lOMoAR cPSD| 19500986
lOMoAR cPSD| 19500986
ATI LEADERSHIP PROCTORED EXAM 2019 / LEADERSHIP
PROCTORED EXAM 2019 REAL EXAM QUESTIONS AND ANSWERS
1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t
get better, I’m going to quit.” Which of the following responses by the unit manager is
appropriate?
o “You should file a written complaint with hospital administration.”
o “Just stick with it a little longer. Things will get better soon.”
o “So you are upset about all the changes on the unit?”
o “I think you have a right to be upset. I am tired of the changes, too.”
2. A charge nurse notices that two staff nurses are not taking meal breaks during their
shifts. Which of the following actions should the nurse take first?
o Provide coverage for the nurses’ breaks
o Review facility policies for taking scheduled breaks
o Determine the reasons the nurses are not taking scheduled breaks
o Discuss time management strategies with the nurses
3. A client has a new permanent pacemaker inserted. Which of the following home care
instructions should the nurse include?
o Regular programming evaluations can be conducted by telephone
o The client should avoid using remote control devices to prevent dysrhythmias
o The client should avoid using a microwave oven to heat food
o Swimming could cause the unit to have an electrical short
4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of the
teaching?
o “I will use an alcohol-based hand cleanser when caring for a client who has
clostridium difficile.”
o “I will wear a cover gown when caring for a client who has herpes simplex.”
o “I will wear an N95 respirator mask when caring for a client who is on contact
precautions.”
o “I will place a client who requires protective isolation in a negative airflow
room.”
, lOMoAR cPSD| 19500986
5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an
intermittent tube feeding to a client. Which of the following actions by the newly
licensed nurse is appropriate?
o Adding colored food dye to the formula
o Flushing the tube with 15 mL of water
o Elevating the head of the bed to a 20 degree angle
o Checking residual volume before each feeding
6. A nurse is preparing an education program about professional codes of ethics for
nurses. Which of the following information should the nurse plan to include?
o A code of ethics is a step-by-step approach to decision making
o A code of ethics is a set of principles for nursing practice
o A code of ethics is legally binding
o A code of ethics outlines the nurse’s scope of practice
7. A nurse receives change-of-shift report for the following four clients. Which of the
following clients should the nurse assess first?
o An older adult client who has bacterial pneumonia and a new onset of
restlessness
o A client who is 1 day postoperative following hip fracture repair and reports a
pain level of 6 on a scale of 0 to 10
o A middle adult client who has diabetes mellitus and a morning blood glucose of
172 mg/dL
o A client who has myasthenia gravis with ptosis and has developed urinary
incontinence
8. A charge nurse is assessing staff knowledge about safety procedures regarding
needlestick injuries. Which of the following statements by a nurse indicates appropriate
understanding of these safety procedures?
o “Prophylactic treatment should be initiated after a needlestick during
preparation of an injection.”
o “The needle should be recapped to prevent injury during transport to the
biohazard container.”
o “I should stop the bleeding as soon as possible following a needlestick injury.”
o “An incident report should be completed if a client receives a stick from her own
used needle.”
, lOMoAR cPSD| 19500986
9. A case manager is reviewing documentation on several clients and notes a progress
report that falsely identifies a client as HIV-positive due to multiple sexual partners. The
nurse manager should identify that which of the following torts has occurred?
o Libel
o Battery
o Slander
o Negligence
10. A charge nurse making rounds observes that an assistive personnel (AP) has applied
wrist restraints to a client who is agitated and does not have a prescription for
restraints. Which of the following actions should the nurse take first?
o Inform the unit manager of the incident
o Review the chart for nonrestraint alternatives for agitation
o Remove the restraints from the client’s wrists
o Speak with the AP about the incident
11. To resolve a conflict between staff members regarding potential changes in policy, a
nurse manager decides to implement the changes she prefers regardless of the feelings
of those who oppose those changes. Which of the following conflict resolution
strategies is the nurse manager using?
o Compromising
o Collaborating
o Cooperating
o Competing
12. A nurse is caring for a client and notices fraying on the electrical cord of the client’s IV
pump. Which of the following actions is the priority for the nurse to take?
o Remove the IV pump form the client’s room
o Check the expiration date of the inspection sticker
o Report the problem to the engineering team
o Request a replacement IV pump
13. A nurse is providing discharge teaching to the parent of a toddler who has a new
diagnosis of asthma. The parent states that she is unable to afford the nebulizer
prescribed for the child. Which of the following referrals should the nurse recommend?
o Pharmacist
o Child protective services
o Social worker
o Respiratory therapist
lOMoAR cPSD| 19500986
ATI LEADERSHIP PROCTORED EXAM 2019 / LEADERSHIP
PROCTORED EXAM 2019 REAL EXAM QUESTIONS AND ANSWERS
1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t
get better, I’m going to quit.” Which of the following responses by the unit manager is
appropriate?
o “You should file a written complaint with hospital administration.”
o “Just stick with it a little longer. Things will get better soon.”
o “So you are upset about all the changes on the unit?”
o “I think you have a right to be upset. I am tired of the changes, too.”
2. A charge nurse notices that two staff nurses are not taking meal breaks during their
shifts. Which of the following actions should the nurse take first?
o Provide coverage for the nurses’ breaks
o Review facility policies for taking scheduled breaks
o Determine the reasons the nurses are not taking scheduled breaks
o Discuss time management strategies with the nurses
3. A client has a new permanent pacemaker inserted. Which of the following home care
instructions should the nurse include?
o Regular programming evaluations can be conducted by telephone
o The client should avoid using remote control devices to prevent dysrhythmias
o The client should avoid using a microwave oven to heat food
o Swimming could cause the unit to have an electrical short
4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of the
teaching?
o “I will use an alcohol-based hand cleanser when caring for a client who has
clostridium difficile.”
o “I will wear a cover gown when caring for a client who has herpes simplex.”
o “I will wear an N95 respirator mask when caring for a client who is on contact
precautions.”
o “I will place a client who requires protective isolation in a negative airflow
room.”
, lOMoAR cPSD| 19500986
5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an
intermittent tube feeding to a client. Which of the following actions by the newly
licensed nurse is appropriate?
o Adding colored food dye to the formula
o Flushing the tube with 15 mL of water
o Elevating the head of the bed to a 20 degree angle
o Checking residual volume before each feeding
6. A nurse is preparing an education program about professional codes of ethics for
nurses. Which of the following information should the nurse plan to include?
o A code of ethics is a step-by-step approach to decision making
o A code of ethics is a set of principles for nursing practice
o A code of ethics is legally binding
o A code of ethics outlines the nurse’s scope of practice
7. A nurse receives change-of-shift report for the following four clients. Which of the
following clients should the nurse assess first?
o An older adult client who has bacterial pneumonia and a new onset of
restlessness
o A client who is 1 day postoperative following hip fracture repair and reports a
pain level of 6 on a scale of 0 to 10
o A middle adult client who has diabetes mellitus and a morning blood glucose of
172 mg/dL
o A client who has myasthenia gravis with ptosis and has developed urinary
incontinence
8. A charge nurse is assessing staff knowledge about safety procedures regarding
needlestick injuries. Which of the following statements by a nurse indicates appropriate
understanding of these safety procedures?
o “Prophylactic treatment should be initiated after a needlestick during
preparation of an injection.”
o “The needle should be recapped to prevent injury during transport to the
biohazard container.”
o “I should stop the bleeding as soon as possible following a needlestick injury.”
o “An incident report should be completed if a client receives a stick from her own
used needle.”
, lOMoAR cPSD| 19500986
9. A case manager is reviewing documentation on several clients and notes a progress
report that falsely identifies a client as HIV-positive due to multiple sexual partners. The
nurse manager should identify that which of the following torts has occurred?
o Libel
o Battery
o Slander
o Negligence
10. A charge nurse making rounds observes that an assistive personnel (AP) has applied
wrist restraints to a client who is agitated and does not have a prescription for
restraints. Which of the following actions should the nurse take first?
o Inform the unit manager of the incident
o Review the chart for nonrestraint alternatives for agitation
o Remove the restraints from the client’s wrists
o Speak with the AP about the incident
11. To resolve a conflict between staff members regarding potential changes in policy, a
nurse manager decides to implement the changes she prefers regardless of the feelings
of those who oppose those changes. Which of the following conflict resolution
strategies is the nurse manager using?
o Compromising
o Collaborating
o Cooperating
o Competing
12. A nurse is caring for a client and notices fraying on the electrical cord of the client’s IV
pump. Which of the following actions is the priority for the nurse to take?
o Remove the IV pump form the client’s room
o Check the expiration date of the inspection sticker
o Report the problem to the engineering team
o Request a replacement IV pump
13. A nurse is providing discharge teaching to the parent of a toddler who has a new
diagnosis of asthma. The parent states that she is unable to afford the nebulizer
prescribed for the child. Which of the following referrals should the nurse recommend?
o Pharmacist
o Child protective services
o Social worker
o Respiratory therapist
