ATI Leadership Proctored COMPREHENSIVE EXAM
High-Achiever’s Exam Toolkit | Solved Examples, Key Concepts, and Expert Tips
for Better Grades
1. A nurse is reviewing the electronic medical record on clients following the implementation of
a quality improvement plan to reduce health care associated infections on a medical surgical
unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Exhibit 2:
Client 2 Diagnosis: Pneumonia
Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE. - Clients 2, 3, 5
2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1 action that the nurse
manager should take first.
o Schedule a meeting with the employee to address the occurrence within 24 hr.
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use will not be tolerated. -
Remove the employee from the work environment.
,3. A nurse is triaging a group of clients as they arrive simultaneously in the emergency
department following a nearby bus crash.
Which of the following clients should the nurse transfer to the three available trauma rooms?
Select the 3 clients to transfer for immediate treatment. - Client 4,5,6
4. A charge nurse on a mental health unit is receiving change of shift report for a group of
clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700
to 1900 and is reviewing client care: assignments.
Complete the following sentence by using the lists of options.
The charge nurse should first assess __________ due to ______________ and ___________ -
The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and DELUSIONS
5. An infectious disease nurse is reviewing electronic medical records on a group of clients.
Select 4 clients whose diagnosis should be reported to the health department.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis) - Clients 1, 2, 4, 6
6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
, o Legal assistance
o Respite care
o Social worker - Hospice care, Respite care, Social worker
7. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump.
Which of the following actions is the priority for the nurse to take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room - Remove the IV pump from the client's room.
8. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a
client's injection. For which of the following actions by the newly licensed nurse should the
nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration. - Withdraws the medication from the
ampule using a subcutaneous needle.
9. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the
bedside commode. Which of the following actions should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual. - Help the AP assist the client with the transfer.
High-Achiever’s Exam Toolkit | Solved Examples, Key Concepts, and Expert Tips
for Better Grades
1. A nurse is reviewing the electronic medical record on clients following the implementation of
a quality improvement plan to reduce health care associated infections on a medical surgical
unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Exhibit 2:
Client 2 Diagnosis: Pneumonia
Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE. - Clients 2, 3, 5
2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1 action that the nurse
manager should take first.
o Schedule a meeting with the employee to address the occurrence within 24 hr.
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use will not be tolerated. -
Remove the employee from the work environment.
,3. A nurse is triaging a group of clients as they arrive simultaneously in the emergency
department following a nearby bus crash.
Which of the following clients should the nurse transfer to the three available trauma rooms?
Select the 3 clients to transfer for immediate treatment. - Client 4,5,6
4. A charge nurse on a mental health unit is receiving change of shift report for a group of
clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700
to 1900 and is reviewing client care: assignments.
Complete the following sentence by using the lists of options.
The charge nurse should first assess __________ due to ______________ and ___________ -
The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and DELUSIONS
5. An infectious disease nurse is reviewing electronic medical records on a group of clients.
Select 4 clients whose diagnosis should be reported to the health department.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis) - Clients 1, 2, 4, 6
6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
, o Legal assistance
o Respite care
o Social worker - Hospice care, Respite care, Social worker
7. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump.
Which of the following actions is the priority for the nurse to take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room - Remove the IV pump from the client's room.
8. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a
client's injection. For which of the following actions by the newly licensed nurse should the
nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration. - Withdraws the medication from the
ampule using a subcutaneous needle.
9. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the
bedside commode. Which of the following actions should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual. - Help the AP assist the client with the transfer.
