ATI RN Leadership Proctored Exam
2023/2025 QUESTIONS AND ANSWERS
A nurse in an emergency department is preparing to perform an ocular irrigation for a
client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - ANSWER-D. Perform the
irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the
nurse set the IV pump to administer?
Round to near whole number.
A. 10
B. 22
C. 33
D. 4 - ANSWER-C. 33 gtt/min
A home care nurse is planning to use nonpharmacological pain relief measures for
an
older adult client who has severe chronic back pain. Which of the following
guidelines
should the nurse use?
a. Discontinue opioids before trying nonpharmacological methods of pain relief
b. Use imagery with clients who have difficulty with focus and concentration
c. Distraction changes the client's perception of pain, but does not affect the cause
d. Pain relief from the use of heat and cold continues for several hours after removal
of
the
stimulus - ANSWER-c. Distraction changes the client's perception of pain, but does
not affect the cause.
,A nurse is caring for a female client who is receiving total parental nutrition without
fat
emulsion. Which of the following findings should the nurse report?
a. Crackles in the bilateral lung bases
b. Weight gain of 1.3 kg (3lb) over the past 7 days
c. Triglyceride 110 mg/dl
d. Bowel sounds absent in lower quadrants - ANSWER-a. Crackles in the bilateral
lung bases
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention -
ANSWER-b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total
hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - ANSWER-d. Install a raised toilet
seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - ANSWER-c. maintain the clients
affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting
to
their role change?
a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments
anymore - ANSWER-a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
, A nurse is caring for a client who has gastroenteritis. Which of the following
assessment
findings should the nurse recognize as an indication that the client is experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - ANSWER-d. Decreased BP
A nurse is caring for a client who has a contusion of the brainstem and reports thirst.
The client's urinary output was 4,000 ml over the past 24 hour. The nurse should
anticipate a prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - ANSWER-a. Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy
with
an ACE inhibitor and reports a nagging dry cough. Which of the following responses
by
the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - ANSWER-a. your cough may require that
you stop or change your medication
A nurse is taking an admission history from a client who reports Raynaud's disease.
Which of the following assessment findings should the nurse identify as a potential
trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch - ANSWER-d. Using a nicotine transdermal
patch
A nurse is caring for a client who has a central venous access device and notes the
tubing has become disconnected. The client develops dyspnea and tachycardia.
Which
of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter - ANSWER-d. Clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened
areas
2023/2025 QUESTIONS AND ANSWERS
A nurse in an emergency department is preparing to perform an ocular irrigation for a
client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - ANSWER-D. Perform the
irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the
nurse set the IV pump to administer?
Round to near whole number.
A. 10
B. 22
C. 33
D. 4 - ANSWER-C. 33 gtt/min
A home care nurse is planning to use nonpharmacological pain relief measures for
an
older adult client who has severe chronic back pain. Which of the following
guidelines
should the nurse use?
a. Discontinue opioids before trying nonpharmacological methods of pain relief
b. Use imagery with clients who have difficulty with focus and concentration
c. Distraction changes the client's perception of pain, but does not affect the cause
d. Pain relief from the use of heat and cold continues for several hours after removal
of
the
stimulus - ANSWER-c. Distraction changes the client's perception of pain, but does
not affect the cause.
,A nurse is caring for a female client who is receiving total parental nutrition without
fat
emulsion. Which of the following findings should the nurse report?
a. Crackles in the bilateral lung bases
b. Weight gain of 1.3 kg (3lb) over the past 7 days
c. Triglyceride 110 mg/dl
d. Bowel sounds absent in lower quadrants - ANSWER-a. Crackles in the bilateral
lung bases
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention -
ANSWER-b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total
hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - ANSWER-d. Install a raised toilet
seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - ANSWER-c. maintain the clients
affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting
to
their role change?
a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments
anymore - ANSWER-a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
, A nurse is caring for a client who has gastroenteritis. Which of the following
assessment
findings should the nurse recognize as an indication that the client is experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - ANSWER-d. Decreased BP
A nurse is caring for a client who has a contusion of the brainstem and reports thirst.
The client's urinary output was 4,000 ml over the past 24 hour. The nurse should
anticipate a prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - ANSWER-a. Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy
with
an ACE inhibitor and reports a nagging dry cough. Which of the following responses
by
the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - ANSWER-a. your cough may require that
you stop or change your medication
A nurse is taking an admission history from a client who reports Raynaud's disease.
Which of the following assessment findings should the nurse identify as a potential
trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch - ANSWER-d. Using a nicotine transdermal
patch
A nurse is caring for a client who has a central venous access device and notes the
tubing has become disconnected. The client develops dyspnea and tachycardia.
Which
of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter - ANSWER-d. Clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened
areas
