RN ATI LEADERSHIP PROCTORED ACTUAL EXAM
WITH QUESTIONS AND ANSWERS/RATED 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>>>>>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 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.
WITH QUESTIONS AND ANSWERS/RATED 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>>>>>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 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.
