ATI LEADERSHIP FUNDAMENTAL EXAM TEST BANK
ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS/A+ GRADE ASSURED
• A patientis brought to the emergency department following a motor-vehicle crash. Drug use is
suspected inthe crash, and a voided urine specimen is ordered. The patientrepeatedly refuses to
provide the specimen. Which of the following is the appropriate action by the nurse?
• Tell the patientthat a catheter will be inserted.
• Document the client’s refusal in the chart.
• Assess the patientfor urinary retention.
• Obtain a provider’s prescription for a blood alcohol level.
• A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign
to a licensed practical nurse?
• Pick up the meal trays after lunch.
• Administer a nasogastric tube feeding.
• Plan break times for assistive personnel.
• Determine adequacy of ventilator settings.
• A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile
procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile
technique? (SATA)
• Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field
• Opens the sterile pack by first unfolding the top flap away from her body
• Prepares a container of sterile solution on the field after putting on sterile gloves
• Removes the outside packaging of a sterile instrument before dropping it onto the
sterilefield
• Holds the sterile solution bottle with the label facing up
• A nurse enters a client’s room and identifies that the patientis receiving too much IV fluid because
the IVpump is not working properly. Which of the following actions should the nurse take first?
• Auscultate the client’s lungs.
• Notify the provider.
• Place a faulty equipment tag on the pump.
• Complete an incident report.
• A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN)
andan assistive personnel. Which of the following tasks should the nurse assign to the LPN?
• Reinforcing teaching with a patientwho is learning to self-administer insulin
• Ambulating a patientwho is scheduled for discharge later in the day
• Administering morphine IV bolus to a patientwho is hr postoperative
• Admitting a new patientwho has chronic back pain to the unit
• A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a
sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates
correct aseptictechnique?
• The nurse applies goggles.
• The nurse turns her back to the sterile field.
• The nurse holds her hands above her waist.
• The nurse puts on a face mask.
• A nurse who is caring for a group of clients delegates collection of vital signs to an assistive
personnel(AP). Which of the following actions should the nurse take to evaluate the delegated
task?
• Review vital sign trends at the end of the shift.
• Recheck vital signs that are outside the expected reference range.
• Ask the AP to write a summary of the delegated tasks during the shift.
• Compare the vital signs the AP obtained with those taken by another AP on a previous shift.
,• A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive personnel?
• Obtaining a stool sample from a patientwho has renal failure
• Monitoring a patientwho has a fluid restriction
• Assessing a patientwho just returned from hemodialysis
• Reviewing dietary instructions for a patientwho has kidney stones
• A nurse is triaging a group of clients following a disaster. Which of the following clients should the
nurserecommend for treatment first?
• A patientwho has a neck injury and is unable to breathe spontaneously
• A patientwho has two open chest wounds with a left tracheal deviation
• A patientwho has major burns over 75% of her body surface area
• A patientwho has bipolar disorder and is exhibiting signs of hallucination (Class 3)
• A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of
thefollowing statements by a staff nurse indicates that the teaching was effective?
• “A family member can interpret to obtain informed consent from a patientwho is deaf.”
• “Consent can be given by a durable power of attorney.”
• “Guardian consent is required for an emancipated minor.”
• “The nurse can answer any questions the patienthas about the procedure.”
• A nurse is caring for four clients. For which of the following clients should the nurse collaborate with
thefacility ethics committee?
• A middle adult patientwho leaves the facility against medical advice
• An older adult patientwho has advanced directives on file
• A young adult patientwho is participating in a medical research study
• An adolescent patientwhose parents refuse a blood transfusion for religious reasons
• A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to return a call
to a client. The nurse should explain that which of the following is an objective of telehealth?
• Assessing patientneeds
• Developing patienttreatment protocols
• Providing medication reconciliation
• Establishing communication between providers (Community Health pg. 75)
• A nurse is providing discharge teaching to a patientwho has a new diagnosis of diabetes. The
patientexpresses concern about the cost of blood-glucose monitoring supplies. Which of the
following actionsshould the nurse take?
• Refer the patientto the social services department.
• Provide the patientwith a week’s worth of supplies from the hospital (still needs help paying
after)
• Ask the provider about the possibility of less frequent monitoring (pt needs to monitor often)
• Recommend the patientreuse the testing lancets (breaks the safety & infection protocol)
• A charge nurse is receiving change-of-shift report. Which of the following situations should the
chargenurse address first?
• A nurse on the previous shift wrote an incident report about a medication error.
• Two staff members have called to say they will be absent.
• Transport assistance is unavailable to take a patientto occupational therapy.
• The emergency department nurse is waiting to give report on a new admission.
• A nurse who is precepting a newly licensed nurse is discussing the patientassignment for the shift.
Which ofthe following actions should the nurse preceptor take first to demonstrate appropriate time
management?
• Complete required tasks.
• Review the client’s new laboratory values.
• Determine patientcare goals (set/plan goals)
• Document assessment data.
• A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the
followingstatements by a staff nurse indicates understanding?
• “Clients who participate in research studies forfeit their HIPAA right to privacy.”
• “HIPAA allows facility-specific coding of patienthealth care information to ensure privacy.”
, • “HIPAA prohibits the uploading of photographs of client’s providers to social media sites.”
• “HIPAA allows clients to request a review of their own medical records.”
• A nurse is caring for a patientwho has a tumor. The provider recommends surgery. The
patientrefuses, 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 patientunderstands the risk of refusing the procedure
• Whether the facility ethics committee reached a consensus on the case
• Whether the partner is the client’s durable power of attorney for health care
• Whether the client’s refusal is based on religious belief
• A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical
nurseare available for staffing. Which of the following tasks should the nurse assign to a licensed
practical nurse?
• Conduct the newborn hearing screening. (RN assessment)
• Administer a hepatitis B vaccine.
• Perform a New Ballard screening. (RN assessment)
• Obtain vital signs. (CNA)
• During a staff meeting a unit manager reviews the results for documenting patienteducation and finds
that they are below the benchmark. Which of the following strategies should the nurse manager
implement first?
• Train LPNs to reinforce teaching with clients using a standardized teaching plan.
• Determine factors that interfere with the documentation of patienteducation.
• Include documentation of patienteducation as part of unit nurses’ annual performance
evaluation.
• Offer incentives for the staff once the unit’s results are back in adherence with the benchmark.
• A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that
preventingpatientinjury by removing a fall hazard demonstrates which of the following ethical
principles?
• Utility
• Autonomy
• Nonmaleficence
• Veracity
• A nurse is caring for a group of clients. Which of the following clients should the nurse plan to assess
first?
• A patientwho has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr (improvement)
• A patientwho has diabetes mellitus and reports paresthesia in his fingers and toes
(ABC--circulation)
• A patientwho has a nasogastric tube and has crackles in the lungs (ABC--airway)
• A patientwho has a new diagnosis of Graves’ disease and a TSH level of 0.2 microunits/mL
• A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor.
Which ofthe following clients should the nurse evacuate first?
• A patientwho is in Buck’s traction for a left hip fracture (can’t necessarily move too much)
• A patientwho is 1 day postoperative following thoracic surgery and has a chest tube
(possiblephysical instability)
• A patientwho is confused and restrained for safety (still needs continual nursing care/assessment)
• A patientwho is receiving IV chemotherapy and is ambulatory
• A nurse enters the room of a patientwho is unconscious and finds that the client’s son is reading her
electronic medical records from a monitor located at the bedside. Which of the following actions should
thenurse take first?
• Recommend the son meet with the provider to get information about his mother’s condition.
• Report the possible violation of patientconfidentiality to the nurse manager.
• Complete an incident report regarding the breach of the client’s confidentiality.
• Log out the computer so that the client’s son is unable to view his mother’s information.
• A nurse is preparing a patientfor cardiac catheterization. Just before the procedure, the patientasks the
nurseabout the risks of the procedure. Which of the following actions should the nurse take?
, • Explain the risks of the procedure to the client.
• Convey the client’s request to the nurse who witnessed the consent.
• Check to see if the medial record indicates the provider explained the procedure to the client.
• Notify the provider about the client’s concerns.
• A nurse is prioritizing care after receiving change-of-shift report on four clients. Which of the
followingclients should the nurse assess first?
• A patientwho reports a headache with sensitivity to light
• A patientwho reports an urge to void but has not urinated during the prior shift
• A patientwho reports indigestion and pain in her jaw
• A patientwho reports feeling lightheaded when he stands up from a lying position
• A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of
thefollowing actions should the nurse take first?
• Discuss time management strategies with the nurses.
• Determine the reasons the nurses are not taking scheduled breaks. Assess first
• Provide coverage for the nurses’ breaks.
• Review facility policies for taking scheduled breaks.
• A nurse is preparing to delegate bathing and turning of a newly admitted patientwho has end-stage
bone cancer to an experienced assistive personnel (AP). Which of the following assessments should
the nursemake before delegating care?
• Has the AP checked the client’s pain level prior to turning her? (RN only - do not delegate
what you can EAT = evaluate, assess, teach)
• Is the client’s family present so the AP can show them how to turn the client? (this is
not necessary)
• Has data been collected about specific patientneeds related to turning? (Assessment of
holisticcare r/t pt needs and what the experienced AP can do)
• Does the AP have the time to change the client’s central IV line dressing after turning her?
(APcannot change dressings)
• A nurse is preparing to transfer a patientfrom the emergency department to a medical-surgical unit using
the SBAR communication tool. Which of the following information should the nurse include in the
backgroundportion of the report?
• A prescribed consultation -under situation
• The client’s vital signs
• The client’s name -under situation
• The client’s code status -under situation
• A nurse is planning discharge for a patientwho has rheumatoid arthritis. Which of the following
statementsby the patientshould the nurse identify as an indication that a referral to an occupation
therapist is necessary?
• “I need some help planning my meals to maintain my weight.”
• “I am tired of having pain in my joints all the time.”
• “I’m having difficulty climbing the stairs at my house.”
• “I will need assistance with bathing.”
• A nurse in the emergency department is caring for a 16-year-old patientwho reports abdominal pain
and isaccompanied by an adult neighbor. The provider diagnoses a ruptured appendix and states that
the patientrequires an emergency appendectomy. Which of the following actions should the nurse?
• Ask the adult neighbor to sign the consent form.
• Obtain consent from the hospital administrator.
• Witness the patientsigning the consent form.
• Attempt to notify the client’s guardian to obtain consent.
• A nurse on a medical-surgical unit is caring for four clients. Which of the following findings is the
highest priority?
• A patientwho had a cardiac catheterization whose capillary refill in the great toe is 4
seconds
• A patientwho has COPD and has an oxygen saturation of 90%
• A patientwho had a cholecystectomy 6 hr ago and is requesting pain medication
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hosmerit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
