NUR: ATI RN Leadership practice With
Correct Answers
A nurse manager calls a meeting of the unit's staff members to discuss cost-containment issues. The nurse manager has
m m m m m m m m m m m m m m m m m m
asked for staff input regarding strategies that might help reduce costs. Which of the following types of leadership is the
m m m m m m m m m m m m m m m m m m m m
nurse manager using?
m m m
a. Autocratic
m
b. Democratic
m
c. Laissez-faire
m
d. Moral - correct answerDemocratic
m m m m
A democratic leader guides staff toward reaching an objective and shares responsibility with the staff. this is the ideal type
m m m m m m m m m m m m m m m m m m m
of leadership in this situation because a great amount of creativity can occur and many strategies can be developed.
m m m m m m m m m m m m m m m m m m m
Makes decisions independently and then notifies staff of the decisions made. Maintains a high degree of control over the
m m m m m m m m m m m m m m m m m m
staff and allows little freedom of staff members - correct answerAutocratic
m m m m m m m m m m m
Guides staff toward reaching an objective and shares responsibility with the staff. This is an ideal type of leadership because
m m m m m m m m m m m m m m m m m m m
a great amount of creativity can occur and many strategies can be developed - correct answerDemocratic
m m m m m m m m m m m m m m m m
A home health nurse is caring for a client who asks what is included in a living will. Which of the following statements
m m m m m m m m m m m m m m m m m m m m m m
should the nurse include in the teaching?
m m m m m m m
a. It establishes who will make health care decisions if the client is not able
m m m m m m m m m m m m m m
b. It allows the client to express personal wishes regarding health care decisions
m m m m m m m m m m m m m
c. It serves as an informed consent for procedures - correct answerb. It allows the client to express personal wishes regarding
m m m m m m m m m m m m m m m m m m m m
health care decisions
m m m
Using quality monitoring tools, a facility committee identifies that clients who have congestive heart failure have an average
m m m m m m m m m m m m m m m m m
length of stay that is 5 days instead of the established standard of 3 days. Which of the following steps should the nurse
m m m m m m m m m m m m m m m m m m m m m m m
implement next in the quality improvement process?
m m m m m m m
a. educate staff members on shortening the length of stay for these patients
m m m m m m m m m m m m
b. collect data regarding length of stay for these patients
m m m m m m m m m
c. determine which actions can be instituted to address this problem - correct answerc. determine which actions can be
m m m m m m m m m m m m m m m m m m
instituted to address this problem
m m m m m
A nurse is working with an AP in a long term care facility. According to the five rights of delegation, which of the following
m m m m m m m m m m m m m m m m m m m m m m m
determinations should the nurse make prior to assignment of tasks?
m m m m m m m m m m
a. whether the AP has consented to the performance of delegated tasks
m m m m m m m m m m m
b. the client's willingness to consent to the care of the AP
m m m m m m m m m m m
c. whether the task can be more efficiently completed by the nurse
m m m m m m m m m m m
d. the degree of supervision that the AP will require to complete the task - correct answerd. the degree of supervision that the
m m m m m m m m m m m m m m m m m m m m m m
AP will require to complete the task
m m m m m m m
A charge nurse in an ER is making assignment for an AP for a shift with unexpected staff absences. Which of the following
m m m m m m m m m m m m m m m m m m m m m m
assignments should the charge assign to a float AP from the med surg unit?
m m m m m m m m m m m m m m
a. escort clients from the ER to other areas of the facility for tests
m m m m m m m m m m m m m
b. sit at the reception desk answering and directing clients - correct answerEscort clients from the ER to other areas of the
m m m m m m m m m m m m m m m m m m m m m
facility for tests.
m m m
A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign
m m m m m m m m m m m m m m m m m m m
to a LPN?
m m m
, a. A client who is to be discharged with a PICC line
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b. A client who is disoriented and awaiting transfer to a long term facility
m m m m m m m m m m m m m m
c. A client who is 16 hr post op following a total larryngectomy - correct answerb. A client who is disoriented and awaiting
m m m m m m m m m m m m m m m m m m m m m m
transfer to a long term facility
m m m m m m
A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which of the following is an
m m m m m m m m m m m m m m m m m m m m m
assertive statement that the charge nurse should use to initiate discussion of the issue?
m m m m m m m m m m m m m m
a. I understand that you are allowed to take scheduled breaks during each shift, but you are taking more than the number
m m m m m m m m m m m m m m m m m m m m m
allocated. Let's set a time when we can discuss this behavior
m m m m m m m m m m m
b. you are taking more breaks during each shift than hospital policy allows. You will need to take only the number of breaks
m m m m m m m m m m m m m m m m m m m m m m
specified and be sure you are back on time - correct answera. I understand that you are allowed to take scheduled breaks
m m m m m m m m m m m m m m m m m m m m m m
during each shift, but you are taking more than the number allocated. Let's set a time when we can discuss this behavior
m m m m m m m m m m m m m m m m m m m m m m
A nurse is ambulating a client who has an IV with an infusion pump. Upon returning to the client's room and plugging the
m m m m m m m m m m m m m m m m m m m m m m
infusion pump in, the client reports a slight tingling in his hand. Which of the following actions should the nurse take?
m m m m m m m m m m m m m m m m m m m m m
a. plug the pump into a different outlet
m m m m m m m
b. place a service tag on the pump for a routine inspection
m m m m m m m m m m m
c. unplug the pump and plug it back into the same outlet to see if the sensation of tingling is repeated
m m m m m m m m m m m m m m m m m m m m
d. turn the pump off - correct answerTurn the pump off
m m m m m m m m m m
The pump must be turned off immediately to protect the client and the nurse from the risk of electrical injury and fire.
m m m m m m m m m m m m m m m m m m m m m
A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of
m m m m m m m m m m m m m m m m m m m m
the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the
m m m m m m m m m m m m m m m m m m m m m
child's parents?
m m
a. I want to talk to you how important it is for you to consider donating your child's organs for transplantation
m m m m m m m m m m m m m m m m m m m m
b. I want to give you some info about an option that you have regarding donating your child's organs to others who are in
m m m m m m m m m m m m m m m m m m m m m m m
need. - correct answerb. I want to give you some info about an option that you have regarding donating your child's organs
m m m m m m m m m m m m m m m m m m m m m m
to others who are in need
m m m m m m
A nurse is working with an AP who appears to be under the influence of alcohol during the night shift. Which of the
m m m m m m m m m m m m m m m m m m m m m m
following is the priority action the nurse should take?
m m m m m m m m m
a. Confront the AP regarding alcohol use and remove him from the client care
m m m m m m m m m m m m m
b. Ask the nursing supervisor to obverse the AP and validate the nurse's suspicions
m m m m m m m m m m m m m
c. Document observations made about the AP's behavior in a factual manner - correct answerb. Ask the nursing supervisor to
m m m m m m m m m m m m m m m m m m m
observe the AP and validate the nurse's suspicions
m m m m m m m m
A nurse is reviewing lab results for a client who is at 12 weeks gestation. Which of the following findings should the nurse
m m m m m m m m m m m m m m m m m m m m m m
report to the provider?
m m m m
a. Hgb 12 g/dL
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b. WBC 15,000/mm3
m m
c. Fasting blood glucose 80 mg/dL
m m m m m
d. Serum creatinine 0.4 mg/dL - correct answerd. Serum creatinine 0.4 mg/dL
m m m m m m m m m m m
A nurse is providing discharge teaching about home safety with an older adult client and his family. Which of the following
m m m m m m m m m m m m m m m m m m m m
statements should the nurse include in the teaching?
m m m m m m m m
a. you should set the water heater temp to 125 degrees F
m m m m m m m m m m m
b. you should grasp the cord when unplugging it
m m m m m m m m
c. you should use a gas stove for cooking
m m m m m m m m
d. you should install a handrail on at least one side of the stairs - correct answerd. you should install a handrail on at least one
m m m m m m m m m m m m m m m m m m m m m m m m m
side of the stairs
m m m m
A charge nurse is observing a group of new RNs. Which of the following observations should the charge nurse report to the
m m m m m m m m m m m m m m m m m m m m m
nurse manager as a violation of HIPAA?
m m m m m m m
Correct Answers
A nurse manager calls a meeting of the unit's staff members to discuss cost-containment issues. The nurse manager has
m m m m m m m m m m m m m m m m m m
asked for staff input regarding strategies that might help reduce costs. Which of the following types of leadership is the
m m m m m m m m m m m m m m m m m m m m
nurse manager using?
m m m
a. Autocratic
m
b. Democratic
m
c. Laissez-faire
m
d. Moral - correct answerDemocratic
m m m m
A democratic leader guides staff toward reaching an objective and shares responsibility with the staff. this is the ideal type
m m m m m m m m m m m m m m m m m m m
of leadership in this situation because a great amount of creativity can occur and many strategies can be developed.
m m m m m m m m m m m m m m m m m m m
Makes decisions independently and then notifies staff of the decisions made. Maintains a high degree of control over the
m m m m m m m m m m m m m m m m m m
staff and allows little freedom of staff members - correct answerAutocratic
m m m m m m m m m m m
Guides staff toward reaching an objective and shares responsibility with the staff. This is an ideal type of leadership because
m m m m m m m m m m m m m m m m m m m
a great amount of creativity can occur and many strategies can be developed - correct answerDemocratic
m m m m m m m m m m m m m m m m
A home health nurse is caring for a client who asks what is included in a living will. Which of the following statements
m m m m m m m m m m m m m m m m m m m m m m
should the nurse include in the teaching?
m m m m m m m
a. It establishes who will make health care decisions if the client is not able
m m m m m m m m m m m m m m
b. It allows the client to express personal wishes regarding health care decisions
m m m m m m m m m m m m m
c. It serves as an informed consent for procedures - correct answerb. It allows the client to express personal wishes regarding
m m m m m m m m m m m m m m m m m m m m
health care decisions
m m m
Using quality monitoring tools, a facility committee identifies that clients who have congestive heart failure have an average
m m m m m m m m m m m m m m m m m
length of stay that is 5 days instead of the established standard of 3 days. Which of the following steps should the nurse
m m m m m m m m m m m m m m m m m m m m m m m
implement next in the quality improvement process?
m m m m m m m
a. educate staff members on shortening the length of stay for these patients
m m m m m m m m m m m m
b. collect data regarding length of stay for these patients
m m m m m m m m m
c. determine which actions can be instituted to address this problem - correct answerc. determine which actions can be
m m m m m m m m m m m m m m m m m m
instituted to address this problem
m m m m m
A nurse is working with an AP in a long term care facility. According to the five rights of delegation, which of the following
m m m m m m m m m m m m m m m m m m m m m m m
determinations should the nurse make prior to assignment of tasks?
m m m m m m m m m m
a. whether the AP has consented to the performance of delegated tasks
m m m m m m m m m m m
b. the client's willingness to consent to the care of the AP
m m m m m m m m m m m
c. whether the task can be more efficiently completed by the nurse
m m m m m m m m m m m
d. the degree of supervision that the AP will require to complete the task - correct answerd. the degree of supervision that the
m m m m m m m m m m m m m m m m m m m m m m
AP will require to complete the task
m m m m m m m
A charge nurse in an ER is making assignment for an AP for a shift with unexpected staff absences. Which of the following
m m m m m m m m m m m m m m m m m m m m m m
assignments should the charge assign to a float AP from the med surg unit?
m m m m m m m m m m m m m m
a. escort clients from the ER to other areas of the facility for tests
m m m m m m m m m m m m m
b. sit at the reception desk answering and directing clients - correct answerEscort clients from the ER to other areas of the
m m m m m m m m m m m m m m m m m m m m m
facility for tests.
m m m
A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign
m m m m m m m m m m m m m m m m m m m
to a LPN?
m m m
, a. A client who is to be discharged with a PICC line
m m m m m m m m m m m
b. A client who is disoriented and awaiting transfer to a long term facility
m m m m m m m m m m m m m m
c. A client who is 16 hr post op following a total larryngectomy - correct answerb. A client who is disoriented and awaiting
m m m m m m m m m m m m m m m m m m m m m m
transfer to a long term facility
m m m m m m
A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which of the following is an
m m m m m m m m m m m m m m m m m m m m m
assertive statement that the charge nurse should use to initiate discussion of the issue?
m m m m m m m m m m m m m m
a. I understand that you are allowed to take scheduled breaks during each shift, but you are taking more than the number
m m m m m m m m m m m m m m m m m m m m m
allocated. Let's set a time when we can discuss this behavior
m m m m m m m m m m m
b. you are taking more breaks during each shift than hospital policy allows. You will need to take only the number of breaks
m m m m m m m m m m m m m m m m m m m m m m
specified and be sure you are back on time - correct answera. I understand that you are allowed to take scheduled breaks
m m m m m m m m m m m m m m m m m m m m m m
during each shift, but you are taking more than the number allocated. Let's set a time when we can discuss this behavior
m m m m m m m m m m m m m m m m m m m m m m
A nurse is ambulating a client who has an IV with an infusion pump. Upon returning to the client's room and plugging the
m m m m m m m m m m m m m m m m m m m m m m
infusion pump in, the client reports a slight tingling in his hand. Which of the following actions should the nurse take?
m m m m m m m m m m m m m m m m m m m m m
a. plug the pump into a different outlet
m m m m m m m
b. place a service tag on the pump for a routine inspection
m m m m m m m m m m m
c. unplug the pump and plug it back into the same outlet to see if the sensation of tingling is repeated
m m m m m m m m m m m m m m m m m m m m
d. turn the pump off - correct answerTurn the pump off
m m m m m m m m m m
The pump must be turned off immediately to protect the client and the nurse from the risk of electrical injury and fire.
m m m m m m m m m m m m m m m m m m m m m
A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of
m m m m m m m m m m m m m m m m m m m m
the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the
m m m m m m m m m m m m m m m m m m m m m
child's parents?
m m
a. I want to talk to you how important it is for you to consider donating your child's organs for transplantation
m m m m m m m m m m m m m m m m m m m m
b. I want to give you some info about an option that you have regarding donating your child's organs to others who are in
m m m m m m m m m m m m m m m m m m m m m m m
need. - correct answerb. I want to give you some info about an option that you have regarding donating your child's organs
m m m m m m m m m m m m m m m m m m m m m m
to others who are in need
m m m m m m
A nurse is working with an AP who appears to be under the influence of alcohol during the night shift. Which of the
m m m m m m m m m m m m m m m m m m m m m m
following is the priority action the nurse should take?
m m m m m m m m m
a. Confront the AP regarding alcohol use and remove him from the client care
m m m m m m m m m m m m m
b. Ask the nursing supervisor to obverse the AP and validate the nurse's suspicions
m m m m m m m m m m m m m
c. Document observations made about the AP's behavior in a factual manner - correct answerb. Ask the nursing supervisor to
m m m m m m m m m m m m m m m m m m m
observe the AP and validate the nurse's suspicions
m m m m m m m m
A nurse is reviewing lab results for a client who is at 12 weeks gestation. Which of the following findings should the nurse
m m m m m m m m m m m m m m m m m m m m m m
report to the provider?
m m m m
a. Hgb 12 g/dL
m m m
b. WBC 15,000/mm3
m m
c. Fasting blood glucose 80 mg/dL
m m m m m
d. Serum creatinine 0.4 mg/dL - correct answerd. Serum creatinine 0.4 mg/dL
m m m m m m m m m m m
A nurse is providing discharge teaching about home safety with an older adult client and his family. Which of the following
m m m m m m m m m m m m m m m m m m m m
statements should the nurse include in the teaching?
m m m m m m m m
a. you should set the water heater temp to 125 degrees F
m m m m m m m m m m m
b. you should grasp the cord when unplugging it
m m m m m m m m
c. you should use a gas stove for cooking
m m m m m m m m
d. you should install a handrail on at least one side of the stairs - correct answerd. you should install a handrail on at least one
m m m m m m m m m m m m m m m m m m m m m m m m m
side of the stairs
m m m m
A charge nurse is observing a group of new RNs. Which of the following observations should the charge nurse report to the
m m m m m m m m m m m m m m m m m m m m m
nurse manager as a violation of HIPAA?
m m m m m m m
