision to have this procedure?”

d. “It’s not too late to cancel the surgery if you want to.”

6. A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse

distracts the clientand quickly administers the injection. This illustrates which of the

following?

a. Libel

b. False imprisonment

c. Battery

d. Assault

7. A nurse manager overhears a provider and a staff nurse talking about a client’s diagnosis in

the cafeteria. Whichof the following actions should the nurse take first?

a. Provide a staff inservice about client confidentiality.

b. Fill out an incident report regarding the situation.

c. Remind them that client information is confidential.

d. Report the incident to the nursing supervisor.

8. A nurse is serving on a committee that is revising the protocol for discharging clients.

After developing aninitial plan, in which order should the nurse take the following steps?

• Determine goals

• Implement recommended strategies

• Revise the plan.

• Evaluate the results

9. A nurse is orienting to an emergency department. The nurse is asked to assist with suturing

of a laceration on a client’s hand. Which of the following is the best resource for this nurse?

a. The preceptor on the clinical unit

b. The provider suturing the client’s injury

c. The nursing supervisor

d. The information on the suture package

10. A client is brought to the emergency department (ED) following a motor-vehicle crash. Drug

use is suspected inthe crash, and a voided urine specimen is ordered. The client repeatedly

refuses to provide the specimen. Which of the following is the appropriate action by the nurse?

a. Assess the client for urinary retention.

b. Obtain a provider’s prescription for a blood alcohol level.

c. Tell the client that a catheter will be inserted.

d. Document the client’s refusal in the chart.

11. While auditing the medical records of clients currently on an oncology unit, the nurse

manager finds that six ofthe 15 records lack documentation regarding advance directives. Which

of the following is the priority action for thenurse to take?

a. Ask nurses who are caring for clients without this information in the medical record

to obtain it.

b. Remind nurses to obtain this information during the admission process.

c. Meet with nursing staff to review the policy regarding advance directives.

d. Reinforce the potential consequences of not having this information on record to the

nursing staff.

12. A nurse who is precepting a newly licensed nurse is discussing the client assignment for the

shift. Which of thefollowing actions should the nurse preceptor take first to demonstrate

appropriate time management?

a. Determine client care goals.

b. Review the client’s new laboratory values.

c. Complete required tasks.

d. Document assessment data.

13. A facility provides annual staff education regarding ethical practice. A charge nurse

recognizes a need forfurther education when which of the following behaviors is observed?

a. A nurse gives prescribed opioids to a client who has a terminal illness and

respirations of 8/min.

b. A nurse refuses to actively participate during an elective abortion procedure

scheduled for her client.

c. A nurse informs a confused client who wants to go home that he is going to stay at

the facility untilhe is better.

d. A nurse explains to a client’s family that a DNR includes withholding comfort

measures