ATI RN LEADERSHIP PROCTORED EXAM
1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses
have verbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling system?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately beforeit
implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance
with the care pathway, antibiotic therapy is prescribed. Which of the following situations
requires the nurse to complete a variance report with regard to the carepathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed.
3. A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
D. A nurse gives a med 30 min late
,1. A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
2. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation
of the left leg. The nurse has been unable to reach the provider despite several attempts over the
past 30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client’s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it’s been hard for her, especially after losing her
hair. And it has been difficult to pay for all the treatments. Which of the following actions is
appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother’s concerns.
D. The nurse suggests counseling for the client’s body image issues
4. Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal delivery
D. An empty IV bag removed from a client who has HIV
1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in
the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right,
placing them in the selected order of performance. Use all the steps.)
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
, 2.A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication
PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the
following ethical principles should the nurse use to support the decision not to administer the medication?
A. Utilitarianism
Rationale:Utilitarianism refers to actions that are right when they contribute to the greatest good.
B. Nonmaleficence
Rationale:Nonmaleficence is the duty to do no harm. The ethical mandate of nonmaleficence is that health care workers
refrain from intentionally inflicting harm to clients.
C. Fidelity
Rationale:Fidelity is the duty to keep one's promises or word. It refers to the obligation to be faithful to the agreements,
commitments, and responsibilities that one has made to oneself and others.
D. Veracity
Rationale:Veracity is the duty to tell the truth. It means that one does not intentionally deceive or mislead clients.
3.A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on
next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge
nurse make to resolve this conflict?
A. "I need to talk to you about unit expectations regarding delegating and completing tasks."
Rationale:This statement opens the conversation in a nonthreatening way. The focus is on the issue of the equity of the
assignment rather than on any personal characteristic of the individual.
B. "Several staff members have commented that you don't do your fair share of the work."
Rationale:This statement is accusatory.
C. "If you don't do your share of the work, I will have to inform the nurse manager."
Rationale:This statement is punitive.
D. "You have been very inconsiderate of others by not completing your share of the work."
Rationale:This statement is punitive.
4.A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the
surgeon’s medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is
displaying which of the following ethical principles?
A. Utility
Rationale:Utility is the ethical principle that the good of many people outweighs the good of one person.
B. Paternalism
Rationale:Paternalism is the belief that one individual has the right to make decisions for another. It negates the client’s right
1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses
have verbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling system?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately beforeit
implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance
with the care pathway, antibiotic therapy is prescribed. Which of the following situations
requires the nurse to complete a variance report with regard to the carepathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed.
3. A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
D. A nurse gives a med 30 min late
,1. A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
2. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation
of the left leg. The nurse has been unable to reach the provider despite several attempts over the
past 30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client’s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it’s been hard for her, especially after losing her
hair. And it has been difficult to pay for all the treatments. Which of the following actions is
appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother’s concerns.
D. The nurse suggests counseling for the client’s body image issues
4. Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal delivery
D. An empty IV bag removed from a client who has HIV
1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in
the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right,
placing them in the selected order of performance. Use all the steps.)
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
, 2.A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication
PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the
following ethical principles should the nurse use to support the decision not to administer the medication?
A. Utilitarianism
Rationale:Utilitarianism refers to actions that are right when they contribute to the greatest good.
B. Nonmaleficence
Rationale:Nonmaleficence is the duty to do no harm. The ethical mandate of nonmaleficence is that health care workers
refrain from intentionally inflicting harm to clients.
C. Fidelity
Rationale:Fidelity is the duty to keep one's promises or word. It refers to the obligation to be faithful to the agreements,
commitments, and responsibilities that one has made to oneself and others.
D. Veracity
Rationale:Veracity is the duty to tell the truth. It means that one does not intentionally deceive or mislead clients.
3.A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on
next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge
nurse make to resolve this conflict?
A. "I need to talk to you about unit expectations regarding delegating and completing tasks."
Rationale:This statement opens the conversation in a nonthreatening way. The focus is on the issue of the equity of the
assignment rather than on any personal characteristic of the individual.
B. "Several staff members have commented that you don't do your fair share of the work."
Rationale:This statement is accusatory.
C. "If you don't do your share of the work, I will have to inform the nurse manager."
Rationale:This statement is punitive.
D. "You have been very inconsiderate of others by not completing your share of the work."
Rationale:This statement is punitive.
4.A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the
surgeon’s medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is
displaying which of the following ethical principles?
A. Utility
Rationale:Utility is the ethical principle that the good of many people outweighs the good of one person.
B. Paternalism
Rationale:Paternalism is the belief that one individual has the right to make decisions for another. It negates the client’s right
