ATI RN LEADERSHIP PROCTORED
EXAM COMPREHENSIVE REVIEW
1. A charge nurse is managing a conflict between two staff nurses regarding holiday
scheduling. The charge nurse asks both nurses to identify their priorities and then seeks a
solution that satisfies some requirements of both parties. Which conflict management
strategy is being used?
A. Avoiding
B. Competing
C. Compromising
D. Smoothing
Answer: C
Conceptual Explanation: Compromising involves both parties giving up something to
reach a mutually acceptable solution. It is a ‘lose-lose’ or ‘win-lose’ hybrid depending on the
perspective, whereas collaborating is a ‘win-win’.
,2. A nurse is preparing to delegate tasks to an Assistive Personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Performing an initial admission assessment
C. Teaching a client how to use an incentive spirometer
D. Providing post-mortem care to a deceased client
Answer: D
Conceptual Explanation: Post-mortem care is a routine task that does not require clinical
judgment or nursing assessment, making it suitable for an AP. Evaluation, teaching, and
assessment require the skills of a licensed nurse.
3. A nurse is caring for a group of clients. Which client should the nurse assess first?
A. A client who had a hip arthroplasty 2 days ago and reports a pain level of 7 on a scale of
0 to 10.
B. A client who has a history of heart failure and reports 2+ pitting edema in the lower
extremities.
C. A client who has diabetes mellitus and a fasting blood glucose of 150 mg/dL.
D. A client who had a thyroidectomy 6 hours ago and reports tingling in their fingers.
Answer: D
, Conceptual Explanation: Tingling in the fingers (paresthesia) after a thyroidectomy is a
sign of hypocalcemia, which can lead to laryngospasm and airway obstruction. This is an
urgent physiological need.
4. A nurse is observing a newly licensed nurse who is performing a sterile dressing change.
Which of the following actions by the newly licensed nurse requires intervention by the
nurse?
A. The nurse opens the top flap of the sterile package away from their body.
B. The nurse reaches over the sterile field to pick up a pair of sterile forceps.
C. The nurse drops a sterile gauze pad onto the sterile field from a height of 6 inches.
D. The nurse picks up the first sterile glove by the folded edge of the cuff.
Answer: B
Conceptual Explanation: Reaching over a sterile field contaminates it. Sterile items should
be approached from the side, and the nurse should never move their arm across the sterile
workspace.
5. A nurse manager is discussing the Five Rights of Delegation with a group of staff nurses.
Which of the following should be included as one of the rights?
A. Right Supervision
B. Right Time
C. Right Equipment
EXAM COMPREHENSIVE REVIEW
1. A charge nurse is managing a conflict between two staff nurses regarding holiday
scheduling. The charge nurse asks both nurses to identify their priorities and then seeks a
solution that satisfies some requirements of both parties. Which conflict management
strategy is being used?
A. Avoiding
B. Competing
C. Compromising
D. Smoothing
Answer: C
Conceptual Explanation: Compromising involves both parties giving up something to
reach a mutually acceptable solution. It is a ‘lose-lose’ or ‘win-lose’ hybrid depending on the
perspective, whereas collaborating is a ‘win-win’.
,2. A nurse is preparing to delegate tasks to an Assistive Personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Performing an initial admission assessment
C. Teaching a client how to use an incentive spirometer
D. Providing post-mortem care to a deceased client
Answer: D
Conceptual Explanation: Post-mortem care is a routine task that does not require clinical
judgment or nursing assessment, making it suitable for an AP. Evaluation, teaching, and
assessment require the skills of a licensed nurse.
3. A nurse is caring for a group of clients. Which client should the nurse assess first?
A. A client who had a hip arthroplasty 2 days ago and reports a pain level of 7 on a scale of
0 to 10.
B. A client who has a history of heart failure and reports 2+ pitting edema in the lower
extremities.
C. A client who has diabetes mellitus and a fasting blood glucose of 150 mg/dL.
D. A client who had a thyroidectomy 6 hours ago and reports tingling in their fingers.
Answer: D
, Conceptual Explanation: Tingling in the fingers (paresthesia) after a thyroidectomy is a
sign of hypocalcemia, which can lead to laryngospasm and airway obstruction. This is an
urgent physiological need.
4. A nurse is observing a newly licensed nurse who is performing a sterile dressing change.
Which of the following actions by the newly licensed nurse requires intervention by the
nurse?
A. The nurse opens the top flap of the sterile package away from their body.
B. The nurse reaches over the sterile field to pick up a pair of sterile forceps.
C. The nurse drops a sterile gauze pad onto the sterile field from a height of 6 inches.
D. The nurse picks up the first sterile glove by the folded edge of the cuff.
Answer: B
Conceptual Explanation: Reaching over a sterile field contaminates it. Sterile items should
be approached from the side, and the nurse should never move their arm across the sterile
workspace.
5. A nurse manager is discussing the Five Rights of Delegation with a group of staff nurses.
Which of the following should be included as one of the rights?
A. Right Supervision
B. Right Time
C. Right Equipment
