ATI NU2508 Leadership Final Proctored Exam Practice Questions

Select one answer.

• "The client works in the hospital radiology department."
• "The client discussed having prior thoughts of suicide."
• "The client's blood pressure and pulse have been fluctuating throughout the day."
• "The client's family members have been present most of the day."

Select one answer.

• Report the observation to the nurse caring for that client.
• Inform the nursing supervisor.
• Approach the man and ask why he is making copies.
• Notify hospital security.

(Select All that Apply.)

• Check the position of a client in soft wrist restraints.
• Accompany a client who has depression to occupational therapy.
• Set limits with a client who has mania.
• Sit with a client who has alcohol use disorder and whose last drink was five days ago.
• Assess a client who has hypomania for exhaustion.

(Select All that Apply.)

• Ambulate an older adult client who has hypertension.
• Provide discharge instructions for a client who has a new skin graft.
• Check a blood product with another nurse prior to administration.
• Weigh a client who has heart failure.
• Perform an admission assessment on a client.

Select one answer.

• Dilated pupils
• Euphoria
• Rhinorrhea
• Hallucinations

Select one answer.

• The client
• The client's son, who has a durable power of attorney
• The client's partner
• The client's daughter, who is the primary caregiver

(Select All that Apply.)

• Medication for elevated temperature
• Insertion of NG tube for decompression
• Oxygen 2 to 4 L/min via nasal cannula
• Insertion of urinary catheter
• Evaluation of surgical wound drain

Select one answer.

• A client who has Guillain-Barre syndrome
• A client who has a lumbosacral spinal tumor
• A client who has systemic sclerosis
• A client who has amyotrophic lateral sclerosis (ALS)

Select one answer.

• A young adult client admitted for acute glomerulonephritis following a viral infection
• A dependent adult admitted for the treatment of a spiral fracture
• A young adult client admitted for asthma and has track marks that may indicate IV drug abuse
• An emancipated minor who has acute appendicitis and wants to leave the facility without treatment

Select one answer.

• Inform the staff member of her appraisal time for that day prior to change-of-shift report.
• Schedule the appraisal interview as early in the shift as possible.
• Provide the staff member with a copy of the appraisal form in advance.
• Provide a chair directly across the desk for the staff member to sit in.

Select one answer.

• A client who was administered erythromycin for acute glomerulonephritis and reports reddish-brown urinary output
• A client who was administered glipizide for type 2 diabetes mellitus and has a blood glucose of 68 mg/dL
• A client who was administered adalimumab for Crohn's disease, has a serum calcium level of 10 mg/dL, and reports a headache
• A client who was administered acyclovir for cellulitis reports pain in the affected leg

Select one answer.

• Agency policies for the LPN
• The documented experience level of the LPN
• The documented skill level of the LPN
• State Nurse Practice Act for the LPN

Select one answer.

• A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving.
• A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon.
• A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge.
• A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips.

Select one answer.

• Blood for PaCO2
• Random stool specimen
• Wound drainage for culture
• Urine from an indwelling catheter

Select one answer.

• "There are no provider's prescriptions available."
• "The client was found unconscious on the floor in her home."
• "The client should be seen by a neurologist."
• "The client is disoriented. Pupils are slow to respond to light."

Select one answer.

• A client who is 3 days postoperative following a craniotomy
• A client who is 3 days postoperative following gastric bypass surgery
• A client who is 2 hr postoperative following an abdominal hysterectomy
• A client who is 1 hr postoperative following a thyroidectomy

Select one answer.

• An infant who has pertussis and is receiving oxygen via nasal cannula
• An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions
• A school-age child who has diabetes mellitus and requires blood glucose monitoring
• A toddler who has both arms in casts and needs to be fed his breakfast

Select one answer.

• Palpate for possible bladder distention.
• Observe the incision site.
• Change the abdominal dressing.
• Obtain vital signs.

Select one answer.

• Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate.
• Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma.
• Collect a stool sample for ova and parasites from a school-age child
• Engage a toddler in play.

Select one answer.

• Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate.
• Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma.
• Collect a stool sample for ova and parasites from a school-age child
• Engage a toddler in play.

Select one answer.

• A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6
• A client whose wound drainage at 0800 was sanguineous and now it is serosanguineous
• A client who has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL
• A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg

Select one answer.

• A child who is experiencing sickle cell crisis
• A child who has a head injury
• A child who has a new diagnosis of type 1 diabetes mellitus
• A child who has streptococcal pharyngitis

Select one answer.

• Set a target date.
• Use tactics to alert staff nurses that a change is needed.
• Evaluate the effectiveness of the change.
• Assess the problem.