ATI Leadership Proctored Exam
1) A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's
partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will
be done?
Whether the client understands the risk of refusing the procedure
Whether the partner is the client's durable power of attorney for health
care Whether the client's refusal is based on a religious belief
Whether the facility ethics committee reaches a census on the case
2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the
nurse take?
Report the infection to the local health department
Initiate contact precautions
Instruct the client to use condoms until the treatment is complete
Apply an antiviral cream to the lesions
3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the
client's treatment plan. Which of the following responses should the nurse make?
"I will ask your mother's primary care provider to speak with you."
"What would you like to know about your mother's treatment?"
"You will have to speak directly to your mother about her treatment."
"I cannot provide this information to you without your mother's consent."
4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who
reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse
take?
Ask the client's son to go to the waiting area
File an incident report
Treat and discharge the client
Ask the client about his injuries with the son present
5) A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which
of the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns
on 72% of his body?
Green
Yellow
Black
Red
6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants
to appoint a health care proxy. Which of the following responses should the nurse make?
“You must choose a member of your family to serve as your health care proxy”
“A health care proxy can make decisions for you when you are unable to do so”
“You should appoint a health care proxy before undergoing an invasive
procedure” “It is necessary for an attorney to approve your health care proxy”
7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers
the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the
following actions should the nurse take?
Continue the medication dosages that relieve the client’s pain
Contact the provider about replacing the opioid with an NSAID
Administer the benzodiazepine but withhold the opioid
Withhold the benzodiazepine but continue the opioid
8) A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
“I should encrypt personal health information when sending emails”
“I can use another nurse’s password as long as I log off after using the computer”
“I should discard personal health information documents in the trash before leaving the unit
“I can post the client’s vitals sings in the client’s room”
9) A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?
, A client who is scheduled for an endoscopy later today and requires an enema
A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care
A client who had a myocardial infarction and will be transferring to the unit from the CCU
A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin
10) A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients
is the priority?
A client who is postoperative following a laminectomy 12 hour and is unable to void
A client who is scheduled for a tubal ligation in 2 hours and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes and needs the first dressing change for an ulcer
A client who has MRSA and has an axillary temperature of 100.4F
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
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
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
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
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
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
11) A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode.
Which of the following actions should the nurse take first?
Help the AP assist the client with the transfer
Demonstrate the proper client transfer technique to the AP
Instruct the AP to request assistance when unsure about a task
Refer the AP to the facility procedure manual
12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of
the following actions should the nurse take?
Prepare to administer antibiotics to the client
Wear an N95 respirator makes while caring for the client
Plan to administer an antiviral mediation to the client
Place a surgical mask on the client during transfer to the unit
13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner
wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to
continue receiving treatment. Which of the following responses should the nurse make?
“You should contact the provider about your wishes for your family member”
“You should speak with the facility’s ethics committee about your concerns
“We’ll need to have the nursing supervisor review the client’s advance
directives” “As the health care surrogate, the client’s partner can make this
decision
14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she
can no longer handle caring for the client. which of the following actions should the nurse take?
, Ask the provider to delay the client's discharge home for a few more days.
Recommend the partner place the client in a long- term care facility.
Contact the case manager to discuss discharge options.
Request another family member assist the client's partner with care.
15) A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should
the nurse include in the report?
“The client is in radiology department for a chest x-ray”
“The client’s partner came to visit him 2 hrs.
ago” “The client has routine vital signs
prescribed” “The client is the president of a local
bank”
16) A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client
is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
Proceed with treatment without obtaining written consent
Notify risk management before initiating treatment
Have the client sign a consent for treatment
Contact the clients next of to obtain consent for treatment
17) A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet
delivered the oxygen tank. Which of the following actions should the nurse take?
Instruct the client’s family to contact the insurance provider about the oxygen equipment
Send an oxygen tank from the facility home with the client
Contact social services about the delivery of the oxygen equipment
Notify the provider about the delayed oxygen tank delivery
18) A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practicing nurse
and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Accompanying a client who just had a wound debridement to physical therapy
Obtaining a urine specimen from an older adult client
Providing postmortem care for a client that just died
Reinforcing dietary teaching with a client who has heart disease
19) ) A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the
nurse manager include as an example of an ethical dilemma?
A visitor experiences a minor burn after spilling coffee
A parent wants her 14yr old adolescent to receive radiation treatment against his will
A nurse witnesses another nurse administer an incorrect medication
A client receives an operation on the wrong side of her body
20) a nurse is developing a discharge plan for client who is postoperative and will require a wheelchair in the home.
the nurse should place a referral to which of the following resources to assist the client with this need?
Occupational therapy
Social services
Home health
Physical therapy
21) A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of
the following resources should the nurse use to obtain this information?
An evidence-based nursing journal
The client's health care provider
The facilities case manager
A collaborative, user-edited website
22) A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive
personnel (AP) who just measured the client’s vital signs asks to chart them while the nurse is still logged into the
record. Which of the following actions should the nurse take?
Recommend the AP come back later when the record is available
Log out so the AP can log in to document the vital signs
Offer to chart the vital signs for the AP
Allow the AP to document the vital signs prior to logging out
, 23) A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of
the following interventions should the nurse plan to include?
Involve the client’s partner to assist with the teaching session
Incorporate gestures and hand signals when presenting information
Validate understanding by interpreting the client’s body language
Provide and interpreter when obtaining consent for the client
24) A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change-of-shift report?
The time the client received his last dose of pain medication
The belief that the client has a difficult relationship with his son
The steps to follow when providing wound care
The clients preferred time for bathing
25) Nurse on an impatient care unit is working to help reduce unit costs. Which of the following actions is appropriate
to include in the cost-containment plan?
Store opened bottles of normal saline in a refrigerator for up to
48hrs Wait to dispose of sharps containers until they are completely
full Use clean gloves rather than sterile gloves for colostomy care
Return unused supplies from the bedside to the unit’s supply stock
26) a nurse is preparing to complete an incident report regarding a medication error which of the following
actions should the nurse plan to take? select all that apply
Include the time the medication error occurs in the report
Make a copy of the incident report for personal record-keeping
Identify the medication name and dosage administered to the client in the report
Place a copy of the completed report in the client's medical record
Obtain an order from the client's provider to complete the report
27) A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which
of the following is the appropriate procedure for taking care of the clients' ring?
Agree to keep the ring for the client until after the surgery
Place the clients ring in the facility safe
Tape the ring securely to the client's finger
Place the ring in the bag with the clients' clothes
28) A nurse on a medical-surgical unit is evaluating an assistive personnel’s (AP) use of infection control
precautions. Which of the following actions by the AP indicates correct use of the precautions?
The AP wears a surgical mask when caring for a client who has respiratory tuberculosis
The AP uses alcohol-based hand sanitizer after emptying the bed pan of a client who has Clostridium difficile
The AP bundles the clean side of linen inward when changing the sheets for a client who has infected surgical
wound
The AP removes her gloves before leaving the room of a client who has MRSA
29A nurse is preparing an educational program for staff members 2 a new intravenous pump. Identify the sequence of
actions the nurse should take when developing the program. (Move the steps into the box on the right, placing them in
order of performance).
Determine what skills to teach the staff members
Develop learning objectives for the program
Identify resources available to meet objectives
Review the staff member's evaluation of the program
30) A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements
should the nurse include in the Inservice?
“A nurse can disclose information to a family member with the client’s permission”
“A nurse is responsible for informing clients about treatment options”
"A nurse can apply restraints on a PRN basis”
“A nurse can administer medications without consent to a client as part of a research study”
31) A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The
nurse should transcribe which of the following prescriptions in the client’s medical record?
1) A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's
partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will
be done?
Whether the client understands the risk of refusing the procedure
Whether the partner is the client's durable power of attorney for health
care Whether the client's refusal is based on a religious belief
Whether the facility ethics committee reaches a census on the case
2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the
nurse take?
Report the infection to the local health department
Initiate contact precautions
Instruct the client to use condoms until the treatment is complete
Apply an antiviral cream to the lesions
3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the
client's treatment plan. Which of the following responses should the nurse make?
"I will ask your mother's primary care provider to speak with you."
"What would you like to know about your mother's treatment?"
"You will have to speak directly to your mother about her treatment."
"I cannot provide this information to you without your mother's consent."
4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who
reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse
take?
Ask the client's son to go to the waiting area
File an incident report
Treat and discharge the client
Ask the client about his injuries with the son present
5) A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which
of the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns
on 72% of his body?
Green
Yellow
Black
Red
6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants
to appoint a health care proxy. Which of the following responses should the nurse make?
“You must choose a member of your family to serve as your health care proxy”
“A health care proxy can make decisions for you when you are unable to do so”
“You should appoint a health care proxy before undergoing an invasive
procedure” “It is necessary for an attorney to approve your health care proxy”
7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers
the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the
following actions should the nurse take?
Continue the medication dosages that relieve the client’s pain
Contact the provider about replacing the opioid with an NSAID
Administer the benzodiazepine but withhold the opioid
Withhold the benzodiazepine but continue the opioid
8) A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
“I should encrypt personal health information when sending emails”
“I can use another nurse’s password as long as I log off after using the computer”
“I should discard personal health information documents in the trash before leaving the unit
“I can post the client’s vitals sings in the client’s room”
9) A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?
, A client who is scheduled for an endoscopy later today and requires an enema
A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care
A client who had a myocardial infarction and will be transferring to the unit from the CCU
A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin
10) A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients
is the priority?
A client who is postoperative following a laminectomy 12 hour and is unable to void
A client who is scheduled for a tubal ligation in 2 hours and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes and needs the first dressing change for an ulcer
A client who has MRSA and has an axillary temperature of 100.4F
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
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
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
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
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
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
11) A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode.
Which of the following actions should the nurse take first?
Help the AP assist the client with the transfer
Demonstrate the proper client transfer technique to the AP
Instruct the AP to request assistance when unsure about a task
Refer the AP to the facility procedure manual
12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of
the following actions should the nurse take?
Prepare to administer antibiotics to the client
Wear an N95 respirator makes while caring for the client
Plan to administer an antiviral mediation to the client
Place a surgical mask on the client during transfer to the unit
13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner
wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to
continue receiving treatment. Which of the following responses should the nurse make?
“You should contact the provider about your wishes for your family member”
“You should speak with the facility’s ethics committee about your concerns
“We’ll need to have the nursing supervisor review the client’s advance
directives” “As the health care surrogate, the client’s partner can make this
decision
14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she
can no longer handle caring for the client. which of the following actions should the nurse take?
, Ask the provider to delay the client's discharge home for a few more days.
Recommend the partner place the client in a long- term care facility.
Contact the case manager to discuss discharge options.
Request another family member assist the client's partner with care.
15) A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should
the nurse include in the report?
“The client is in radiology department for a chest x-ray”
“The client’s partner came to visit him 2 hrs.
ago” “The client has routine vital signs
prescribed” “The client is the president of a local
bank”
16) A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client
is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
Proceed with treatment without obtaining written consent
Notify risk management before initiating treatment
Have the client sign a consent for treatment
Contact the clients next of to obtain consent for treatment
17) A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet
delivered the oxygen tank. Which of the following actions should the nurse take?
Instruct the client’s family to contact the insurance provider about the oxygen equipment
Send an oxygen tank from the facility home with the client
Contact social services about the delivery of the oxygen equipment
Notify the provider about the delayed oxygen tank delivery
18) A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practicing nurse
and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Accompanying a client who just had a wound debridement to physical therapy
Obtaining a urine specimen from an older adult client
Providing postmortem care for a client that just died
Reinforcing dietary teaching with a client who has heart disease
19) ) A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the
nurse manager include as an example of an ethical dilemma?
A visitor experiences a minor burn after spilling coffee
A parent wants her 14yr old adolescent to receive radiation treatment against his will
A nurse witnesses another nurse administer an incorrect medication
A client receives an operation on the wrong side of her body
20) a nurse is developing a discharge plan for client who is postoperative and will require a wheelchair in the home.
the nurse should place a referral to which of the following resources to assist the client with this need?
Occupational therapy
Social services
Home health
Physical therapy
21) A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of
the following resources should the nurse use to obtain this information?
An evidence-based nursing journal
The client's health care provider
The facilities case manager
A collaborative, user-edited website
22) A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive
personnel (AP) who just measured the client’s vital signs asks to chart them while the nurse is still logged into the
record. Which of the following actions should the nurse take?
Recommend the AP come back later when the record is available
Log out so the AP can log in to document the vital signs
Offer to chart the vital signs for the AP
Allow the AP to document the vital signs prior to logging out
, 23) A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of
the following interventions should the nurse plan to include?
Involve the client’s partner to assist with the teaching session
Incorporate gestures and hand signals when presenting information
Validate understanding by interpreting the client’s body language
Provide and interpreter when obtaining consent for the client
24) A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change-of-shift report?
The time the client received his last dose of pain medication
The belief that the client has a difficult relationship with his son
The steps to follow when providing wound care
The clients preferred time for bathing
25) Nurse on an impatient care unit is working to help reduce unit costs. Which of the following actions is appropriate
to include in the cost-containment plan?
Store opened bottles of normal saline in a refrigerator for up to
48hrs Wait to dispose of sharps containers until they are completely
full Use clean gloves rather than sterile gloves for colostomy care
Return unused supplies from the bedside to the unit’s supply stock
26) a nurse is preparing to complete an incident report regarding a medication error which of the following
actions should the nurse plan to take? select all that apply
Include the time the medication error occurs in the report
Make a copy of the incident report for personal record-keeping
Identify the medication name and dosage administered to the client in the report
Place a copy of the completed report in the client's medical record
Obtain an order from the client's provider to complete the report
27) A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which
of the following is the appropriate procedure for taking care of the clients' ring?
Agree to keep the ring for the client until after the surgery
Place the clients ring in the facility safe
Tape the ring securely to the client's finger
Place the ring in the bag with the clients' clothes
28) A nurse on a medical-surgical unit is evaluating an assistive personnel’s (AP) use of infection control
precautions. Which of the following actions by the AP indicates correct use of the precautions?
The AP wears a surgical mask when caring for a client who has respiratory tuberculosis
The AP uses alcohol-based hand sanitizer after emptying the bed pan of a client who has Clostridium difficile
The AP bundles the clean side of linen inward when changing the sheets for a client who has infected surgical
wound
The AP removes her gloves before leaving the room of a client who has MRSA
29A nurse is preparing an educational program for staff members 2 a new intravenous pump. Identify the sequence of
actions the nurse should take when developing the program. (Move the steps into the box on the right, placing them in
order of performance).
Determine what skills to teach the staff members
Develop learning objectives for the program
Identify resources available to meet objectives
Review the staff member's evaluation of the program
30) A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements
should the nurse include in the Inservice?
“A nurse can disclose information to a family member with the client’s permission”
“A nurse is responsible for informing clients about treatment options”
"A nurse can apply restraints on a PRN basis”
“A nurse can administer medications without consent to a client as part of a research study”
31) A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The
nurse should transcribe which of the following prescriptions in the client’s medical record?
