ATI Leadership A & B EXAM QUESTIONS AND
ANSWERS
1. A client is considering having a tubal ligation and reports being uncertain
about if it is the right thing to do. Which of the following actions should the
nurse take?: Discuss the client's feelings about the procedure.
2. A nurse on a mental health unit is teaching a newly licensed nurse about
client rights. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?: "Clients on a mental health unit
can refuse their medication."
3. A nurse is receiving report from the assistive personnel (AP) assigned
to the nurse's group of clients. Which of the following statements from the
AP indicates the client the nurse should assess first: "The client who had an
indwelling urinary catheter removed 8 hr ago reports an inability to void."
4. A nurse manager needs to address an increased rate of client medica-
tions errors. Which of the following strategies represents an authoritarian
approach to managing this issue?: Inform the staff of the penalties that can
result from medication errors.
5. A charge nurse is preparing to observe a newly licensed nurse perform a
routine abdominal assessment. Which of following actions should the charge
nurse expect the newly licensed nurse to take?: Place the client in a dorsal
recumbent position for the examination.
6. A nurse is caring for a client who reports vomiting and diarrhea for the
past 6 hr. The nurse should identify that which of the following assessments
is the priority?: Obtain the client's serum potassium level.
7. An AP tells a charge nurse that it is unfair that they have to take care of
all the client who are incontinent. Which of the following responses should
the charge nurse make?: "I delegate tasks to personnel based on their job
descriptions."
8. A nurse is observing a newly licensed nurse perform a sterile dressing
change on a client who has a central venous catheter. Which of the following
actions should the newly licensed nurse take?: Pick up the first sterile glove by
grasping the folded cuff edge.
9. A nurse is reviewing a client's clinical pathway upon discharge following
hip arthroplasty. Which of the following information can assist the nurse in
evaluating the cost effectiveness of the care?: The length of the client's stay
10. A charge nurse is observing a newly licensed nurse's use of time-man-
agement skills. Which of the following actions by the newly licensed nurse
indicates effective use of this skill?: Groups tasks that are in the same location
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, ATI Leadership A & B EXAM QUESTIONS AND
ANSWERS
11. A nurse in an emergency department is admitting clients following an
earthquake. The emergency disaster plan has been implemented due to the
anticipated arrival of a large number of casualties. Which of the following
clients should the nurse recommend the provider evaluate first?: A client who
has a sucking chest wound
12. A nurse manager is teaching about confidentiality requirements to the
staff. Which of the following staff comments indicates an understanding of
the teaching?: "Change-of-shift report can be given at the client's bedside."
13. A nurse on a medical-surgical unit caring for four clients. The nurse
should recognize that which of the following clients is the priority?: A client
who has peripheral vascular disease and has an absent pulse in the right foot
14. A nurse is reviewing safe use of a wheelchair with a group of assistive
personnel. Which of following instructions should the nurse include?: Raise
the footplates of the wheelchair before transferring the client.
15. A nurse asks a newly hired assistive personnel (AP) to remove a client's
indwelling urinary catheter. Which of the following actions should the nurse
take to ensure the AP is qualified to perform this task?: Review the AP's skill
competency checklist.
16. A nurse on a medical-surgical unit is caring for client transferred from an-
other department. The nurse should verify that the client has given informed
consent prior to which of the following procedures?: Receiving moderate
sedation
17. A nurse is caring for a client who is hospitalized and has expressive
aphasia. The client's family reports that the nurse failed to obtain written
informed consent before inserting an indwelling urinary catheter. Which of
the following responses should the nurse make?: "This is a procedure that
does not require written informed consent."
18. A nurse is caring for a client who is scheduled for outpatient surgery.
Which of the following actions should the nurse take to verify the client
gave informed consent?: Ask the client to explain the procedure that is being
performed.
19. A nurse from a medical unit is asked to work on an orthopedic unit.
The medical nurse has no orthopedic experience. Which of the following
clients should be assigned to the medical nurse?: A client who had a right
above-the-knee amputation 24 hr ago
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ANSWERS
1. A client is considering having a tubal ligation and reports being uncertain
about if it is the right thing to do. Which of the following actions should the
nurse take?: Discuss the client's feelings about the procedure.
2. A nurse on a mental health unit is teaching a newly licensed nurse about
client rights. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?: "Clients on a mental health unit
can refuse their medication."
3. A nurse is receiving report from the assistive personnel (AP) assigned
to the nurse's group of clients. Which of the following statements from the
AP indicates the client the nurse should assess first: "The client who had an
indwelling urinary catheter removed 8 hr ago reports an inability to void."
4. A nurse manager needs to address an increased rate of client medica-
tions errors. Which of the following strategies represents an authoritarian
approach to managing this issue?: Inform the staff of the penalties that can
result from medication errors.
5. A charge nurse is preparing to observe a newly licensed nurse perform a
routine abdominal assessment. Which of following actions should the charge
nurse expect the newly licensed nurse to take?: Place the client in a dorsal
recumbent position for the examination.
6. A nurse is caring for a client who reports vomiting and diarrhea for the
past 6 hr. The nurse should identify that which of the following assessments
is the priority?: Obtain the client's serum potassium level.
7. An AP tells a charge nurse that it is unfair that they have to take care of
all the client who are incontinent. Which of the following responses should
the charge nurse make?: "I delegate tasks to personnel based on their job
descriptions."
8. A nurse is observing a newly licensed nurse perform a sterile dressing
change on a client who has a central venous catheter. Which of the following
actions should the newly licensed nurse take?: Pick up the first sterile glove by
grasping the folded cuff edge.
9. A nurse is reviewing a client's clinical pathway upon discharge following
hip arthroplasty. Which of the following information can assist the nurse in
evaluating the cost effectiveness of the care?: The length of the client's stay
10. A charge nurse is observing a newly licensed nurse's use of time-man-
agement skills. Which of the following actions by the newly licensed nurse
indicates effective use of this skill?: Groups tasks that are in the same location
1/7
, ATI Leadership A & B EXAM QUESTIONS AND
ANSWERS
11. A nurse in an emergency department is admitting clients following an
earthquake. The emergency disaster plan has been implemented due to the
anticipated arrival of a large number of casualties. Which of the following
clients should the nurse recommend the provider evaluate first?: A client who
has a sucking chest wound
12. A nurse manager is teaching about confidentiality requirements to the
staff. Which of the following staff comments indicates an understanding of
the teaching?: "Change-of-shift report can be given at the client's bedside."
13. A nurse on a medical-surgical unit caring for four clients. The nurse
should recognize that which of the following clients is the priority?: A client
who has peripheral vascular disease and has an absent pulse in the right foot
14. A nurse is reviewing safe use of a wheelchair with a group of assistive
personnel. Which of following instructions should the nurse include?: Raise
the footplates of the wheelchair before transferring the client.
15. A nurse asks a newly hired assistive personnel (AP) to remove a client's
indwelling urinary catheter. Which of the following actions should the nurse
take to ensure the AP is qualified to perform this task?: Review the AP's skill
competency checklist.
16. A nurse on a medical-surgical unit is caring for client transferred from an-
other department. The nurse should verify that the client has given informed
consent prior to which of the following procedures?: Receiving moderate
sedation
17. A nurse is caring for a client who is hospitalized and has expressive
aphasia. The client's family reports that the nurse failed to obtain written
informed consent before inserting an indwelling urinary catheter. Which of
the following responses should the nurse make?: "This is a procedure that
does not require written informed consent."
18. A nurse is caring for a client who is scheduled for outpatient surgery.
Which of the following actions should the nurse take to verify the client
gave informed consent?: Ask the client to explain the procedure that is being
performed.
19. A nurse from a medical unit is asked to work on an orthopedic unit.
The medical nurse has no orthopedic experience. Which of the following
clients should be assigned to the medical nurse?: A client who had a right
above-the-knee amputation 24 hr ago
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