ATI RN LEADERSHIP PROCTORED EXAM 2023
Study online at https://quizlet.com/_gvrzef
1. A client is brought to the emergency department following a motor-vehicle
crash. Drug use is suspected in the crash, and a voided urine specimen is
ordered. The client repeatedly refuses to provide the specimen. Which of the
following is the appropriate action by the nurse?: B* Document the client‟s refusal in the chart.
2. A nurse is making shift assignments in a hospital. Which of the following tasks
is appropriate to assign to a licensed practical nurse?: Administer a nasogastric tube feeding.
3. A nurse preceptor is evaluating a newly licensed nurse‟s competency in
assisting with a sterile procedure. Which of the following actions indicates the
newly licensed nurse is maintaining sterile technique? (SATA): b. Opens the sterile pack
by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field
4. A nurse enters a client‟s room and identifies that the client is receiving too
much IV fluid because the IV pump is not working properly. Which of the
following actions should the nurse take first?: Auscultate the client‟s lungs.
5. A nurse is planning care for a group of clients and can delegate care to a li-
censed practical nurse (LPN) and an assistive personnel. Which of the following
tasks should the nurse assign to the LPN?: Reinforcing teaching with a client who is learning to
self-administer insulin
6. A nurse is supervising a newly licensed nurse who is performing surgical
asepsis. After donning a sterile gown and gloves, which of the following actions
by the newly licensed nurse demonstrates correct aseptic technique?: The nurse
holds her hands above her waist.
7. A nurse who is caring for a group of clients delegates collection of vital signs
to an assistive personnel (AP). Which of the following actions should the nurse
take to evaluate the delegated task?: Recheck vital signs that are outside the expected reference
range.
8. A nurse is caring for four clients. Which of the following tasks can be delegat-
ed to an assistive personnel?: Obtaining a stool sample from a client who has renal failure
9. A nurse is triaging a group of clients following a disaster. Which of the
following clients should the nurse recommend for treatment first?: A client who has
two open chest wounds with a left tracheal deviation
1/8
, ATI RN LEADERSHIP PROCTORED EXAM 2023
Study online at https://quizlet.com/_gvrzef
10. A nurse manager is reviewing guidelines for informed consent with the
nursing staff. Which of the following statements by a staff nurse indicates that
the teaching was effective?: "Consent can be given by a durable power of attorney."
11. A nurse is caring for four clients. For which of the following clients should the
nurse collaborate with the facility ethics committee?: An adolescent client whose parents
refuse a blood transfusion for religious reasons
12. A nurse in an ambulatory care setting is orient a newly licensed nurse who
is preparing to return a call to a client. The nurse should explain that which of
the following is an objective of telehealth?: Establishing communication between providers
13. A nurse is providing discharge teaching to a client who has a new diagnosis
of diabetes. The client expresses concern about the cost of blood-glucose
monitoring supplies. Which of the following actions should the nurse take?: Refer
the client to the social services department
14. A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first?: The emergency department nurse is waiting
to give report on a new admission.
15. A nurse who is precepting a newly licensed nurse is discussing the client
assignment for the shift. Which of the following actions should the nurse
preceptor take first to demonstrate appropriate time management?: Determine
client care goals (set/plan goals)
16. A charge nurse is reviewing information about HIPAA with a group of staff
nurses. Which of the following statements by a staff nurse indicates under-
standing?: "HIPAA allows clients to request a review of their own medical records."
17. A nurse is caring for a client who has a tumor. The provider recommends
surgery. The client refuses, but the client‟s partner wants the surgery per-
formed. Which of the following is the deciding factor in determining if the
surgery will be done?: Whether the client understands the risk of refusing the procedure
18. A charge nurse is planning the care of four newborns. An assistive personnel
and licensed practical nurse are available for staffing. Which of the following
tasks should the nurse assign to a licensed practical nurse?: Administer a hepatitis B
vaccine.
2/8
Study online at https://quizlet.com/_gvrzef
1. A client is brought to the emergency department following a motor-vehicle
crash. Drug use is suspected in the crash, and a voided urine specimen is
ordered. The client repeatedly refuses to provide the specimen. Which of the
following is the appropriate action by the nurse?: B* Document the client‟s refusal in the chart.
2. A nurse is making shift assignments in a hospital. Which of the following tasks
is appropriate to assign to a licensed practical nurse?: Administer a nasogastric tube feeding.
3. A nurse preceptor is evaluating a newly licensed nurse‟s competency in
assisting with a sterile procedure. Which of the following actions indicates the
newly licensed nurse is maintaining sterile technique? (SATA): b. Opens the sterile pack
by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field
4. A nurse enters a client‟s room and identifies that the client is receiving too
much IV fluid because the IV pump is not working properly. Which of the
following actions should the nurse take first?: Auscultate the client‟s lungs.
5. A nurse is planning care for a group of clients and can delegate care to a li-
censed practical nurse (LPN) and an assistive personnel. Which of the following
tasks should the nurse assign to the LPN?: Reinforcing teaching with a client who is learning to
self-administer insulin
6. A nurse is supervising a newly licensed nurse who is performing surgical
asepsis. After donning a sterile gown and gloves, which of the following actions
by the newly licensed nurse demonstrates correct aseptic technique?: The nurse
holds her hands above her waist.
7. A nurse who is caring for a group of clients delegates collection of vital signs
to an assistive personnel (AP). Which of the following actions should the nurse
take to evaluate the delegated task?: Recheck vital signs that are outside the expected reference
range.
8. A nurse is caring for four clients. Which of the following tasks can be delegat-
ed to an assistive personnel?: Obtaining a stool sample from a client who has renal failure
9. A nurse is triaging a group of clients following a disaster. Which of the
following clients should the nurse recommend for treatment first?: A client who has
two open chest wounds with a left tracheal deviation
1/8
, ATI RN LEADERSHIP PROCTORED EXAM 2023
Study online at https://quizlet.com/_gvrzef
10. A nurse manager is reviewing guidelines for informed consent with the
nursing staff. Which of the following statements by a staff nurse indicates that
the teaching was effective?: "Consent can be given by a durable power of attorney."
11. A nurse is caring for four clients. For which of the following clients should the
nurse collaborate with the facility ethics committee?: An adolescent client whose parents
refuse a blood transfusion for religious reasons
12. A nurse in an ambulatory care setting is orient a newly licensed nurse who
is preparing to return a call to a client. The nurse should explain that which of
the following is an objective of telehealth?: Establishing communication between providers
13. A nurse is providing discharge teaching to a client who has a new diagnosis
of diabetes. The client expresses concern about the cost of blood-glucose
monitoring supplies. Which of the following actions should the nurse take?: Refer
the client to the social services department
14. A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first?: The emergency department nurse is waiting
to give report on a new admission.
15. A nurse who is precepting a newly licensed nurse is discussing the client
assignment for the shift. Which of the following actions should the nurse
preceptor take first to demonstrate appropriate time management?: Determine
client care goals (set/plan goals)
16. A charge nurse is reviewing information about HIPAA with a group of staff
nurses. Which of the following statements by a staff nurse indicates under-
standing?: "HIPAA allows clients to request a review of their own medical records."
17. A nurse is caring for a client who has a tumor. The provider recommends
surgery. The client refuses, but the client‟s partner wants the surgery per-
formed. Which of the following is the deciding factor in determining if the
surgery will be done?: Whether the client understands the risk of refusing the procedure
18. A charge nurse is planning the care of four newborns. An assistive personnel
and licensed practical nurse are available for staffing. Which of the following
tasks should the nurse assign to a licensed practical nurse?: Administer a hepatitis B
vaccine.
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