ATI LEADERSHIP RN VERSION C STUDY GUIDE
2026 COMPREHENSIVE ANSWERS ALREADY
PASSED
◉ A charge nurse in an ED is making assignments for an AP during a
shift w/ unexpected staff absences. Which of the following
assignments should the charge give to a float AP from the med surg
unit?
A. escorting pts from the ED to other areas of the facility for tests
B. sitting at the reception desk answering telephones & directing pts
C. restocking the exam rooms after each pt is discharged
D. shadowing an AP who is regularly assigned to the ED. Answer: A.
escorting pts from the ED to other areas of the facility for tests
Rationales...
Pts in the ED often require transport to other departments.
Typically, transporting stable pts is a task that may be delegated to
an AP, & escorting pts is likely a normal part of the AP's regular
routine
,◉ A nurse is planning care for several pts. Which of the following pts
should the nurse refer to a case manager?
A. a pt who has neurological deficits following a stroke
B. a married female pt who has delivered a full-term newborn
C. a pt who is postop following a cholecystectomy
D. a child who has a fracture of the dominant arm. Answer: A. a pt
who has neurological deficits following a stroke
Rationales...
The nurse should refer this pt to the cast manager for care. A pt who
had a stroke will likely require long-term tx. A pt who has ongoing
needs for care / rehab should receive care that is directed by a case
manager due to the complexity & cost of the pt's needs
B. if no complications / social concerns exist, the delivery of a full-
term newborn does not require case management
C. as long as no complications occur, this procedure does not require
a case management approach
,D. a child who has a fractured arm does not require a case
management approach unless there is evidence that some other
pathology precipitated the fracture
◉ A nurse is caring for a post op pt who has an Hgb of 8.0 g/dL. The
nurse delegates the admin of a unit of packed RBCs to a nurse
floating from a psychiatric unit who is unfamiliar w/ blood admin.
Which of the following actions should the float nurse take?
A. call the provider to clarify the prescription for administering the
unit of packed RBCs
B. hang the unit of blood if the charge nurse agrees to be a resource
C. question the nurse regarding this prescription due to the pt's
reported Hgb level
D. decline to hand the blood. Answer: D. decline to hand the blood
Rationales..
The nurse has a legal duty to decline tasks that cannot be performed
safely & competently. A float nurse from a psychiatric unit would not
be familiar w/ the current policy regarding blood admin, & this
nurse has limited experience w/ this procedure. The tasks should be
assigned to another nurse
, A. the nurse does not need to call the provided to clarify the
prescription, which is appropriate for a pt w/ this Hgb level
B. the nurse should accept tasks that can be preformed safely &
competently
C. the pt's Hgb is below the expected range & transfusions are
appropriate
◉ A nurse is providing teaching to a pt about organ donation. Which
of the following statements by the pt indicates an understanding of
the teaching?
A. people age 18 & over have the right to decide to make an organ
donation
B. I have to make organ donation a provision in my will
C. once I decide to donate, I cannot change that decision
D. a family member has to serve as a witness for me to be an organ
donor. Answer: A. people age 18 & over have the right to decide to
make an organ donation
Rationales...
2026 COMPREHENSIVE ANSWERS ALREADY
PASSED
◉ A charge nurse in an ED is making assignments for an AP during a
shift w/ unexpected staff absences. Which of the following
assignments should the charge give to a float AP from the med surg
unit?
A. escorting pts from the ED to other areas of the facility for tests
B. sitting at the reception desk answering telephones & directing pts
C. restocking the exam rooms after each pt is discharged
D. shadowing an AP who is regularly assigned to the ED. Answer: A.
escorting pts from the ED to other areas of the facility for tests
Rationales...
Pts in the ED often require transport to other departments.
Typically, transporting stable pts is a task that may be delegated to
an AP, & escorting pts is likely a normal part of the AP's regular
routine
,◉ A nurse is planning care for several pts. Which of the following pts
should the nurse refer to a case manager?
A. a pt who has neurological deficits following a stroke
B. a married female pt who has delivered a full-term newborn
C. a pt who is postop following a cholecystectomy
D. a child who has a fracture of the dominant arm. Answer: A. a pt
who has neurological deficits following a stroke
Rationales...
The nurse should refer this pt to the cast manager for care. A pt who
had a stroke will likely require long-term tx. A pt who has ongoing
needs for care / rehab should receive care that is directed by a case
manager due to the complexity & cost of the pt's needs
B. if no complications / social concerns exist, the delivery of a full-
term newborn does not require case management
C. as long as no complications occur, this procedure does not require
a case management approach
,D. a child who has a fractured arm does not require a case
management approach unless there is evidence that some other
pathology precipitated the fracture
◉ A nurse is caring for a post op pt who has an Hgb of 8.0 g/dL. The
nurse delegates the admin of a unit of packed RBCs to a nurse
floating from a psychiatric unit who is unfamiliar w/ blood admin.
Which of the following actions should the float nurse take?
A. call the provider to clarify the prescription for administering the
unit of packed RBCs
B. hang the unit of blood if the charge nurse agrees to be a resource
C. question the nurse regarding this prescription due to the pt's
reported Hgb level
D. decline to hand the blood. Answer: D. decline to hand the blood
Rationales..
The nurse has a legal duty to decline tasks that cannot be performed
safely & competently. A float nurse from a psychiatric unit would not
be familiar w/ the current policy regarding blood admin, & this
nurse has limited experience w/ this procedure. The tasks should be
assigned to another nurse
, A. the nurse does not need to call the provided to clarify the
prescription, which is appropriate for a pt w/ this Hgb level
B. the nurse should accept tasks that can be preformed safely &
competently
C. the pt's Hgb is below the expected range & transfusions are
appropriate
◉ A nurse is providing teaching to a pt about organ donation. Which
of the following statements by the pt indicates an understanding of
the teaching?
A. people age 18 & over have the right to decide to make an organ
donation
B. I have to make organ donation a provision in my will
C. once I decide to donate, I cannot change that decision
D. a family member has to serve as a witness for me to be an organ
donor. Answer: A. people age 18 & over have the right to decide to
make an organ donation
Rationales...
