ATI Leadership And Management New
Multiple-Choice Questions With Answers And
A Rationale Success Guaranteed Exam
1. A nurse is caring for a client who reports that she has changed her mind and no
longer wants the surgery that she discussed earlier with the surgeon. Which of the
following actions should the nurse take?
A. Ask a family member to convince the client to have the surgery
B. Explain to the client that she already signed the consent form
C. Tell the client that the surgery will help her and she should proceed
D. Notify the provider that the client is withdrawing consent
Answer: D. Notify the provider that the client is withdrawing consent
Rationale: The client has the right to withdraw consent at any time. The nurse's
responsibility is to advocate for the client and notify the provider immediately so the
surgery can be cancelled .
2. A nurse is preparing to administer a medication to a client and discovers a
discrepancy in the medication order. Which of the following actions should the
nurse take?
A. Ask another nurse what to do
B. Administer the medication as prescribed
C. Contact the provider to clarify the order
D. Look up the medication in a drug handbook
Answer: C. Contact the provider to clarify the order
Rationale: The nurse has a responsibility to verify and clarify any medication order that is
unclear or appears incorrect. The provider must be contacted to ensure client safety .
,3. A nurse decides to put a client who has a psychotic disorder in seclusion
overnight because the unit is short-staffed and the client frequently fights with
others. The nurse's actions are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery
Answer: B. False imprisonment
Rationale: False imprisonment is the unjustified confinement of a client without proper
legal authority. Seclusion for staff convenience rather than clinical need constitutes false
imprisonment. Seclusion requires a provider's order and specific criteria .
4. A nurse hears a newly licensed nurse discussing a client's diagnosis with a friend
in the facility's cafeteria. Which of the following actions should the nurse take
first?
A. Report the occurrence to the nurse manager
B. Ignore the conversation to avoid conflict
C. Complete an incident report
D. Tell the newly licensed nurse that this behavior violates client confidentiality
Answer: D. Tell the newly licensed nurse that this behavior violates client confidentiality
Rationale: The nurse should first address the situation directly with the newly licensed
nurse, reminding them of HIPAA and confidentiality requirements. This immediate
feedback can stop the violation and serve as a teaching opportunity .
5. A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my
mattress to protect myself from my roommate." Which of the following actions
should the nurse take?
A. Keep the client's communication confidential
B. Tell the client that this must be reported to the healthcare team
,C. Watch the client and roommate closely without reporting
D. Ask the roommate if they feel threatened
Answer: B. Tell the client that this must be reported to the healthcare team
Rationale: The client's statement indicates a safety risk to self and others, which overrides
confidentiality. The nurse must report the threat to protect the client and others. The nurse
should inform the client that the information must be shared .
6. A nurse is preparing a client for surgery and is witnessing the client's signature
on the informed consent form. Which of the following actions is the nurse's
responsibility?
A. Explaining the risks and benefits of the procedure
B. Ensuring the client understands the procedure and its risks
C. Determining that the consent form is signed voluntarily
D. Answering any questions the client has about the surgery
Answer: C. Determining that the consent form is signed voluntarily
Rationale: The nurse's role in informed consent is to witness the signature, ensure the
client is signing voluntarily, and confirm that the provider has already given the necessary
information. The provider is responsible for explaining the procedure and answering
questions .
7. A nurse finds a client lying on the floor beside the bed. Which of the following
actions should the nurse take first?
A. Complete an incident report
B. Notify the provider
C. Check the client for injuries
D. Move the client back to bed
Answer: C. Check the client for injuries
Rationale: The priority action is to assess the client for any injuries sustained from the fall.
Client safety and assessment always come before documentation or notification .
, 8. A nurse is caring for a client who refuses a prescribed treatment. Which of the
following statements by the nurse is appropriate?
A. "If you don't have this treatment, you will not get better."
B. "Your provider knows what is best for you."
C. "Tell me more about your concerns regarding this treatment."
D. "I will leave the consent form here for you to sign when you are ready."
Answer: C. "Tell me more about your concerns regarding this treatment."
Rationale: This therapeutic response encourages the client to express their feelings and
concerns, which is the first step in addressing refusal of treatment. It respects client
autonomy and promotes open communication .
9. A nurse is preparing to administer an immunization to a 6-month-old infant.
The parent asks about the risks associated with the vaccine. Which of the
following responses should the nurse make?
A. "The provider can discuss the risks with you before signing the consent."
B. "There are no risks associated with this vaccine."
C. "The risks are minimal compared to the benefits."
D. "You should not worry because serious reactions are rare."
Answer: A. "The provider can discuss the risks with you before signing the consent."
Rationale: Informed consent requires that the client (or parent) receives information about
risks, benefits, and alternatives from the provider. The nurse should ensure the provider
addresses these questions before the parent signs the consent .
10. A nurse is caring for a client who has a living will that expresses the desire to
decline life-sustaining measures. The client's family asks the nurse to ignore the
living will. Which of the following actions should the nurse take?
A. Comply with the family's wishes
B. Follow the directives in the living will
C. Contact the facility's ethics committee
D. Ask the provider to decide
Multiple-Choice Questions With Answers And
A Rationale Success Guaranteed Exam
1. A nurse is caring for a client who reports that she has changed her mind and no
longer wants the surgery that she discussed earlier with the surgeon. Which of the
following actions should the nurse take?
A. Ask a family member to convince the client to have the surgery
B. Explain to the client that she already signed the consent form
C. Tell the client that the surgery will help her and she should proceed
D. Notify the provider that the client is withdrawing consent
Answer: D. Notify the provider that the client is withdrawing consent
Rationale: The client has the right to withdraw consent at any time. The nurse's
responsibility is to advocate for the client and notify the provider immediately so the
surgery can be cancelled .
2. A nurse is preparing to administer a medication to a client and discovers a
discrepancy in the medication order. Which of the following actions should the
nurse take?
A. Ask another nurse what to do
B. Administer the medication as prescribed
C. Contact the provider to clarify the order
D. Look up the medication in a drug handbook
Answer: C. Contact the provider to clarify the order
Rationale: The nurse has a responsibility to verify and clarify any medication order that is
unclear or appears incorrect. The provider must be contacted to ensure client safety .
,3. A nurse decides to put a client who has a psychotic disorder in seclusion
overnight because the unit is short-staffed and the client frequently fights with
others. The nurse's actions are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery
Answer: B. False imprisonment
Rationale: False imprisonment is the unjustified confinement of a client without proper
legal authority. Seclusion for staff convenience rather than clinical need constitutes false
imprisonment. Seclusion requires a provider's order and specific criteria .
4. A nurse hears a newly licensed nurse discussing a client's diagnosis with a friend
in the facility's cafeteria. Which of the following actions should the nurse take
first?
A. Report the occurrence to the nurse manager
B. Ignore the conversation to avoid conflict
C. Complete an incident report
D. Tell the newly licensed nurse that this behavior violates client confidentiality
Answer: D. Tell the newly licensed nurse that this behavior violates client confidentiality
Rationale: The nurse should first address the situation directly with the newly licensed
nurse, reminding them of HIPAA and confidentiality requirements. This immediate
feedback can stop the violation and serve as a teaching opportunity .
5. A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my
mattress to protect myself from my roommate." Which of the following actions
should the nurse take?
A. Keep the client's communication confidential
B. Tell the client that this must be reported to the healthcare team
,C. Watch the client and roommate closely without reporting
D. Ask the roommate if they feel threatened
Answer: B. Tell the client that this must be reported to the healthcare team
Rationale: The client's statement indicates a safety risk to self and others, which overrides
confidentiality. The nurse must report the threat to protect the client and others. The nurse
should inform the client that the information must be shared .
6. A nurse is preparing a client for surgery and is witnessing the client's signature
on the informed consent form. Which of the following actions is the nurse's
responsibility?
A. Explaining the risks and benefits of the procedure
B. Ensuring the client understands the procedure and its risks
C. Determining that the consent form is signed voluntarily
D. Answering any questions the client has about the surgery
Answer: C. Determining that the consent form is signed voluntarily
Rationale: The nurse's role in informed consent is to witness the signature, ensure the
client is signing voluntarily, and confirm that the provider has already given the necessary
information. The provider is responsible for explaining the procedure and answering
questions .
7. A nurse finds a client lying on the floor beside the bed. Which of the following
actions should the nurse take first?
A. Complete an incident report
B. Notify the provider
C. Check the client for injuries
D. Move the client back to bed
Answer: C. Check the client for injuries
Rationale: The priority action is to assess the client for any injuries sustained from the fall.
Client safety and assessment always come before documentation or notification .
, 8. A nurse is caring for a client who refuses a prescribed treatment. Which of the
following statements by the nurse is appropriate?
A. "If you don't have this treatment, you will not get better."
B. "Your provider knows what is best for you."
C. "Tell me more about your concerns regarding this treatment."
D. "I will leave the consent form here for you to sign when you are ready."
Answer: C. "Tell me more about your concerns regarding this treatment."
Rationale: This therapeutic response encourages the client to express their feelings and
concerns, which is the first step in addressing refusal of treatment. It respects client
autonomy and promotes open communication .
9. A nurse is preparing to administer an immunization to a 6-month-old infant.
The parent asks about the risks associated with the vaccine. Which of the
following responses should the nurse make?
A. "The provider can discuss the risks with you before signing the consent."
B. "There are no risks associated with this vaccine."
C. "The risks are minimal compared to the benefits."
D. "You should not worry because serious reactions are rare."
Answer: A. "The provider can discuss the risks with you before signing the consent."
Rationale: Informed consent requires that the client (or parent) receives information about
risks, benefits, and alternatives from the provider. The nurse should ensure the provider
addresses these questions before the parent signs the consent .
10. A nurse is caring for a client who has a living will that expresses the desire to
decline life-sustaining measures. The client's family asks the nurse to ignore the
living will. Which of the following actions should the nurse take?
A. Comply with the family's wishes
B. Follow the directives in the living will
C. Contact the facility's ethics committee
D. Ask the provider to decide
