NGN ATI RN LEADERSHIP PROCTORED EXAM 2020 VERSION 70 QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE

. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the
nurse recommend for an interdisciplinary care conference?
A client who is at 35 weeks of gestation and has a biophysical profile of 6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells the
nurse she can no longer handle caring for the client. Which of the following actions should the nurse
take?
Contact the case manager to discuss discharge options
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma.
The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following
referrals should the nurse recommend?
Social worker
4. A nurse is supervising assistive personnel who’s feeding a client with dysphagia. Which of the
following actions by the AP should the nurse identify as correct technique?
Instructing the client to place their chin to chest while swallowing
5. A nurse is providing an in-service about client rights for a group of nurses. Which of the following
statements should the nurse include in the in-service?
“A nurse can disclose information to a family member with the client’s permission.”
6. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has
not yet delivered the oxygen tank. Which of the following action should the nurse take?
Contact social services about the delivery of the oxygen equipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse
that she has reconsidered because she is worried about the pain. Which of the following response by
the nurse is appropriate?
I understand, and it’s not too late to change your mind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel
position him in bed with excessive force. Which of the following actions should the nurse take?
Contact the nurse manager
9. A nurse is assessing a client who has meningitis. Which of the following finding should the nurse
report to the provider immediately?
Decreased level of consciousness
10. A nurse is caring for a client who wanders through the halls yelling obscenities at staff other clients
and visitors. Which action should the nurse take?
A) Administer sedatives
B) Keep the client in her room with the door closed
C) Contact family members to come sit with the client
D) Place the client in a wheelchair with a lap tray
11. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having
trouble focusing and had difficulty completing care for his assigned client. Which of the following
intervention is appropriate?
NGN ATI RN LEADERSHIP PROCTORED EXAM 2020
VERSION 70 QUESTIONS WITH VERIFIED SOLUTIONS/A+
GRADE
Recommend that he take time to plan at the beginning of his shift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage
bone cancer to an experienced AP. Which of the following assessment should the nurse make before
delegating care?
Has data been collected about specific client needs related to turning?
13. A nurse is participating in the development of a disaster management plan for a hospital. The nurse
should recognize that which of the following resources is the highest priority to have available in
response to a bioterrorism event?
A sufficient supply of personal protective equipment.
14. A nurse manger observes an assistive personnel incorrectly transferring a client to the bedside
commode. Which of the following actions should the nurse take first?
Help the AP transfer the patient
15. A nurse manager is leading discussion about ethical dilemmas. Which of the following situations
should the nurse manager include as an example of an ethical dilemma?
A) a nurse witnesses another nurse administer incorrect medication
B) a visitor experiences minor burns at a facility after receiving….
C) a parent wants a 14-year-old adolescent to receive radiation treatment against his will
D) a client receives operation on the wrong side of the body
16. A nurse a caring for a client who request information about the prevalence of Tay-Sachs disease.
Which of the following resources should the nurse use to obtain this information?
An evidence-based nursing journal
17. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following
statement by the newly licensed nurse indicates an understanding of the teaching?
I should encrypt personal health information when sending email.
18. A nurse in the emergency department is assessing a client who is unconscious following a motorvehicle crash. The client requires immediate surgery. Which of the following actions should the nurse
take?
Transport the client to the operating room without verifying informed consent.
19. A nurse enters a clients room to witness an informed consent for a gastroscopy. The client states he
does not understand the procedure. Which of the following actions should the nurse take?
Inform the provider that the client requires clarification about the procedure
20. A case manager is preparing a discharge plan for a client following coronary artery bypass graphing
surgery. Which of the following client issues should the nurse address first?
Inadequate food supply
21. A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following
diseases should the nurse report to the state health department?
Pertussis
22. A nurse is preparing to complete an incident report regarding a medication error. Which of the
following actions should the nurse plan to take SATA.
A. Place a copy of the completed report in the client’s medical record
NGN ATI RN LEADERSHIP PROCTORED EXAM 2020
VERSION 70 QUESTIONS WITH VERIFIED SOLUTIONS/A+
GRADE
B. Make a copy of the incident report for personal record keeping
C. Include the time the medication error occurred in the report
D. identify the medication name and the dose administered to the client in the report
E. Obtain and order from the client’s provider to complete the report
23. A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients
should be assigned to an RN who has floated from a medical-surgical unit?
A primigravida client who is 1 day postoperative following a Cesarean section and has a
PCA pump
24. A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The
client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse
take?
Proceed with treatment without obtaining written consent
25. A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse
assign to the LPN?
Reinforcing dietary teaching with a client who has heart disease
26. A nurse working on a medical-surgical unit is managing care of four clients. The nurse should
schedule an interdisciplinary conference for which of the following clients?
A client who is receiving heparin and has an aPTT of 34 seconds
27. A nurse enters the hallway and discovers a visitor looking at a clients medical information on the
computer. Which of the following actions should the nurse take first?
Close the documentation program on the computer
28. A nurse is assessing an older adult client who was brought to the emergency department by his adult
son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the following
actions should the nurse take?
Ask the client’s son to go to the waiting area.
29. A nurse is caring for a client who is unconscious and whose partner is their healthcare surrogate. The
partner wishes to discontinue the client’s feeding tube, but another family member tells the nurses
they want the client to continue receiving treatment. Which of the following responses should the
nurse make?
As the healthcare surrogate the client’s partner can make the decision
30. A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts
the client and quickly administers the injection. This illustrates which of the following?
Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team
members should be consulted in regard to this client’s care? (select all that apply.)
Nutritional therapist
Mental health counselor
Case manager
32. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates understanding of isolation guidelines?
NGN ATI RN LEADERSHIP PROCTORED EXAM 2020
VERSION 70 QUESTIONS WITH VERIFIED SOLUTIONS/A+
GRADE
“I will have a client who is on airborne precautions wear a mask when out of her room.”
33. Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following is
appropriate to include in the cost-containment plan?
Use clean gloves rather than sterile gloves for colostomy care.
34. 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?
I cannot provide this information to you without your mother’s consent
35. A nurse in the emergency department is performing triage for a group of clients who were in a train
crash. Which of the following clients should the nurse tag as emergent?
A) A client who has a deep partial thickness burn on the lower extremities
B) A client who has an open fracture of the femur
C) A client who has an asymmetrical thorax
D) A client who has a peri fatal ecchymosis
36. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses,
but the client’s partner wants the surgery performed. Which of the following is the deciding factor in
determining if the surgery will be done?
Whether the client understands the risk of refusing the procedure
37. A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions
should the nurse take?
Report the infection to the local health department
38. A nurse manager is receiving report and is faced with the following situations that requires
intervention. Which of the following should the nurse manager address first?
a. A nurse on the previous shift wrote an incident report about a medication error.
b. Two staff members have called to say they will be absent.
c. Transport assistance is unavailable to take a client to occupational therapy.
d. The emergency department nurse is waiting to give report on a new admission.
39. A charge nurse notices that two staff nurses are not taking meal breaks during their regular 8-hr shifts.
Which of the following actions should the nurse take first?
Determine the reasons the nurses are not taking scheduled breaks.
40. A nurse is receiving a verbal prescription from the provider for a client who is having increase pain.
The nurse should transcribe which of the following prescription in the client’s medical records?
It isn’t the two with the 4o
and not the one that says 10.0 mg
It’s like “Morphine sulfate 10 mg IV q 4 hr for pain”
41. A nurse working in the emergency department is assessing several clients. Which of the following
clients is the highest priority?
A client who reports shortness of breath and left neck and shoulder pain
42. A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation
(TENS). Which of the following members of the interdisciplinary team should the nurse contact for
assistance?
Physical therapist