ATI RN LEADERSHIP FORM. REAL EXAM QUESTIONS
AND CORRECT ANSWERS|A+ GRADED. LATEST 2024
EDITION.
A charge nurse on a med surg unit is assigning patient care to an RN and an LPN.
Which of the following tasks should the nurse assign to the RN? Select all that apply.
A. Performing colostomy care
B. Administering blood to a patient
C. Developing a plan of care for a patient
D. Calculating a TPN flow rate
E. Checking nasogastric tube patency – ans B, C, D
A patient is brought back to the unit after a total hip arthroplasty. The patient is
confused, is moving his leg into positions that could dislocate the new hip joint, &
repeatedly attempts to get out of bed. Which of the following actions should the nurse
take? Select all that apply.
A. Apply arm & leg restraints immediately
B. Get an order from the provider
C. Have a family member sign the consent for restraints
D. Use a square knot to secure the restraints to the bed frame
E. Ensure that only one finger can be inserted between the restraint and the patient –
ans A, B, C
A patient is prescribed morphine sulfate IM. Which of the following should the nurse
recognize as a requirement for governing controlled substances?
A. Delegate med admin to a RN
B. Ask another nurse to observe disposal of unused med
C. Request another nurse to validate admin of the med
D. Observe the LPN admin the med – ans B
A home health nurse is assessing the safety of a patient's home. Which of the following
factors may increase the patient's risk for falls? Select all that apply.
A. History of a previous fall
B. Reduced vision
C. Impaired memory
D. Takes rosuvastatin (Crestor)
E. Wears house slippers
F. Kyphosis – ans A, B, C, E, F
,A new charge nurse on a busy surgical unit notes a high degree of tension among the
nursing staff. Which of the following should be the initial method used for resolving this
issue?
A. Work w/the nurses to identify stressors
B. Hire additional staff to decrease the work load
C. Make relaxation tapes available to staff to help decrease stress
D. Reassess the situation after the nurses have become accustomed to the new charge
nurse - ansA
A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who
required naloxone (narcan) for depressed respirations. Is this an appropriate task for the
AP? - ansno
A nurse discovers that a patient was administered an antihypertensive med in error.
Number the following actions in the appropriate sequence that the nurse should follow.
___A. Call the patient's provider
___B. Monitor the patient's vitals
___C. Notify the risk manager
___D. Complete an incident report
___E. Instruct the patient to remain in bed until further notice - ans1. B
2. E
3. A
4. D
5. C
A nurse has prepared an IM injection for a patient who is preoperative, when another
patient suddenly calls for assistance. The nurse asks an LPN to give the injection since
an AP is waiting to take the patient to surgery. Which of the following is an appropriate
action by the LPN?
A. Prepare a new syringe for the patient who is preop
B. Give the prepared med to the patient who is preop
C. Help the patient requesting assistance so the nurse can give the prepared injection
D. Report this request to the charge nurse - ansC
A nurse is assessing a patient's negligible progress in following a weight loss program.
Which of the following is a likely reason the patient was unable to achieve a short-term
goal established during the planning phase of the nursing process?
A. The goals were realistic & formulated w/patient input.
B. The underlying problem behind past weight gain was misidentified.
C. The implementation of the plan used flexibility in following the nursing actions
D. The nurse obtained objective & subjective data during the assessment. - ansB
,A nurse is caring for a patient who has recently been prescribed lithium carbonate
(Eskalith). Which of the following is the priority assessment finding for this patient?
A. Fine hand tremors
B. Weight gain of 2.7 kg (6 lb)
C. Report of nausea
D. Poor motor coordination - ansD
A nurse is caring for a patient who is being prepared for surgery. The patient hands the
nurse info about advance directives & states, "Here, I don't need this. I am too young to
worry about life-sustaining measures & what I want done for me." Which of the following
actions should the nurse take?
A. Return the papers to the admitting dept w/a note stating that the patient doesn't wish
to address the issue at this time.
B. Explain to the patient that you never know what can happen during surgery & that he
should fill the paper's out "just in case."
C. Contact a patient representative to talk w/the patient & offer additional info about the
purpose of advance directives
D. Inform the patient that the surgery cannot be conducted unless he completes his
advance directives forms - ansC
A nurse is caring for a group of patients on a med surg unit. Which of the following tasks
should the nurse delegate to the assistive personnel (AP)? Select all that apply.
A. Collecting a stool specimen
B. Providing instructions about using a spirometer
C. Measuring oral intake
D. Providing postmortem care
E. Changing a dressing - ansA, C, D
A nurse is caring for a group of patients on a medical unit. Which of the following is the
priority finding the nurse should report to the provider?
A. A patient receiving metoclopramide (Reglan) reports diarrhea
B. A patient receiving tamsulosin (Flomax) reports feeling dizzy
C. A patient receiving cephalexin (Keflex) reports dyspnea
D. A patient receiving erythromycin (E-Mycin) reports epigastric pain - ansC
A nurse is caring for an older adult patient who has left the unit for a radiology
procedure. The patient's son asks the nurse what med is being given to the patient.
Which of the following is an appropriate response by the nurse?
A. "I am sorry, but that is information you will need to ask your mother or her doctor."
, B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam (Ativan) for
anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before discharge." - ansA.
A nurse is observing a newly licensed nurse & an AP pull a patient up in bed using a
drawsheet. Which of the following actions by the newly licensed nurse indicates a need
for further education?
A. The nurse spreads his legs apart
B. The nurse uses his body weight to counter the patient's weight
C. The nurse's feet are facing inward, toward the center of the bed
D. The nurse uses the muscles in his arms to lift the patient off the bed using the
drawsheet - ansC
A nurse is overheard telling other nurses that the unit manager gives preferential
treatment to nurses on the night shift. Which of the following approaches by the unit
manager reflects an assertive response to resolution of this conflict?
A. Understand that the vocal nurse is misinformed & take no action.
B. Assign the vocal staff nurse to work the night shift to allow direct experience w/the
night shift.
C. Meet one-on-one w/the vocal staff nurse to discuss the concerns raised
D. Confront the staff nurse during the next unit meeting regarding her statement - ansC
A nurse is participating in a quality improvement study of a procedure frequently
performed on the unit. Which of the following will provide the most relevant info
regarding the efficacy of the procedure?
A. Frequency w/which the procedure is performed
B. patient satisfaction w/performance of procedure
C. Incidence of complications r/t procedure
D. Accurate documentation of how the procedure was performed - ansC
A nurse is participating in an interprofessional conference for a patient who has a recent
C6 spinal cord injury. The patient worked as a construction worker prior to his injury.
Which of the following members of the interprofessional team should also participate in
planning care for this patient? Select all that apply.
A. Physical therapist
B. Speech therapist
C. Occupational therapist
D. Psychologist
E. Vocational counselor - ansA, C, D, E
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