ATI RN LEADERSHIP PROCTORED
A client is brought to the emergency department following a motor-vehicle crash.
Drug use is suspected in the crash, and a voided urine specimen is ordered. The
client repeatedly refuses to provide the specimen. Which of the following is the
appropriate action by the nurse? - ANSWER B* Document the client‟s refusal in the
chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - ANSWER Administer a
nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting
with a sterile procedure. Which of the following actions indicates the newly licensed
nurse is maintaining sterile technique? (SATA) - ANSWER b. Opens the sterile
pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the
sterile field
A nurse enters a client‟s room and identifies that the client is receiving too much IV
fluid because the IV pump is not working properly. Which of the following actions
should the nurse take first? - ANSWER Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks
should the nurse assign to the LPN? - ANSWER Reinforcing teaching with a client
who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis.
After donning a sterile gown and gloves, which of the following actions by the newly
licensed nurse demonstrates correct aseptic technique? - ANSWER The nurse
holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? - ANSWER Recheck vital signs that are outside the
expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - ANSWER Obtaining a stool sample from a client who has
renal failure
A nurse is triaging a group of clients following a disaster. Which of the following
clients should the nurse recommend for treatment first? - ANSWER A client who
has two open chest wounds with a left tracheal deviation
, A nurse manager is reviewing guidelines for informed consent with the nursing staff.
Which of the following statements by a staff nurse indicates that the teaching was
effective? - ANSWER "Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee? - ANSWER An adolescent client
whose parents refuse a blood transfusion for religious reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse who is
preparing to return a call to a client. The nurse should explain that which of the
following is an objective of telehealth? - ANSWER Establishing communication
between providers
A nurse is providing discharge teaching to a client who has a new diagnosis of
diabetes. The client expresses concern about the cost of blood-glucose monitoring
supplies. Which of the following actions should the nurse take? - ANSWER Refer
the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following situations
should the charge nurse address first? - ANSWER The emergency department
nurse is waiting to give report on a new admission.
A nurse who is precepting a newly licensed nurse is discussing the client assignment
for the shift. Which of the following actions should the nurse preceptor take first to
demonstrate appropriate time management? - ANSWER Determine client care
goals (set/plan goals)
A charge nurse is reviewing information about HIPAA with a group of staff nurses.
Which of the following statements by a staff nurse indicates understanding? -
ANSWER "HIPAA allows clients to request a review of their own medical records."
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? - ANSWER
Whether the client understands the risk of refusing the procedure
A charge nurse is planning the care of four newborns. An assistive personnel and
licensed practical nurse are available for staffing. Which of the following tasks should
the nurse assign to a licensed practical nurse? - ANSWER Administer a hepatitis B
vaccine.
During a staff meeting a unit manager reviews the results for documenting client
education and finds that they are below the benchmark. Which of the following
strategies should the nurse manager implement first? - ANSWER Determine factors
that interfere with the documentation of client education.
A nurse is explaining ethics and values to a newly licensed nurse. The nurse should
explain that preventing client injury by removing a fall hazard demonstrates which of
the following ethical principles? - ANSWER Nonmaleficence
A client is brought to the emergency department following a motor-vehicle crash.
Drug use is suspected in the crash, and a voided urine specimen is ordered. The
client repeatedly refuses to provide the specimen. Which of the following is the
appropriate action by the nurse? - ANSWER B* Document the client‟s refusal in the
chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - ANSWER Administer a
nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting
with a sterile procedure. Which of the following actions indicates the newly licensed
nurse is maintaining sterile technique? (SATA) - ANSWER b. Opens the sterile
pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the
sterile field
A nurse enters a client‟s room and identifies that the client is receiving too much IV
fluid because the IV pump is not working properly. Which of the following actions
should the nurse take first? - ANSWER Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks
should the nurse assign to the LPN? - ANSWER Reinforcing teaching with a client
who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis.
After donning a sterile gown and gloves, which of the following actions by the newly
licensed nurse demonstrates correct aseptic technique? - ANSWER The nurse
holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? - ANSWER Recheck vital signs that are outside the
expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - ANSWER Obtaining a stool sample from a client who has
renal failure
A nurse is triaging a group of clients following a disaster. Which of the following
clients should the nurse recommend for treatment first? - ANSWER A client who
has two open chest wounds with a left tracheal deviation
, A nurse manager is reviewing guidelines for informed consent with the nursing staff.
Which of the following statements by a staff nurse indicates that the teaching was
effective? - ANSWER "Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee? - ANSWER An adolescent client
whose parents refuse a blood transfusion for religious reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse who is
preparing to return a call to a client. The nurse should explain that which of the
following is an objective of telehealth? - ANSWER Establishing communication
between providers
A nurse is providing discharge teaching to a client who has a new diagnosis of
diabetes. The client expresses concern about the cost of blood-glucose monitoring
supplies. Which of the following actions should the nurse take? - ANSWER Refer
the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following situations
should the charge nurse address first? - ANSWER The emergency department
nurse is waiting to give report on a new admission.
A nurse who is precepting a newly licensed nurse is discussing the client assignment
for the shift. Which of the following actions should the nurse preceptor take first to
demonstrate appropriate time management? - ANSWER Determine client care
goals (set/plan goals)
A charge nurse is reviewing information about HIPAA with a group of staff nurses.
Which of the following statements by a staff nurse indicates understanding? -
ANSWER "HIPAA allows clients to request a review of their own medical records."
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? - ANSWER
Whether the client understands the risk of refusing the procedure
A charge nurse is planning the care of four newborns. An assistive personnel and
licensed practical nurse are available for staffing. Which of the following tasks should
the nurse assign to a licensed practical nurse? - ANSWER Administer a hepatitis B
vaccine.
During a staff meeting a unit manager reviews the results for documenting client
education and finds that they are below the benchmark. Which of the following
strategies should the nurse manager implement first? - ANSWER Determine factors
that interfere with the documentation of client education.
A nurse is explaining ethics and values to a newly licensed nurse. The nurse should
explain that preventing client injury by removing a fall hazard demonstrates which of
the following ethical principles? - ANSWER Nonmaleficence
