2026 RN 2019 Leadership ATI VERSION B LATEST 2026-2027 ACTUAL
EXAM ALL 90 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+.
A nurse is caring for a client who is terminally ill and receiving nutritional
support. The client's adult children disagree about continuing nutritional
support. The dilemma is referred to the ethics committee. Which of the
following actions should the nurse expect the committee to take?
CORRECT ANS: Assist in weighing the options involved in the decision.
Expert Rationale
The ethics committee serves as a resource to help healthcare providers, clients,
and families navigate complex ethical dilemmas. The committee's role is to
facilitate discussion, provide guidance, and assist in weighing the options
involved in the decision (Option A). The committee does not make the final
decision for the family; rather, it helps clarify the ethical principles at stake and
supports the decision-making process. Option B is incorrect; the committee
does not mandate a specific course of action. Option C is incorrect; the
committee does not take legal action. Option D is incorrect; the committee
does not override the family's wishes. The nurse should support the family and
the client's wishes while collaborating with the ethics committee to reach a
resolution.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A nurse manager is developing a class for newly licensed nurses on strategies to
promote client rights. Which of the following should the nurse manager include
in the teaching?
CORRECT ANS: Verify that the provider prescription is in the medical record for
the clients who have restraints.
Expert Rationale
,Client rights include the right to be free from unnecessary restraints. Restraints
should only be used when less restrictive measures have failed and only with a
provider's prescription. The nurse manager should teach that a provider's
prescription must be in the medical record before applying restraints (Option
A). Option B is incorrect; restraints should not be used as a punishment. Option
C is incorrect; restraints require a provider's order. Option D is incorrect;
informed consent is not required for restraints, but a provider's order is
required. The nurse should also teach about the importance of frequent
assessment and documentation when restraints are used.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse manager is teaching about confidentiality requirements to staff. Which
of the following staff comments indicates an understanding of the teaching?
CORRECT ANS: "Change-of-shift report can be given at the client's bedside."
Expert Rationale
Change-of-shift report can be given at the client's bedside (Option A), which
promotes client-centered care and allows the client to participate in their care.
However, the nurse should ensure that confidential information is not
overheard by other clients or visitors. Option B is incorrect; discussing client
information in public areas violates confidentiality. Option C is incorrect; client
information should not be shared with family members without the client's
consent. Option D is incorrect; leaving client information visible in the nurses'
station violates confidentiality. The nurse should follow HIPAA guidelines to
protect client privacy.
DIF: Cognitive Level: Evaluate
TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
A nurse is reviewing a client's clinical pathway upon discharge following hip
arthroplasty. Which of the following information can assist the nurse in
evaluating the cost effectiveness of the care?
,CORRECT ANS: The length of the client's stay.
Expert Rationale
Clinical pathways are tools used to standardize care and improve outcomes
while reducing costs. Evaluating the length of the client's stay (Option A) is one
way to assess cost effectiveness, as longer stays increase healthcare costs.
Option B is incorrect; the client's age does not directly indicate cost
effectiveness. Option C is incorrect; the client's satisfaction is important but
does not directly measure cost effectiveness. Option D is incorrect; the number
of medications used may indicate complexity but does not directly measure
cost effectiveness. The nurse should use clinical pathways to monitor variances
and improve care delivery.
DIF: Cognitive Level: Evaluate
TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
A nurse is caring for a client who reports vomiting and diarrhea for the past 6
hours. The nurse should identify that which of the following assessments is the
priority?
CORRECT ANS: Obtain the client's serum potassium level.
Expert Rationale
Vomiting and diarrhea can lead to fluid and electrolyte imbalances, particularly
hypokalemia (low potassium). Hypokalemia can cause cardiac dysrhythmias
and muscle weakness, making it a priority assessment (Option A). Option B is
incorrect; checking skin turgor is important but not the priority. Option C is
incorrect; measuring blood pressure is important but not the priority. Option D
is incorrect; weighing the client is important but not the priority. The nurse
should monitor the client's electrolyte levels, vital signs, and urine output.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
The AP tells a CN that it is unfair that they have to take care of all the clients
who are incontinent. Which of the following responses should the CN make?
, CORRECT ANS: "I delegate tasks to personnel based on their job descriptions."
Expert Rationale
The charge nurse should respond by explaining that delegation is based on job
descriptions and the scope of practice (Option A). Option B is incorrect; arguing
with the AP is not productive. Option C is incorrect; ignoring the complaint is
not appropriate. Option D is incorrect; assigning the task to another AP does
not address the concern. The nurse should use effective communication and
conflict resolution skills to address the AP's concerns while ensuring that tasks
are delegated appropriately.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A client who has back pain presents to an emergency department and is
provided a prescription for oxycodone. A staff nurse tells the charge nurse that
they think the client is seeking drugs and is not actually in distress. Which of
the following responses should the CN make?
CORRECT ANS: "Clients are the experts on their own pain."
Expert Rationale
Pain is a subjective experience, and the client is the expert on their own pain
(Option A). The charge nurse should remind the staff nurse to assess and treat
pain based on the client's report. Option B is incorrect; the nurse should not
assume the client is drug-seeking. Option C is incorrect; the provider should be
notified if there are concerns, but the nurse should not make assumptions.
Option D is incorrect; the medication should be given as prescribed. The nurse
should use a non-judgmental approach and adhere to pain management
guidelines.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
EXAM ALL 90 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+.
A nurse is caring for a client who is terminally ill and receiving nutritional
support. The client's adult children disagree about continuing nutritional
support. The dilemma is referred to the ethics committee. Which of the
following actions should the nurse expect the committee to take?
CORRECT ANS: Assist in weighing the options involved in the decision.
Expert Rationale
The ethics committee serves as a resource to help healthcare providers, clients,
and families navigate complex ethical dilemmas. The committee's role is to
facilitate discussion, provide guidance, and assist in weighing the options
involved in the decision (Option A). The committee does not make the final
decision for the family; rather, it helps clarify the ethical principles at stake and
supports the decision-making process. Option B is incorrect; the committee
does not mandate a specific course of action. Option C is incorrect; the
committee does not take legal action. Option D is incorrect; the committee
does not override the family's wishes. The nurse should support the family and
the client's wishes while collaborating with the ethics committee to reach a
resolution.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A nurse manager is developing a class for newly licensed nurses on strategies to
promote client rights. Which of the following should the nurse manager include
in the teaching?
CORRECT ANS: Verify that the provider prescription is in the medical record for
the clients who have restraints.
Expert Rationale
,Client rights include the right to be free from unnecessary restraints. Restraints
should only be used when less restrictive measures have failed and only with a
provider's prescription. The nurse manager should teach that a provider's
prescription must be in the medical record before applying restraints (Option
A). Option B is incorrect; restraints should not be used as a punishment. Option
C is incorrect; restraints require a provider's order. Option D is incorrect;
informed consent is not required for restraints, but a provider's order is
required. The nurse should also teach about the importance of frequent
assessment and documentation when restraints are used.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse manager is teaching about confidentiality requirements to staff. Which
of the following staff comments indicates an understanding of the teaching?
CORRECT ANS: "Change-of-shift report can be given at the client's bedside."
Expert Rationale
Change-of-shift report can be given at the client's bedside (Option A), which
promotes client-centered care and allows the client to participate in their care.
However, the nurse should ensure that confidential information is not
overheard by other clients or visitors. Option B is incorrect; discussing client
information in public areas violates confidentiality. Option C is incorrect; client
information should not be shared with family members without the client's
consent. Option D is incorrect; leaving client information visible in the nurses'
station violates confidentiality. The nurse should follow HIPAA guidelines to
protect client privacy.
DIF: Cognitive Level: Evaluate
TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
A nurse is reviewing a client's clinical pathway upon discharge following hip
arthroplasty. Which of the following information can assist the nurse in
evaluating the cost effectiveness of the care?
,CORRECT ANS: The length of the client's stay.
Expert Rationale
Clinical pathways are tools used to standardize care and improve outcomes
while reducing costs. Evaluating the length of the client's stay (Option A) is one
way to assess cost effectiveness, as longer stays increase healthcare costs.
Option B is incorrect; the client's age does not directly indicate cost
effectiveness. Option C is incorrect; the client's satisfaction is important but
does not directly measure cost effectiveness. Option D is incorrect; the number
of medications used may indicate complexity but does not directly measure
cost effectiveness. The nurse should use clinical pathways to monitor variances
and improve care delivery.
DIF: Cognitive Level: Evaluate
TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
A nurse is caring for a client who reports vomiting and diarrhea for the past 6
hours. The nurse should identify that which of the following assessments is the
priority?
CORRECT ANS: Obtain the client's serum potassium level.
Expert Rationale
Vomiting and diarrhea can lead to fluid and electrolyte imbalances, particularly
hypokalemia (low potassium). Hypokalemia can cause cardiac dysrhythmias
and muscle weakness, making it a priority assessment (Option A). Option B is
incorrect; checking skin turgor is important but not the priority. Option C is
incorrect; measuring blood pressure is important but not the priority. Option D
is incorrect; weighing the client is important but not the priority. The nurse
should monitor the client's electrolyte levels, vital signs, and urine output.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
The AP tells a CN that it is unfair that they have to take care of all the clients
who are incontinent. Which of the following responses should the CN make?
, CORRECT ANS: "I delegate tasks to personnel based on their job descriptions."
Expert Rationale
The charge nurse should respond by explaining that delegation is based on job
descriptions and the scope of practice (Option A). Option B is incorrect; arguing
with the AP is not productive. Option C is incorrect; ignoring the complaint is
not appropriate. Option D is incorrect; assigning the task to another AP does
not address the concern. The nurse should use effective communication and
conflict resolution skills to address the AP's concerns while ensuring that tasks
are delegated appropriately.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A client who has back pain presents to an emergency department and is
provided a prescription for oxycodone. A staff nurse tells the charge nurse that
they think the client is seeking drugs and is not actually in distress. Which of
the following responses should the CN make?
CORRECT ANS: "Clients are the experts on their own pain."
Expert Rationale
Pain is a subjective experience, and the client is the expert on their own pain
(Option A). The charge nurse should remind the staff nurse to assess and treat
pain based on the client's report. Option B is incorrect; the nurse should not
assume the client is drug-seeking. Option C is incorrect; the provider should be
notified if there are concerns, but the nurse should not make assumptions.
Option D is incorrect; the medication should be given as prescribed. The nurse
should use a non-judgmental approach and adhere to pain management
guidelines.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
