ATI RN LEADERSHIP ACTUAL EXAM LATEST 2024/2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
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 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 Opens the sterile pack by first unfolding the top flap away from
her body
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 c. 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 d. "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 nurse is caring for a group of clients. Which of the following clients should
the nurse plan to assess first? - ANSWER A client who has a nasogastric
tube and has crackles in the lungs (ABC-- airway)
A charge nurse is planning to evacuate clients on the unit because there is
a fire on another floor. Which of the following clients should the nurse
evacuate first? - ANSWER A client who is receiving IV chemotherapy and
is ambulatory
A nurse enters the room of a client who is unconscious and finds that the
client‟s son is reading her electronic medical records from a monitor
located at the bedside. Which of the following actions should the nurse take
first? - ANSWER Log out the computer so that the client‟s son is unable to
view his mother‟s information.
A nurse is preparing a client for cardiac catheterization. Just before the
procedure, the client asks the nurse about the risks of the procedure.
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
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 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 Opens the sterile pack by first unfolding the top flap away from
her body
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 c. 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 d. "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 nurse is caring for a group of clients. Which of the following clients should
the nurse plan to assess first? - ANSWER A client who has a nasogastric
tube and has crackles in the lungs (ABC-- airway)
A charge nurse is planning to evacuate clients on the unit because there is
a fire on another floor. Which of the following clients should the nurse
evacuate first? - ANSWER A client who is receiving IV chemotherapy and
is ambulatory
A nurse enters the room of a client who is unconscious and finds that the
client‟s son is reading her electronic medical records from a monitor
located at the bedside. Which of the following actions should the nurse take
first? - ANSWER Log out the computer so that the client‟s son is unable to
view his mother‟s information.
A nurse is preparing a client for cardiac catheterization. Just before the
procedure, the client asks the nurse about the risks of the procedure.
