ATI: RN Leadership Online Practice 2026
A Questions with Correct Answers
A nurse on a med-
surge unit is caring for four clients. The nurse should recognize that which of the following client
s is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in the right foot
C. A client who has type 1 diabetes and needs the first dressing change for an ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F - CORRECT ANSWER -
B. A client who has peripheral vascular disease and has an absent pulse in the right foot
When using ABCs approach to client care, the nurse determines that the priority finding is an ab
sent pulse, which indicates no blood flow to the extremity.
Which of the following instructions provided by a nurse reflects effective communication regardi
ng delegation of a task to an AP?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room 6122'
B. "Check the urinary output at 1100 for John Doe and report it to me immediately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels are significant" -
CORRECT ANSWER -
B. "Check the urinary output at 1100 for John Doe and report it to me immediately"
Follows the Five Rights of Delegation by including the requirements for rightRdirection/communi
cation: the data to collect, client-
specific information, a timeline for collection, and the expectation for communicating the findin
gs back to the nurse.
,A client on a general surgical unit tells a nurse that staff members are not answering the call ligh
t properly. The client requests to be transferred to another unit. Which of the following actions s
hould the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations - CORRECT ANSWER -
D. Ask the client to verbalize their expectations
The first action the nurse should take using the nursing process is to assess; therefore, the first a
ction the nurse should take is to assess the client's feelings and clarify expectations.
A nurse is caring for a client who is recovering from a stroke. The provider recommends an extra
cranial-
intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the f
ollowing actions should the nurse take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses the surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options - CORRECT ANSWER -
C. Discuss the client's concerns about having the surgery
The nurse should ask the client relevant questions to determine their concerns regarding having
the surgery. By asking relevant, open-
ended questions, the nurse can help the client clarify their thoughts and feelings about the surg
ery. The nurse can then relay concerns to the provider for further discussion if needed.
A charge nurse is supervising the care of several clients. Which of the following actions requires
intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
, B. A CNA documents a client's vitals on the client's paper-based graphic record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records thatRwere requested
Photocopying diagnostic test results is a breach of the clients confidentiality and privacy
A nurse is receiving report from the CNA assigned to the nurse's group of clients. Which of the f
ollowing statements from the CNA indicates the client the nurse should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of 0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports inability to void"
D. "The client who is scheduled for discharge today states they are ready to sign their paperwor
k"
Not voiding for 6-
8 hours after indwelling urinary catheter removal indicates this client is at risk for urinary retenti
on, which can cause a UTI. Overdistention of the bladder can cause damage to the mucosa. Ther
efore, the nurse should assess this client first and report findings to the provider.
A nurse manager is planning an in-
service for a group of nurses about caring for clients following stem cell transplants. Which of th
e following instructions should the nurse manager include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms
The nurse should place a client who requires protective environment precautions following a ste
m cell transplant in a private, positive-
A Questions with Correct Answers
A nurse on a med-
surge unit is caring for four clients. The nurse should recognize that which of the following client
s is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in the right foot
C. A client who has type 1 diabetes and needs the first dressing change for an ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F - CORRECT ANSWER -
B. A client who has peripheral vascular disease and has an absent pulse in the right foot
When using ABCs approach to client care, the nurse determines that the priority finding is an ab
sent pulse, which indicates no blood flow to the extremity.
Which of the following instructions provided by a nurse reflects effective communication regardi
ng delegation of a task to an AP?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room 6122'
B. "Check the urinary output at 1100 for John Doe and report it to me immediately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels are significant" -
CORRECT ANSWER -
B. "Check the urinary output at 1100 for John Doe and report it to me immediately"
Follows the Five Rights of Delegation by including the requirements for rightRdirection/communi
cation: the data to collect, client-
specific information, a timeline for collection, and the expectation for communicating the findin
gs back to the nurse.
,A client on a general surgical unit tells a nurse that staff members are not answering the call ligh
t properly. The client requests to be transferred to another unit. Which of the following actions s
hould the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations - CORRECT ANSWER -
D. Ask the client to verbalize their expectations
The first action the nurse should take using the nursing process is to assess; therefore, the first a
ction the nurse should take is to assess the client's feelings and clarify expectations.
A nurse is caring for a client who is recovering from a stroke. The provider recommends an extra
cranial-
intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the f
ollowing actions should the nurse take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses the surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options - CORRECT ANSWER -
C. Discuss the client's concerns about having the surgery
The nurse should ask the client relevant questions to determine their concerns regarding having
the surgery. By asking relevant, open-
ended questions, the nurse can help the client clarify their thoughts and feelings about the surg
ery. The nurse can then relay concerns to the provider for further discussion if needed.
A charge nurse is supervising the care of several clients. Which of the following actions requires
intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
, B. A CNA documents a client's vitals on the client's paper-based graphic record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records thatRwere requested
Photocopying diagnostic test results is a breach of the clients confidentiality and privacy
A nurse is receiving report from the CNA assigned to the nurse's group of clients. Which of the f
ollowing statements from the CNA indicates the client the nurse should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of 0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports inability to void"
D. "The client who is scheduled for discharge today states they are ready to sign their paperwor
k"
Not voiding for 6-
8 hours after indwelling urinary catheter removal indicates this client is at risk for urinary retenti
on, which can cause a UTI. Overdistention of the bladder can cause damage to the mucosa. Ther
efore, the nurse should assess this client first and report findings to the provider.
A nurse manager is planning an in-
service for a group of nurses about caring for clients following stem cell transplants. Which of th
e following instructions should the nurse manager include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms
The nurse should place a client who requires protective environment precautions following a ste
m cell transplant in a private, positive-
