ATI LEADERSHIP PROCTORED Version 2 | 70 Questions and Answers | Latest 2020/ 2021

1. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

a. Decreased level of consciousness

b. Generalized rash over trunk

c. Increased temperature

d. Report of photophobia

2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway?

a. Antibiotic therapy was initiated 2 hr after implementation of the care pathway.

b. A blood culture was obtained after antibiotic therapy had been initiated

c. An allergy to penicillin required an alternative antibiotic to be prescribed

d. The route of antibiotic therapy on the care pathway was changed from IV to PO

3. A nurse manager is making staffing assignments for the maternal newborn unit. Which of the following clients should the nurse manager assign to a float nurse from the medical-surgical unit?

a. A client who is post term and is receiving oxytocin for labor induction

b. A client who gave birth to her first child and requires instruction on breastfeeding techniques

c. A client who is 2 days post-operative following a caesarean birth and is having difficulty ambulating

d. A client who has preeclampsia and is receiving a continuous magnesium sulfate infusion

4. A nurse is coordinating an interprofessional team to review proposed standards to reduce the transmission of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following members of the interprofessional team should the nurse consult?

a. Risk management coordinator 

b. Clinical pharmacist

c. Nursing supervisor

d. Infection control nurse

5. A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

a. Discuss with the client her concerns regarding the procedure

b. Provide the client with information on treatment options and outcomes

c. Inform the client of the consequences of uterine prolapse and the need for intervention

d. Initiate a mental health consult to determine the client’s reasons for refusing surgery

6. 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. Delay the surgery until the nurse can obtain informed consent

b. Obtain telephone consent from the facility administrator before the surgery.

c. Ask the anesthesiologist to sign the consent.

d. Transport the client to the operating room without verifying informed consent.

7. A nurse is planning to delegate client care assignment. Which of the following tasks should the nurse plan to delegate to an assistive personnel?

a. Performing postmortem care prior to transferring the client to the morgue

b. Advising a client on self-administration of acetaminophen

c. Teaching a client to perform a finger-stick for testing blood glucose levels

d. Informing a family of a client’s progress in physical therapy

8. A nurse is working on a quality improvement team that is assessing an increase in client fall at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?

a. Notify staff of the increased fall rate

b. Review current literature regarding client falls

c. Implement a fall prevention plan

d. Identify clients who are at risk of falls