ATI Leadership Practice
Test Exam Questions with
Correct Solutions
Denning [Date] [Course title]
,A nurse on a med surg unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority?
- A client who is scheduled for a tubal ligation in 2 hr and is crying
- A client who has peripheral vascular disease and has an absent pulse in the right foot
- A client who has type 1 diabetes mellitus and needs the first dressing change for an ulcer
- A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of
38° C (100.4° F) - Correct Answers: A client who has peripheral vascular disease and has an absent pulse
in the right foot
When using the airway, breathing, circulation approach to client care, the nurse determines that the
priority finding is an absent pulse, which indicates no blood flow to the extremity.
Which of the following instructions provided by a nurse reflects effective communication regarding
delegation of a task to an LNA?
- "Take vital signs every 2 hours for the client who had a cholecystectomy in room 6122."
- "Check the urinary output at 1100 for John Doe and report it to me immediately."
- "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438."
- "Please notify me of any clients whose vital signs or blood glucose levels are significant." - Correct
Answers: "Check the urinary output at 1100 for John Doe and report it to me immediately."
This instruction follows the Five Rights of Delegation by including the requirements for right
direction/communication: the data to collect, client-specific information, a timeline for collection, and
the expectation for communicating the findings back to the nurse.
A client on a general surgical unit tells a nurse that staff members are not answering his call light
promptly. The client requests to be transferred to another unit. Which of the following actions should
the nurse take first?
- Notify the charge nurse of the client's request for transfer.
- Assure the client that their concern has been shared with the staff.
, - Tell the client that future calls will be answered in a timely manner.
- Ask the client to verbalize their expectations. - Correct Answers: Ask the client to verbalize their
expectations.
The first action the nurse should take using the nursing process is to assess; therefore, the first action
the nurse should take is to assess the client's feelings and clarify expectations.
A nurse is caring for a client who is recovering from a stroke. The provideo recommends an extracranial-
intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the
following actions the nurse take?
- Inform the client of the consequences of decreased cerebral circulation.
- Initiate a mental health consultation to determine why the client refuses the surgery.
- Discuss the client's concerns about having the surgery.
- Provide the client with information on additional treatment options. - Correct Answers: Discuss the
client's concerns about having the surgery.
The nurse should ask the client relevant questions to determine their concerns regarding having the
surgery. By asking relevant, open-ended questions, the nurse can help the client clarify their thoughts
and feelings about the surgery. The nurse can then relay these concerns to the provider for further
discussion if needed.
A charge nurse is supervising the care of several clients. Which of the following actions requires
intervention by the charge nurse?
- A nurse is photocopying their assigned client's diagnostic test results.
- An assistive personnel (AP) documents a client's vital signs on the client's paper-based graphic record.
- The unit secretary faxes a client's laboratory results to the provider.
- An RN stays with a client who is reading the medical records that were requested. - Correct Answers: A
nurse is photocopying their assigned client's diagnostic test results.
Photocopying diagnostic test results is a breach of the client's confidentiality and privacy.
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