ATI RN LEADERSHIP PROCTORED EXAM
2024/2025
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? - Answer. Document the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - Answer. Administer a nasogastric
tube feeding.
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) - Answer. 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
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? - Answer. Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN? - Answer. Reinforcing teaching with a client who is
learning to self-administer insulin
, 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? - Answer. The nurse holds her hands
above her waist.
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? - Answer. Recheck vital signs that are outside the
expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - Answer. Obtaining a stool sample from a client who has renal
failure
A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first? - Answer. A client who has two open
chest wounds with a left tracheal deviation
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? - Answer. "Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee? - Answer. An adolescent client whose
parents refuse a blood transfusion for religious reasons
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? - Answer. Establishing communication between providers
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.
2024/2025
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? - Answer. Document the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - Answer. Administer a nasogastric
tube feeding.
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) - Answer. 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
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? - Answer. Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN? - Answer. Reinforcing teaching with a client who is
learning to self-administer insulin
, 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? - Answer. The nurse holds her hands
above her waist.
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? - Answer. Recheck vital signs that are outside the
expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - Answer. Obtaining a stool sample from a client who has renal
failure
A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first? - Answer. A client who has two open
chest wounds with a left tracheal deviation
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? - Answer. "Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee? - Answer. An adolescent client whose
parents refuse a blood transfusion for religious reasons
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? - Answer. Establishing communication between providers
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.
