lOMoARcPSD|19431042
ATI Leadership Level 3
1) 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 performed. 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
Whether the partner is the client's durable power of aorney for health care
Whether the client's refusal is based on a religious belief
Whether the facility ethics commiee reaches a census on the case
2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following acons should the nurse
take?
Report the infecon to the local health department
Iniate contact precauons
Instruct the client to use condoms unl the treatment is complete
Apply an anviral cream to the lesions
3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for informaon about the client's
treatment plan. Which of the following responses should the nurse make?
"I will ask your mother's primary care provider to speak with you."
"What would you like to know about your mother's treatment?"
"You will have to speak directly to your mother about her treatment."
"I cannot provide this informaon to you without your mother's consent."
4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports
that the client fell at home. The nurse suspect's elder abuse. Which of the following acons should the nurse take?
Ask the client's son to go to the waing area
File an incident report
Treat and discharge the client
Ask the client about his injuries with the son present
5) A nurse is conducng a disaster preparedness drill with a group of nurses who are orienng to the facility. Which of
the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns on
72% of his body?
Green
Yellow
Black
Red
6) A nurse on a medica-surgical unit is caring for a client who asks about advance direcves and states that he wants to
appoint a health care proxy. Which of the following responses should the nurse make?
“You must choose a member of your family to serve as your health care proxy”
“A health care proxy can make decisions for you when you are unable to do so”
“You should appoint a health care proxy before undergoing an invasive procedure”
“It is necessary for an aorney to approve your health care proxy”
7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. Aer the nurse administers the
prescribed opioid and benzodiazepine, the client becomes somnolent and dicult to arouse. Which of the following
acons should the nurse take?
Connue the medicaon dosages that relieve the client’s pain
Contact the provider about replacing the opioid with an NSAID
Administer the benzodiazepine but withhold the opioid
Withhold the benzodiazepine but connue the opioid
8) A nurse is orientang a newly license nurse about client condenality. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
“I should encrypt personal health informaon when sending emails”
“I can use another nurse’s password as long as I log o aer using the computer”
“I should discard personal health informaon documents in the trash before leaving the unit
“I can post the client’s vitals sings in the client’s room”
9) A nurse is delegang care for a group of clients. Which of the following clients should the nurse assign to the LPN?
, lOMoARcPSD|19431042
A client who is scheduled for an endoscopy later today and requires an enema
A newly admied client who has sickle cell anemia and requires the development of an inial plan of care
A client who had a myocardial infarcon and will be transferring to the unit from the CCU
A newly admied client who has diabetes mellitus and requires inial teaching on self-administraon of insulin
10) A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is
the priority?
A client who is postoperave following a laminectomy 12 hour and is unable to void
A client who is scheduled for a tubal ligaon in 2 hours and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes and needs the rst dressing change for an ulcer
A client who has MRSA and has an axillary temperature of 100.4F
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputaon and requires a dressing change
c. A young adult client who is postoperave, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administraon
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputaon and requires a dressing change
c. A young adult client who is postoperave, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administraon
A nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputaon and requires a dressing change
c. A young adult client who is postoperave, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administraon
11) A nurse manager observes assisve personnel (AP) incorrectly transferring a client to the bedside commode. Which
of the following acons should the nurse take rst?
Help the AP assist the client with the transfer
Demonstrate the proper client transfer technique to the AP
Instruct the AP to request assistance when unsure about a task
Refer the AP to the facility procedure manual
12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the
following acons should the nurse take?
Prepare to administer anbiocs to the client
Wear an N95 respirator makes while caring for the client
Plan to administer an anviral mediaon to the client
Place a surgical mask on the client during transfer to the unit
13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes
to disconnue the client’s feeding tube, but another family member tells the nurse that they want the client to connue
receiving treatment. Which of the following responses should the nurse make?
“You should contact the provider about your wishes for your family member”
“You should speak with the facility’s ethics commiee about your concerns
“We’ll need to have the nursing supervisor review the client’s advance direcves”
“As the health care surrogate, the client’s partner can make this decision
14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can
no longer handle caring for the client. which of the following acons should the nurse take?
ATI Leadership Level 3
1) 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 performed. 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
Whether the partner is the client's durable power of aorney for health care
Whether the client's refusal is based on a religious belief
Whether the facility ethics commiee reaches a census on the case
2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following acons should the nurse
take?
Report the infecon to the local health department
Iniate contact precauons
Instruct the client to use condoms unl the treatment is complete
Apply an anviral cream to the lesions
3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for informaon about the client's
treatment plan. Which of the following responses should the nurse make?
"I will ask your mother's primary care provider to speak with you."
"What would you like to know about your mother's treatment?"
"You will have to speak directly to your mother about her treatment."
"I cannot provide this informaon to you without your mother's consent."
4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports
that the client fell at home. The nurse suspect's elder abuse. Which of the following acons should the nurse take?
Ask the client's son to go to the waing area
File an incident report
Treat and discharge the client
Ask the client about his injuries with the son present
5) A nurse is conducng a disaster preparedness drill with a group of nurses who are orienng to the facility. Which of
the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns on
72% of his body?
Green
Yellow
Black
Red
6) A nurse on a medica-surgical unit is caring for a client who asks about advance direcves and states that he wants to
appoint a health care proxy. Which of the following responses should the nurse make?
“You must choose a member of your family to serve as your health care proxy”
“A health care proxy can make decisions for you when you are unable to do so”
“You should appoint a health care proxy before undergoing an invasive procedure”
“It is necessary for an aorney to approve your health care proxy”
7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. Aer the nurse administers the
prescribed opioid and benzodiazepine, the client becomes somnolent and dicult to arouse. Which of the following
acons should the nurse take?
Connue the medicaon dosages that relieve the client’s pain
Contact the provider about replacing the opioid with an NSAID
Administer the benzodiazepine but withhold the opioid
Withhold the benzodiazepine but connue the opioid
8) A nurse is orientang a newly license nurse about client condenality. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
“I should encrypt personal health informaon when sending emails”
“I can use another nurse’s password as long as I log o aer using the computer”
“I should discard personal health informaon documents in the trash before leaving the unit
“I can post the client’s vitals sings in the client’s room”
9) A nurse is delegang care for a group of clients. Which of the following clients should the nurse assign to the LPN?
, lOMoARcPSD|19431042
A client who is scheduled for an endoscopy later today and requires an enema
A newly admied client who has sickle cell anemia and requires the development of an inial plan of care
A client who had a myocardial infarcon and will be transferring to the unit from the CCU
A newly admied client who has diabetes mellitus and requires inial teaching on self-administraon of insulin
10) A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is
the priority?
A client who is postoperave following a laminectomy 12 hour and is unable to void
A client who is scheduled for a tubal ligaon in 2 hours and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes and needs the rst dressing change for an ulcer
A client who has MRSA and has an axillary temperature of 100.4F
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputaon and requires a dressing change
c. A young adult client who is postoperave, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administraon
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputaon and requires a dressing change
c. A young adult client who is postoperave, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administraon
A nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputaon and requires a dressing change
c. A young adult client who is postoperave, receiving morphine via epidural, and reports
pruritus
d. An adolescent who requires teaching regarding insulin administraon
11) A nurse manager observes assisve personnel (AP) incorrectly transferring a client to the bedside commode. Which
of the following acons should the nurse take rst?
Help the AP assist the client with the transfer
Demonstrate the proper client transfer technique to the AP
Instruct the AP to request assistance when unsure about a task
Refer the AP to the facility procedure manual
12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the
following acons should the nurse take?
Prepare to administer anbiocs to the client
Wear an N95 respirator makes while caring for the client
Plan to administer an anviral mediaon to the client
Place a surgical mask on the client during transfer to the unit
13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes
to disconnue the client’s feeding tube, but another family member tells the nurse that they want the client to connue
receiving treatment. Which of the following responses should the nurse make?
“You should contact the provider about your wishes for your family member”
“You should speak with the facility’s ethics commiee about your concerns
“We’ll need to have the nursing supervisor review the client’s advance direcves”
“As the health care surrogate, the client’s partner can make this decision
14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can
no longer handle caring for the client. which of the following acons should the nurse take?
