ATI LEADERSHIP 2019 EXAM /ATI LEADERSHIP PROCTORED 2019 EXAM 70 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRADE ASSURED

A nurse manager is planning an in-service for a group
of nurses about caring for clients following stem cell
transplant. Which of the following instructions should
the nurse manager include in the teaching?
A. Assigned to clients who have had a stem cell
transplant to the same room
B. Obtain rectal temp Q4 hours
C. Where an N 95 respirator mask while caring for
these clients
D. Place clients in positive pressure airflow rooms -
...ANSWER...D. Place clients and positive pressure
airflow rooms.
RATIONALE: The patient requires protective equipment
precautions following a stem cell transplant in a
private, positive pressure airflow room. The room air is
filtered through a HEPA filter and the air flow rate is set
at more than 12 error exchanges per hour
A nurse is developing a plan of care for a school-age
child whose family is homeless. Which of the following
findings should the nurse identify as a priority?
A. Child has red fissures at the corners of their mouth
B. Child has several small bruises on both legs
C. Child sleeps for 13 H hour each night
D. Child is not regularly attending school -
...ANSWER...A. Child has red fissures at the corners of
the mouth.
RATIONALE: Use Maslow's hierarchy of needs, this can
indicate a vitamin B deficiency which is a physiological
need.
A charge nurse recognizes a trend of poor attendance
at monthly staff meetings. To address this issue, which
of the following actions should the nurse charge nurse
take first?
A. Write a memorandum emphasizing the importance of
attending staff meetings
B. Appoint a task force to promote attendance at the
meetings
C. Explore the reasons that staff are not attending the
meetings
D. Reduce the number of meetings the staff are
required to attend - ...ANSWER...C. Explore the reasons
the staff are not attending the meetings.
RATIONALE: According to evidence-based practice, the
nurse should first identify the reasons that staff are not
attending the meetings. This allows the nurse to
address the specific problems identified by the staff.
A nurse walks into the nurses station and sees several
staff members looking at the electronic medical record
EMR record of a celebrity client on another unit. Which
of the following actions should the nurse take first?
A. Remind the staff members that this is a breach of
confidentiality
B. Discuss the issue with the nurse manager
C. Request that administrative restriction be placed on
the clients record access
D. Prepare a memo for facility ethics committee -
...ANSWER...A. Remind the staff members that this is a
breach of confidentiality.
RATIONALE: When using the urgent vs nonurgent
approach to client care, the nurse determines that the
first action is to intervene immediately to prevent any
further breach in confidentiality.
A nurse is providing preoperative teaching for a client
who is scheduled for a total knee arthroplasty (TKA)
and speaks a different language than the nurse. Which
of the following inter-professional team members
should the nurse include in the discussion? -
...ANSWER...Interpreter
A nurse is reviewing a client's clinical pathway upon
discharge following hip arthroplasty. Which of the
following information can assist the nurse in evaluating
the cost effectiveness of the care?
A. The age of client
B. Availability of community support groups
C. Length of clients stay
D. Type of insurance the client carries - ...ANSWER...C.
The length of clients stay.
RATIONALE: The client's clinical pathway is a
standardized approach to assist the nurse to provide
cost-effective client care and shorten the length of stay.
A nurse is reviewing the plan of care for a client
following a total hip arthroplasty. Which of the following
actions should the nurse plan to take?
A. Assess clients incision Q8 hours for first 48 hours
B. Inform AP of clients weight bearing status
C. Instruct client to cross legs at ankles when sitting
D. Teach clients partner to assist the client to flex the
hip at least 120° each hour - ...ANSWER...B. Inform the
AP of the clients weight bearing status.
RATIONALE: Assistive personnel can assist clients with
ambulation in most cases with appropriate delegation
from the nurse. The nurse should inform the AP of
postoperative prescriptions for weight-bearing as part
of safe care delegation.
A case manager is planning interprofessional
conference for a client who is three days postop
following ORIF of right hip. Which of the following
concerns is the priority for discussion at the
conference?
A. Client does not have transportation for DC home
B. Client refuses to attend PT sessions
C. Clients home health nurse has not completed the
home assessment
D. Client describes feelings of depression after family
visits - ...ANSWER...B. The client refuses to attend
Physical Therapy sessions.