ATI RN LEADERSHIP PROCTORED
ASSESSMENT QUESTIONS AND
ANSWERS
1. A nurse manager is evaluating the performance of a newly licensed nurse. Which of the
following actions by the new nurse demonstrates the ‘Unfreezing’ stage of Lewin’s Change
Theory?
A. Implementing a new bedside reporting tool across the unit
B. Recognizing the need for a more efficient way to document wound care
C. Standardizing the use of the new tool in the electronic medical record
D. Providing positive feedback to staff members using the new system
Answer: B
Conceptual Explanation: The unfreezing stage involves identifying a problem and
creating a sense of urgency for change. Recognizing a deficiency is the first step in this
process.
2. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the following
tasks is appropriate for the AP?
A. Assisting a stable client with ambulation for the first time after surgery
,B. Providing discharge instructions to a client with a new prescription
C. Collecting an initial set of vital signs for a client being admitted
D. Performing a sterile dressing change on a post-operative client
Answer: A
Conceptual Explanation: APs can assist stable clients with activities of daily living and
ambulation. Initial assessments and sterile procedures are reserved for licensed nurses.
3. A nurse is planning care for a group of clients. Which of the following clients should the
nurse see first?
A. A client who is 24 hours post-appendectomy with a pain level of 6/10
B. A client who has a suspected fractured hip and is awaiting X-ray
C. A client who had a stroke 2 days ago and has new-onset slurred speech
D. A client who is scheduled for a colonoscopy in 2 hours
Answer: C
Conceptual Explanation: New-onset slurred speech indicates a possible worsening of a
neurological condition and requires immediate assessment
(Airway/Breathing/Circulation/Neurological status).
, 4. A nurse manager is dealing with a conflict between two nurses regarding the holiday
schedule. Both nurses agree to give up one of their requested days off to reach a solution.
Which conflict resolution strategy is being used?
A. Avoiding
B. Compromising
C. Competing
D. Collaborating
Answer: B
Conceptual Explanation: Compromising involves both parties giving up something in
order to reach a mutually acceptable agreement.
5. A nurse is witnessing a client sign an informed consent form for a surgical procedure.
Which of the following is the nurse’s primary responsibility?
A. Explaining the risks and benefits of the surgery to the client
B. Discussing alternative treatment options with the client
C. Ensuring the surgeon has answered all of the client’s questions
D. Verifying that the client is competent to sign the document
Answer: D
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature
and verify that the client is competent, acting voluntarily, and signed the form.
ASSESSMENT QUESTIONS AND
ANSWERS
1. A nurse manager is evaluating the performance of a newly licensed nurse. Which of the
following actions by the new nurse demonstrates the ‘Unfreezing’ stage of Lewin’s Change
Theory?
A. Implementing a new bedside reporting tool across the unit
B. Recognizing the need for a more efficient way to document wound care
C. Standardizing the use of the new tool in the electronic medical record
D. Providing positive feedback to staff members using the new system
Answer: B
Conceptual Explanation: The unfreezing stage involves identifying a problem and
creating a sense of urgency for change. Recognizing a deficiency is the first step in this
process.
2. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the following
tasks is appropriate for the AP?
A. Assisting a stable client with ambulation for the first time after surgery
,B. Providing discharge instructions to a client with a new prescription
C. Collecting an initial set of vital signs for a client being admitted
D. Performing a sterile dressing change on a post-operative client
Answer: A
Conceptual Explanation: APs can assist stable clients with activities of daily living and
ambulation. Initial assessments and sterile procedures are reserved for licensed nurses.
3. A nurse is planning care for a group of clients. Which of the following clients should the
nurse see first?
A. A client who is 24 hours post-appendectomy with a pain level of 6/10
B. A client who has a suspected fractured hip and is awaiting X-ray
C. A client who had a stroke 2 days ago and has new-onset slurred speech
D. A client who is scheduled for a colonoscopy in 2 hours
Answer: C
Conceptual Explanation: New-onset slurred speech indicates a possible worsening of a
neurological condition and requires immediate assessment
(Airway/Breathing/Circulation/Neurological status).
, 4. A nurse manager is dealing with a conflict between two nurses regarding the holiday
schedule. Both nurses agree to give up one of their requested days off to reach a solution.
Which conflict resolution strategy is being used?
A. Avoiding
B. Compromising
C. Competing
D. Collaborating
Answer: B
Conceptual Explanation: Compromising involves both parties giving up something in
order to reach a mutually acceptable agreement.
5. A nurse is witnessing a client sign an informed consent form for a surgical procedure.
Which of the following is the nurse’s primary responsibility?
A. Explaining the risks and benefits of the surgery to the client
B. Discussing alternative treatment options with the client
C. Ensuring the surgeon has answered all of the client’s questions
D. Verifying that the client is competent to sign the document
Answer: D
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature
and verify that the client is competent, acting voluntarily, and signed the form.
