LEADERSHIP AND MANAGEMENT ATI COMPREHENSIVE EXAM
STUDYGUIDE! COMPLETE EXAM STUDY GUIDE WITH PRACTICE
QUESTIONS AND VERIFIED ANSWERS 2025–2026
Which is a recommended guideline for safe computerized charting? - correct answer -
Passwords to the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing manager or
supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at the nurses' station
for other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, the nurse should
type an explanation into the computer file with the date, time, and his or her initials. The nurse
should also contact the nursing manager or supervisor with a written explanation of the
situation. Options 1, 2, and 4 represent unsafe charting actions. Only option 3 follows the
guidelines for safe computer charting.
The licensed practical nurse (LPN) enters a client's room and finds the client sitting on the floor.
The LPN calls the registered nurse, who checks the client thoroughly and then assists the client
back into bed. The LPN completes an incident report, and the nursing supervisor and health
care provider (HCP) are notified of the incident. Which is the next nursing action regarding the
incident? - correct answer -Place the incident report in the client's chart.
,2.
Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident. (correct)
4.
Document in the client's record that an incident report has been completed
RATIONALE: The incident report is confidential and privileged information, and it should not be
copied, placed in the chart, or have any reference made to it in the client's record. The incident
report is not a substitute for a complete entry in the client's record concerning the incident.
An unconscious client, bleeding profusely, is brought to the emergency department after a
serious accident. Surgery is required immediately to save the client's life. With regard to
informed consent for the surgical procedure, which is the best action? - correct answer -Call the
nursing supervisor to initiate a court order for the surgical procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical procedure.
3.
Ask the friend who accompanied the client to the emergency department to sign the consent
form.
4.
Transport the client to the operating department immediately, as required by the health care
provider, without obtaining an informed consent. (CORRECT)
,RATIONALE: Generally there are only two instances in which the informed consent of an adult
client is not needed. One instance is when an emergency is present and delaying treatment for
the purpose of obtaining informed consent would result in injury or death to the client. The
second instance is when the client waives the right to give informed consent. Options 1, 2, and 3
are inappropriate
The nurse arrives at work and is told to report (float) to the pediatric unit for the day because
the unit is understaffed and needs additional nurses to care for the clients. The nurse has never
worked in the pediatric unit. Which is the appropriate nursing action? - correct answer -.
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric unit.
4.
Report to the pediatric unit and identify tasks that can be safely performed (correct)
RATIONALE: Floating is an acceptable legal practice used by hospitals to solve their understaffing
problems. Legally the nurse cannot refuse to float unless a union contract guarantees that the
nurse can only work in a specified area or the nurse can prove a lack of knowledge for the
performance of assigned tasks. When faced with this situation, the nurse should identify
potential areas of harm to the client
The nurse enters a client's room and notes that the client's lawyer is present and that the client
is preparing a living will. The living will requires that the client's signature be witnessed, and the
, client asks the nurse to witness the signature. Which is the appropriate nursing action? - correct
answer -Decline to sign the will. (CORRECT)
2.
Sign the will as a witness to the signature only.
3.
Call the hospital lawyer before signing the will.
4.
Sign the will, clearly identifying credentials and employment agency.
RATIONALE: Living wills are required to be in writing and signed by the client. The client's
signature either must be witnessed by specified individuals or notarized. Many states prohibit
any employee from being a witness, including the nurse in a facility in which the client is
receiving care.
The nurse finds the client lying on the floor. The nurse calls the registered nurse, who checks the
client and then calls the nursing supervisor and the health care provider to inform them of the
occurrence. The nurse completes the incident report for which purpose? - correct answer -
roviding clients with necessary stabilizing treatments
2.
A method of promoting quality care and risk management (correct)
3.
Determining the effectiveness of interventions in relation to outcomes
STUDYGUIDE! COMPLETE EXAM STUDY GUIDE WITH PRACTICE
QUESTIONS AND VERIFIED ANSWERS 2025–2026
Which is a recommended guideline for safe computerized charting? - correct answer -
Passwords to the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing manager or
supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at the nurses' station
for other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, the nurse should
type an explanation into the computer file with the date, time, and his or her initials. The nurse
should also contact the nursing manager or supervisor with a written explanation of the
situation. Options 1, 2, and 4 represent unsafe charting actions. Only option 3 follows the
guidelines for safe computer charting.
The licensed practical nurse (LPN) enters a client's room and finds the client sitting on the floor.
The LPN calls the registered nurse, who checks the client thoroughly and then assists the client
back into bed. The LPN completes an incident report, and the nursing supervisor and health
care provider (HCP) are notified of the incident. Which is the next nursing action regarding the
incident? - correct answer -Place the incident report in the client's chart.
,2.
Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident. (correct)
4.
Document in the client's record that an incident report has been completed
RATIONALE: The incident report is confidential and privileged information, and it should not be
copied, placed in the chart, or have any reference made to it in the client's record. The incident
report is not a substitute for a complete entry in the client's record concerning the incident.
An unconscious client, bleeding profusely, is brought to the emergency department after a
serious accident. Surgery is required immediately to save the client's life. With regard to
informed consent for the surgical procedure, which is the best action? - correct answer -Call the
nursing supervisor to initiate a court order for the surgical procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical procedure.
3.
Ask the friend who accompanied the client to the emergency department to sign the consent
form.
4.
Transport the client to the operating department immediately, as required by the health care
provider, without obtaining an informed consent. (CORRECT)
,RATIONALE: Generally there are only two instances in which the informed consent of an adult
client is not needed. One instance is when an emergency is present and delaying treatment for
the purpose of obtaining informed consent would result in injury or death to the client. The
second instance is when the client waives the right to give informed consent. Options 1, 2, and 3
are inappropriate
The nurse arrives at work and is told to report (float) to the pediatric unit for the day because
the unit is understaffed and needs additional nurses to care for the clients. The nurse has never
worked in the pediatric unit. Which is the appropriate nursing action? - correct answer -.
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric unit.
4.
Report to the pediatric unit and identify tasks that can be safely performed (correct)
RATIONALE: Floating is an acceptable legal practice used by hospitals to solve their understaffing
problems. Legally the nurse cannot refuse to float unless a union contract guarantees that the
nurse can only work in a specified area or the nurse can prove a lack of knowledge for the
performance of assigned tasks. When faced with this situation, the nurse should identify
potential areas of harm to the client
The nurse enters a client's room and notes that the client's lawyer is present and that the client
is preparing a living will. The living will requires that the client's signature be witnessed, and the
, client asks the nurse to witness the signature. Which is the appropriate nursing action? - correct
answer -Decline to sign the will. (CORRECT)
2.
Sign the will as a witness to the signature only.
3.
Call the hospital lawyer before signing the will.
4.
Sign the will, clearly identifying credentials and employment agency.
RATIONALE: Living wills are required to be in writing and signed by the client. The client's
signature either must be witnessed by specified individuals or notarized. Many states prohibit
any employee from being a witness, including the nurse in a facility in which the client is
receiving care.
The nurse finds the client lying on the floor. The nurse calls the registered nurse, who checks the
client and then calls the nursing supervisor and the health care provider to inform them of the
occurrence. The nurse completes the incident report for which purpose? - correct answer -
roviding clients with necessary stabilizing treatments
2.
A method of promoting quality care and risk management (correct)
3.
Determining the effectiveness of interventions in relation to outcomes
