ATI RN LEADERSHIP PROCTORED
ASSESSMENT PREP QUESTIONS AND
ANSWERS
1. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the following
tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to a PRN pain medication
B. Assisting a client with a history of dysphagia during their first meal post-surgery
C. Performing postmortem care for a client who just passed away
D. Measuring and recording the output from a client’s chest tube drain
Answer: C
Conceptual Explanation: Postmortem care is within the scope of practice for an AP.
Evaluating medication effects, feeding a client with high risk of aspiration (dysphagia), and
assessing chest tube output require clinical judgment or assessment skills reserved for
licensed nurses.
,2. A nurse is managing a conflict between two staff members. The nurse decides to use a
‘collaborating’ strategy. Which of the following actions should the nurse take?
A. Encouragement for both parties to give up something of value to reach a middle ground
B. Telling the parties that the issue is not important enough to cause conflict
C. Working with both parties to find a new solution that satisfies the goals of everyone
involved
D. Instructing both parties to follow the unit policy regardless of their personal feelings
Answer: C
Conceptual Explanation: Collaboration is a ‘win-win’ strategy where both parties work
together to find a mutually satisfying solution. Compromise involves giving something up
(A), avoidance involves minimizing the issue (C), and authoritarianism involves forcing
policy (D).
3. A nurse in the emergency department is performing triage after a mass casualty incident.
Which client should the nurse tag with a red (immediate) tag?
A. A client with a closed fracture of the right tibia and a minor laceration
B. A client with an agonal heart rate and fixed, dilated pupils
C. A client with a sucking chest wound and significant respiratory distress
D. A client who is ambulatory with minor scrapes and bruises
Answer: C
, Conceptual Explanation: Red tags are for clients who have life-threatening injuries but
high potential for survival with immediate intervention. A sucking chest wound fits this
criteria. Closed fractures are yellow, agonal heart rate/fixed pupils are black (expectant),
and ambulatory clients are green.
4. A nurse is caring for a client who is scheduled for surgery. The client tells the nurse, ‘I don’t
really understand what the doctor meant when he talked about the risks.’ Which of the
following actions should the nurse take?
A. Notify the surgeon that the client requires further clarification of the procedure
B. Explain the risks of the surgical procedure to the client in simpler terms
C. Proceed with the preoperative checklist and have the client sign the form
D. Ask the client’s next of kin to explain the procedure to the client
Answer: A
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature
and ensure the client understands. If the client does not understand the risks, the surgeon
(who is performing the procedure) must be notified to provide further explanation. The
nurse should not explain the risks themselves as it is the surgeon’s legal responsibility.
5. A nurse is caring for a client who has a DNR (Do Not Resuscitate) order. The client’s heart
rate stops. The nurse’s colleague says, ‘We should start CPR anyway because the family isn’t
here yet.’ Which ethical principle is the nurse upholding by refusing to start CPR?
A. Beneficence
ASSESSMENT PREP QUESTIONS AND
ANSWERS
1. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the following
tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to a PRN pain medication
B. Assisting a client with a history of dysphagia during their first meal post-surgery
C. Performing postmortem care for a client who just passed away
D. Measuring and recording the output from a client’s chest tube drain
Answer: C
Conceptual Explanation: Postmortem care is within the scope of practice for an AP.
Evaluating medication effects, feeding a client with high risk of aspiration (dysphagia), and
assessing chest tube output require clinical judgment or assessment skills reserved for
licensed nurses.
,2. A nurse is managing a conflict between two staff members. The nurse decides to use a
‘collaborating’ strategy. Which of the following actions should the nurse take?
A. Encouragement for both parties to give up something of value to reach a middle ground
B. Telling the parties that the issue is not important enough to cause conflict
C. Working with both parties to find a new solution that satisfies the goals of everyone
involved
D. Instructing both parties to follow the unit policy regardless of their personal feelings
Answer: C
Conceptual Explanation: Collaboration is a ‘win-win’ strategy where both parties work
together to find a mutually satisfying solution. Compromise involves giving something up
(A), avoidance involves minimizing the issue (C), and authoritarianism involves forcing
policy (D).
3. A nurse in the emergency department is performing triage after a mass casualty incident.
Which client should the nurse tag with a red (immediate) tag?
A. A client with a closed fracture of the right tibia and a minor laceration
B. A client with an agonal heart rate and fixed, dilated pupils
C. A client with a sucking chest wound and significant respiratory distress
D. A client who is ambulatory with minor scrapes and bruises
Answer: C
, Conceptual Explanation: Red tags are for clients who have life-threatening injuries but
high potential for survival with immediate intervention. A sucking chest wound fits this
criteria. Closed fractures are yellow, agonal heart rate/fixed pupils are black (expectant),
and ambulatory clients are green.
4. A nurse is caring for a client who is scheduled for surgery. The client tells the nurse, ‘I don’t
really understand what the doctor meant when he talked about the risks.’ Which of the
following actions should the nurse take?
A. Notify the surgeon that the client requires further clarification of the procedure
B. Explain the risks of the surgical procedure to the client in simpler terms
C. Proceed with the preoperative checklist and have the client sign the form
D. Ask the client’s next of kin to explain the procedure to the client
Answer: A
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature
and ensure the client understands. If the client does not understand the risks, the surgeon
(who is performing the procedure) must be notified to provide further explanation. The
nurse should not explain the risks themselves as it is the surgeon’s legal responsibility.
5. A nurse is caring for a client who has a DNR (Do Not Resuscitate) order. The client’s heart
rate stops. The nurse’s colleague says, ‘We should start CPR anyway because the family isn’t
here yet.’ Which ethical principle is the nurse upholding by refusing to start CPR?
A. Beneficence
