ATI RN LEADERSHIP PRACTICE EXAM
COMPLETE STUDY SET
⩥ 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.
Which of the following actions should the nurse take? Answer: Notify
the provider about the client‟s concerns
, ⩥ A nurse is prioritizing care after receiving change-of-shift report on
four clients. Which of the following clients should the nurse assess first?
Answer: A client who reports indigestion and pain in her jaw
⩥ A charge nurse notices that two staff nurses are not taking meal breaks
during their shifts. Which of the following actions should the nurse take
first? Answer: Determine the reasons the nurses are not taking scheduled
breaks. Assess first
⩥ A nurse is preparing to delegate bathing and turning of a newly
admitted client who has end-stage bone cancer to an experienced
assistive personnel (AP). Which of the following assessments should the
nurse make before delegating care? Answer: Has data been collected
about specific client needs related to turning? (Assessment of holistic
care r/t pt needs and what the experienced AP can do)
⩥ A nurse is preparing to transfer a client from the emergency
department to a medicalsurgical unit using the SBAR communication
tool. Which of the following information should the nurse include in the
background portion of the report? Answer: The client‟s vital signs
⩥ A nurse is planning discharge for a client who has rheumatoid
arthritis. Which of the following statements by the client should the
nurse identify as an indication that a referral to an occupation therapist is
necessary? Answer: "I will need assistance with bathing."
COMPLETE STUDY SET
⩥ 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.
Which of the following actions should the nurse take? Answer: Notify
the provider about the client‟s concerns
, ⩥ A nurse is prioritizing care after receiving change-of-shift report on
four clients. Which of the following clients should the nurse assess first?
Answer: A client who reports indigestion and pain in her jaw
⩥ A charge nurse notices that two staff nurses are not taking meal breaks
during their shifts. Which of the following actions should the nurse take
first? Answer: Determine the reasons the nurses are not taking scheduled
breaks. Assess first
⩥ A nurse is preparing to delegate bathing and turning of a newly
admitted client who has end-stage bone cancer to an experienced
assistive personnel (AP). Which of the following assessments should the
nurse make before delegating care? Answer: Has data been collected
about specific client needs related to turning? (Assessment of holistic
care r/t pt needs and what the experienced AP can do)
⩥ A nurse is preparing to transfer a client from the emergency
department to a medicalsurgical unit using the SBAR communication
tool. Which of the following information should the nurse include in the
background portion of the report? Answer: The client‟s vital signs
⩥ A nurse is planning discharge for a client who has rheumatoid
arthritis. Which of the following statements by the client should the
nurse identify as an indication that a referral to an occupation therapist is
necessary? Answer: "I will need assistance with bathing."
