ATI RN Leadership Online Practice Exam
A charge nurse on a medical-surgical unit is assigning staff for an upcoming shift when the census includes two postoperative
clients, one client with uncontrolled diabetes requiring frequent blood glucose monitoring, and one client awaiting discharge
teaching following a new diagnosis of heart failure. The unit has one RN, one LPN, and one unlicensed assistive personnel
(UAP). Which task should the charge nurse assign to the LPN to ensure appropriate delegation and safe client care?
A. Provide initial discharge education to the client with new heart failure
B. Perform routine sterile dressing changes for a stable postoperative client
C. Develop the plan of care for the client with uncontrolled diabetes
D. Complete the admission assessment for a new postoperative client
Answer: B
A nurse manager notices an increase in medication errors during evening shifts and decides to implement a quality
improvement initiative to address the problem. After reviewing incident reports and identifying patterns, which action should
the manager take next according to the quality improvement process?
A. Terminate staff involved in repeated errors
B. Develop and implement targeted interventions to address root causes
C. Report all staff to the state board of nursing
D. Ignore minor errors that did not harm clients
Answer: B
1/9
, A nurse is caring for four clients during a busy shift and must determine which client to assess first. One client reports sudden
shortness of breath, another reports mild incisional pain, a third requests assistance to the restroom, and a fourth has a
scheduled antibiotic due in 30 minutes. Which client should the nurse prioritize?
A. Client with mild incisional pain
B. Client requesting restroom assistance
C. Client with sudden shortness of breath
D. Client due for scheduled antibiotic
Answer: C
During a staff meeting, a nurse voices concern about unsafe staffing ratios that may compromise patient safety. Which action
by the nurse demonstrates appropriate professional advocacy?
A. Posting complaints about staffing on social media
B. Filing an incident report documenting unsafe conditions
C. Refusing to care for assigned clients without notifying anyone
D. Ignoring the issue to avoid conflict
Answer: B
A nurse is delegating tasks to a UAP who is newly hired and unfamiliar with unit routines. Which action by the nurse
demonstrates appropriate supervision and accountability?
A. Assigning complex wound care to the UAP
B. Providing clear instructions and verifying understanding
C. Leaving the unit without informing the UAP
D. Allowing the UAP to determine task priorities independently
Answer: B
A client refuses a scheduled blood transfusion due to religious beliefs despite understanding the risks. Which action should
the nurse take first to uphold ethical principles?
A. Administer the transfusion anyway
B. Document the refusal and notify the provider
C. Pressure the client to reconsider
D. Ask family members to override the decision
Answer: B
A nurse observes another nurse diverting controlled substances for personal use. What is the most appropriate initial action?
A. Confront the nurse publicly
B. Ignore the behavior
C. Report concerns to the nurse manager according to policy
D. Discuss the issue with other staff members
Answer: C
A nurse is caring for multiple clients and must delegate tasks appropriately. Which task is appropriate for the UAP?
A. Assessing lung sounds of a newly admitted client
B. Reinforcing teaching about insulin administration
C. Obtaining vital signs for a stable client
D. Evaluating pain management effectiveness
Answer: C
During disaster triage in the emergency department, a client with minor lacerations and stable vital signs arrives alongside a
client with compromised airway and severe burns. According to triage principles, which client receives priority?
A. Client with minor lacerations
B. Client with compromised airway
2/9
A charge nurse on a medical-surgical unit is assigning staff for an upcoming shift when the census includes two postoperative
clients, one client with uncontrolled diabetes requiring frequent blood glucose monitoring, and one client awaiting discharge
teaching following a new diagnosis of heart failure. The unit has one RN, one LPN, and one unlicensed assistive personnel
(UAP). Which task should the charge nurse assign to the LPN to ensure appropriate delegation and safe client care?
A. Provide initial discharge education to the client with new heart failure
B. Perform routine sterile dressing changes for a stable postoperative client
C. Develop the plan of care for the client with uncontrolled diabetes
D. Complete the admission assessment for a new postoperative client
Answer: B
A nurse manager notices an increase in medication errors during evening shifts and decides to implement a quality
improvement initiative to address the problem. After reviewing incident reports and identifying patterns, which action should
the manager take next according to the quality improvement process?
A. Terminate staff involved in repeated errors
B. Develop and implement targeted interventions to address root causes
C. Report all staff to the state board of nursing
D. Ignore minor errors that did not harm clients
Answer: B
1/9
, A nurse is caring for four clients during a busy shift and must determine which client to assess first. One client reports sudden
shortness of breath, another reports mild incisional pain, a third requests assistance to the restroom, and a fourth has a
scheduled antibiotic due in 30 minutes. Which client should the nurse prioritize?
A. Client with mild incisional pain
B. Client requesting restroom assistance
C. Client with sudden shortness of breath
D. Client due for scheduled antibiotic
Answer: C
During a staff meeting, a nurse voices concern about unsafe staffing ratios that may compromise patient safety. Which action
by the nurse demonstrates appropriate professional advocacy?
A. Posting complaints about staffing on social media
B. Filing an incident report documenting unsafe conditions
C. Refusing to care for assigned clients without notifying anyone
D. Ignoring the issue to avoid conflict
Answer: B
A nurse is delegating tasks to a UAP who is newly hired and unfamiliar with unit routines. Which action by the nurse
demonstrates appropriate supervision and accountability?
A. Assigning complex wound care to the UAP
B. Providing clear instructions and verifying understanding
C. Leaving the unit without informing the UAP
D. Allowing the UAP to determine task priorities independently
Answer: B
A client refuses a scheduled blood transfusion due to religious beliefs despite understanding the risks. Which action should
the nurse take first to uphold ethical principles?
A. Administer the transfusion anyway
B. Document the refusal and notify the provider
C. Pressure the client to reconsider
D. Ask family members to override the decision
Answer: B
A nurse observes another nurse diverting controlled substances for personal use. What is the most appropriate initial action?
A. Confront the nurse publicly
B. Ignore the behavior
C. Report concerns to the nurse manager according to policy
D. Discuss the issue with other staff members
Answer: C
A nurse is caring for multiple clients and must delegate tasks appropriately. Which task is appropriate for the UAP?
A. Assessing lung sounds of a newly admitted client
B. Reinforcing teaching about insulin administration
C. Obtaining vital signs for a stable client
D. Evaluating pain management effectiveness
Answer: C
During disaster triage in the emergency department, a client with minor lacerations and stable vital signs arrives alongside a
client with compromised airway and severe burns. According to triage principles, which client receives priority?
A. Client with minor lacerations
B. Client with compromised airway
2/9
