ATI RN LEADERSHIP AND MANAGEMENT
PROCTORED REVISION HANDBOOK 2026
QUALITY IMPROVEMENT PATIENT SAFETY AND
LEGAL ETHICS
◉ 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."
, ◉ A nurse in the emergency department is caring for a 16-year-old
client who reports abdominal pain and is accompanied by an adult
neighbor. The provider diagnoses a ruptured appendix and states
that the client requires an emergency appendectomy. Which of the
following actions should the nurse?
Answer: Attempt to notify the client‟s guardian to obtain consent.
◉ A nurse on a medical-surgical unit is caring for four clients. Which
of the following findings is the highest priority?
Answer: A client who had a cardiac catheterization whose capillary
refill in the great toe is 4 seconds
◉ A charge nurse suspects that a staff nurse is chemically impaired.
Which of the following actions should the charge nurse take?
Answer: Collect data about the staff nurse to support further action
◉ A nurse is assessing a client‟s comprehension of a pulmonary
function test prior to the procedure. Which of the following client
statements indicates to the nurse an understanding of the
procedure?
Answer: "I might have to wear a nose clip during this test."
PROCTORED REVISION HANDBOOK 2026
QUALITY IMPROVEMENT PATIENT SAFETY AND
LEGAL ETHICS
◉ 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."
, ◉ A nurse in the emergency department is caring for a 16-year-old
client who reports abdominal pain and is accompanied by an adult
neighbor. The provider diagnoses a ruptured appendix and states
that the client requires an emergency appendectomy. Which of the
following actions should the nurse?
Answer: Attempt to notify the client‟s guardian to obtain consent.
◉ A nurse on a medical-surgical unit is caring for four clients. Which
of the following findings is the highest priority?
Answer: A client who had a cardiac catheterization whose capillary
refill in the great toe is 4 seconds
◉ A charge nurse suspects that a staff nurse is chemically impaired.
Which of the following actions should the charge nurse take?
Answer: Collect data about the staff nurse to support further action
◉ A nurse is assessing a client‟s comprehension of a pulmonary
function test prior to the procedure. Which of the following client
statements indicates to the nurse an understanding of the
procedure?
Answer: "I might have to wear a nose clip during this test."
