2025 RN ATI Leadership Proctored Exam:
Comprehensive Test Bank
1. 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?
- A) Whether the client understands the risk of refusing the procedure.
- B) Whether the partner is the client's durable power of attorney for health care.
- C) Whether the client's refusal is based on a religious belief.
- D) Whether the facility ethics committee reaches a consensus on the case.
Answer: B) Whether the partner is the client's durable power of attorney for health care.
2. A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After
administering opioids, the client becomes somnolent and difficult to arouse. What should the
nurse do?
- A) Continue the medication dosages that relieve the client’s pain.
- B) Contact the provider to change the medication.
- C) Withhold the benzodiazepine but continue the opioid.
- D) Assess the client’s pain level again.
Answer: B) Contact the provider to change the medication.
3. A nurse is providing change-of-shift report. Which of the following information should be
included?
- A) “The client is in radiology for a chest x-ray.”
- B) “The client’s partner visited 2 hours ago.”
- C) “The client has routine vital signs prescribed.”
- D) “The client is the president of a local bank.”
,Answer: C) “The client has routine vital signs prescribed.”
4. A nurse is educating a newly licensed nurse about client confidentiality. Which statement
indicates understanding?
- A) "I should encrypt personal health information when sending emails."
- B) "I can use another nurse’s password as long as I log off after using the computer."
- C) "I should discard personal health information documents in the trash."
- D) "I can post the client’s vital signs in the client’s room."
Answer: A) "I should encrypt personal health information when sending emails."
5. A nurse is delegating care. Which client should the nurse assign to the LPN?
- A) A client scheduled for an endoscopy who requires an enema.
- B) A newly admitted client with sickle cell anemia.
- C) A client needing educational reinforcement on diabetes management.
- D) A client post-myocardial infarction transferring from CCU.
Answer: D) A client post-myocardial infarction transferring from CCU.
6. A charge nurse on a medical-surgical unit is facing several situations. Which should be
addressed first?
- A) A client refusing care based on the opposite gender.
- B) Two nurses arguing about schedules.
- C) Three staff members calling in for absence.
- D) Lack of transport assistance for physical therapy.
Answer: D) Lack of transport assistance for physical therapy.
,7. A nurse observes assistive personnel incorrectly transferring a client. What should the nurse do
first?
- A) Help AP with the transfer.
- B) Demonstrate the correct technique.
- C) Instruct AP to request assistance when unsure.
- D) Refer AP to facility procedure manual.
Answer: B) Demonstrate the correct technique.
8. A nurse is assessing a parent’s report of a difficulty managing a child with asthma at home.
Which referral should the nurse make?
- A) Pharmacist.
- B) Social worker.
- C) Mental health counselor.
- D) Respiratory therapist.
Answer: D) Respiratory therapist.
9. A nurse is comparing medication error rates at different facilities. Which quality improvement
method is being used?
- A) Root cause analysis.
- B) Benchmarking.
- C) Risk-benefit analysis.
- D) Structure audit.
Answer: B) Benchmarking.
10. After problem identification in a quality improvement team regarding an increase in client
falls, what should the nurse do first?
- A) Review literature on falls.
, - B) Implement a prevention plan.
- C) Identify clients at risk.
- D) Notify staff about increased fall rates.
Answer: C) Identify clients at risk.
11. A nurse is reporting a potential elder abuse case. Which action should the nurse take?
- A) Treat and discharge the client.
- B) Ask the client about his injuries with the son present.
- C) File a formal complaint.
- D) Treat the client and ask the son to leave.
Answer: C) File a formal complaint.
12. A nurse is caring for a client with anorexia nervosa. Which interdisciplinary team member
should be consulted?
- A) Case manager.
- B) Mental health counselor.
- C) Occupational therapist.
- D) Nutritional therapist.
Answer: B) Mental health counselor.
13. A nurse is preparing a client for surgery. If the client expresses concerns about pain post-op,
what response should the nurse give?
- A) “It’s not too late to change your mind.”
- B) “You’ll be fine; you’ll receive pain medication.”
- C) “You won't deal with pain; surgery is beneficial.”
- D) “Why didn’t you discuss this with your provider?”
Comprehensive Test Bank
1. 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?
- A) Whether the client understands the risk of refusing the procedure.
- B) Whether the partner is the client's durable power of attorney for health care.
- C) Whether the client's refusal is based on a religious belief.
- D) Whether the facility ethics committee reaches a consensus on the case.
Answer: B) Whether the partner is the client's durable power of attorney for health care.
2. A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After
administering opioids, the client becomes somnolent and difficult to arouse. What should the
nurse do?
- A) Continue the medication dosages that relieve the client’s pain.
- B) Contact the provider to change the medication.
- C) Withhold the benzodiazepine but continue the opioid.
- D) Assess the client’s pain level again.
Answer: B) Contact the provider to change the medication.
3. A nurse is providing change-of-shift report. Which of the following information should be
included?
- A) “The client is in radiology for a chest x-ray.”
- B) “The client’s partner visited 2 hours ago.”
- C) “The client has routine vital signs prescribed.”
- D) “The client is the president of a local bank.”
,Answer: C) “The client has routine vital signs prescribed.”
4. A nurse is educating a newly licensed nurse about client confidentiality. Which statement
indicates understanding?
- A) "I should encrypt personal health information when sending emails."
- B) "I can use another nurse’s password as long as I log off after using the computer."
- C) "I should discard personal health information documents in the trash."
- D) "I can post the client’s vital signs in the client’s room."
Answer: A) "I should encrypt personal health information when sending emails."
5. A nurse is delegating care. Which client should the nurse assign to the LPN?
- A) A client scheduled for an endoscopy who requires an enema.
- B) A newly admitted client with sickle cell anemia.
- C) A client needing educational reinforcement on diabetes management.
- D) A client post-myocardial infarction transferring from CCU.
Answer: D) A client post-myocardial infarction transferring from CCU.
6. A charge nurse on a medical-surgical unit is facing several situations. Which should be
addressed first?
- A) A client refusing care based on the opposite gender.
- B) Two nurses arguing about schedules.
- C) Three staff members calling in for absence.
- D) Lack of transport assistance for physical therapy.
Answer: D) Lack of transport assistance for physical therapy.
,7. A nurse observes assistive personnel incorrectly transferring a client. What should the nurse do
first?
- A) Help AP with the transfer.
- B) Demonstrate the correct technique.
- C) Instruct AP to request assistance when unsure.
- D) Refer AP to facility procedure manual.
Answer: B) Demonstrate the correct technique.
8. A nurse is assessing a parent’s report of a difficulty managing a child with asthma at home.
Which referral should the nurse make?
- A) Pharmacist.
- B) Social worker.
- C) Mental health counselor.
- D) Respiratory therapist.
Answer: D) Respiratory therapist.
9. A nurse is comparing medication error rates at different facilities. Which quality improvement
method is being used?
- A) Root cause analysis.
- B) Benchmarking.
- C) Risk-benefit analysis.
- D) Structure audit.
Answer: B) Benchmarking.
10. After problem identification in a quality improvement team regarding an increase in client
falls, what should the nurse do first?
- A) Review literature on falls.
, - B) Implement a prevention plan.
- C) Identify clients at risk.
- D) Notify staff about increased fall rates.
Answer: C) Identify clients at risk.
11. A nurse is reporting a potential elder abuse case. Which action should the nurse take?
- A) Treat and discharge the client.
- B) Ask the client about his injuries with the son present.
- C) File a formal complaint.
- D) Treat the client and ask the son to leave.
Answer: C) File a formal complaint.
12. A nurse is caring for a client with anorexia nervosa. Which interdisciplinary team member
should be consulted?
- A) Case manager.
- B) Mental health counselor.
- C) Occupational therapist.
- D) Nutritional therapist.
Answer: B) Mental health counselor.
13. A nurse is preparing a client for surgery. If the client expresses concerns about pain post-op,
what response should the nurse give?
- A) “It’s not too late to change your mind.”
- B) “You’ll be fine; you’ll receive pain medication.”
- C) “You won't deal with pain; surgery is beneficial.”
- D) “Why didn’t you discuss this with your provider?”
