LEADERSHIP ATI COMPLETE EXAM STUDY GUIDE WITH
PRACTICE QUESTIONS AND VERIFIED ANSWERS 2025–
2026
A nurse case manager is planning a teaching session on the use of critical pathways with a group
of newly licensed nurses. Which of the following information should the nurse include in the
teaching? - correct answer -Critical pathways prevent unnecessary expense.
A charge nurse is observing a newly licensed nurse care for a client who has a prescription for
application of an aquathermia pad to the right lower leg. Which of the following actions should
indicate to the charge nurse that the nurse understands how to use the device? (Select all that
apply.) - correct answer -***-Asks the client to report if the aquathermia pad gets too warm is
correct. The nurse should instruct the client to report if the aquathermia pad gets too warm
because it can cause client injury.
-Checks the client's leg 30 min after applying the aquathermia pad is incorrect. The nurse should
check the client's leg **15 to 20 min after applying the aquathermia pad to ensure there is no
evidence of complications.
-Shows the client how to adjust the temperature is incorrect. The nurse should not show the
client how to adjust the temperature. Temperature adjustments can result in pain and impaired
circulation.
*****-Ensures that the client's call light is in reach is correct. The nurse should ensure that the
client's call light is in reach as part of basic safety instructions.
-Decreases the temperature by 2.8° C (5° F) if the client's skin becomes reddened is incorrect.
The nurse should monitor the client's skin for increased redness and should discontinue the
aquathermia pad if it is noted. The nurse should report the finding to the provider.
, A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty
buttoning clothing. Which of the following referrals should the nurse recommend for the client?
- correct answer -Occupational therapy.
A charge nurse is evaluating a plan of care that a newly licensed nurse developed for a client
who is to receive a continuous NG tube feeding. Which of the following interventions should the
charge nurse ensure is part of the plan of care? - correct answer --Flush the tube every 8 hr
with 0.9% sodium chloride irrigation.The nurse should flush the tube every 4 hr using 30 to 50
mL of tap water.
-Use an acidic juice to unclog a blocked tube.The nurse should use tap water to unclog a blocked
tube.
-Add dissolved medications to the enteral feeding.The nurse should first dissolve a medication in
30 mL of sterile water. Then, the nurse should stop the enteral feeding, flush the tube with 15 to
30 mL of sterile water, administer the medication, and flush the tube again.
******Use a 60-mL syringe to flush out a clogged tube.MY ANSWERThe nurse should apply
gentle pressure to a 60-mL piston syringe to flush a clogged tube. A smaller syringe will provide
a higher amount of pressure, which can damage the NG tube.
A nurse is assessing a client who is postoperative and has a PCA. The client exhibits restlessness,
an elevated pulse, and decreased blood pressure. Which of the following actions should the
nurse take? - correct answer --Assign an assistive personnel to monitor the client's vital
signs.The client's condition is unstable and warrants assessment by an RN.
-Encourage increased use of the PCA for comfort.The use of the PCA will not treat the cause of
the client's rapid pulse and decreased blood pressure.
PRACTICE QUESTIONS AND VERIFIED ANSWERS 2025–
2026
A nurse case manager is planning a teaching session on the use of critical pathways with a group
of newly licensed nurses. Which of the following information should the nurse include in the
teaching? - correct answer -Critical pathways prevent unnecessary expense.
A charge nurse is observing a newly licensed nurse care for a client who has a prescription for
application of an aquathermia pad to the right lower leg. Which of the following actions should
indicate to the charge nurse that the nurse understands how to use the device? (Select all that
apply.) - correct answer -***-Asks the client to report if the aquathermia pad gets too warm is
correct. The nurse should instruct the client to report if the aquathermia pad gets too warm
because it can cause client injury.
-Checks the client's leg 30 min after applying the aquathermia pad is incorrect. The nurse should
check the client's leg **15 to 20 min after applying the aquathermia pad to ensure there is no
evidence of complications.
-Shows the client how to adjust the temperature is incorrect. The nurse should not show the
client how to adjust the temperature. Temperature adjustments can result in pain and impaired
circulation.
*****-Ensures that the client's call light is in reach is correct. The nurse should ensure that the
client's call light is in reach as part of basic safety instructions.
-Decreases the temperature by 2.8° C (5° F) if the client's skin becomes reddened is incorrect.
The nurse should monitor the client's skin for increased redness and should discontinue the
aquathermia pad if it is noted. The nurse should report the finding to the provider.
, A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty
buttoning clothing. Which of the following referrals should the nurse recommend for the client?
- correct answer -Occupational therapy.
A charge nurse is evaluating a plan of care that a newly licensed nurse developed for a client
who is to receive a continuous NG tube feeding. Which of the following interventions should the
charge nurse ensure is part of the plan of care? - correct answer --Flush the tube every 8 hr
with 0.9% sodium chloride irrigation.The nurse should flush the tube every 4 hr using 30 to 50
mL of tap water.
-Use an acidic juice to unclog a blocked tube.The nurse should use tap water to unclog a blocked
tube.
-Add dissolved medications to the enteral feeding.The nurse should first dissolve a medication in
30 mL of sterile water. Then, the nurse should stop the enteral feeding, flush the tube with 15 to
30 mL of sterile water, administer the medication, and flush the tube again.
******Use a 60-mL syringe to flush out a clogged tube.MY ANSWERThe nurse should apply
gentle pressure to a 60-mL piston syringe to flush a clogged tube. A smaller syringe will provide
a higher amount of pressure, which can damage the NG tube.
A nurse is assessing a client who is postoperative and has a PCA. The client exhibits restlessness,
an elevated pulse, and decreased blood pressure. Which of the following actions should the
nurse take? - correct answer --Assign an assistive personnel to monitor the client's vital
signs.The client's condition is unstable and warrants assessment by an RN.
-Encourage increased use of the PCA for comfort.The use of the PCA will not treat the cause of
the client's rapid pulse and decreased blood pressure.
