ATI RN LEADERSHIP MANAGEMENT PROCTORED EXAM
1. A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching
technique should the nurse use to enhance learning?
a. Lecture
b. Role play
c. Demonstration
d. Question and answer sessions
ANS: B
Affective learning deals with expression of feelings and acceptance of attitudes, beliefs, or values. Role play
and discussion (one-on-one and group) are effective teaching methods for the affective domain. Lecture and
question and answer sessions are effective teaching methods for the cognitive domain. Demonstration is an
effective teaching method for the psychomotor domain.
2. A nurse is describing a patient’s perceived ability to successfully complete a task. Which term should
the nurse use to describe this attribute?
a. Self-efficacy
b. Motivation
c. Attentional set
d. Active participation
ANS: A
Self-efficacy, a concept included in social learning theory, refers to a person’s perceived ability to successfully
complete a task. Motivation is a force that acts on or within a person (e.g., an idea, an emotion, a physical
need) to cause the person to behave in a particular way. An attentional set is the mental state that allows the
learner to focus on and comprehend a learning activity. Learning occurs when the patient is actively involved
in the educational session.
3. A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this
developmental stage?
a. Encourage independent learning.
b. Develop a problem-solving scenario.
c. Wrap a bandage around a stuffed animal’s ear.
d. Use discussion throughout the teaching session.
ANS: C
Use play to teach a procedure or activity (e.g., handling examination equipment, applying a bandage to a doll)
to toddlers. Encouraging independent learning is for the young or middle adult. Use of discussion is for older
children, adolescents, and adults, not for toddlers. Use problem solving to help adolescents make choices.
1
,Problem solving is too advanced for a toddler.
4. A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess
to determine a patient’s ability to learn?
a. Sociocultural background and motivation
b. Stage of grieving and overall physical health
c. Developmental capabilities and physical capabilities
d. Psychosocial adaptation to illness and active participation
ANS: C
Developmental and physical capabilities reflect one’s ability to learn. Sociocultural background and motivation
are factors determining readiness to learn. Psychosocial adaptation to illness and active participation are factors
in readiness to learn. Readiness to learn is related to the stage of grieving. Overall physical health does reflect
ability to learn; however, because it is paired here with stage of grieving (which is a readiness to learn factor),
this is incorrect.
5. A nurse is teaching a patient about heart failure. Which environment will the nurse use?
a. A darkened, quiet room
b. A well-lit, ventilated room
c. A private room at 85° F temperature
d. A group room for 10 to 12 patients with heart failure
ANS: B
The ideal environment for learning is a room that is well lit and has good ventilation, appropriate furniture, and
a comfortable temperature. Although a quiet room is appropriate, a darkened room interferes with the patient’s
ability to watch your actions, especially when demonstrating a skill or using visual aids such as posters or
pamphlets. A room that is cold, hot, or stuffy makes the patient too uncomfortable to focus on the information
being presented. Learning in a group of six or less is more effective and avoids distracting behaviors.
6. Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to
learn?
a. A patient has the ability to grasp and apply the elastic bandage.
A patient has sufficient upper body strength to move from a bed to a
b. wheelchair.
A patient with a below-the-knee amputation is motivated about how to
c. walk with assistive devices.
A patient has normal eyesight to identify the markings on a syringe
d. and coordination to handle a syringe.
ANS: C
Motivation underlies a person’s desire or willingness to learn. Motivation is a force that acts on or within a
person (e.g., an idea, emotion, or a physical need) to cause the person to behave in a particular way. For
example, a patient with a below-the-knee amputation is motivated to learn how to walk with assistive devices,
2
, indicating a readiness to learn. Do not confuse readiness to learn with ability to learn. All the other answers are
examples of ability to learn because this often depends on the patient’s level of physical development and
overall physical health. To learn psychomotor skills, a patient needs to possess a certain level of strength,
coordination, and sensory acuity. For example, it is useless to teach a patient to transfer from a bed to a
wheelchair if he or she has insufficient upper body strength. An older patient with poor eyesight or an inability
to grasp objects tightly cannot learn to apply an elastic bandage or handle a syringe.
7. A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by
the nurse is the priority?
a. Assess laboratory results for high cholesterol and other data.
b. Identify that teaching is the same as the nursing process.
c. Perform nursing care therapies to address hypertension.
d. Focus on a patient’s learning needs and objectives.
ANS: D
The teaching process focuses on the patient’s learning needs, motivation, and ability to learn; writing learning
objectives and goals is also included. Nursing and teaching processes are not the same. Assessing laboratory
results for high cholesterol and performing nursing care therapies are all components of the nursing process,
not the teaching process.
8. A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which
nursing action is most appropriate for assessing this patient’s learning needs?
a. Assess the patient’s total health care needs.
b. Assess the patient’s health literacy.
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1. A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching
technique should the nurse use to enhance learning?
a. Lecture
b. Role play
c. Demonstration
d. Question and answer sessions
ANS: B
Affective learning deals with expression of feelings and acceptance of attitudes, beliefs, or values. Role play
and discussion (one-on-one and group) are effective teaching methods for the affective domain. Lecture and
question and answer sessions are effective teaching methods for the cognitive domain. Demonstration is an
effective teaching method for the psychomotor domain.
2. A nurse is describing a patient’s perceived ability to successfully complete a task. Which term should
the nurse use to describe this attribute?
a. Self-efficacy
b. Motivation
c. Attentional set
d. Active participation
ANS: A
Self-efficacy, a concept included in social learning theory, refers to a person’s perceived ability to successfully
complete a task. Motivation is a force that acts on or within a person (e.g., an idea, an emotion, a physical
need) to cause the person to behave in a particular way. An attentional set is the mental state that allows the
learner to focus on and comprehend a learning activity. Learning occurs when the patient is actively involved
in the educational session.
3. A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this
developmental stage?
a. Encourage independent learning.
b. Develop a problem-solving scenario.
c. Wrap a bandage around a stuffed animal’s ear.
d. Use discussion throughout the teaching session.
ANS: C
Use play to teach a procedure or activity (e.g., handling examination equipment, applying a bandage to a doll)
to toddlers. Encouraging independent learning is for the young or middle adult. Use of discussion is for older
children, adolescents, and adults, not for toddlers. Use problem solving to help adolescents make choices.
1
,Problem solving is too advanced for a toddler.
4. A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess
to determine a patient’s ability to learn?
a. Sociocultural background and motivation
b. Stage of grieving and overall physical health
c. Developmental capabilities and physical capabilities
d. Psychosocial adaptation to illness and active participation
ANS: C
Developmental and physical capabilities reflect one’s ability to learn. Sociocultural background and motivation
are factors determining readiness to learn. Psychosocial adaptation to illness and active participation are factors
in readiness to learn. Readiness to learn is related to the stage of grieving. Overall physical health does reflect
ability to learn; however, because it is paired here with stage of grieving (which is a readiness to learn factor),
this is incorrect.
5. A nurse is teaching a patient about heart failure. Which environment will the nurse use?
a. A darkened, quiet room
b. A well-lit, ventilated room
c. A private room at 85° F temperature
d. A group room for 10 to 12 patients with heart failure
ANS: B
The ideal environment for learning is a room that is well lit and has good ventilation, appropriate furniture, and
a comfortable temperature. Although a quiet room is appropriate, a darkened room interferes with the patient’s
ability to watch your actions, especially when demonstrating a skill or using visual aids such as posters or
pamphlets. A room that is cold, hot, or stuffy makes the patient too uncomfortable to focus on the information
being presented. Learning in a group of six or less is more effective and avoids distracting behaviors.
6. Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to
learn?
a. A patient has the ability to grasp and apply the elastic bandage.
A patient has sufficient upper body strength to move from a bed to a
b. wheelchair.
A patient with a below-the-knee amputation is motivated about how to
c. walk with assistive devices.
A patient has normal eyesight to identify the markings on a syringe
d. and coordination to handle a syringe.
ANS: C
Motivation underlies a person’s desire or willingness to learn. Motivation is a force that acts on or within a
person (e.g., an idea, emotion, or a physical need) to cause the person to behave in a particular way. For
example, a patient with a below-the-knee amputation is motivated to learn how to walk with assistive devices,
2
, indicating a readiness to learn. Do not confuse readiness to learn with ability to learn. All the other answers are
examples of ability to learn because this often depends on the patient’s level of physical development and
overall physical health. To learn psychomotor skills, a patient needs to possess a certain level of strength,
coordination, and sensory acuity. For example, it is useless to teach a patient to transfer from a bed to a
wheelchair if he or she has insufficient upper body strength. An older patient with poor eyesight or an inability
to grasp objects tightly cannot learn to apply an elastic bandage or handle a syringe.
7. A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by
the nurse is the priority?
a. Assess laboratory results for high cholesterol and other data.
b. Identify that teaching is the same as the nursing process.
c. Perform nursing care therapies to address hypertension.
d. Focus on a patient’s learning needs and objectives.
ANS: D
The teaching process focuses on the patient’s learning needs, motivation, and ability to learn; writing learning
objectives and goals is also included. Nursing and teaching processes are not the same. Assessing laboratory
results for high cholesterol and performing nursing care therapies are all components of the nursing process,
not the teaching process.
8. A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which
nursing action is most appropriate for assessing this patient’s learning needs?
a. Assess the patient’s total health care needs.
b. Assess the patient’s health literacy.
3
