ATI RN Leadership Proctored Focus Review: 400-
Question Test Bank with Answers & Rationales for
NCLEX Prep
Chapter 1: Managing Client Care
1. A nurse must prioritize care for multiple clients. Which of the following
should the nurse address first?
A. A client with a chronic illness requesting pain medication
B. A client with a potential infection who is stable
C. A client with an acute respiratory issue
D. A client requesting discharge teaching
Correct Answer: C
Rationale: The review states to address acute before chronic. An acute respiratory
issue takes priority over chronic or potential problems.
2. A nurse is assigning tasks to assistive personnel (AP). Which task is
appropriate to delegate?
A. Feeding a client with known swallowing difficulties
B. Assessing a client’s post-operative incision
C. Collecting a urine specimen from a stable client
D. Teaching a client how to use an inhaler
Correct Answer: C
Rationale: Delegation to AP includes specimen collection. Feeding is only
appropriate if no swallowing problems, assessment and teaching are not delegable.
,3. A nurse receives an assignment they believe is unsafe. What is the correct
initial action?
A. Refuse the assignment immediately and leave
B. File an Assignment Despite Objection (ADO) form
C. Bring the concern to the charge nurse and negotiate
D. Report the charge nurse to the state board
Correct Answer: C
Rationale: The review instructs nurses to first bring unsafe assignments to the
charge nurse and negotiate. If unresolved, then go up the chain of command.
4. Which of the following is an example of a process indicator in quality
improvement?
A. Nurse-to-client ratio
B. Client mortality rate
C. Clinical practice guidelines for wound care
D. Availability of ventilators on the unit
Correct Answer: C
Rationale: Process indicators are how care is provided, established by policies and
clinical practice guidelines. Structure indicators include resources; outcomes include
client results.
Chapter 2: Coordinating Client Care
5. When should discharge planning begin?
A. After the provider writes the discharge order
B. On the day of discharge
C. Upon client admission
D. After family approves the plan
,Correct Answer: C
Rationale: The review explicitly states: "Begin discharge planning upon clients
admission."
6. A client decides to leave the hospital against medical advice (AMA). What
must the nurse do?
A. Restrain the client to prevent leaving
B. Notify the provider and explain the risks
C. Call security to detain the client
D. Document only that the client left
Correct Answer: B
Rationale: The nurse must notify the provider, explain risks, have the client sign a
form, and document all communication. Restraint could lead to false imprisonment
charges.
7. A nurse is making a referral for home care services. Which action is most
appropriate?
A. Wait until discharge day to evaluate family competencies
B. Complete referral forms to ensure reimbursement
C. Exclude the family from care planning
D. Only consult the provider about the referral
Correct Answer: B
Rationale: The review lists "complete referral forms to ensure proper reimbursement
for prescribed services" as part of the nurse's role in referrals.
Chapter 3: Professional Responsibilities
, 8. Which of the following is a sexually transmitted infection requiring
mandatory reporting?
A. Candidiasis
B. Bacterial vaginosis
C. Chlamydia trachomatis
D. Human papillomavirus
Correct Answer: C
Rationale: The review includes Chlamydia trachomatis along with gonorrhea,
syphilis, AIDS/HIV, and trichinosis as reportable.
Chapter 4: Maintaining Safe Environments
9. A nurse is teaching a client with a permanent pacemaker. Which statement
indicates understanding?
A. "I can play football after 2 weeks."
B. "I should take my pulse daily at the same time."
C. "I can place my magnetic phone holder over my chest."
D. "I don't need to carry an ID card after 1 year."
Correct Answer: B
Rationale: The review states to teach taking pulse daily at the same time and notify
provider if rate is less than 5 beats below pacemaker rate.
10. A client with pulmonary tuberculosis requires which type of precautions?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions only
Question Test Bank with Answers & Rationales for
NCLEX Prep
Chapter 1: Managing Client Care
1. A nurse must prioritize care for multiple clients. Which of the following
should the nurse address first?
A. A client with a chronic illness requesting pain medication
B. A client with a potential infection who is stable
C. A client with an acute respiratory issue
D. A client requesting discharge teaching
Correct Answer: C
Rationale: The review states to address acute before chronic. An acute respiratory
issue takes priority over chronic or potential problems.
2. A nurse is assigning tasks to assistive personnel (AP). Which task is
appropriate to delegate?
A. Feeding a client with known swallowing difficulties
B. Assessing a client’s post-operative incision
C. Collecting a urine specimen from a stable client
D. Teaching a client how to use an inhaler
Correct Answer: C
Rationale: Delegation to AP includes specimen collection. Feeding is only
appropriate if no swallowing problems, assessment and teaching are not delegable.
,3. A nurse receives an assignment they believe is unsafe. What is the correct
initial action?
A. Refuse the assignment immediately and leave
B. File an Assignment Despite Objection (ADO) form
C. Bring the concern to the charge nurse and negotiate
D. Report the charge nurse to the state board
Correct Answer: C
Rationale: The review instructs nurses to first bring unsafe assignments to the
charge nurse and negotiate. If unresolved, then go up the chain of command.
4. Which of the following is an example of a process indicator in quality
improvement?
A. Nurse-to-client ratio
B. Client mortality rate
C. Clinical practice guidelines for wound care
D. Availability of ventilators on the unit
Correct Answer: C
Rationale: Process indicators are how care is provided, established by policies and
clinical practice guidelines. Structure indicators include resources; outcomes include
client results.
Chapter 2: Coordinating Client Care
5. When should discharge planning begin?
A. After the provider writes the discharge order
B. On the day of discharge
C. Upon client admission
D. After family approves the plan
,Correct Answer: C
Rationale: The review explicitly states: "Begin discharge planning upon clients
admission."
6. A client decides to leave the hospital against medical advice (AMA). What
must the nurse do?
A. Restrain the client to prevent leaving
B. Notify the provider and explain the risks
C. Call security to detain the client
D. Document only that the client left
Correct Answer: B
Rationale: The nurse must notify the provider, explain risks, have the client sign a
form, and document all communication. Restraint could lead to false imprisonment
charges.
7. A nurse is making a referral for home care services. Which action is most
appropriate?
A. Wait until discharge day to evaluate family competencies
B. Complete referral forms to ensure reimbursement
C. Exclude the family from care planning
D. Only consult the provider about the referral
Correct Answer: B
Rationale: The review lists "complete referral forms to ensure proper reimbursement
for prescribed services" as part of the nurse's role in referrals.
Chapter 3: Professional Responsibilities
, 8. Which of the following is a sexually transmitted infection requiring
mandatory reporting?
A. Candidiasis
B. Bacterial vaginosis
C. Chlamydia trachomatis
D. Human papillomavirus
Correct Answer: C
Rationale: The review includes Chlamydia trachomatis along with gonorrhea,
syphilis, AIDS/HIV, and trichinosis as reportable.
Chapter 4: Maintaining Safe Environments
9. A nurse is teaching a client with a permanent pacemaker. Which statement
indicates understanding?
A. "I can play football after 2 weeks."
B. "I should take my pulse daily at the same time."
C. "I can place my magnetic phone holder over my chest."
D. "I don't need to carry an ID card after 1 year."
Correct Answer: B
Rationale: The review states to teach taking pulse daily at the same time and notify
provider if rate is less than 5 beats below pacemaker rate.
10. A client with pulmonary tuberculosis requires which type of precautions?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions only
