TEST BANK 2024|25| ATI LEADERSHIP EXAM | QUESTION AND A
NSWER NEW UPDATED VERSION
A nurse is caring for a client who is a local public official. A newspaper reporter
repeatedly phones the unit seeking information and states, "The public has a right to
know the health status of elected officials." Which of the following actions should the
nurse take?
A. Acknowledge that the person is a client on the unit but give no specific details of the
client's condition.
B. Refer any calls directly to the client's room so that the client and her family can
decide what to tell the press.
C. Refer all media inquiries to the nursing supervisor.
D. Hang up on media callers because nursing staff members are not required to speak
to them.- answer- C.
Refer all media inquiries to the nursing supervisor.
A nurse is speaking with the family member of a client who has early Alzheimer's
disease. The family member would like to keep the client living at home, but the client
requires assistance while the family member is away at work. Which of the following
services should the nurse include in the discussion?
A. Hospice care
B. Adult day care
C. Assisted-living facility
D. Long-term care facility- answer- B.
Adult day care
Adult day care personnel can provide constant assistance with ADLs while the family
member is at work; the client can live at home during the night and evening hours.
Incorrect Answers:
A. Hospice care is only appropriate for a client who has a terminal illness and a life
expectancy of <6 months.
C. Clients who live in an assisted-living facility need to be able to live independently and
require minimal assistance. Clients can receive assistance with medication and are
,offered one prepared meal a day if needed. However, an assisted-living facility is not an
option at this time since the family member wishes to keep the client at home.
D. A long-term care facility is not an option at this time since the family member wishes
to keep the client at home.
/
A nurse is performing a safety audit on all equipment used on the unit. Which of the
following items should the nurse identify as a safety hazard?
A. An electrical cord that is taped to the floor
B. A protective cover that is placed over an unused outlet
C. An electrical cord that is frayed toward the plug
D. An electrical plug that has 3 prongs- answer- C.
An electrical cord that is frayed toward the plug
The nurse should identify that an electrical cord that is frayed toward the plug is
damaged and should not be used. Using an electrical cord that is damaged can
increase the client's risk of acquiring an electrical shock.
Incorrect Answers:
A. An electrical cord taped to the floor prevents others from tripping over the cord or
damaging it.
B. A protective cover placed over an unused outlet prevents young children from playing
with the outlet.
D. An electrical plug with 3 prongs is a grounded piece of equipment, which provides a
path of low resistance to stray electric currents. This is the only type of electrical
equipment that should be used.
/
A nurse is planning care for several clients. Which of the following clients should the
nurse refer to a case manager?
A. A client who has neurological deficits following a stroke
B. A married female client who has delivered a full-term newborn
C. A client who is postoperative following a cholecystectomy
D. A child who has a fracture of the dominant arm- answer- A.
A client who has neurological deficits following a stroke
The nurse should refer this client to the case manager for care. A client who had a
stroke will likely require long-term treatment. A client who has ongoing needs for care or
,rehabilitation should receive care that is directed by a case manager due to the
complexity and cost of the client's needs.
Incorrect Answers:
B. If no complications or social concerns exist, the delivery of a full-term newborn does
not require case management.
C. As long as no complications occur, this procedure does not require a case
management approach.
D. A child who has a fractured arm does not require a case management approach
unless there is evidence that some other pathology precipitated the fracture.
/
An RN and a licensed practical nurse (LPN) are caring for a client who has a small
bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction.
Which of the following tasks should the RN perform?
A. Obtain daily weight
B. Inspect the client's oral cavity for dryness hourly
C. Measure and record the NG tube output every 4 hours
D. Assess for bowel sounds every 2 hours- answer- D.
Assess for bowel sounds every 2 hours
Assessments are within the scope of practice for the RN only. While the LPN can also
auscultate the client's abdomen for the presence of sounds, only the RN is qualified to
evaluate the sounds and qualify them as hypoactive, normal, or hyperactive.
Incorrect Answers:
A. Obtaining a daily weight is within the scope of practice of an LPN. While the RN
could also perform this task, it should be delegated to an LPN so that the RN is
available to perform other tasks.
B. Oral care is considered part of routine hygiene and includes observing the
membranes of the mouth for dryness. It is within the scope of practice for the LPN.
While the RN could also perform this task, it should be delegated to an LPN so the RN
is available to perform other tasks.
//
A nurse is making a client's bed and finds a capsule of medication in the sheets. Which
of the following actions by the nurse is consistent with safe nursing practice? (Select all
that apply.)
A. Administer Nthe Nmedication Nto Nthe Nclient.
B. Notify Nthe Nprovider.
, C. Complete Na Nvariance Nreport.
D. Document Nthe Nfinding Nin Nthe Nclient's Nelectronic Nmedical Nrecord.
E. Place Nthe Nmedication Nback Nin Nthe Nmedication Ndrawer.- Nanswer- NB. NNotify Nthe
Nprovider.
C. Complete Na Nvariance Nreport.
B. NNotifying Nthe Nprovider Nis Ncorrect. NThe Nnurse Nshould Nnotify Nthe Nprovider Nof Nthe
Nfinding Nas Na Npart Nof Nthe Nvariance Nreporting Nprocess.
C. NCompleting Na Nvariance Nreport Nis Ncorrect. NThe Nnurse Nshould Ncomplete Nan Nincident Nor
Nvariance Nreport Nregarding Nthe Noccurrence.
Incorrect NAnswers:
A. NAdministering Nthe Nmedication Nto Nthe Nclient Nis Nincorrect. NThe Nnurse Nshould Nnot
Nadminister Nthe Nmedication Nto Nthe Nclient, Nbecause Nthe Nnurse Ndoes Nnot Nknow Nwhich
Ndose Nof Nthe Nmedication Nthe Nclient Nmissed. NAdministering Nthe Ncapsule Nnow Ncould
Nresult Nin Nan Noverdose Nif Nthe Nclient Nhas Nrecently Ntaken Nthe Nsame Nmedication.
D. NDocumenting Nthe Nfinding Nin Nthe Nclient's Nelectronic Nmedical Nrecord Nis Nincorrect. NThe
Nnurse Nshould Nnot Ndocument Nthe Nfinding Nin Nthe Nclient's Nelectronic Nmedical Nrecord. NThe
Nnurse Nshould Nidentify Nthat Ninformation Nin Nthe Nclient's Nmedical Nrecord Nis Nsubject Nto
Nattorney Nreview Nshould Nthe Nclient Ndecide, Nfor Nany Nreason, Nto Nfile Nsuit Nagainst Nthe
Nfacility Nor Nthe Nhealthcare Nstaff. NInstead, Nthe Nnurse Nshould Nfollow Nfacility Npolicy Nand
Nreport Nthe Nincident Nto Nthe Nnurse Nmanager Nand Nrisk Nmanagement Nthrough Nthe Nuse Nof
Na Nvariance Nreport. NIn Naddition, Nthe Nnurse Nshould Navoid Ndocumenting Nin Nthe Nmedical
Nrecord Nthat Na Nvariance Nreport Nwas Nfiled Nbecause Nthis Ncan Nalso Nallow Nfor Nthe Nvariance
Nreport Nto Nbe Nsubpoenaed Nshould Nthe Nclient Ndecide Nto Nfile Nsuit.
E. NPlacing Nthe Nmedication Nback Nin Nthe Nmedication Ndrawer Nis Nincorrect. NThe Nnurse
Nshould Nidentify Nthat Nmedications Nthat Nare Nno Nlonger Npackaged Nare Nconsidered
Ncontaminated Nand Nshould Nbe Ndiscarded.
///
A Nnurse Nis Nplanning Nto Nperform Na Nnegotiation Nto Nmanage Na Nconflict Nbetween Nhimself
Nand Nanother Nstaff Nmember. NWhich Nof Nthe Nfollowing Nactions Nshould Nthe Nnurse Nplan Nto
Ntake?
A. NContinue Nthe Nnegotiation Nprocess Nuntil Nall Nparties Nagree Non Na Nsettlement.
B. NEstablish Nequality Nin Nthe Nconcessions Nthat Neach Nparty Nmakes.
C. NMake Nas Nmany Nconcessions Nas Nneeded Nto Nmake Neveryone Nhappy.
D. NCreate Na Nsolution Nin Nwhich Nall Nparties Nare Nsatisfied.- Nanswer- ND.
NSWER NEW UPDATED VERSION
A nurse is caring for a client who is a local public official. A newspaper reporter
repeatedly phones the unit seeking information and states, "The public has a right to
know the health status of elected officials." Which of the following actions should the
nurse take?
A. Acknowledge that the person is a client on the unit but give no specific details of the
client's condition.
B. Refer any calls directly to the client's room so that the client and her family can
decide what to tell the press.
C. Refer all media inquiries to the nursing supervisor.
D. Hang up on media callers because nursing staff members are not required to speak
to them.- answer- C.
Refer all media inquiries to the nursing supervisor.
A nurse is speaking with the family member of a client who has early Alzheimer's
disease. The family member would like to keep the client living at home, but the client
requires assistance while the family member is away at work. Which of the following
services should the nurse include in the discussion?
A. Hospice care
B. Adult day care
C. Assisted-living facility
D. Long-term care facility- answer- B.
Adult day care
Adult day care personnel can provide constant assistance with ADLs while the family
member is at work; the client can live at home during the night and evening hours.
Incorrect Answers:
A. Hospice care is only appropriate for a client who has a terminal illness and a life
expectancy of <6 months.
C. Clients who live in an assisted-living facility need to be able to live independently and
require minimal assistance. Clients can receive assistance with medication and are
,offered one prepared meal a day if needed. However, an assisted-living facility is not an
option at this time since the family member wishes to keep the client at home.
D. A long-term care facility is not an option at this time since the family member wishes
to keep the client at home.
/
A nurse is performing a safety audit on all equipment used on the unit. Which of the
following items should the nurse identify as a safety hazard?
A. An electrical cord that is taped to the floor
B. A protective cover that is placed over an unused outlet
C. An electrical cord that is frayed toward the plug
D. An electrical plug that has 3 prongs- answer- C.
An electrical cord that is frayed toward the plug
The nurse should identify that an electrical cord that is frayed toward the plug is
damaged and should not be used. Using an electrical cord that is damaged can
increase the client's risk of acquiring an electrical shock.
Incorrect Answers:
A. An electrical cord taped to the floor prevents others from tripping over the cord or
damaging it.
B. A protective cover placed over an unused outlet prevents young children from playing
with the outlet.
D. An electrical plug with 3 prongs is a grounded piece of equipment, which provides a
path of low resistance to stray electric currents. This is the only type of electrical
equipment that should be used.
/
A nurse is planning care for several clients. Which of the following clients should the
nurse refer to a case manager?
A. A client who has neurological deficits following a stroke
B. A married female client who has delivered a full-term newborn
C. A client who is postoperative following a cholecystectomy
D. A child who has a fracture of the dominant arm- answer- A.
A client who has neurological deficits following a stroke
The nurse should refer this client to the case manager for care. A client who had a
stroke will likely require long-term treatment. A client who has ongoing needs for care or
,rehabilitation should receive care that is directed by a case manager due to the
complexity and cost of the client's needs.
Incorrect Answers:
B. If no complications or social concerns exist, the delivery of a full-term newborn does
not require case management.
C. As long as no complications occur, this procedure does not require a case
management approach.
D. A child who has a fractured arm does not require a case management approach
unless there is evidence that some other pathology precipitated the fracture.
/
An RN and a licensed practical nurse (LPN) are caring for a client who has a small
bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction.
Which of the following tasks should the RN perform?
A. Obtain daily weight
B. Inspect the client's oral cavity for dryness hourly
C. Measure and record the NG tube output every 4 hours
D. Assess for bowel sounds every 2 hours- answer- D.
Assess for bowel sounds every 2 hours
Assessments are within the scope of practice for the RN only. While the LPN can also
auscultate the client's abdomen for the presence of sounds, only the RN is qualified to
evaluate the sounds and qualify them as hypoactive, normal, or hyperactive.
Incorrect Answers:
A. Obtaining a daily weight is within the scope of practice of an LPN. While the RN
could also perform this task, it should be delegated to an LPN so that the RN is
available to perform other tasks.
B. Oral care is considered part of routine hygiene and includes observing the
membranes of the mouth for dryness. It is within the scope of practice for the LPN.
While the RN could also perform this task, it should be delegated to an LPN so the RN
is available to perform other tasks.
//
A nurse is making a client's bed and finds a capsule of medication in the sheets. Which
of the following actions by the nurse is consistent with safe nursing practice? (Select all
that apply.)
A. Administer Nthe Nmedication Nto Nthe Nclient.
B. Notify Nthe Nprovider.
, C. Complete Na Nvariance Nreport.
D. Document Nthe Nfinding Nin Nthe Nclient's Nelectronic Nmedical Nrecord.
E. Place Nthe Nmedication Nback Nin Nthe Nmedication Ndrawer.- Nanswer- NB. NNotify Nthe
Nprovider.
C. Complete Na Nvariance Nreport.
B. NNotifying Nthe Nprovider Nis Ncorrect. NThe Nnurse Nshould Nnotify Nthe Nprovider Nof Nthe
Nfinding Nas Na Npart Nof Nthe Nvariance Nreporting Nprocess.
C. NCompleting Na Nvariance Nreport Nis Ncorrect. NThe Nnurse Nshould Ncomplete Nan Nincident Nor
Nvariance Nreport Nregarding Nthe Noccurrence.
Incorrect NAnswers:
A. NAdministering Nthe Nmedication Nto Nthe Nclient Nis Nincorrect. NThe Nnurse Nshould Nnot
Nadminister Nthe Nmedication Nto Nthe Nclient, Nbecause Nthe Nnurse Ndoes Nnot Nknow Nwhich
Ndose Nof Nthe Nmedication Nthe Nclient Nmissed. NAdministering Nthe Ncapsule Nnow Ncould
Nresult Nin Nan Noverdose Nif Nthe Nclient Nhas Nrecently Ntaken Nthe Nsame Nmedication.
D. NDocumenting Nthe Nfinding Nin Nthe Nclient's Nelectronic Nmedical Nrecord Nis Nincorrect. NThe
Nnurse Nshould Nnot Ndocument Nthe Nfinding Nin Nthe Nclient's Nelectronic Nmedical Nrecord. NThe
Nnurse Nshould Nidentify Nthat Ninformation Nin Nthe Nclient's Nmedical Nrecord Nis Nsubject Nto
Nattorney Nreview Nshould Nthe Nclient Ndecide, Nfor Nany Nreason, Nto Nfile Nsuit Nagainst Nthe
Nfacility Nor Nthe Nhealthcare Nstaff. NInstead, Nthe Nnurse Nshould Nfollow Nfacility Npolicy Nand
Nreport Nthe Nincident Nto Nthe Nnurse Nmanager Nand Nrisk Nmanagement Nthrough Nthe Nuse Nof
Na Nvariance Nreport. NIn Naddition, Nthe Nnurse Nshould Navoid Ndocumenting Nin Nthe Nmedical
Nrecord Nthat Na Nvariance Nreport Nwas Nfiled Nbecause Nthis Ncan Nalso Nallow Nfor Nthe Nvariance
Nreport Nto Nbe Nsubpoenaed Nshould Nthe Nclient Ndecide Nto Nfile Nsuit.
E. NPlacing Nthe Nmedication Nback Nin Nthe Nmedication Ndrawer Nis Nincorrect. NThe Nnurse
Nshould Nidentify Nthat Nmedications Nthat Nare Nno Nlonger Npackaged Nare Nconsidered
Ncontaminated Nand Nshould Nbe Ndiscarded.
///
A Nnurse Nis Nplanning Nto Nperform Na Nnegotiation Nto Nmanage Na Nconflict Nbetween Nhimself
Nand Nanother Nstaff Nmember. NWhich Nof Nthe Nfollowing Nactions Nshould Nthe Nnurse Nplan Nto
Ntake?
A. NContinue Nthe Nnegotiation Nprocess Nuntil Nall Nparties Nagree Non Na Nsettlement.
B. NEstablish Nequality Nin Nthe Nconcessions Nthat Neach Nparty Nmakes.
C. NMake Nas Nmany Nconcessions Nas Nneeded Nto Nmake Neveryone Nhappy.
D. NCreate Na Nsolution Nin Nwhich Nall Nparties Nare Nsatisfied.- Nanswer- ND.
