LEADERSHIP ATI 2023
LEADERSHIP ATI UPDATE 70+ QUESTIONS AND ANSWERS
A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which
of the following clients is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in the right foot
C. A client who has type 1 diabetes and needs the first dressing change for an ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F - =B. A client who has
peripheral vascular disease and has an absent pulse in the right foot
Which of the following instructions provided by a nurse reflects effective communication
regarding delegation of a task to a CNA?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room 6122'
B. "Check the urinary output at 1100 for John Doe and report it to me immediately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels are significant" -
=B
A client on a general surgical unit tells a nurse that staff members are not answering the call
light properly. The client requests to be transferred to another unit. Which of the following
actions should the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations - =D
A nurse is caring for a client who is recovering from a stroke. The provider recommends an
extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery.
Which of the following actions should the nurse take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses the surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options - =C
A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
B. A CNA documents a client's vitals on the client's paper-based graphic record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records that were requested - =A
A nurse is receiving report from the CNA assigned to the nurse's group of clients. Which of
the following statements from the CNA indicates the client the nurse should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of 0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports inability to void"
D. "The client who is scheduled for discharge today states they are ready to sign their
paperwork" - =C
, A nurse manager is planning an in-service for a group of nurses about caring for clients
following stem cell transplants. Which of the following instructions should the nurse manager
include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms - =D
A nurse is developing a plan of care for a school-age child whose family is homeless. Which
of the following findings should the nurse identify as the priority?
A. The child has red fissures at the corners of their mouth
B. The child has several small bruises on both legs
C. The child sleeps for about 13 hours each night
D. The child is not regularly attending school - =A
A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address
this issue, which of the following actions should the charge nurse take first?
A. Write a memo emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend - =C
A nurse walks into the nurse's station and sees several staff members are looking at the EHR
for a celebrity client on another unit. Which of the following actions should the nurse take
first?
A. Remind the staff members that this is a breach of confidentiality
B. Discuss the issue with the nurse manager
C. Request that an administrative restriction be placed on the client's record access
D. Prepare a memo for the facility ethics committee - =A
A nurse is providing preop teaching for a client who is scheduled for a total knee arthroplasty
and speaks a different language. Which of the following interprofessional team members
should the nurse include in the discussion?
A. Interpreter
B. Social worker
C. Occupational therapist
D. Spiritual advisor - =A
A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty.
Which of the following info can assist the nurse in evaluating the cost effectiveness of the
care?
A. the age of the client
B. the availability of community support groups
C. the length of the client's stay
D. the type of insurance the client carries - =C
A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of
the following actions should the nurse plan to take?
A. assess the client's incision q8 hours for the first 48 hours
B. inform the CNA of the client's weight bearing status
LEADERSHIP ATI UPDATE 70+ QUESTIONS AND ANSWERS
A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which
of the following clients is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in the right foot
C. A client who has type 1 diabetes and needs the first dressing change for an ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F - =B. A client who has
peripheral vascular disease and has an absent pulse in the right foot
Which of the following instructions provided by a nurse reflects effective communication
regarding delegation of a task to a CNA?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room 6122'
B. "Check the urinary output at 1100 for John Doe and report it to me immediately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels are significant" -
=B
A client on a general surgical unit tells a nurse that staff members are not answering the call
light properly. The client requests to be transferred to another unit. Which of the following
actions should the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations - =D
A nurse is caring for a client who is recovering from a stroke. The provider recommends an
extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery.
Which of the following actions should the nurse take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses the surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options - =C
A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
B. A CNA documents a client's vitals on the client's paper-based graphic record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records that were requested - =A
A nurse is receiving report from the CNA assigned to the nurse's group of clients. Which of
the following statements from the CNA indicates the client the nurse should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of 0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports inability to void"
D. "The client who is scheduled for discharge today states they are ready to sign their
paperwork" - =C
, A nurse manager is planning an in-service for a group of nurses about caring for clients
following stem cell transplants. Which of the following instructions should the nurse manager
include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms - =D
A nurse is developing a plan of care for a school-age child whose family is homeless. Which
of the following findings should the nurse identify as the priority?
A. The child has red fissures at the corners of their mouth
B. The child has several small bruises on both legs
C. The child sleeps for about 13 hours each night
D. The child is not regularly attending school - =A
A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address
this issue, which of the following actions should the charge nurse take first?
A. Write a memo emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend - =C
A nurse walks into the nurse's station and sees several staff members are looking at the EHR
for a celebrity client on another unit. Which of the following actions should the nurse take
first?
A. Remind the staff members that this is a breach of confidentiality
B. Discuss the issue with the nurse manager
C. Request that an administrative restriction be placed on the client's record access
D. Prepare a memo for the facility ethics committee - =A
A nurse is providing preop teaching for a client who is scheduled for a total knee arthroplasty
and speaks a different language. Which of the following interprofessional team members
should the nurse include in the discussion?
A. Interpreter
B. Social worker
C. Occupational therapist
D. Spiritual advisor - =A
A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty.
Which of the following info can assist the nurse in evaluating the cost effectiveness of the
care?
A. the age of the client
B. the availability of community support groups
C. the length of the client's stay
D. the type of insurance the client carries - =C
A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of
the following actions should the nurse plan to take?
A. assess the client's incision q8 hours for the first 48 hours
B. inform the CNA of the client's weight bearing status
