ATI RN LEADERSHIP PROCTORED EXAM
QUESTIONS AND ANSWERS
1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a
change in the wound care procedure. Which of the following findings indicate wound
healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the center of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients wound - CORRECT ANSWER -b. Deep
red color on the center of the clients wound
2. A nurse received change of shift report at 0700 for four clients. Which of the following
actions should the nurse perform first?
a. Obtain a breakfast tray for a client who received a morning dose of insulin as part
b. Administer pain medication to a client who has rheumatoid arthritis and received the last
dose at 0400
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours. (To
prevent bacterial contamination, fill the bag with only enough formula to
last over a 4-8 hour period, and change the feeding bag every 24 hours) - CORRECT ANSWER -a.
Obtain a breakfast tray for a client who received a morning dose of insulin as part
3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the
following clients should the nurse assign to the newly licensed nurse?
,a. A client who has multiple sclerosis and ataxia
b. A client who has brain tumor and is admitted for chemotherapy
c. A client who has guillain-barre syndrome and a tracheostomy
d. A client who sustained a concussion and is being monitored for complication - CORRECT
ANSWER -a. A client who has multiple sclerosis and ataxia
4. A nurse is providing teaching to a client about advance directives. Which of the following
statements by the client indicates an understanding of the teaching?
a. "Once I sign my living will, a family member must co sign it"
b. "I will wait until I have a serious health problems to sign my advance directives"
c. "My doctor will need to provide approval for the decisions outlines in my living will
d. "My durable power of attorney for health care is part of my advance directives" - CORRECT
ANSWER -
d. "My durable power of attorney for health care is part of my advance directives"
5. A nurse is chairing a committee about preventing infant abduction in a new birth care
center. Which of the following quality control tasks should the nurse assign to be completed
first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems - CORRECT ANSWER -a. Identify the
industry standards for infant safety
6. A nurse notes that a client is eating about half of the food on his plate and coughs
frequently during meals. The nurse plans to perform dysphagia screening to determine the
client's need for a referral to which of the
following providers?
, a. Physical therapist
b. Respiratory therapist
c. Speech therapist
d. Occupational therapist - CORRECT ANSWER -c. Speech therapist
7. A home health nurse is assessing the home environment during an initial visit to a client
who has a history of falls. Which of the following findings should the nurse identify as
increasing the client's risk for falls (SATA) [repeat]
•
A wheeled office chair at the client's computer desk
•
A raised vinyl seat on the toilet in the bathroom
•
A throw rug covering some cracked floor
•
A folding chair without arm rests
•
A two wheeled walker used to assist the client with ambulation - CORRECT ANSWER -A
wheeled office chair at the client's computer desk
A throw rug covering some cracked
floor A folding chair without arm
rests
8. A nurse manager is planning to assign care for four clients on a medical surgical unit.
Which of the following clients should the nurse assign to a LPN.
QUESTIONS AND ANSWERS
1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a
change in the wound care procedure. Which of the following findings indicate wound
healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the center of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients wound - CORRECT ANSWER -b. Deep
red color on the center of the clients wound
2. A nurse received change of shift report at 0700 for four clients. Which of the following
actions should the nurse perform first?
a. Obtain a breakfast tray for a client who received a morning dose of insulin as part
b. Administer pain medication to a client who has rheumatoid arthritis and received the last
dose at 0400
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours. (To
prevent bacterial contamination, fill the bag with only enough formula to
last over a 4-8 hour period, and change the feeding bag every 24 hours) - CORRECT ANSWER -a.
Obtain a breakfast tray for a client who received a morning dose of insulin as part
3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the
following clients should the nurse assign to the newly licensed nurse?
,a. A client who has multiple sclerosis and ataxia
b. A client who has brain tumor and is admitted for chemotherapy
c. A client who has guillain-barre syndrome and a tracheostomy
d. A client who sustained a concussion and is being monitored for complication - CORRECT
ANSWER -a. A client who has multiple sclerosis and ataxia
4. A nurse is providing teaching to a client about advance directives. Which of the following
statements by the client indicates an understanding of the teaching?
a. "Once I sign my living will, a family member must co sign it"
b. "I will wait until I have a serious health problems to sign my advance directives"
c. "My doctor will need to provide approval for the decisions outlines in my living will
d. "My durable power of attorney for health care is part of my advance directives" - CORRECT
ANSWER -
d. "My durable power of attorney for health care is part of my advance directives"
5. A nurse is chairing a committee about preventing infant abduction in a new birth care
center. Which of the following quality control tasks should the nurse assign to be completed
first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems - CORRECT ANSWER -a. Identify the
industry standards for infant safety
6. A nurse notes that a client is eating about half of the food on his plate and coughs
frequently during meals. The nurse plans to perform dysphagia screening to determine the
client's need for a referral to which of the
following providers?
, a. Physical therapist
b. Respiratory therapist
c. Speech therapist
d. Occupational therapist - CORRECT ANSWER -c. Speech therapist
7. A home health nurse is assessing the home environment during an initial visit to a client
who has a history of falls. Which of the following findings should the nurse identify as
increasing the client's risk for falls (SATA) [repeat]
•
A wheeled office chair at the client's computer desk
•
A raised vinyl seat on the toilet in the bathroom
•
A throw rug covering some cracked floor
•
A folding chair without arm rests
•
A two wheeled walker used to assist the client with ambulation - CORRECT ANSWER -A
wheeled office chair at the client's computer desk
A throw rug covering some cracked
floor A folding chair without arm
rests
8. A nurse manager is planning to assign care for four clients on a medical surgical unit.
Which of the following clients should the nurse assign to a LPN.
