ATI PN Proctored Leadership

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Sample questions from ATI PN Proctored Leadership

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift, the charge nurse assigns clients to a PN. Which assignment is appropriate for the PN?

   • A.A client who requires an initial assessment after returning from surgery
   • B.A client admitted 30 minutes ago with new-onset chest pain
   • C.A client with a rapidly changing level of consciousness
   • D.A client with stable heart failure who needs a scheduled weight and routine medications

   Rationale: The stable client with heart failure can receive routine care, monitoring, and scheduled medications within the PN role. New chest pain and a changing level of consciousness require prompt RN assessment, and the initial postoperative assessment is also an RN responsibility. Assignments should reflect client stability and the PN's scope.

2. 2.A PN is preparing to give a scheduled medication and notices that the dose on the medication administration record differs from the dose on the current provider order. What should the PN do?

   • A.Choose the lower dose to reduce the risk of harm
   • B.Give the dose on the medication administration record because it is the active record
   • C.Hold the medication and clarify the discrepancy with the RN before administering it
   • D.Ask the client which dose was given at the last visit and administer that dose

   Rationale: A discrepancy between the medication administration record and the current order must be clarified before the medication is given. The PN should not independently choose a dose or rely on the client's recollection to resolve an order conflict. Medication reconciliation and verification help prevent dosing errors.

3. 3.During a home-care visit, a client with heart failure reports worsening symptoms. Refer to the client's chart. Which findings require prompt reporting to the RN? Select all that apply.

   • A.The client states that the prescribed low-sodium diet is difficult to follow
   • B.The client reports new shortness of breath while sitting still
   • C.The client reports needing three pillows to sleep, compared with one pillow last week
   • D.The client has mild ankle edema that is unchanged from the previous visit
   • E.The client's weight increased from 70.0 kg to 72.2 kg in 2 days

   Rationale: A 2.2-kg weight gain over 2 days, new orthopnea, and dyspnea at rest suggest worsening fluid overload and require prompt reporting. Unchanged mild edema should be documented and monitored, but it is not the new deterioration described. Difficulty following the diet warrants communication and reinforcement, but it is less urgent than the acute respiratory and weight changes.

4. 4.A PN receives a telephone request from a client's family member for details about the client's diagnosis. The client has not authorized sharing information with this family member. Which response is appropriate?

   • A.Explain that the PN cannot disclose the client's information without the client's permission
   • B.Confirm only whether the client is currently in the facility
   • C.Ask the family member to call back when the RN is available
   • D.Provide a brief update because the caller is a close relative

   Answer and rationale are in the full material.

5. 5.Which task is appropriate for a PN to assign to an unlicensed assistive personnel (UAP) for a stable client?

   • A.Teach the client how to use a new inhaler
   • B.Obtain and record routine vital signs
   • C.Evaluate whether a PRN analgesic relieved pain
   • D.Assess a new complaint of dizziness

   Answer and rationale are in the full material.