ATI RN LEADERSHIP PROCTORED NEWEST 2024 PRACTICE
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS
A case manager is preparing discharge plan for a client following coronary artery
bypass grafting surgery. Which of the following client issues should the nurse
address first?
A. Inadequate food supply
B. Low pain tolerance
C. Limited social support
D. Decreased self-esteem - ANSWER: A. Inadequate food supply
A charge nurse is making staff assignments on a medical-surgical unit. Which of the
following tasks should the nurse plan to delegate to an assistive personnel?
A. Measuring oxygen saturation for a client who has dyspnea
B. Inserting a rectal suppository for a client who is vomiting
C. Performing nasal hygiene for a client who has an NG tube
D. Pouching a client's ostomy bag for a new colostomy - ANSWER: D. Pouching a
client's ostomy bag for a new colostomy
A charge nurse making rounds observes that an assistive personnel (AP) has applied
wrist restraints to a client who is agitated and does not have a prescription for
restraints. Which of the following actions should the nurse take first?
A. Remove the restraints from the client's wrists
B. Review the chart for nonrestraint alternatives for agitation
C. Speak with the AP about the incident
D. Inform the unit manager of the incident - ANSWER: A. Remove the restraints from
the client's wrists
A charge nurse notices that two staff nurses are not taking meal breaks during their
shifts. Which of the following actions should the nurse take first?
a. Discuss time management strategies with the nurses
b. Provide coverage for the nurse9s breaks
c. Determine the reasons the nurses are not taking scheduled breaks
d. Review policies for taking scheduled breaks - ANSWER: c. Determine the reasons
the nurses are not taking scheduled breaks
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. A client who is at 32 weeks of gestation and has premature rupture of membranes
b. A multigravida client who has preeclampsia and is receiving misoprostol for
induction of labor
c. A primigravida client who is 1 day postoperative following a Cesarean section and
has a PCA pump
d. A client who has gestational diabetes and is receiving biweekly nonstress tests -
ANSWER: c. A primigravida client who is 1 day postoperative following a Cesarean
section and has a PCA pump
A charge nurse witnesses an AP failing to follow the facility protocol when discarding
contaminated linens. Which of the following actions should the nurse take first?
A. discuss the issue with the AP
B. reinforce facility protocols at the next staff meeting
c. notify the unit manager about the incident
d. alert the infection control department. - ANSWER: A. discuss the issue with the AP
A hospice nurse is caring for a client who has a terminal illness and reports severe
pain. After the nurse administers the prescribed opioid and benzodiazepine, the
client becomes somnolent and
difficult to arouse. Which of the following actions should the nurse take?
a. withhold the benzodiazepine but continue the opioid
b. contact the provider about replacing the opioid with an NSAID
c. administer the benzodiazepine but withhold the opioid
d. Continue the medication dosages that relieve the client9s pain - ANSWER: b.
contact the provider about replacing the opioid with an NSAID
A nurse at a long term care facility is planning a fall prevention program for the
residents. Which of the following interventions should the nurse include?
a) Apply vest restraints on residents who are confused
b) Keep the four side rails up on beds at night
c) Accompany residents older than 85 years of age during ambulation
d) Institute rounds every 2 hr during the day to offer toileting. - ANSWER: d) Institute
rounds every 2 hr during the day to offer toileting.
A nurse enters a client 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?
a. Educate the client about the risks of refusing medications
b. Complete an incident report
c. Answer the client question concerning the procedure
d. Inform the provider that the client requires clarification about the procedure -
ANSWER: d. Inform the provider that the client requires clarification about the
procedure
, A nurse enters the hallway and discovers a visitor looking at a client9s medical
information on a computer. Which of the following actions should the nurse take
first?
A. Tell the care nurse that a visitor viewed a client9s protected health information.
B. Close the documentation program on the computer.
C. Inform the visitor the client records are confidential.
D. Find out which staff member left the documentation program on the screen. -
ANSWER: B. Close the documentation program on the computer.
A nurse had just completed assessment charting on the electronic record for an
assigned client. An assistive personnel (AP) who just measured the client9s vital signs
asks to chart them while the nurse is still logged into the record. Which of the
following actions should the nurse take?
a) Offer to chart the vital signs for the AP
b) Recommend the AP come back later when the record is available
c) Allow the AP to document the vital signs prior to logging out
d) Log out so the AP can log in to document the vital signs - ANSWER: d) Log out so
the AP can log in to document the vital signs
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?
a. pertussis
b. Group B streptococcal disease
c.Respiratory syncytial virus
d. rotavirus - ANSWER: a. pertussis
A nurse in a long-term care facility is caring for a client who reports the AP
repositioned him in bed using excessive force. Which of the following actions should
the nurse take?
A. Document in the client's chart that an incident report has been filed.
B. Contact the nurse manager.
C. Reassure the client that the staff is well trained.
D. Call risk management to interview the client. - ANSWER: B. Contact the nurse
manager.
A nurse in a prenatal clinic is caring for a group of clients. Which of the following
clients should the nurse recommend for conference?
A. A client who is at 28 weeks gestation and has a negative Coombs titer
B. A client who is 39 weeks of gestation and has a negative contraction stress test
C. A client who is at 35 weeks of gestation and has a biophysical profile of 6
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS
A case manager is preparing discharge plan for a client following coronary artery
bypass grafting surgery. Which of the following client issues should the nurse
address first?
A. Inadequate food supply
B. Low pain tolerance
C. Limited social support
D. Decreased self-esteem - ANSWER: A. Inadequate food supply
A charge nurse is making staff assignments on a medical-surgical unit. Which of the
following tasks should the nurse plan to delegate to an assistive personnel?
A. Measuring oxygen saturation for a client who has dyspnea
B. Inserting a rectal suppository for a client who is vomiting
C. Performing nasal hygiene for a client who has an NG tube
D. Pouching a client's ostomy bag for a new colostomy - ANSWER: D. Pouching a
client's ostomy bag for a new colostomy
A charge nurse making rounds observes that an assistive personnel (AP) has applied
wrist restraints to a client who is agitated and does not have a prescription for
restraints. Which of the following actions should the nurse take first?
A. Remove the restraints from the client's wrists
B. Review the chart for nonrestraint alternatives for agitation
C. Speak with the AP about the incident
D. Inform the unit manager of the incident - ANSWER: A. Remove the restraints from
the client's wrists
A charge nurse notices that two staff nurses are not taking meal breaks during their
shifts. Which of the following actions should the nurse take first?
a. Discuss time management strategies with the nurses
b. Provide coverage for the nurse9s breaks
c. Determine the reasons the nurses are not taking scheduled breaks
d. Review policies for taking scheduled breaks - ANSWER: c. Determine the reasons
the nurses are not taking scheduled breaks
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. A client who is at 32 weeks of gestation and has premature rupture of membranes
b. A multigravida client who has preeclampsia and is receiving misoprostol for
induction of labor
c. A primigravida client who is 1 day postoperative following a Cesarean section and
has a PCA pump
d. A client who has gestational diabetes and is receiving biweekly nonstress tests -
ANSWER: c. A primigravida client who is 1 day postoperative following a Cesarean
section and has a PCA pump
A charge nurse witnesses an AP failing to follow the facility protocol when discarding
contaminated linens. Which of the following actions should the nurse take first?
A. discuss the issue with the AP
B. reinforce facility protocols at the next staff meeting
c. notify the unit manager about the incident
d. alert the infection control department. - ANSWER: A. discuss the issue with the AP
A hospice nurse is caring for a client who has a terminal illness and reports severe
pain. After the nurse administers the prescribed opioid and benzodiazepine, the
client becomes somnolent and
difficult to arouse. Which of the following actions should the nurse take?
a. withhold the benzodiazepine but continue the opioid
b. contact the provider about replacing the opioid with an NSAID
c. administer the benzodiazepine but withhold the opioid
d. Continue the medication dosages that relieve the client9s pain - ANSWER: b.
contact the provider about replacing the opioid with an NSAID
A nurse at a long term care facility is planning a fall prevention program for the
residents. Which of the following interventions should the nurse include?
a) Apply vest restraints on residents who are confused
b) Keep the four side rails up on beds at night
c) Accompany residents older than 85 years of age during ambulation
d) Institute rounds every 2 hr during the day to offer toileting. - ANSWER: d) Institute
rounds every 2 hr during the day to offer toileting.
A nurse enters a client 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?
a. Educate the client about the risks of refusing medications
b. Complete an incident report
c. Answer the client question concerning the procedure
d. Inform the provider that the client requires clarification about the procedure -
ANSWER: d. Inform the provider that the client requires clarification about the
procedure
, A nurse enters the hallway and discovers a visitor looking at a client9s medical
information on a computer. Which of the following actions should the nurse take
first?
A. Tell the care nurse that a visitor viewed a client9s protected health information.
B. Close the documentation program on the computer.
C. Inform the visitor the client records are confidential.
D. Find out which staff member left the documentation program on the screen. -
ANSWER: B. Close the documentation program on the computer.
A nurse had just completed assessment charting on the electronic record for an
assigned client. An assistive personnel (AP) who just measured the client9s vital signs
asks to chart them while the nurse is still logged into the record. Which of the
following actions should the nurse take?
a) Offer to chart the vital signs for the AP
b) Recommend the AP come back later when the record is available
c) Allow the AP to document the vital signs prior to logging out
d) Log out so the AP can log in to document the vital signs - ANSWER: d) Log out so
the AP can log in to document the vital signs
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?
a. pertussis
b. Group B streptococcal disease
c.Respiratory syncytial virus
d. rotavirus - ANSWER: a. pertussis
A nurse in a long-term care facility is caring for a client who reports the AP
repositioned him in bed using excessive force. Which of the following actions should
the nurse take?
A. Document in the client's chart that an incident report has been filed.
B. Contact the nurse manager.
C. Reassure the client that the staff is well trained.
D. Call risk management to interview the client. - ANSWER: B. Contact the nurse
manager.
A nurse in a prenatal clinic is caring for a group of clients. Which of the following
clients should the nurse recommend for conference?
A. A client who is at 28 weeks gestation and has a negative Coombs titer
B. A client who is 39 weeks of gestation and has a negative contraction stress test
C. A client who is at 35 weeks of gestation and has a biophysical profile of 6
