ATI NURSING LEADERSHIP AND MANAGEMENT 2020
1. A client receives a strong medication. The nurse who made the medication error should take which of the
following actions first?
a. Notify the nurse manager
b. Complete an incident report
c. Call the client’s provider
d. Asses the client
2. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is
three times the usual dose of this medication. Which of the following actions should the nurse take?
a. Contact the provider to question the dosage
b. Contact the pharmacy and confirm that the dosage is safe to administer
c. Inform the charge nurse and administer the dose of the medication the provider prescribed.
d. Ask another nurse to verify that the dosage is appropriate for the client.
3. A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives
reports from her assigned clients about the LPN’s lack of care. Which of the following actions should the
charge nurse take?
a. Review the LPN’s personnel file.
b. Talk with the clients who have reported the LPN’s lack of care.
c. Discuss the LPN’s behavior with other nurses on the unit.
d. Reassign some of the LPN’s client care to assistive personnel.
4. A charge nurse is making assignment for nursing personnel who will be caring for clients during the
oncoming shift. Which of the following factors should the charge nurse consider?
a. The most experienced nurse receives the more complex clients
b. The physiologic status of the clients on the unit.
c. Social relationship between nurses working the oncoming shift.
d. Personal comfort level an making the assignments.
5. A Nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal
wound. The nurse enters the room to check the client’s pulse. Which of the following actions should the
nurse take?
a. Wear protective eyewear
,b. Wear clean gloves
c. Wear an N95 respirator mask
d. Wear sterile gloves.
6. A charge nurse is providing an in-service for staff nurses on the use of new IV pumps. Which of the following
actions should the charge nurse take to best evaluate staff competency with the new equipment?
a. Require each nurse to take a written examination about the new equipment.
b. Allow time during the workday when each nurse can demonstrate proficiency
c. Verbally question the staff about the new equipment
d. Ask each nurse to read the procedure and sign a form acknowledging competency
7. A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take?
(SATA)
a. Place a fall-risk identification band on the client wrist.
b. Keep the client’s room dark at night
c. Assess the client every 4 hr
d. Keep the client’s bed in the lowest position
e. Teach the client to use the call light.
8. A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to
smolder. Which of the following actions is the nurse’s priority?
a. Move any client’s in the immediate vicinity
b. Close the fire doors on the unit
c. Use a fire extinguisher to put out the fire
d. Activate the fire alarm
9. A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the
following actions should the nurse take first?
a. Determine if she has the skills to complete the assignment
b. Ask what she will be assigned to do.
c. Identify her options.
d. Notify the nurse manager about her concerns for client safety.
10. A nurse manager is observing the care provided by a nurse who is in orientation to the unit. Which of the
following actions by the nurse indicates the nurse manager should intervene?
,a. The nurse uses the client’s telephone number as one form of identification when administering medications
to a client.
b. The nurse uses clean gloves when discontinuing a client’s intravenous infusion.
c. The nurse empties a client drainable colostomy pouch when it is one third full.
d. The nurse opens the top flap of a sterile tray toward the body when assisting the provider with a
thoracentesis.
11. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following
actions is the nurse’s priority?
a. Prepare the child for a lumbar puncture.
b. Administer an intravenous antibiotic
c. Place the child in isolation
d. Obtain blood cultures.
12. A nurse is working with a team of nursing personnel within a facility. Which of the following are necessary
task performance roles that members of the group or the leader must perform? (SATA)
a. Self-confessor
b. Energizer
c. Coordinator
d. Dominator
e. Evaluator
13. A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of
the following clients should the nurse assign to the room closest to the nurse’s station?
a. A client who has a suspected diagnosis of tuberculosis (TB)
b. A client who has a history of atrial fibrillation and is on continuous ECG monitoring
c. A client who sustained a head injury and is having periods of confusion
d. A client who reports a sever migraine headache
14. A nurse has just finished wound irrigation for a client who requires contact precautions. Which of the
following pieces of personal protective equipment (PPE) should the nurse remove first?
a. Gown
b. Mask
c. Gloves
d. Face shield
, 15. A nurse overhears two assistive personnel (AP) from the medical -surgical unit discussing a hospitalized client
while in the cafeteria. Which of the following is the priority nursing action?
a. Quietly tell the Aps that this is not appropriate
b. Document the occurrence in a personal log
c. Ask the nurse manager to provide an in-service program about confidentiality to the staff on the unit
d. Complete an incident report.
16. A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change
regarding client care. When discussing the issue with the nurse, which of the following statements by the
nurse manager is appropriate?
a. Being open to change is an expectation of the nurses who work on this unit.
b. Let’s talk about your concerns about the new policy
c. You should support this policy change because it was based on evidence-based practice.
d. Why didn’t you voice your concerns before the new policy was implemented?
17. A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses
regarding sending and receiving medications. Which of the following actions should the nurse take first to
resolve the conflict?
a. Identify the problem
b. Implement a resolution
c. Evaluate the results
d. Brainstorm solutions
18. A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following
actions should the nurse identify as the priority?
a. Lock the doors to the unit and secure windows so they cannot be opened.
b. Provide the client with plastic eating utensils for meals.
c. Remove any objects from the client’s environment that could be used for self-harm
d. Assign a staff member to stay with the client at all times.
19. A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client’s dressing. Several
hours later the client reports the dressing has not been changed. Which of the following actions should the
charge nurse take?
a. Report the issue to the unit manager
b. Change the client’s dressing
c. Reassigns the tasks to another nurse.
1. A client receives a strong medication. The nurse who made the medication error should take which of the
following actions first?
a. Notify the nurse manager
b. Complete an incident report
c. Call the client’s provider
d. Asses the client
2. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is
three times the usual dose of this medication. Which of the following actions should the nurse take?
a. Contact the provider to question the dosage
b. Contact the pharmacy and confirm that the dosage is safe to administer
c. Inform the charge nurse and administer the dose of the medication the provider prescribed.
d. Ask another nurse to verify that the dosage is appropriate for the client.
3. A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives
reports from her assigned clients about the LPN’s lack of care. Which of the following actions should the
charge nurse take?
a. Review the LPN’s personnel file.
b. Talk with the clients who have reported the LPN’s lack of care.
c. Discuss the LPN’s behavior with other nurses on the unit.
d. Reassign some of the LPN’s client care to assistive personnel.
4. A charge nurse is making assignment for nursing personnel who will be caring for clients during the
oncoming shift. Which of the following factors should the charge nurse consider?
a. The most experienced nurse receives the more complex clients
b. The physiologic status of the clients on the unit.
c. Social relationship between nurses working the oncoming shift.
d. Personal comfort level an making the assignments.
5. A Nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal
wound. The nurse enters the room to check the client’s pulse. Which of the following actions should the
nurse take?
a. Wear protective eyewear
,b. Wear clean gloves
c. Wear an N95 respirator mask
d. Wear sterile gloves.
6. A charge nurse is providing an in-service for staff nurses on the use of new IV pumps. Which of the following
actions should the charge nurse take to best evaluate staff competency with the new equipment?
a. Require each nurse to take a written examination about the new equipment.
b. Allow time during the workday when each nurse can demonstrate proficiency
c. Verbally question the staff about the new equipment
d. Ask each nurse to read the procedure and sign a form acknowledging competency
7. A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take?
(SATA)
a. Place a fall-risk identification band on the client wrist.
b. Keep the client’s room dark at night
c. Assess the client every 4 hr
d. Keep the client’s bed in the lowest position
e. Teach the client to use the call light.
8. A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to
smolder. Which of the following actions is the nurse’s priority?
a. Move any client’s in the immediate vicinity
b. Close the fire doors on the unit
c. Use a fire extinguisher to put out the fire
d. Activate the fire alarm
9. A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the
following actions should the nurse take first?
a. Determine if she has the skills to complete the assignment
b. Ask what she will be assigned to do.
c. Identify her options.
d. Notify the nurse manager about her concerns for client safety.
10. A nurse manager is observing the care provided by a nurse who is in orientation to the unit. Which of the
following actions by the nurse indicates the nurse manager should intervene?
,a. The nurse uses the client’s telephone number as one form of identification when administering medications
to a client.
b. The nurse uses clean gloves when discontinuing a client’s intravenous infusion.
c. The nurse empties a client drainable colostomy pouch when it is one third full.
d. The nurse opens the top flap of a sterile tray toward the body when assisting the provider with a
thoracentesis.
11. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following
actions is the nurse’s priority?
a. Prepare the child for a lumbar puncture.
b. Administer an intravenous antibiotic
c. Place the child in isolation
d. Obtain blood cultures.
12. A nurse is working with a team of nursing personnel within a facility. Which of the following are necessary
task performance roles that members of the group or the leader must perform? (SATA)
a. Self-confessor
b. Energizer
c. Coordinator
d. Dominator
e. Evaluator
13. A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of
the following clients should the nurse assign to the room closest to the nurse’s station?
a. A client who has a suspected diagnosis of tuberculosis (TB)
b. A client who has a history of atrial fibrillation and is on continuous ECG monitoring
c. A client who sustained a head injury and is having periods of confusion
d. A client who reports a sever migraine headache
14. A nurse has just finished wound irrigation for a client who requires contact precautions. Which of the
following pieces of personal protective equipment (PPE) should the nurse remove first?
a. Gown
b. Mask
c. Gloves
d. Face shield
, 15. A nurse overhears two assistive personnel (AP) from the medical -surgical unit discussing a hospitalized client
while in the cafeteria. Which of the following is the priority nursing action?
a. Quietly tell the Aps that this is not appropriate
b. Document the occurrence in a personal log
c. Ask the nurse manager to provide an in-service program about confidentiality to the staff on the unit
d. Complete an incident report.
16. A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change
regarding client care. When discussing the issue with the nurse, which of the following statements by the
nurse manager is appropriate?
a. Being open to change is an expectation of the nurses who work on this unit.
b. Let’s talk about your concerns about the new policy
c. You should support this policy change because it was based on evidence-based practice.
d. Why didn’t you voice your concerns before the new policy was implemented?
17. A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses
regarding sending and receiving medications. Which of the following actions should the nurse take first to
resolve the conflict?
a. Identify the problem
b. Implement a resolution
c. Evaluate the results
d. Brainstorm solutions
18. A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following
actions should the nurse identify as the priority?
a. Lock the doors to the unit and secure windows so they cannot be opened.
b. Provide the client with plastic eating utensils for meals.
c. Remove any objects from the client’s environment that could be used for self-harm
d. Assign a staff member to stay with the client at all times.
19. A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client’s dressing. Several
hours later the client reports the dressing has not been changed. Which of the following actions should the
charge nurse take?
a. Report the issue to the unit manager
b. Change the client’s dressing
c. Reassigns the tasks to another nurse.
