ATI LEADERSHIP PROCTORED FINAL EXAM 2025 WITH
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
An RN has to teach the client initially but can delegate ________to an LPN.
-ANSWER reinforcing the teaching
An LPN can perform ______care. -ANSWER tracheostomy care
Can an RN delegate to an LPN to perform suctioning? -ANSWER yes
Can an RN delegate to an LPN to put in a urinary catheter? -ANSWER yes
Can an RN delegate to an AP to feed a client not on swallow precautions? -
ANSWER yes
Is an RN allowed to delegate to an AP to collect a urine sample? -
ANSWER yes
A nurse delegates to an AP to assist in obtaining vital signs from a postop
patient who required naloxone (narcan) for depressed respirations. Is this
an appropriate task for the AP? -ANSWER no
An older adult client who is on fall precautions is found lying on the floor of
his hospital room. Which of the following actions is most appropriate for the
nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance -ANSWER C.
Inspect the client for injuries
An RN on a med-surg unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
,D. Developing a plan of care for a newly admitted client -ANSWER A
A nurse is caring for an older adult client who has left the unit for a
radiology procedure. The client's son asks the nurse what med is being
given to the client. Which of the following is an appropriate response by the
nurse?
A. "I am sorry, but that is information you will need to ask your mother or
her doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam
(Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before
discharge." -ANSWER A.
A nurse works in a mental health facility that uses a case management
nursing model to provide care. The nurse should recognize that which of
the following describes a case management approach to care?
A. A nurse provides total care for several clients
B. Collaboration between disciplines creates a multidisciplinary care plan
for each client.
C. The focus of care is on detecting disorders at an early stage.
D. The team leader assigns care for a group of clients -ANSWER B
A nurse overhears a client talking with an attorney, reporting physical
abuse, use of restraints & denial of meals. What action should the nurse
take?
A. Report the conversation to the nurse manager to allow for follow-up
investigation.
B. Question the client about the allegations to identify staff who were
allegedly involved.
C. Ignore the conversation unless the client brings it to the attention of the
nurse.
D. Recognize this as a privileged communication that cannot be discussed
w/anyone. -ANSWER A
,A nurse manager is planning a department meeting to discuss client
advocacy. Which of the following situations should be included in the
discussion? Select all that apply.
A. Discussing treatment options w/a client who was pancreatic cancer
B. Notifying the surgeon when a client signing a surgical consent form has
questions about the procedure
C. Helping a client make a list of questions she would like to ask the
provider
D. Clarifying the dosage of a med prescribed for an older adult client who
has impaired liver function
E. Carrying out end-of-life wishes outlined in the living will of an older adult
-ANSWER B, C, D, E
A nurse is assessing a client's negligible progress in following a weight loss
program. Which of the following is a likely reason the client was unable to
achieve a short-term goal established during the planning phase of the
nursing process?
A. The goals were realistic & formulated w/client input.
B. The underlying problem behind past weight gain was misidentified.
C. The implementation of the plan used flexibility in following the nursing
actions
D. The nurse obtained objective & subjective data during the assessment. -
ANSWER B
A nurse has prepared an IM injection for a client who is preoperative, when
another client suddenly calls for assistance. The nurse asks an LPN to give
the injection since an AP is waiting to take the client to surgery. Which of
the following is an appropriate action by the LPN?
A. Prepare a new syringe for the client who is preop
B. Give the prepared med to the client who is preop
C. Help the client requesting assistance so the nurse can give the prepared
injection
D. Report this request to the charge nurse -ANSWER C
, A new charge nurse on a busy surgical unit notes a high degree of tension
among the nursing staff. Which of the following should be the initial method
used for resolving this issue?
A. Work w/the nurses to identify stressors
B. Hire additional staff to decrease the work load
C. Make relaxation tapes available to staff to help decrease stress
D. Reassess the situation after the nurses have become accustomed to the
new charge nurse -ANSWER A
A nurse on a long-term care unit finds that a client receiving dialysis was
administered captopril (capoten), which was not prescribed for the client. In
which order should the nurse take the actions listed?
___Complete an incident report.
___Contact the risk manager.
___Instruct the client to call for assistance when getting out of bed.
___Measure the client's vital signs
___Notify the provider -ANSWER 1. Measure the client's vitals
2. Instruct the client to call for assistance when getting out of bed
3. Notify provider
4. Complete an incident report
5. Contact the risk manager
A nurse is caring for a group of clients on a med surg unit. Which of the
following tasks should the nurse delegate to the assistive personnel (AP)?
Select all that apply.
A. Collecting a stool specimen
B. Providing instructions about using a spirometer
C. Measuring oral intake
D. Providing postmortem care
E. Changing a dressing -ANSWER A, C, D
A nurse on a med surg unit is planning care of assigned clients. Which of
the following clients should the nurse assess first?
A. A client who is newly admitted & is to have an indwelling urinary catheter
inserted
B. A client who has kidney stones & reports flank pain 6 out of 10
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
An RN has to teach the client initially but can delegate ________to an LPN.
-ANSWER reinforcing the teaching
An LPN can perform ______care. -ANSWER tracheostomy care
Can an RN delegate to an LPN to perform suctioning? -ANSWER yes
Can an RN delegate to an LPN to put in a urinary catheter? -ANSWER yes
Can an RN delegate to an AP to feed a client not on swallow precautions? -
ANSWER yes
Is an RN allowed to delegate to an AP to collect a urine sample? -
ANSWER yes
A nurse delegates to an AP to assist in obtaining vital signs from a postop
patient who required naloxone (narcan) for depressed respirations. Is this
an appropriate task for the AP? -ANSWER no
An older adult client who is on fall precautions is found lying on the floor of
his hospital room. Which of the following actions is most appropriate for the
nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance -ANSWER C.
Inspect the client for injuries
An RN on a med-surg unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
,D. Developing a plan of care for a newly admitted client -ANSWER A
A nurse is caring for an older adult client who has left the unit for a
radiology procedure. The client's son asks the nurse what med is being
given to the client. Which of the following is an appropriate response by the
nurse?
A. "I am sorry, but that is information you will need to ask your mother or
her doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam
(Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before
discharge." -ANSWER A.
A nurse works in a mental health facility that uses a case management
nursing model to provide care. The nurse should recognize that which of
the following describes a case management approach to care?
A. A nurse provides total care for several clients
B. Collaboration between disciplines creates a multidisciplinary care plan
for each client.
C. The focus of care is on detecting disorders at an early stage.
D. The team leader assigns care for a group of clients -ANSWER B
A nurse overhears a client talking with an attorney, reporting physical
abuse, use of restraints & denial of meals. What action should the nurse
take?
A. Report the conversation to the nurse manager to allow for follow-up
investigation.
B. Question the client about the allegations to identify staff who were
allegedly involved.
C. Ignore the conversation unless the client brings it to the attention of the
nurse.
D. Recognize this as a privileged communication that cannot be discussed
w/anyone. -ANSWER A
,A nurse manager is planning a department meeting to discuss client
advocacy. Which of the following situations should be included in the
discussion? Select all that apply.
A. Discussing treatment options w/a client who was pancreatic cancer
B. Notifying the surgeon when a client signing a surgical consent form has
questions about the procedure
C. Helping a client make a list of questions she would like to ask the
provider
D. Clarifying the dosage of a med prescribed for an older adult client who
has impaired liver function
E. Carrying out end-of-life wishes outlined in the living will of an older adult
-ANSWER B, C, D, E
A nurse is assessing a client's negligible progress in following a weight loss
program. Which of the following is a likely reason the client was unable to
achieve a short-term goal established during the planning phase of the
nursing process?
A. The goals were realistic & formulated w/client input.
B. The underlying problem behind past weight gain was misidentified.
C. The implementation of the plan used flexibility in following the nursing
actions
D. The nurse obtained objective & subjective data during the assessment. -
ANSWER B
A nurse has prepared an IM injection for a client who is preoperative, when
another client suddenly calls for assistance. The nurse asks an LPN to give
the injection since an AP is waiting to take the client to surgery. Which of
the following is an appropriate action by the LPN?
A. Prepare a new syringe for the client who is preop
B. Give the prepared med to the client who is preop
C. Help the client requesting assistance so the nurse can give the prepared
injection
D. Report this request to the charge nurse -ANSWER C
, A new charge nurse on a busy surgical unit notes a high degree of tension
among the nursing staff. Which of the following should be the initial method
used for resolving this issue?
A. Work w/the nurses to identify stressors
B. Hire additional staff to decrease the work load
C. Make relaxation tapes available to staff to help decrease stress
D. Reassess the situation after the nurses have become accustomed to the
new charge nurse -ANSWER A
A nurse on a long-term care unit finds that a client receiving dialysis was
administered captopril (capoten), which was not prescribed for the client. In
which order should the nurse take the actions listed?
___Complete an incident report.
___Contact the risk manager.
___Instruct the client to call for assistance when getting out of bed.
___Measure the client's vital signs
___Notify the provider -ANSWER 1. Measure the client's vitals
2. Instruct the client to call for assistance when getting out of bed
3. Notify provider
4. Complete an incident report
5. Contact the risk manager
A nurse is caring for a group of clients on a med surg unit. Which of the
following tasks should the nurse delegate to the assistive personnel (AP)?
Select all that apply.
A. Collecting a stool specimen
B. Providing instructions about using a spirometer
C. Measuring oral intake
D. Providing postmortem care
E. Changing a dressing -ANSWER A, C, D
A nurse on a med surg unit is planning care of assigned clients. Which of
the following clients should the nurse assess first?
A. A client who is newly admitted & is to have an indwelling urinary catheter
inserted
B. A client who has kidney stones & reports flank pain 6 out of 10
