Leadership ATI Proctored 2025 EXAM
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a nurse enters the room of a client and finds the client lying on the floor. Which of the
following actions should the nurse take first?
a. Call the provider.
b. ask a staff member for assistance getting the client back in bed.
c. inspect the client for injuries.
d. instruct the client to ask for help if they need to get out of bed - CORRRECT
ANSWERS C. CORRECT: the first action to take using the nursing process is to
assess the client in order to determine which interventions the client will need.
An RN on a medical‐surgical unit is making assignments at the beginning of the shift.
Which of the following tasks should the nurse delegate to the PN?
a. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
catheterization.
b. administer a unit of packed red blood cells (RBCs) to a client who has cancer.
c. instruct a client who is scheduled for discharge in the performance of wound care.
d. Develop a plan of care for a newly admitted client who has pneumonia. -
CORRRECT ANSWERS a. CORRECT: it is within the scope of practice of the Pn to
monitor a client who is 2 hr postprocedure for a cardiac catheterization, because this
client is considered stable
A PN ending their shift reports to the RN that a newly hired aP has not calculated the
intake and output for several clients. Which of the following actions should the rn take?
a. Complete an incident report.
B. Delegate this task to the Pn.
C. ask the AP if they need assistance.
D. notify the nurse manager. - CORRRECT ANSWERS C. CORRECT: Find out what
the AP knows about performing
the task and provide education for the aP if indicated.
a nurse manager is developing an orientation plan for newly licensed nurses. Which of
the following information should the manager include in the plan? (Select all that apply.)
a. Skill proficiency
B. assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E.. Socialization into unit culture
F. Facility policies and procedures - CORRRECT ANSWERS A. CORRECT: the
purpose of orientation is to assist the newly licensed nurse to transition from the role of
student to the role of employee and licensed nurse. include evaluation of skill
proficiency and provide additional instruction as indicated.
,B. CORRECT: the purpose of orientation is to assist the newly licensed nurse to
transition from the role of student to the role of employee and licensed nurse. include
assignment of a preceptor to ease the transition of the newly licensed nurse.
D. CORRECT: the purpose of orientation is to assist
the newly licensed nurse to transition from the role of student to the role of employee
and licensed nurse. include computerized charting, which is an essential skill for the
newly licensed nurse.
E. CORRECT: the purpose of orientation is to assist the newly licensed nurse to
transition from the role of student to the role of employee and licensed nurse. include
socialization to the unit as a way to ease the transition of the newly licensed nurse.
F. CORRECT: the purpose of orientation is to assist the newly licensed nurse to
transition from the role of student to the role of employee and licensed nurse. include
information about facility policies and procedures, which is essential information for the
newly licensed nurse.
A nurse manager is providing information about the audit process to members of the
nursing team. Which of the following information should the nurse manager include?
(Select all that apply.)
a. a structure audit evaluates the setting and resources available to provide care.
b. an outcome audit evaluates the results of the nursing care provided.
c. a root cause analysis is indicated when a sentinel event occurs.
d. retrospective audits are conducted while the client is receiving care.
e. after data collection is completed, it is compared to a benchmark. - CORRRECT
ANSWERS A. CORRECT: a structure audit evaluates the setting in which care is
provided and includes resources (equipment and staffing levels).
B. CORRECT: an outcome audit evaluates the effectiveness of nursing care. it should
include observable data (infection rates among clients).
C. CORRECT: a root cause analysis is indicated when a sentinel event occurs. a
sentinel event is a serious problem (injury to or death of a client). immediate
investigation of the problem is indicated. the health care team can use root cause
analysis to study the problem and take measures to prevent recurrence.
E. CORRECT: the benchmark is set at the beginning of the process and then it is
compared to the data after collection is completed.
a nurse is participating in a quality improvement study of a procedure frequently
performed on the unit. Which of the following information will provide data regarding the
efficacy of the procedure?
a. Frequency with which procedure is performed
b. Client satisfaction with performance of procedure
c. incidence of complications related to procedure
d. accurate documentation of how procedure was performed - CORRRECT ANSWERS
C. CORRECT: the incidence of complications related to the procedure is an outcome
measure directly related to the efficacy of the procedure.
A nurse is hired to replace a staff member who has resigned. after working on the unit
for several weeks, the nurse notices that the unit manager does not intervene when
,there is conflict between team members, even when it escalates. Which of the following
conflict resolution strategies is the unit manager demonstrating?
a. avoidance
B. Smoothing
C. Cooperating
D. negotiating - CORRRECT ANSWERS A. CORRECT: the goal in resolving conflict is
a win‐win situation. the unit manager is using an ineffective strategy, avoidance, to deal
with this conflict. although the unit manager is aware of the conflict, they are not
attempting to resolve it.
A nurse is preparing to transfer a client who is 72 hr postoperative to a long‐term care
facility. Which of the following information should the nurse include in the transfer
report? (Select all that apply).
A. Type of anesthesia used
B. Advance directives status
C. Vital signs on day of admission
D. Medical diagnosis
E. Need for specific equipment - CORRRECT ANSWERS B. CORRECT: Communicate
the client's advance directive status as part of client advocacy.
D. CORRECT: Communicate the client's medical diagnosis in order to provide care and
address the client's current needs.
E. CORRECT: Communicate the client's need for specific equipment so the facility can
provide appropriate care.
A nurse is assisting with the discharge planning for a client. Which of the following
actions should the nurse take? (Select all that apply.)
A. Determine the client's need for home medical equipment.
B. Provide a list of all the medications the client received in the facility.
C. Obtain printed instructions for medication self‐administration.
D. Provide the family with a list of community agencies that can provide assistance.
E. Discuss the importance of attending follow‐up appointments. - CORRRECT
ANSWERS A. CORRECT: Determine whether the client will need home medical
equipment so that the process of acquiring the equipment can begin.
C. CORRECT: Provide instructions about medications and procedures to perform at
home.
D. CORRECT: Inform the client and family about community agencies that can help
provide resources or assist with client care.
E. CORRECT: Ensure the client has follow‐up appointments scheduled and knows
when to contact the provider otherwise to prevent or minimize health complications.
A case manager is discussing critical pathways with a group of newly hired nurses.
Which of the following statements indicates understanding?
A. "The time to fill out the pathways often increases the cost of care."
B. "The pathway shows an estimate of the number of days the client will be
hospitalized."
C. "Deviance from the pathway is a sign of improved care quality."
, D. "The pathway includes information about the client's history." - CORRRECT
ANSWERS B. CORRECT: Critical pathways are specific to a client diagnosis and show
the average length of stay a client with the diagnosis type will have.
A nurse who has just assumed the role of unit manager is examining the skills
necessary for interprofessional collaboration. Which of the following actions support the
nurse's interprofessional collaboration? (Select all that apply.)
A. Use aggressive communication when addressing the team.
B. Recognize the knowledge and skills of each member of the team.
C. Ensure that a nurse is assigned to serve as the group facilitator for all
interprofessional meetings.
D. Encourage the client and family to participate in the team meeting.
E. Support team member requests for referral. - CORRRECT ANSWERS B.
CORRECT: The nurse should recognize that each member of the team has specific
skills to contribute to the collaboration process.
D. CORRECT: Collaboration should occur among the client, family, and
interprofessional team.
E. CORRECT: The nurse should support suggestions for referrals to link clients to
appropriate resources.
A nurse is caring for a client who has chest pain. The client says, "I am going home
immediately." Which of the following actions should the nurse take? (Select all that
apply.)
A. Notify the client's family of their intent to leave the facility.
B. Document the client's intent to leave the facility against medical advice (AMA).
C. Explain to the client the risks involved if they choose to leave.
E. Ask the client to sign a form relinquishing responsibility of the facility.
Prevent the client from leaving the facility until the provider arrives. - CORRRECT
ANSWERS B. CORRECT: When documenting a discharge, document the type of
discharge, including an AMA discharge.
C. CORRECT: The nurse is legally responsible to warn the client of the risks involved in
leaving the hospital against medical advice.
D. CORRECT: Clients who leave the hospital prior to a prescribed discharge are asked
to sign a form to provide legal protection for the hospital.
A nurse manager is observing the actions ofa nurse they are supervising. Which of the
following actions by the nurse requires the nurse manager to intervene? (Select all that
apply.)
A. Reviewing the health care record of a client assigned to another nurse
B. Making a copy of a client's most current laboratory results for the provider during
rounds
C. Providing information about a client's condition to hospital clergy
D. Discussing a client's condition over the phone with an individual who has provided
the client's information code
E. Participating in walking rounds that involve the exchange of client‐related information
outside clients' rooms - CORRRECT ANSWERS A. CORRECT: To maintain
Save
a nurse enters the room of a client and finds the client lying on the floor. Which of the
following actions should the nurse take first?
a. Call the provider.
b. ask a staff member for assistance getting the client back in bed.
c. inspect the client for injuries.
d. instruct the client to ask for help if they need to get out of bed - CORRRECT
ANSWERS C. CORRECT: the first action to take using the nursing process is to
assess the client in order to determine which interventions the client will need.
An RN on a medical‐surgical unit is making assignments at the beginning of the shift.
Which of the following tasks should the nurse delegate to the PN?
a. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
catheterization.
b. administer a unit of packed red blood cells (RBCs) to a client who has cancer.
c. instruct a client who is scheduled for discharge in the performance of wound care.
d. Develop a plan of care for a newly admitted client who has pneumonia. -
CORRRECT ANSWERS a. CORRECT: it is within the scope of practice of the Pn to
monitor a client who is 2 hr postprocedure for a cardiac catheterization, because this
client is considered stable
A PN ending their shift reports to the RN that a newly hired aP has not calculated the
intake and output for several clients. Which of the following actions should the rn take?
a. Complete an incident report.
B. Delegate this task to the Pn.
C. ask the AP if they need assistance.
D. notify the nurse manager. - CORRRECT ANSWERS C. CORRECT: Find out what
the AP knows about performing
the task and provide education for the aP if indicated.
a nurse manager is developing an orientation plan for newly licensed nurses. Which of
the following information should the manager include in the plan? (Select all that apply.)
a. Skill proficiency
B. assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E.. Socialization into unit culture
F. Facility policies and procedures - CORRRECT ANSWERS A. CORRECT: the
purpose of orientation is to assist the newly licensed nurse to transition from the role of
student to the role of employee and licensed nurse. include evaluation of skill
proficiency and provide additional instruction as indicated.
,B. CORRECT: the purpose of orientation is to assist the newly licensed nurse to
transition from the role of student to the role of employee and licensed nurse. include
assignment of a preceptor to ease the transition of the newly licensed nurse.
D. CORRECT: the purpose of orientation is to assist
the newly licensed nurse to transition from the role of student to the role of employee
and licensed nurse. include computerized charting, which is an essential skill for the
newly licensed nurse.
E. CORRECT: the purpose of orientation is to assist the newly licensed nurse to
transition from the role of student to the role of employee and licensed nurse. include
socialization to the unit as a way to ease the transition of the newly licensed nurse.
F. CORRECT: the purpose of orientation is to assist the newly licensed nurse to
transition from the role of student to the role of employee and licensed nurse. include
information about facility policies and procedures, which is essential information for the
newly licensed nurse.
A nurse manager is providing information about the audit process to members of the
nursing team. Which of the following information should the nurse manager include?
(Select all that apply.)
a. a structure audit evaluates the setting and resources available to provide care.
b. an outcome audit evaluates the results of the nursing care provided.
c. a root cause analysis is indicated when a sentinel event occurs.
d. retrospective audits are conducted while the client is receiving care.
e. after data collection is completed, it is compared to a benchmark. - CORRRECT
ANSWERS A. CORRECT: a structure audit evaluates the setting in which care is
provided and includes resources (equipment and staffing levels).
B. CORRECT: an outcome audit evaluates the effectiveness of nursing care. it should
include observable data (infection rates among clients).
C. CORRECT: a root cause analysis is indicated when a sentinel event occurs. a
sentinel event is a serious problem (injury to or death of a client). immediate
investigation of the problem is indicated. the health care team can use root cause
analysis to study the problem and take measures to prevent recurrence.
E. CORRECT: the benchmark is set at the beginning of the process and then it is
compared to the data after collection is completed.
a nurse is participating in a quality improvement study of a procedure frequently
performed on the unit. Which of the following information will provide data regarding the
efficacy of the procedure?
a. Frequency with which procedure is performed
b. Client satisfaction with performance of procedure
c. incidence of complications related to procedure
d. accurate documentation of how procedure was performed - CORRRECT ANSWERS
C. CORRECT: the incidence of complications related to the procedure is an outcome
measure directly related to the efficacy of the procedure.
A nurse is hired to replace a staff member who has resigned. after working on the unit
for several weeks, the nurse notices that the unit manager does not intervene when
,there is conflict between team members, even when it escalates. Which of the following
conflict resolution strategies is the unit manager demonstrating?
a. avoidance
B. Smoothing
C. Cooperating
D. negotiating - CORRRECT ANSWERS A. CORRECT: the goal in resolving conflict is
a win‐win situation. the unit manager is using an ineffective strategy, avoidance, to deal
with this conflict. although the unit manager is aware of the conflict, they are not
attempting to resolve it.
A nurse is preparing to transfer a client who is 72 hr postoperative to a long‐term care
facility. Which of the following information should the nurse include in the transfer
report? (Select all that apply).
A. Type of anesthesia used
B. Advance directives status
C. Vital signs on day of admission
D. Medical diagnosis
E. Need for specific equipment - CORRRECT ANSWERS B. CORRECT: Communicate
the client's advance directive status as part of client advocacy.
D. CORRECT: Communicate the client's medical diagnosis in order to provide care and
address the client's current needs.
E. CORRECT: Communicate the client's need for specific equipment so the facility can
provide appropriate care.
A nurse is assisting with the discharge planning for a client. Which of the following
actions should the nurse take? (Select all that apply.)
A. Determine the client's need for home medical equipment.
B. Provide a list of all the medications the client received in the facility.
C. Obtain printed instructions for medication self‐administration.
D. Provide the family with a list of community agencies that can provide assistance.
E. Discuss the importance of attending follow‐up appointments. - CORRRECT
ANSWERS A. CORRECT: Determine whether the client will need home medical
equipment so that the process of acquiring the equipment can begin.
C. CORRECT: Provide instructions about medications and procedures to perform at
home.
D. CORRECT: Inform the client and family about community agencies that can help
provide resources or assist with client care.
E. CORRECT: Ensure the client has follow‐up appointments scheduled and knows
when to contact the provider otherwise to prevent or minimize health complications.
A case manager is discussing critical pathways with a group of newly hired nurses.
Which of the following statements indicates understanding?
A. "The time to fill out the pathways often increases the cost of care."
B. "The pathway shows an estimate of the number of days the client will be
hospitalized."
C. "Deviance from the pathway is a sign of improved care quality."
, D. "The pathway includes information about the client's history." - CORRRECT
ANSWERS B. CORRECT: Critical pathways are specific to a client diagnosis and show
the average length of stay a client with the diagnosis type will have.
A nurse who has just assumed the role of unit manager is examining the skills
necessary for interprofessional collaboration. Which of the following actions support the
nurse's interprofessional collaboration? (Select all that apply.)
A. Use aggressive communication when addressing the team.
B. Recognize the knowledge and skills of each member of the team.
C. Ensure that a nurse is assigned to serve as the group facilitator for all
interprofessional meetings.
D. Encourage the client and family to participate in the team meeting.
E. Support team member requests for referral. - CORRRECT ANSWERS B.
CORRECT: The nurse should recognize that each member of the team has specific
skills to contribute to the collaboration process.
D. CORRECT: Collaboration should occur among the client, family, and
interprofessional team.
E. CORRECT: The nurse should support suggestions for referrals to link clients to
appropriate resources.
A nurse is caring for a client who has chest pain. The client says, "I am going home
immediately." Which of the following actions should the nurse take? (Select all that
apply.)
A. Notify the client's family of their intent to leave the facility.
B. Document the client's intent to leave the facility against medical advice (AMA).
C. Explain to the client the risks involved if they choose to leave.
E. Ask the client to sign a form relinquishing responsibility of the facility.
Prevent the client from leaving the facility until the provider arrives. - CORRRECT
ANSWERS B. CORRECT: When documenting a discharge, document the type of
discharge, including an AMA discharge.
C. CORRECT: The nurse is legally responsible to warn the client of the risks involved in
leaving the hospital against medical advice.
D. CORRECT: Clients who leave the hospital prior to a prescribed discharge are asked
to sign a form to provide legal protection for the hospital.
A nurse manager is observing the actions ofa nurse they are supervising. Which of the
following actions by the nurse requires the nurse manager to intervene? (Select all that
apply.)
A. Reviewing the health care record of a client assigned to another nurse
B. Making a copy of a client's most current laboratory results for the provider during
rounds
C. Providing information about a client's condition to hospital clergy
D. Discussing a client's condition over the phone with an individual who has provided
the client's information code
E. Participating in walking rounds that involve the exchange of client‐related information
outside clients' rooms - CORRRECT ANSWERS A. CORRECT: To maintain
