NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT:
Study online at https://quizlet.com/_br7gkv
1. A charge nurse is observing A) The nurse separates the client's labia with her dominant
a nurse insert an indwelling hand
urinary catheter into a female
client. For which of the following - The nurse should use her non-dominant hand to sepa-
actions should the charge nurse rate the labia, or to hold the penis in male clients.
intervene? - The dominant hand is the hand that should handle the
A) The nurse separates the catheter during insertion and when filling the balloon.
client's labia with her dominant - If the nurse separated the labia with her dominant hand,
hand it would be more difficult to insert the catheter in a sterile
B) The nurse coats the indwelling environment and could result in introduction of bacteria
urinary catheter with lubricant into the urinary tract.
C) The nurse provides perineal
care prior to inserting the uri-
nary catheter
D) The nurse applies the sterile
drape prior to inserting the uri-
nary catheter
2. Nurse manager received a client B) Address the concern with the specific staff nurse
request not to have a specific
staff nurse care for her while - The nurse manager should use the conflict management
at the acute care facility. Which skill collaborating to resolve the conflict.
is an appropriate action by the - The nurse manager should be assertive and ask the
nurse manager? specific staff nurse about the problem.
A) Ask other staff nurses about
the level of care the specific staff
nurse provides
B) Address the concern with the
specific staff nurse
C) Recommend the specific staff
nurse to be transferred to anoth-
er unit
, NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT:
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D) Notify the human resources
department about the request
3. While caring for a client, the C) Wash the site of injury with soap and water
nurse experiences a needle stick
injury. Which action should the - The greatest risk to the nurse is infection transmission;
nurse take first? therefore, the nurse should first wash the area with soap
A) Complete an incident report and water to reduce the risk of transmission.
B) Request the risk manager ob-
tain consent for HIV testing from
the client
C) Wash the site of injury with
soap and water
D) Consent to post-exposure
treatment with antiretroviral
meds.
4. Nurse is caring for 4 clients on B) A client who had an indwelling urinary catheter removed
a med-surg unit. Which clients 5 hr. ago and has not voided
should the nurse assess first?
A) A client who has NG tube for - After removal of an indwelling urinary catheter, the client
decompression and the gastric should void within 4 hr.
aspirate is green with a pH of 5.3 - If the client has not voided in 4 hr, the nurse may need
B) A client who had an indwelling to reinsert the catheter; therefore, when using the prior-
urinary catheter removed 5 hr. ity-setting framework of urgent vs. nonurgent, this client
ago and has not voided should be assessed first because he has not voided for 5
C) A client who has COPD and hr.
the capillary refill time on both
hands is 4 seconds
D) A client who has late-stage cir-
rhosis and whose breath has a
fruity odor
, NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT:
Study online at https://quizlet.com/_br7gkv
5. Nurse tells another nurse that A) "I feel as though I met the standard of care. Would you
she thinks he did not provide ad- tell me more about your concerns?"
equate care for a client who un-
derwent hip arthroplasty. Which - Communicating assertively is expressing thoughts in an
responses by the nurse demon- open, honest, and direct manner that demonstrates re-
strates assertiveness? spect for self and others.
A) "I feel as though I met the - The use of "I" statements, maintaining eye contact, and
standard of care. Would you tell congruent verbal and facial expressions are all compo-
me more about your concerns?" nents of assertiveness skills.
B) "You shouldn't make accusa- - The nurse demonstrates respect for the opinion of the
tions. Your nursing care doesn't other nurse by asking for feedback and the reason for the
always set a good example" concerns.
C) "I am at a loss for words. I
always do my best to give good
care to my clients"
D) "What do you have against
me? It must be something or you
wouldn't be criticizing my care"
6. Nurse has several tasks to del- A) Take ABG specimen to lab
egate to an AP. Which tasks
should the AP perform first? - When using the urgent vs. nonurgent approach to client
A) Take ABG specimen to lab care, the nurse should determine the priority action is to
B) Transport a client to the radi- take the ABG blood sample to the laboratory.
ology department for an x-ray - ABG samples are placed on ice and must be transported
C) Pass fresh water to clients on to the laboratory immediately or the specimen will deteri-
the unit orate, making any results inaccurate.
D) Obtain a routine urine sample
from a newly-admitted client
7. Nurse is triaging clients in an C) A middle adult male who is diaphoretic and reports
urgent care clinic. Which clients epigastric pain
, NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT:
Study online at https://quizlet.com/_br7gkv
should the nurse have the
provider care for immediately? - When using the urgent vs. nonurgent approach to client
A) An adolescent female client care, the nurse should determine that caring for this client
who is belligerent and has is the highest priority because diaphoresis and epigastric
slurred speech pain are manifestations of an acute myocardial infarction.
B) A toddler who has a laceration
on his forehead and is scream-
ing
C) A middle adult male who is di-
aphoretic and reports epigastric
pain
D) A young adult with a painful
sunburn on his face and arms
8. An RN is making nursing staff as- C) The client who is actively dying and requires IV pain
signments for his team consist- meds
ing of himself, 2 LPNs, and an AP.
Which clients should he assume - The nurse should assume responsibility of this client
responsibility for? because IV pain medications should be administered by
A) The client who requires fre- RNs.
quent ambulation - Although this client may require less physical care, he may
B) The client who is in protective require more emotional care.
isolation - The nurse should plan to spend extensive time with both
C) The client who is actively dying the client and his family.
and requires IV pain meds
D) The client who is 3 days
post-op and requires a dressing
change
9. Charge nurse has assigned a C) Talk with the clients who have reported the LPN's lack of
group of clients to a LPN. The care
charge nurse receives report
Study online at https://quizlet.com/_br7gkv
1. A charge nurse is observing A) The nurse separates the client's labia with her dominant
a nurse insert an indwelling hand
urinary catheter into a female
client. For which of the following - The nurse should use her non-dominant hand to sepa-
actions should the charge nurse rate the labia, or to hold the penis in male clients.
intervene? - The dominant hand is the hand that should handle the
A) The nurse separates the catheter during insertion and when filling the balloon.
client's labia with her dominant - If the nurse separated the labia with her dominant hand,
hand it would be more difficult to insert the catheter in a sterile
B) The nurse coats the indwelling environment and could result in introduction of bacteria
urinary catheter with lubricant into the urinary tract.
C) The nurse provides perineal
care prior to inserting the uri-
nary catheter
D) The nurse applies the sterile
drape prior to inserting the uri-
nary catheter
2. Nurse manager received a client B) Address the concern with the specific staff nurse
request not to have a specific
staff nurse care for her while - The nurse manager should use the conflict management
at the acute care facility. Which skill collaborating to resolve the conflict.
is an appropriate action by the - The nurse manager should be assertive and ask the
nurse manager? specific staff nurse about the problem.
A) Ask other staff nurses about
the level of care the specific staff
nurse provides
B) Address the concern with the
specific staff nurse
C) Recommend the specific staff
nurse to be transferred to anoth-
er unit
, NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT:
Study online at https://quizlet.com/_br7gkv
D) Notify the human resources
department about the request
3. While caring for a client, the C) Wash the site of injury with soap and water
nurse experiences a needle stick
injury. Which action should the - The greatest risk to the nurse is infection transmission;
nurse take first? therefore, the nurse should first wash the area with soap
A) Complete an incident report and water to reduce the risk of transmission.
B) Request the risk manager ob-
tain consent for HIV testing from
the client
C) Wash the site of injury with
soap and water
D) Consent to post-exposure
treatment with antiretroviral
meds.
4. Nurse is caring for 4 clients on B) A client who had an indwelling urinary catheter removed
a med-surg unit. Which clients 5 hr. ago and has not voided
should the nurse assess first?
A) A client who has NG tube for - After removal of an indwelling urinary catheter, the client
decompression and the gastric should void within 4 hr.
aspirate is green with a pH of 5.3 - If the client has not voided in 4 hr, the nurse may need
B) A client who had an indwelling to reinsert the catheter; therefore, when using the prior-
urinary catheter removed 5 hr. ity-setting framework of urgent vs. nonurgent, this client
ago and has not voided should be assessed first because he has not voided for 5
C) A client who has COPD and hr.
the capillary refill time on both
hands is 4 seconds
D) A client who has late-stage cir-
rhosis and whose breath has a
fruity odor
, NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT:
Study online at https://quizlet.com/_br7gkv
5. Nurse tells another nurse that A) "I feel as though I met the standard of care. Would you
she thinks he did not provide ad- tell me more about your concerns?"
equate care for a client who un-
derwent hip arthroplasty. Which - Communicating assertively is expressing thoughts in an
responses by the nurse demon- open, honest, and direct manner that demonstrates re-
strates assertiveness? spect for self and others.
A) "I feel as though I met the - The use of "I" statements, maintaining eye contact, and
standard of care. Would you tell congruent verbal and facial expressions are all compo-
me more about your concerns?" nents of assertiveness skills.
B) "You shouldn't make accusa- - The nurse demonstrates respect for the opinion of the
tions. Your nursing care doesn't other nurse by asking for feedback and the reason for the
always set a good example" concerns.
C) "I am at a loss for words. I
always do my best to give good
care to my clients"
D) "What do you have against
me? It must be something or you
wouldn't be criticizing my care"
6. Nurse has several tasks to del- A) Take ABG specimen to lab
egate to an AP. Which tasks
should the AP perform first? - When using the urgent vs. nonurgent approach to client
A) Take ABG specimen to lab care, the nurse should determine the priority action is to
B) Transport a client to the radi- take the ABG blood sample to the laboratory.
ology department for an x-ray - ABG samples are placed on ice and must be transported
C) Pass fresh water to clients on to the laboratory immediately or the specimen will deteri-
the unit orate, making any results inaccurate.
D) Obtain a routine urine sample
from a newly-admitted client
7. Nurse is triaging clients in an C) A middle adult male who is diaphoretic and reports
urgent care clinic. Which clients epigastric pain
, NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT:
Study online at https://quizlet.com/_br7gkv
should the nurse have the
provider care for immediately? - When using the urgent vs. nonurgent approach to client
A) An adolescent female client care, the nurse should determine that caring for this client
who is belligerent and has is the highest priority because diaphoresis and epigastric
slurred speech pain are manifestations of an acute myocardial infarction.
B) A toddler who has a laceration
on his forehead and is scream-
ing
C) A middle adult male who is di-
aphoretic and reports epigastric
pain
D) A young adult with a painful
sunburn on his face and arms
8. An RN is making nursing staff as- C) The client who is actively dying and requires IV pain
signments for his team consist- meds
ing of himself, 2 LPNs, and an AP.
Which clients should he assume - The nurse should assume responsibility of this client
responsibility for? because IV pain medications should be administered by
A) The client who requires fre- RNs.
quent ambulation - Although this client may require less physical care, he may
B) The client who is in protective require more emotional care.
isolation - The nurse should plan to spend extensive time with both
C) The client who is actively dying the client and his family.
and requires IV pain meds
D) The client who is 3 days
post-op and requires a dressing
change
9. Charge nurse has assigned a C) Talk with the clients who have reported the LPN's lack of
group of clients to a LPN. The care
charge nurse receives report
