ATI RN LEADERSHIP PROCTORED EXAM 2020
VERSION 1
A nurse is reviewing a client's medication administration record and finds that the client has not
received a prescribed dose of warfarin for 2 days. which of the following actions should the nurse take
first? - ANSWER-Check the client's INR.
A nurse manager is presenting an in-service about preventing readmission of clients dues to
complications following joint arthroplasty. Which of the following leadership tasks is the nurse
performing? - ANSWER-Advocay
a nurse is teaching an AP about caring for a client who has a DNR order. Which of the following
statements by the AP indicates an understanding of the teaching? - ANSWER-"I will call for the client's
nurse to come to the room if I cannot detect the client's pulse."
The AP should contact the nurse for further assessment whenever a client's condition does not meet
expected findings. The client who has a DNR order in place does not require resuscitation.
A nurse is caring for four clients. Which of the following tasks can the nurse assign to an AP? -
ANSWER-Perform chest compressions on a client who is in cardiac arrest.
The nurse should assign an AP to perform chest compressions on a client who is in cardiac arrest.
Performing basic CPR is within an AP's range of function.
A Nurse is teaching a newly licensed nurse about using electronic medical records. which of the
following statements by the newly licensed nurse indicated an understanding of the teaching? -
ANSWER-"My access to client electronic medical records may be tracked by my nurse manager."
The nurse should keep her password private and not share it with anyone else to decrease the risk for
a breach of client confidentiality.The nurse should expect her employer to track access of client
records to ensure client confidentiality.While a client has the right to read his medical record, and the
nurse can allow him to do so by following facility protocol, a client's partner does not have that right
unless granted by the client.The nurse should log out of the electronic medical record when not
actively using it. Failure to log out increases the risk for breach of client confidentiality.
a nurse is receiving change-of-shift report. which of the following clients should the nurse assess first?
- ANSWER-A client who had abdominal surgery 6 hours ago and had a heart rate of 120/min for the
last 2 hours.
A RN delegates the task of obtaining the bp of a client who is 2hr post-op following a cholecystectomy
to a LPN. The LPN reports a BP that is significantly higher than the clients previous reading. which of
the following actions should the RN take first? - ANSWER-Recheck client's BP
A public health nurse is developing a list of recommendations for her supervisior on how to use EBP
to improve community outcomes. Which of the following should the nurse recommend as a
qualitative research method? - ANSWER-Phenomenology
Meta-analysis is a quantitative research method that provides a statistical analysis of multiple studies
conducted on the same topic.Experimental study is a quantitative research method that uses control
and treatment groups to test at least one independent variable.Phenomenology is a qualitative
research method that provides additional understanding of participants' experiences with emotional
, variances, such as grief and hope.Secondary analysis is a quantitative research method that uses
previously collected data to answer newly formed hypotheses.
A nurse at a urgent care clinic notices that a pain assessment is not being performed for all clients as
required by policy. Which of the following actions should the nurse take to ensure care is provided
according to policy? - ANSWER-Report this issue to the nurse manager.
The nurse should report this issue to the nurse manager because it is the manager's responsibility to
ensure that standards are met and that care is provided according to policy.
A nurse is teaching a client about advance directives. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER-"These will outline my wishes for medication
treatment."
The purpose of advance directives is to outline the client's wishes if they become unresponsive
A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client
states that he does not plan to tell his adult children about the dx. Which of the following responses
displays clients advocacy by the nurse? - ANSWER-"Let's review what you understand about this test
result."
The nurse should use therapeutic communication techniques to encourage the client to share his
point of view and to convey respect for the client's decisions. By seeking to understand the client's
perceptions in a nonjudgmental manner, the nurse is displaying client advocacy.
A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. which of
the following statements should the nurse make? - ANSWER-"Let's talk about the benefits of each
treatment."
Talking about the benefits of each treatment option supports the right of the client to make decisions
regarding treatment and encourages comparison of the treatments.
A nurse in a community health clinic is caring for four clients who each have a communicable disease.
Which of the following conditions is considered a nationally notifiable infectious disease? - ANSWER-
Chlamydia trachomatis
According to the Centers for Disease Control and Prevention, Chlamydia trachomatis is a nationally
notifiable infectious disease in all 51 jurisdictions. The nurse should notify the state health
department, which monitors and controls communicable diseases.
A staff nurse detects alcohol on the breath of another nurse working on the unit. The staff nurse
observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions
should the nurse take? - ANSWER-Notify the charge nurse of the nurse's behavior.
The charge nurse is responsible for the performance of the nurses on the shift; therefore, the staff
nurse should follow the chain of command and notify the charge nurse about the nurse's behavior.
A nurse overhears two staff members in the facility elevator discussing a clients care. which of the
following actions should the nurse take? - ANSWER-Report the incident to the nurse manager.
A Nurse manager is reviewing the stages of conflict resolutions with the nursing staff. The nurse
manager should instruct the staff to expect the stages of conflict to occur in what order? STEPs: -
ANSWER-1. Latent Conflict.
2. Perceived Conflict
3. Felt Conflict
4. Manifest Conflict.
5. Conflict Aftermath
VERSION 1
A nurse is reviewing a client's medication administration record and finds that the client has not
received a prescribed dose of warfarin for 2 days. which of the following actions should the nurse take
first? - ANSWER-Check the client's INR.
A nurse manager is presenting an in-service about preventing readmission of clients dues to
complications following joint arthroplasty. Which of the following leadership tasks is the nurse
performing? - ANSWER-Advocay
a nurse is teaching an AP about caring for a client who has a DNR order. Which of the following
statements by the AP indicates an understanding of the teaching? - ANSWER-"I will call for the client's
nurse to come to the room if I cannot detect the client's pulse."
The AP should contact the nurse for further assessment whenever a client's condition does not meet
expected findings. The client who has a DNR order in place does not require resuscitation.
A nurse is caring for four clients. Which of the following tasks can the nurse assign to an AP? -
ANSWER-Perform chest compressions on a client who is in cardiac arrest.
The nurse should assign an AP to perform chest compressions on a client who is in cardiac arrest.
Performing basic CPR is within an AP's range of function.
A Nurse is teaching a newly licensed nurse about using electronic medical records. which of the
following statements by the newly licensed nurse indicated an understanding of the teaching? -
ANSWER-"My access to client electronic medical records may be tracked by my nurse manager."
The nurse should keep her password private and not share it with anyone else to decrease the risk for
a breach of client confidentiality.The nurse should expect her employer to track access of client
records to ensure client confidentiality.While a client has the right to read his medical record, and the
nurse can allow him to do so by following facility protocol, a client's partner does not have that right
unless granted by the client.The nurse should log out of the electronic medical record when not
actively using it. Failure to log out increases the risk for breach of client confidentiality.
a nurse is receiving change-of-shift report. which of the following clients should the nurse assess first?
- ANSWER-A client who had abdominal surgery 6 hours ago and had a heart rate of 120/min for the
last 2 hours.
A RN delegates the task of obtaining the bp of a client who is 2hr post-op following a cholecystectomy
to a LPN. The LPN reports a BP that is significantly higher than the clients previous reading. which of
the following actions should the RN take first? - ANSWER-Recheck client's BP
A public health nurse is developing a list of recommendations for her supervisior on how to use EBP
to improve community outcomes. Which of the following should the nurse recommend as a
qualitative research method? - ANSWER-Phenomenology
Meta-analysis is a quantitative research method that provides a statistical analysis of multiple studies
conducted on the same topic.Experimental study is a quantitative research method that uses control
and treatment groups to test at least one independent variable.Phenomenology is a qualitative
research method that provides additional understanding of participants' experiences with emotional
, variances, such as grief and hope.Secondary analysis is a quantitative research method that uses
previously collected data to answer newly formed hypotheses.
A nurse at a urgent care clinic notices that a pain assessment is not being performed for all clients as
required by policy. Which of the following actions should the nurse take to ensure care is provided
according to policy? - ANSWER-Report this issue to the nurse manager.
The nurse should report this issue to the nurse manager because it is the manager's responsibility to
ensure that standards are met and that care is provided according to policy.
A nurse is teaching a client about advance directives. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER-"These will outline my wishes for medication
treatment."
The purpose of advance directives is to outline the client's wishes if they become unresponsive
A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client
states that he does not plan to tell his adult children about the dx. Which of the following responses
displays clients advocacy by the nurse? - ANSWER-"Let's review what you understand about this test
result."
The nurse should use therapeutic communication techniques to encourage the client to share his
point of view and to convey respect for the client's decisions. By seeking to understand the client's
perceptions in a nonjudgmental manner, the nurse is displaying client advocacy.
A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. which of
the following statements should the nurse make? - ANSWER-"Let's talk about the benefits of each
treatment."
Talking about the benefits of each treatment option supports the right of the client to make decisions
regarding treatment and encourages comparison of the treatments.
A nurse in a community health clinic is caring for four clients who each have a communicable disease.
Which of the following conditions is considered a nationally notifiable infectious disease? - ANSWER-
Chlamydia trachomatis
According to the Centers for Disease Control and Prevention, Chlamydia trachomatis is a nationally
notifiable infectious disease in all 51 jurisdictions. The nurse should notify the state health
department, which monitors and controls communicable diseases.
A staff nurse detects alcohol on the breath of another nurse working on the unit. The staff nurse
observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions
should the nurse take? - ANSWER-Notify the charge nurse of the nurse's behavior.
The charge nurse is responsible for the performance of the nurses on the shift; therefore, the staff
nurse should follow the chain of command and notify the charge nurse about the nurse's behavior.
A nurse overhears two staff members in the facility elevator discussing a clients care. which of the
following actions should the nurse take? - ANSWER-Report the incident to the nurse manager.
A Nurse manager is reviewing the stages of conflict resolutions with the nursing staff. The nurse
manager should instruct the staff to expect the stages of conflict to occur in what order? STEPs: -
ANSWER-1. Latent Conflict.
2. Perceived Conflict
3. Felt Conflict
4. Manifest Conflict.
5. Conflict Aftermath
