Exam Mode Assessment

End

No.

1 :
A nurse is assisting in the care of a client.

Nurses' Notes
Medication Administration Record

3 days ago

Client admitted to medical-surgical unit for left hip fracture following a fall. Client alert and oriented. Reports left hip pain as 5 on a scale of 0 to 10. Today: Client evaluated by case manager for initiation of discharge planning for transition to the home setting. Client lives alone but reports their adult child will stay with them during recovery. Past medical history significant for atrial fibrillation. Client has sustained three falls over the past 6 months. Client currently using wheelchair but will transition to walker as tolerated. Supplemental oxygen or other assistive devices are not required for the home.

Today

Metoprolol 25 mg PO BID

The nurse is assisting with discharge planning. Select 6 interventions the nurse should recommend?

Answer Options

Place no smoking signs in the client's home.

Observe the client's home environment to identify potential safety hazards.

Reinforce teaching about how their medication can affect their balance.

Collaborate with physical therapy to determine mobility needs.

Collaborate with the client and family to implement a fall prevention plan.

Facilitate obtaining assistive devices for the home setting.

Recommend the use of a safety alert device when the client is home alone.

Hint : 🧩Center your plan on fall prevention linked to meds, mobility, and the home setup.

Correct Answers:

No Correct Answers Available !

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Distractor Analysis :

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2 :
A nurse is participating in chart reviews as part of a quality improvement initiative.

0800

Prescription for azithromycin received from provider via computerized provider order entry.

0830

Prescriptions reviewed prior to medication administration. Identified client has allergy to macrolide antibiotics. Medication withheld and provider notified.

Day 1, 0730

Client admitted to obstetrics unit in active labor. Group B streptococcus B-hemolytic screen positive at 36 weeks of gestation. Prophylactic antibiotic prescribed by provider.

1930

Newborn born via vaginal birth without complications.

Day 2, 2000

Newborn diagnosed with neonatal sepsis. Identified that prescribed antibiotic was not administered to newborn's mother during labor.

1330

Provider prescription written to administer "6.0 units of regular insulin subcut now."

1340

RN administered 60 units of regular insulin subcut.

1410

Client unresponsive. Blood glucose 30 mg/dL (74 to 106 mg/dL) on venous specimen.

0100

Laboratory called unit to report client's critically low platelet count result. Client's assigned registered nurse (RN) unavailable, report provided to another RN on the unit. Laboratory results not communicated to client's RN or provider.

0400

Client unresponsive and diagnosed with disseminated intravascular coagulation.

0900

Client admitted, identified as fall risk. Client instructed to call for assistance when getting out of bed. Call bell placed at bedside.

1000

Client found on floor during hourly rounds. Client sustained mild abrasion to elbow due to fall, no further injuries. Client stated, "I used my call bell, but nobody came." Identified that call bell malfunctioned.

For each client scenario, click to specify if an incident report is required or not required.

Incident Report	Required	Not Required
Client Scenario 1
Client Scenario 2
Client Scenario 3
Client Scenario 4
Client Scenario 5

Hint : 🧭Report near misses, errors, omissions, communication failures, and equipment issues to improve safety.

Correct Answers

Client Scenario 1 [ Required ]
Client Scenario 2 [ Required ]
Client Scenario 3 [ Required ]
Client Scenario 4 [ Required ]
Client Scenario 5 [ Required ]

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3 :
A nurse manager in a long-term care facility allows team members to assist with decision making. Which of the following management styles is the nurse demonstrating?

Formal

Democratic

Autocratic

Laissez-faire

Hint : 🧠Choose the style that shares decisions with the team.

Correct Answers:

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4 :
A nurse in an urgent care clinic is collecting data from a client who has a concussion. Which of the following findings is the priority for the nurse to report to the provider?

Mild headache

Slurred speech

Ecchymosis on the forehead

Short-term memory loss

Hint : 🎯Prioritize the sign that reflects focal neurologic deterioration.

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5 :
A nurse is reinforcing teaching about HIPAA with a newly licensed nurse. Which of the following nursing actions is a violation of HIPAA and should be included in the teaching?

Posting the nurse's name on the client's communication board

Calling the pharmacy about the client's new prescription

Faxing the client's medical record when being transferred to another facility

Giving change-of-shift report in a busy hallway

Hint : 🛑Avoid discussing PHI where others can easily overhear.

Correct Answers:

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6 :
A charge nurse is reviewing laboratory results with a newly licensed nurse to determine whether a client's WBC count has returned to the expected reference range. Which of the following roles is the charge nurse demonstrating?

Advocate

Change agent

Researcher

Consultant

Hint : 🧑‍🏫Think of the role that offers expert advice to improve decisions.

Correct Answers:

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7 :
A nurse is reinforcing teaching with a group of newly licensed nurses about surgical consent. Which of the following examples should the nurse include as an individual who can sign an informed consent form?

A client who has bipolar disorder and is in a manic state

A 17-year-old client who is married

The police officer who brought the client to the emergency department

A grandparent of a child who needs routine surgery

Hint : 🧷Consider special legal statuses that confer independent consent rights.

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8 :
A nurse is reinforcing teaching with an assistive personnel (AP) about proper handling of infectious materials for a client who has pneumonia. Which of the following items should the AP place in a biohazard bag before removal from the client's room?

The blood pressure cuff used on the client

Disposable dishes from the client's meal

IV tubing and solutions that have been discontinued

The client's sputum specimen

Hint : 📦Place items with potential infectious material into biohazard transport.

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9 :
A nurse is reinforcing teaching with a newly licensed nurse about conflict resolution strategies. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"If my coworkers are having a conflict, I will try to resolve the issue for them."

"If I have conflict with another nurse, it is the manager's responsibility to fix it."

"If I am having a conflict, I can use negotiation to help manage the situation."

"As a licensed practical nurse, I should not manage conflict resolution."

Hint : 🧩Choose the strategy that promotes mutual agreement through dialogue.

Correct Answers:

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10 :
A nurse is preparing a discharge summary for a client who is postoperative following a radical mastectomy. Which of the following information should the nurse include in the discharge summary?

Medical history

Information about the client's critical pathway

Emergency code status

Instructions for completing dressing changes

Hint : 🧰Prioritize actionable home-care steps that prevent complications.

Correct Answers:

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Total Questions: 10

Choose Different Exam !

ATI Management Exam

No.

1 : A nurse is assisting in the care of a client.

Answer Options

2 : A nurse is participating in chart reviews as part of a quality improvement initiative.

Correct Answers

3 : A nurse manager in a long-term care facility allows team members to assist with decision making. Which of the following management styles is the nurse demonstrating?

4 : A nurse in an urgent care clinic is collecting data from a client who has a concussion. Which of the following findings is the priority for the nurse to report to the provider?

5 : A nurse is reinforcing teaching about HIPAA with a newly licensed nurse. Which of the following nursing actions is a violation of HIPAA and should be included in the teaching?

6 : A charge nurse is reviewing laboratory results with a newly licensed nurse to determine whether a client's WBC count has returned to the expected reference range. Which of the following roles is the charge nurse demonstrating?

7 : A nurse is reinforcing teaching with a group of newly licensed nurses about surgical consent. Which of the following examples should the nurse include as an individual who can sign an informed consent form?

8 : A nurse is reinforcing teaching with an assistive personnel (AP) about proper handling of infectious materials for a client who has pneumonia. Which of the following items should the AP place in a biohazard bag before removal from the client's room?

9 : A nurse is reinforcing teaching with a newly licensed nurse about conflict resolution strategies. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

10 : A nurse is preparing a discharge summary for a client who is postoperative following a radical mastectomy. Which of the following information should the nurse include in the discharge summary?

1 :
A nurse is assisting in the care of a client.

2 :
A nurse is participating in chart reviews as part of a quality improvement initiative.

3 :
A nurse manager in a long-term care facility allows team members to assist with decision making. Which of the following management styles is the nurse demonstrating?

4 :
A nurse in an urgent care clinic is collecting data from a client who has a concussion. Which of the following findings is the priority for the nurse to report to the provider?

5 :
A nurse is reinforcing teaching about HIPAA with a newly licensed nurse. Which of the following nursing actions is a violation of HIPAA and should be included in the teaching?

6 :
A charge nurse is reviewing laboratory results with a newly licensed nurse to determine whether a client's WBC count has returned to the expected reference range. Which of the following roles is the charge nurse demonstrating?

7 :
A nurse is reinforcing teaching with a group of newly licensed nurses about surgical consent. Which of the following examples should the nurse include as an individual who can sign an informed consent form?

8 :
A nurse is reinforcing teaching with an assistive personnel (AP) about proper handling of infectious materials for a client who has pneumonia. Which of the following items should the AP place in a biohazard bag before removal from the client's room?

9 :
A nurse is reinforcing teaching with a newly licensed nurse about conflict resolution strategies. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

10 :
A nurse is preparing a discharge summary for a client who is postoperative following a radical mastectomy. Which of the following information should the nurse include in the discharge summary?