ATI RN LEADERSHIP PROCTORED EXAM 2025.
Rasmussen University
1. 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?: B* Document the client s refusal in the chart.
2. A nurse is making shift assignments in a hospital. Which of the following
tasks is appropriate to assign to a licensed practical nurse?: Administer a nasogastric
tube feeding.
3. 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): 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
4. 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?: Auscultate the client s lungs.
5. 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?: Reinforcing teaching with a client who is
learning to self-administer insulin
6. 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?: The nurse holds
her hands above her waist.
, 7. 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?: Recheck vital signs that are outside the expected
reference range.
8. A nurse is caring for four clients. Which of the following tasks can be
delegated to an assistive personnel?: Obtaining a stool sample from a client who has
renal failure
9. A nurse is triaging a group of clients following a disaster. Which of the
following clients should the nurse recommend for treatment first?: A client who has
two open chest wounds with a left tracheal deviation
10. 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?: "Consent can be given by a durable power of attorney."
11. A nurse is caring for four clients. For which of the following clients should
the nurse collaborate with the facility ethics committee?: An adolescent client whose
parents refuse a blood transfusion for religious reasons
12. 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?: Establishing communication between
providers
13. 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?: -
Refer the client to the social services department
Rasmussen University
1. 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?: B* Document the client s refusal in the chart.
2. A nurse is making shift assignments in a hospital. Which of the following
tasks is appropriate to assign to a licensed practical nurse?: Administer a nasogastric
tube feeding.
3. 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): 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
4. 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?: Auscultate the client s lungs.
5. 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?: Reinforcing teaching with a client who is
learning to self-administer insulin
6. 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?: The nurse holds
her hands above her waist.
, 7. 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?: Recheck vital signs that are outside the expected
reference range.
8. A nurse is caring for four clients. Which of the following tasks can be
delegated to an assistive personnel?: Obtaining a stool sample from a client who has
renal failure
9. A nurse is triaging a group of clients following a disaster. Which of the
following clients should the nurse recommend for treatment first?: A client who has
two open chest wounds with a left tracheal deviation
10. 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?: "Consent can be given by a durable power of attorney."
11. A nurse is caring for four clients. For which of the following clients should
the nurse collaborate with the facility ethics committee?: An adolescent client whose
parents refuse a blood transfusion for religious reasons
12. 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?: Establishing communication between
providers
13. 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?: -
Refer the client to the social services department
