ATI LEADERSHIP RN VERSION A STUDY GUIDE
2026 COMPREHENSIVE ANSWERS ALREADY
PASSED
◉ A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical nurse?
Answer: 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) Answer: b. Opens the sterile pack by first
unfolding the top flap away from her body
d. 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?
Answer: 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?
,Answer: 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? Answer: 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?
Answer: 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? Answer: 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? Answer: 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? Answer: "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?
Answer: 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?
Answer: 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? Answer: 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? Answer:
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? Answer: 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? Answer: "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 determining if the surgery will be done? Answer: Whether
the client understands the risk of refusing the procedure
◉ A charge nurse is planning the care of four newborns. An assistive
personnel and licensed practical nurse are available for staffing.
Which of the following tasks should the nurse assign to a licensed
practical nurse? Answer: Administer a hepatitis B vaccine.
◉ During a staff meeting a unit manager reviews the results for
documenting client education and finds that they are below the
benchmark. Which of the following strategies should the nurse
manager implement first? Answer: Determine factors that interfere
with the documentation of client education.
2026 COMPREHENSIVE ANSWERS ALREADY
PASSED
◉ A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical nurse?
Answer: 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) Answer: b. Opens the sterile pack by first
unfolding the top flap away from her body
d. 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?
Answer: 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?
,Answer: 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? Answer: 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?
Answer: 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? Answer: 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? Answer: 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? Answer: "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?
Answer: 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?
Answer: 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? Answer: 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? Answer:
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? Answer: 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? Answer: "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 determining if the surgery will be done? Answer: Whether
the client understands the risk of refusing the procedure
◉ A charge nurse is planning the care of four newborns. An assistive
personnel and licensed practical nurse are available for staffing.
Which of the following tasks should the nurse assign to a licensed
practical nurse? Answer: Administer a hepatitis B vaccine.
◉ During a staff meeting a unit manager reviews the results for
documenting client education and finds that they are below the
benchmark. Which of the following strategies should the nurse
manager implement first? Answer: Determine factors that interfere
with the documentation of client education.
