ATI RN LEADERSHIP LATEST FORM A & FORM B REAL
EXAM/ WITH EXPLANATIONS GRADE A+/VERIFIED
ANSWERS.
A nurse is participating in the development of a disaster management plan for a
hospital. The nurse should recognize that which of the following resources is the highest
priority to have available in response to a bioterrorism event?
A. A mental health specialist on the response team
b. a sufficient supply of ppe
c. a system for tracking client information
d. a network for communication between staff members and families - CORRECT
ANSWERS -b. a sufficient supply of ppe
A nurse manager observes an assistive personnel (AP) incorrectly transferring a client
to the bedside commode. Which of the following should the nurse take first?
a. Refer the AP to the facility procedure manual
b. Demonstrate the proper client transfer technique for the AP?
c. Instruct the AP to request assistance when unsure about a task
d. Help the AP assist the client with the transfer - CORRECT ANSWERS -d. Help the
AP assist the client with the transfer
A charge nurse making rounds observes that an assistive personnel (AP) has applied
wrist restraints to a client who is agitated and does not have a prescription for restraints.
Which of the following actions should the nurse take first?
A. Remove the restraints from the client's wrists
B. Review the chart for nonrestraint alternatives for agitation
C. Speak with the AP about the incident
D. Inform the unit manager of the incident - CORRECT ANSWERS -A. Remove the
restraints from the client's wrists
A nurse manager is leading a discussion about ethical dilemmas. Which of the following
situations should the nurse manager include as an example of ethical dilemma?
a. A visitor experiences a minor burn after spilling coffee
B. A client receives an operation on the wrong side of her body
C. A parent wants her 14-year-old adolescent to receive radiation treatment against his
will
D. A nurse witnesses another nurse administer an incorrect medication - CORRECT
ANSWERS -C. A parent wants her 14-year-old adolescent to receive radiation
treatment against his will
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse recommend for conference?
,A. A client who is at 28 weeks gestation and has a negative Coombs titer
B. A client who is 39 weeks of gestation and has a negative contraction stress test
C. A client who is at 35 weeks of gestation and has a biophysical profile of 6
D. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1 - CORRECT
ANSWERS -C. A client who is at 35 weeks of gestation and has a biophysical profile of
6
To resolve a conflict between staff members regarding potential changes in policy, a
nurse manager decides to implement the changes she prefers regardless of the feelings
of those who oppose those changes. Which of the following conflict-resolution strategies
is the nurse manager using?
a. Competing
b. Collaborating.
c. Compromising.
d. Cooperating. - CORRECT ANSWERS -a. Competing
A nurse is preparing an educational program for staff members regarding a new
intravenous pump. Identify the sequence of actions the nurse should take when
developing the program. (Move the steps into the box on the right, placing them in the
selected order of the performance)
Develop learning objectives for the program
Identify what skills to teach the staff members
Conduct program evaluation with staff members
Schedule several sessions of the program - CORRECT ANSWERS -Identify what skills
to teach the staff members
Develop learning objectives for the program
Schedule several sessions of the program
Conduct program evaluation with staff members
A nurse is preparing to discharge a client who as end stage heart failure. The client's
partner tells the nurse she can no longer handle caring for the client. Which of the
following action should the nurse take?
a. Request another family member assist the client's partner with care
b. Recommend the partner place the client in long term-care facility
c. Contact the case manager to discuss discharge options
d. Ask the provider to delay the clients discharge home for a few more days -
CORRECT ANSWERS -c. Contact the case manager to discuss discharge options
A nurse is providing discharge teaching to the parent of a toddler who has a new
diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed
for the child. Which of the following referrals should the nurse recommend?
, a. Social worker
b. Pharmacist
c. Respiratory therapist
d. Child protective services - CORRECT ANSWERS -a. Social worker
A charge nurse is making staff assignments on a medical-surgical unit. Which of the
following tasks should the nurse plan to delegate to an assistive personnel?
A. Measuring oxygen saturation for a client who has dyspnea
B. Inserting a rectal suppository for a client who is vomiting
C. Performing nasal hygiene for a client who has an NG tube
D. Pouching a client's ostomy bag for a new colostomy - CORRECT ANSWERS -D.
Pouching a client's ostomy bag for a new colostomy
A nurse is comparing the rate of medication errors on the medical unit to the rate from a
medical unit in a magnet hospital. Which of the following quality improvement methods
is the nurse using?
a) Structure audit
b) Benchmarking
c) Risk benefit analysis
d) Root cause analysis - CORRECT ANSWERS -Benchmarking
A nurse is supervising an assistive personnel (AP) who is feeding a client who has
dysphagia. Which of the following actions by the AP should the nurse identify as correct
technique?
A. Elevating the head of the clients bed to 30 degrees during mealtime
B. Withholding fluids until the end of the meal
C. Providing a 10 min rest period prior to meals
D. Instructing the client to place her chin toward her chest when swallowing -
CORRECT ANSWERS -D. Instructing the client to place her chin toward her chest
when swallowing
nurse is providing an in-service about client right for a group of nurses. Which of the
following statements should the nurse include in the service?
a. A nurse can disclose information to a family member with the client9s permission
b. A nurse can apply restraints on a PRN basis
c. A nurse can administer medications without consent to a client as a part of a research
study
d. A nurse is responsible for informing clients about treatment options - CORRECT
ANSWERS -a. A nurse can disclose information to a family member with the client9s
permission
EXAM/ WITH EXPLANATIONS GRADE A+/VERIFIED
ANSWERS.
A nurse is participating in the development of a disaster management plan for a
hospital. The nurse should recognize that which of the following resources is the highest
priority to have available in response to a bioterrorism event?
A. A mental health specialist on the response team
b. a sufficient supply of ppe
c. a system for tracking client information
d. a network for communication between staff members and families - CORRECT
ANSWERS -b. a sufficient supply of ppe
A nurse manager observes an assistive personnel (AP) incorrectly transferring a client
to the bedside commode. Which of the following should the nurse take first?
a. Refer the AP to the facility procedure manual
b. Demonstrate the proper client transfer technique for the AP?
c. Instruct the AP to request assistance when unsure about a task
d. Help the AP assist the client with the transfer - CORRECT ANSWERS -d. Help the
AP assist the client with the transfer
A charge nurse making rounds observes that an assistive personnel (AP) has applied
wrist restraints to a client who is agitated and does not have a prescription for restraints.
Which of the following actions should the nurse take first?
A. Remove the restraints from the client's wrists
B. Review the chart for nonrestraint alternatives for agitation
C. Speak with the AP about the incident
D. Inform the unit manager of the incident - CORRECT ANSWERS -A. Remove the
restraints from the client's wrists
A nurse manager is leading a discussion about ethical dilemmas. Which of the following
situations should the nurse manager include as an example of ethical dilemma?
a. A visitor experiences a minor burn after spilling coffee
B. A client receives an operation on the wrong side of her body
C. A parent wants her 14-year-old adolescent to receive radiation treatment against his
will
D. A nurse witnesses another nurse administer an incorrect medication - CORRECT
ANSWERS -C. A parent wants her 14-year-old adolescent to receive radiation
treatment against his will
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse recommend for conference?
,A. A client who is at 28 weeks gestation and has a negative Coombs titer
B. A client who is 39 weeks of gestation and has a negative contraction stress test
C. A client who is at 35 weeks of gestation and has a biophysical profile of 6
D. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1 - CORRECT
ANSWERS -C. A client who is at 35 weeks of gestation and has a biophysical profile of
6
To resolve a conflict between staff members regarding potential changes in policy, a
nurse manager decides to implement the changes she prefers regardless of the feelings
of those who oppose those changes. Which of the following conflict-resolution strategies
is the nurse manager using?
a. Competing
b. Collaborating.
c. Compromising.
d. Cooperating. - CORRECT ANSWERS -a. Competing
A nurse is preparing an educational program for staff members regarding a new
intravenous pump. Identify the sequence of actions the nurse should take when
developing the program. (Move the steps into the box on the right, placing them in the
selected order of the performance)
Develop learning objectives for the program
Identify what skills to teach the staff members
Conduct program evaluation with staff members
Schedule several sessions of the program - CORRECT ANSWERS -Identify what skills
to teach the staff members
Develop learning objectives for the program
Schedule several sessions of the program
Conduct program evaluation with staff members
A nurse is preparing to discharge a client who as end stage heart failure. The client's
partner tells the nurse she can no longer handle caring for the client. Which of the
following action should the nurse take?
a. Request another family member assist the client's partner with care
b. Recommend the partner place the client in long term-care facility
c. Contact the case manager to discuss discharge options
d. Ask the provider to delay the clients discharge home for a few more days -
CORRECT ANSWERS -c. Contact the case manager to discuss discharge options
A nurse is providing discharge teaching to the parent of a toddler who has a new
diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed
for the child. Which of the following referrals should the nurse recommend?
, a. Social worker
b. Pharmacist
c. Respiratory therapist
d. Child protective services - CORRECT ANSWERS -a. Social worker
A charge nurse is making staff assignments on a medical-surgical unit. Which of the
following tasks should the nurse plan to delegate to an assistive personnel?
A. Measuring oxygen saturation for a client who has dyspnea
B. Inserting a rectal suppository for a client who is vomiting
C. Performing nasal hygiene for a client who has an NG tube
D. Pouching a client's ostomy bag for a new colostomy - CORRECT ANSWERS -D.
Pouching a client's ostomy bag for a new colostomy
A nurse is comparing the rate of medication errors on the medical unit to the rate from a
medical unit in a magnet hospital. Which of the following quality improvement methods
is the nurse using?
a) Structure audit
b) Benchmarking
c) Risk benefit analysis
d) Root cause analysis - CORRECT ANSWERS -Benchmarking
A nurse is supervising an assistive personnel (AP) who is feeding a client who has
dysphagia. Which of the following actions by the AP should the nurse identify as correct
technique?
A. Elevating the head of the clients bed to 30 degrees during mealtime
B. Withholding fluids until the end of the meal
C. Providing a 10 min rest period prior to meals
D. Instructing the client to place her chin toward her chest when swallowing -
CORRECT ANSWERS -D. Instructing the client to place her chin toward her chest
when swallowing
nurse is providing an in-service about client right for a group of nurses. Which of the
following statements should the nurse include in the service?
a. A nurse can disclose information to a family member with the client9s permission
b. A nurse can apply restraints on a PRN basis
c. A nurse can administer medications without consent to a client as a part of a research
study
d. A nurse is responsible for informing clients about treatment options - CORRECT
ANSWERS -a. A nurse can disclose information to a family member with the client9s
permission
