ATI Leadership, leadership 1, Leadership 2 version, leadership 7 version exam Prep
Questions and Answers
1. A nurse tells the unit manager, "I am tired of all the "So you are up-
changes on the unit. If things don't get better, I'm set about all the
going to quit." Which of the following responses by changes on the
the unit manager is appropriate? unit?"
2. A charge nurse notices that two staff nurses are not Determine the rea-
taking meal breaks during their shifts. Which of the sons the nurses are
following actions should the nurse take first? not taking scheduled
breaks.
3. A client has a new permanent pacemaker insert- Regular program-
ed. Which of the following home care instructions ming evaluations
should the nurse include? can be conducted by
telephone
4. A nurse manager is reviewing isolation guidelines I will wear a cov-
with a newly licensed nurse indicates an under- er gown when caring
standing of the teaching? for a client who has
herpes simplex.
5. A staff nurse is supervising a newly licensed nurse Checking residual
who is preparing to administer an intermittent tube volume before each
feeding to a client. Which of the following actions feeding
by the newly licensed nurse is appropriate?
6. A nurse is preparing an education program about A code of ethics a set
professional codes of ethics for nurses. Which of of principles for nurs-
the following information should the nurse plan to ing practice
include?
7. The nurse receives change-of-shift report for the An older adult client
following 4 clients. Which patient should the nurse who has bacterial
assess first? pneumonia and a
new onset of rest-
lessness
8. A charge nurse is assessing staff knowledge about "An incident report
safety procedures regarding needle stick injuries. should be completed
Which of the following statements by a nurse in- if a client receives a
,ATI Leadership, leadership 1, Leadership 2 version, leadership 7 version exam Prep
Questions and Answers
dicates appropriate understanding of these safety stick from her own
procedures? used needle"
9. A case manager is reviewing documentation on Libel
several clients and notes a progress report that
falsely identifies a client as HIV+ due to multiple
sexual partners. The CM should identify that which
of the following torts has occurred?
10. A charge nurse making rounds observes that an Remove restraints
AP has applied wrist restraints to a client who is
agitated and does not have a prescription for re-
straints. Which of the following actions should the
nurse take first?
11. To resolve a conflict between staff members re- Competing
garding potential changes in policy, a nurse man-
ager decides to implement the changes she prefers
regardless of the feelings of those who oppose
those changes. Which of the following conflict res-
olution strategies is the nurse manager using?
12. A nurse is caring for a client and notices fraying on Remove IV pump
the electrical cord of the client's IV pump. Which of from the client's
the following actions is priority? room
13. A nurse is providing discharge teaching to the par- Social worker
ent of a toddler who has a new diagnosis of asth-
ma. The parent states that she is unable to afford
the nebulizer prescribed for the child. Which of the
following referrals should the nurse recommend?
14. A charge nurse is completing client care assign- A client who is
ments. Which of the following assignments is ap- 1 day postoperative
propriate for a LPN? and has a contin-
uous bladder irriga-
tion
15.15.
,ATI Leadership, leadership 1, Leadership 2 version, leadership 7 version exam Prep
Questions and Answers
A nurse is caring for a client who is comatose Inform the partner
and has advanced directives designating his adult that the staff must
daughter as his healthy proxy. The client's partner follow the client's ad-
instructs the nurse to institute CPR if the client vance directives
experiences cardiac arrest. Which of the following
actions should the nurse take first?
16. A L&D nurse is assigned to float to a med-surg unit. Request orientation
Which of the following actions should the nurse to the med-surg unit
take first?
17. A nurse in the ED is preparing a married 17 y/o Have the client sign
client for an appendectomy. The client's parents are the consent form af-
enroute to the facility but have not spoken with the ter the surgeon ex-
surgeon. Which of the following actions should the plains the proce-
nurse take first? dure.
18. Client satisfaction surveys from a surgical unit in- Pain assessment
dicate that pain is not being adequately relieved policy
during the first 12 hours postoperatively. The unit
manager decides to identify postoperative pain as
a quality indicator. Which of the following data
sources will be helpful in determining the reason
why clients are not receiving adequate pain man-
agement after surgery?
19. A nurse manager is reviewing the nursing code of "I can delegate the
ethics with the staff nurses. Which of the following removal of an IV
statements by a staff nurse indicate understanding catheter to an LPN
of the teaching? SATA: on the unit"
"I will attend continu-
ing education class-
es for professional
growth."
"I administer pain
medication to my
clients even if they
, ATI Leadership, leadership 1, Leadership 2 version, leadership 7 version exam Prep
Questions and Answers
have a history of nar-
cotic addiction."
20. A nurse on a surgical unit is preparing to transfer The time the client
a client to a rehab facility. Which of the follow- received his last
ing information should the nurse include in the dose of pain medica-
change-of-shift report? tion
21. A nurse on a med-surg unit is delegating client Using a pain rating
care. Which of the following tasks should the nurse scale to monitor a
delegate to the AP? client's pain leve
22. A nurse on a med-surg unit is making staff as- Pouching a client's
signments. Which of the following tasks should the established ostomy
nurse delegate to an AP?
23. A charge nurse is reviewing how to set up a ster- "I will keep the label
ile field with a newly licensed nurse. Which of the of the solution bottle
following statements by the newly licensed nurse facing up when pour-
indicates an understanding of the process? ing solution into the
sterile cup"
24. A nurse is providing care for 4 post-op clients. The Whose pulse has
nurse should first assess the client - been steadily in-
creasing during the
past shift
25. A charge nurse overhears a provider and a nurse Remind them that
talking about a client's diagnosis in the cafeteria. client information is
Which of the following actions should the nurse confidential
take first?
26. A facility provides annual staff education regarding A nurse explains to
ethical practice. A charge nurse recognizes a need a client's family that
for further education when which of the following a DNR oder includes
behaviors is observed? withholding comfort
measures
27. The client
Questions and Answers
1. A nurse tells the unit manager, "I am tired of all the "So you are up-
changes on the unit. If things don't get better, I'm set about all the
going to quit." Which of the following responses by changes on the
the unit manager is appropriate? unit?"
2. A charge nurse notices that two staff nurses are not Determine the rea-
taking meal breaks during their shifts. Which of the sons the nurses are
following actions should the nurse take first? not taking scheduled
breaks.
3. A client has a new permanent pacemaker insert- Regular program-
ed. Which of the following home care instructions ming evaluations
should the nurse include? can be conducted by
telephone
4. A nurse manager is reviewing isolation guidelines I will wear a cov-
with a newly licensed nurse indicates an under- er gown when caring
standing of the teaching? for a client who has
herpes simplex.
5. A staff nurse is supervising a newly licensed nurse Checking residual
who is preparing to administer an intermittent tube volume before each
feeding to a client. Which of the following actions feeding
by the newly licensed nurse is appropriate?
6. A nurse is preparing an education program about A code of ethics a set
professional codes of ethics for nurses. Which of of principles for nurs-
the following information should the nurse plan to ing practice
include?
7. The nurse receives change-of-shift report for the An older adult client
following 4 clients. Which patient should the nurse who has bacterial
assess first? pneumonia and a
new onset of rest-
lessness
8. A charge nurse is assessing staff knowledge about "An incident report
safety procedures regarding needle stick injuries. should be completed
Which of the following statements by a nurse in- if a client receives a
,ATI Leadership, leadership 1, Leadership 2 version, leadership 7 version exam Prep
Questions and Answers
dicates appropriate understanding of these safety stick from her own
procedures? used needle"
9. A case manager is reviewing documentation on Libel
several clients and notes a progress report that
falsely identifies a client as HIV+ due to multiple
sexual partners. The CM should identify that which
of the following torts has occurred?
10. A charge nurse making rounds observes that an Remove restraints
AP has applied wrist restraints to a client who is
agitated and does not have a prescription for re-
straints. Which of the following actions should the
nurse take first?
11. To resolve a conflict between staff members re- Competing
garding potential changes in policy, a nurse man-
ager decides to implement the changes she prefers
regardless of the feelings of those who oppose
those changes. Which of the following conflict res-
olution strategies is the nurse manager using?
12. A nurse is caring for a client and notices fraying on Remove IV pump
the electrical cord of the client's IV pump. Which of from the client's
the following actions is priority? room
13. A nurse is providing discharge teaching to the par- Social worker
ent of a toddler who has a new diagnosis of asth-
ma. The parent states that she is unable to afford
the nebulizer prescribed for the child. Which of the
following referrals should the nurse recommend?
14. A charge nurse is completing client care assign- A client who is
ments. Which of the following assignments is ap- 1 day postoperative
propriate for a LPN? and has a contin-
uous bladder irriga-
tion
15.15.
,ATI Leadership, leadership 1, Leadership 2 version, leadership 7 version exam Prep
Questions and Answers
A nurse is caring for a client who is comatose Inform the partner
and has advanced directives designating his adult that the staff must
daughter as his healthy proxy. The client's partner follow the client's ad-
instructs the nurse to institute CPR if the client vance directives
experiences cardiac arrest. Which of the following
actions should the nurse take first?
16. A L&D nurse is assigned to float to a med-surg unit. Request orientation
Which of the following actions should the nurse to the med-surg unit
take first?
17. A nurse in the ED is preparing a married 17 y/o Have the client sign
client for an appendectomy. The client's parents are the consent form af-
enroute to the facility but have not spoken with the ter the surgeon ex-
surgeon. Which of the following actions should the plains the proce-
nurse take first? dure.
18. Client satisfaction surveys from a surgical unit in- Pain assessment
dicate that pain is not being adequately relieved policy
during the first 12 hours postoperatively. The unit
manager decides to identify postoperative pain as
a quality indicator. Which of the following data
sources will be helpful in determining the reason
why clients are not receiving adequate pain man-
agement after surgery?
19. A nurse manager is reviewing the nursing code of "I can delegate the
ethics with the staff nurses. Which of the following removal of an IV
statements by a staff nurse indicate understanding catheter to an LPN
of the teaching? SATA: on the unit"
"I will attend continu-
ing education class-
es for professional
growth."
"I administer pain
medication to my
clients even if they
, ATI Leadership, leadership 1, Leadership 2 version, leadership 7 version exam Prep
Questions and Answers
have a history of nar-
cotic addiction."
20. A nurse on a surgical unit is preparing to transfer The time the client
a client to a rehab facility. Which of the follow- received his last
ing information should the nurse include in the dose of pain medica-
change-of-shift report? tion
21. A nurse on a med-surg unit is delegating client Using a pain rating
care. Which of the following tasks should the nurse scale to monitor a
delegate to the AP? client's pain leve
22. A nurse on a med-surg unit is making staff as- Pouching a client's
signments. Which of the following tasks should the established ostomy
nurse delegate to an AP?
23. A charge nurse is reviewing how to set up a ster- "I will keep the label
ile field with a newly licensed nurse. Which of the of the solution bottle
following statements by the newly licensed nurse facing up when pour-
indicates an understanding of the process? ing solution into the
sterile cup"
24. A nurse is providing care for 4 post-op clients. The Whose pulse has
nurse should first assess the client - been steadily in-
creasing during the
past shift
25. A charge nurse overhears a provider and a nurse Remind them that
talking about a client's diagnosis in the cafeteria. client information is
Which of the following actions should the nurse confidential
take first?
26. A facility provides annual staff education regarding A nurse explains to
ethical practice. A charge nurse recognizes a need a client's family that
for further education when which of the following a DNR oder includes
behaviors is observed? withholding comfort
measures
27. The client
