Leadership Final ATI Exam
1. A nurse is preparing to teach the health "A critical pathway is a multidisciplinary tool that
care team about the concept of critical guides client care and bases outcomes on an
pathways. Which of the following state- externally imposed timeline".
ments about the purpose of a critical
pathway should the nurse plan to in- A critical pathway is a projected path of treat-
clude? ment based on a set time frame for clients who
have comparable diagnoses.
2. A nurse manager confronts a nurse who C. Set up a formal meeting with the nurse within
has the smell of alcohol on her breath. 24 hr.
After the nurse is sent home, which of
the following actions should the nurse Explanation:
manager take? Once the nurse manager has removed the nurse
from the work environment and arranged for
A. Provide a series of couseling sessions safe transportation home, the nurse manager
with the nurse. should arrange to meet with the nurse within
B. Talk with the nurse's coworkers to de- the next 24 hr. The nurse manager should con-
termine a potential cause for the imair- front the nurse who was chemically impaired
ment. and clearly identify the facility's expectations.
C. Set up a formal meeting with the
nurse within 24 hours.
D Report the nurse's chemical impaire-
ment to the risk manager.
3. A nurse is planning care for a client who B. Social Worker
has COPD, requires continuous oxygen
therapy, and is being discharged to re- Explanation:
turn home. Which of the following refer- The nurse should recommend a social worker
rals should the nurse recommend? when the client will require additional services
like home health care, oxygen therapy, hospice
A. Spiritual Advisor care, or wound care.
B. Social Worker
, Leadership Final ATI Exam
C. Physical Therapist
D. Occupational Therapist
4. A nurse is delegating a task to an Assis- B. Assist the AP after he has practiced the trans-
tive Personnel (AP). The AP is to transfer fer.
a client who has a below-the-knee am-
putation from a bed to a wheelchair. The Explanation:
AP has never transferred a client with an The safest way to determine if the AP has the
amputation before. Which of the follow- knowledge and skill to transfer the client with
ing actions should the nurse take? the amputation is to demonstrate the task.
A. Provide the AP with a manual of how
the transfer should be done.
B. Assist the AP after he has practiced the
transfer.
C. Transfer the client while the AP ob-
serves.
D. Ask another AP to transfer the client.
5. A nurse receives change-of-shift report A. Obtain the morning capillary blood glucose
and delegates several tasks to an Assis- tests
tive Personnel (AP) on the team. Which
of the following tasks should the nurse Explanation:
instruct the AP to perform first? The nurse should apply the Urgent vs. Nonur-
gent priority setting framework when delegat-
A. Obtain the morning capillary blood ing tasks.
glucose tests
B. Bathe a client scheduled for physical
therapy at 0900
C. Distribute the breakfast trays
D. Fill pitchers with fresh water and ice
6.
, Leadership Final ATI Exam
A nurse participating in a continuous Process
quality improvement program is review-
ing medical records to determine the Quality Improvement Process p. 11 ATI
time of first postoperative ambulation Explanation:
of clients who had abdominal surgery. Process Indicators reflect how client care is pro-
The nurse is participating in which of the vided and are established by policies and pro-
following quality evaluation processes? cedures (clinical practice guidelines).
7. A nurse is reviewing laboratory results D. Serum creatinine 0.4mg/dL
for a client who is at 12 weeks gestation.
Which of the following findings should
the nurse report to the provider?
A. Hgb 12 g/dLb.
B. WBC 15,000/mm3c.
C. Fasting blood glucose 80 mg/dLd.
D. Serum creatinine 0.4 mg/dL
8. A charge nurse is making shift assign- B. A client who has emphysema and ammonia
ments for a team that includes RNs, li- and is receiving oxygen
censed practical nurses, and assistive
personnel. Which of the following clients Explanation:
should the nurse assign to an LPN? This client requires routine care, medication ad-
ministration, and data collection. This is an ap-
A. A client who was just admitted by the propriate client to assign to an LPN.
unit staff for recurring angina
B. A client who has emphysema and C. This client's care requires specialized IV and
pneumonia and is receiving oxygen medication training and expertise; and there-
C. A client who has breast cancer and is fore, this is an appropriate client to assign to an
receiving chemotherapy RN, not an LPN.
D. A client who is just admitted by the
unit staff for a cerebrovascular accident
1. A nurse is preparing to teach the health "A critical pathway is a multidisciplinary tool that
care team about the concept of critical guides client care and bases outcomes on an
pathways. Which of the following state- externally imposed timeline".
ments about the purpose of a critical
pathway should the nurse plan to in- A critical pathway is a projected path of treat-
clude? ment based on a set time frame for clients who
have comparable diagnoses.
2. A nurse manager confronts a nurse who C. Set up a formal meeting with the nurse within
has the smell of alcohol on her breath. 24 hr.
After the nurse is sent home, which of
the following actions should the nurse Explanation:
manager take? Once the nurse manager has removed the nurse
from the work environment and arranged for
A. Provide a series of couseling sessions safe transportation home, the nurse manager
with the nurse. should arrange to meet with the nurse within
B. Talk with the nurse's coworkers to de- the next 24 hr. The nurse manager should con-
termine a potential cause for the imair- front the nurse who was chemically impaired
ment. and clearly identify the facility's expectations.
C. Set up a formal meeting with the
nurse within 24 hours.
D Report the nurse's chemical impaire-
ment to the risk manager.
3. A nurse is planning care for a client who B. Social Worker
has COPD, requires continuous oxygen
therapy, and is being discharged to re- Explanation:
turn home. Which of the following refer- The nurse should recommend a social worker
rals should the nurse recommend? when the client will require additional services
like home health care, oxygen therapy, hospice
A. Spiritual Advisor care, or wound care.
B. Social Worker
, Leadership Final ATI Exam
C. Physical Therapist
D. Occupational Therapist
4. A nurse is delegating a task to an Assis- B. Assist the AP after he has practiced the trans-
tive Personnel (AP). The AP is to transfer fer.
a client who has a below-the-knee am-
putation from a bed to a wheelchair. The Explanation:
AP has never transferred a client with an The safest way to determine if the AP has the
amputation before. Which of the follow- knowledge and skill to transfer the client with
ing actions should the nurse take? the amputation is to demonstrate the task.
A. Provide the AP with a manual of how
the transfer should be done.
B. Assist the AP after he has practiced the
transfer.
C. Transfer the client while the AP ob-
serves.
D. Ask another AP to transfer the client.
5. A nurse receives change-of-shift report A. Obtain the morning capillary blood glucose
and delegates several tasks to an Assis- tests
tive Personnel (AP) on the team. Which
of the following tasks should the nurse Explanation:
instruct the AP to perform first? The nurse should apply the Urgent vs. Nonur-
gent priority setting framework when delegat-
A. Obtain the morning capillary blood ing tasks.
glucose tests
B. Bathe a client scheduled for physical
therapy at 0900
C. Distribute the breakfast trays
D. Fill pitchers with fresh water and ice
6.
, Leadership Final ATI Exam
A nurse participating in a continuous Process
quality improvement program is review-
ing medical records to determine the Quality Improvement Process p. 11 ATI
time of first postoperative ambulation Explanation:
of clients who had abdominal surgery. Process Indicators reflect how client care is pro-
The nurse is participating in which of the vided and are established by policies and pro-
following quality evaluation processes? cedures (clinical practice guidelines).
7. A nurse is reviewing laboratory results D. Serum creatinine 0.4mg/dL
for a client who is at 12 weeks gestation.
Which of the following findings should
the nurse report to the provider?
A. Hgb 12 g/dLb.
B. WBC 15,000/mm3c.
C. Fasting blood glucose 80 mg/dLd.
D. Serum creatinine 0.4 mg/dL
8. A charge nurse is making shift assign- B. A client who has emphysema and ammonia
ments for a team that includes RNs, li- and is receiving oxygen
censed practical nurses, and assistive
personnel. Which of the following clients Explanation:
should the nurse assign to an LPN? This client requires routine care, medication ad-
ministration, and data collection. This is an ap-
A. A client who was just admitted by the propriate client to assign to an LPN.
unit staff for recurring angina
B. A client who has emphysema and C. This client's care requires specialized IV and
pneumonia and is receiving oxygen medication training and expertise; and there-
C. A client who has breast cancer and is fore, this is an appropriate client to assign to an
receiving chemotherapy RN, not an LPN.
D. A client who is just admitted by the
unit staff for a cerebrovascular accident
