ATI RN LEADERSHIP Exam
Questions with Correct
Solutions
Denning [Date] [Course title]
,A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected
in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the
specimen. Which of the following is the appropriate action by the nurse? - Correct Answers: Document
the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to
a licensed practical nurse? - Correct Answers: Administer a nasogastric tube feeding.
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) - Correct Answers: Opens the sterile pack by first unfolding the top flap away from
her body
Removes the outside packaging of a sterile instrument before dropping it onto the sterile field
A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid because the IV
pump is not working properly. Which of the following actions should the nurse take first? - Correct
Answers: Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN)
and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? - Correct
Answers: Reinforcing teaching with a client who is learning to self-administer insulin
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
aseptic technique? - Correct Answers: The nurse holds her hands above her waist.
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? - Correct
Answers: Recheck vital signs that are outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive
personnel? - Correct Answers: Obtaining a stool sample from a client who has renal failure
, A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse
recommend for treatment first? - Correct Answers: A client who has two open chest wounds with a left
tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the
following statements by a staff nurse indicates that the teaching was effective? - Correct Answers:
"Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the
facility ethics committee? - Correct Answers: An adolescent client whose 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? - Correct
Answers: Establishing communication between providers
A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The client
expresses concern about the cost of blood-glucose monitoring supplies. Which of the following actions
should the nurse take? - Correct Answers: Refer the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following situations should the charge
nurse address first? - Correct Answers: 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 client assignment for the shift.
Which of the following actions should the nurse preceptor take first to demonstrate appropriate time
management? - Correct Answers: c. Determine client care goals (set/plan goals)
A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the
following statements by a staff nurse indicates understanding? - Correct Answers: d. "HIPAA allows
clients to request a review of their own medical records."
. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses,
but the client‟s partner wants the surgery performed. Which of the following is the deciding factor in
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