ATI RN Leadership Exam Practice Questions
and Answers
Question 1
A nurse enters the room of an older adult pt & finds him attempting to crawl over the
side rail of his bed. Which of the following actions should the nurse take?
A. tell the pt that he will be put in restraints if he attempts to get out of bed again
B. ask an AP to sit w/ the pt
C. remind the pt to stay in bed
D. restrain the pt immediately to prevent self-harm
Correct Answer
B. ask an assistive personnel to sit w/ the pt
Rationales..
This pt is at risk of falling. Having an AP sit w/ the pt protects him from harm. The
nurse can contact the provider to discuss care options for this pt (restraints /
placing an audible alarm)
A. the nurse in this situation is threatening the pt w/ restraints if a change in
behavior does not occur, which is a form of assault
C. this pt is at risk of falling, & this action will not promote the pt's immediate
safety. Nurses are negligent for failing to make provisions for pt safety when the
situation requires
D. the nurse should apply restraints only when necessary to protect the pt from
harm & after all other alternative measures are exhausted
Page 1 of 85
,Question 2
A charge nurse overhears a unit nurse informing other unit nurses that the charge
nurse is fiving preferential tx to the unit nurses on the night shift. Which of the
following approaches by the charge nurse reflects an assertive response this conflict?
A. understanding that the unit nurse is misinformed & taking no action
B. assigning the unit nurse to work the night shift to facilitate direct experience w/ the
night shift
C. meeting one on one w/ the unit nurse to discuss these concerns
D. confronting the unit nurse during the next unit meeting regarding this statement
Correct Answer
C. meeting one on one w/ the unit nurse to discuss these concerns
Rationales..
The charge nurse should schedule a time to speak privately w/ the nurse nurse
about the situation. Assertive behavior involves discussing a situation directly w/ the
person involved
A. avoidance by the charge nurse is a form of passive behavior, which does not
solve the conflict
B. a unit nurse should not be reassigned to the night shift for the purpose of
gaining experience of the night shift. The charge nurse should provide guidance in
this situation w/ the unit nurse in another manner
D. the charge nurse should not confront the unit nurse about the situation in front
of other staff members. This action can create further conflict between both parties
& does not solve the present issue
Page 2 of 85
,Question 3
A charge nurse on a med surg unit is making assignments for the oncoming shift.
Which of the following pts should the charge nurse assign to a LPN?
A. a pt who requires an updated plan of care following a dx of cancer
B. a pt who is postop following a total hip replacement & requires discharge teaching
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
D. a pt who has just arrived from PACU & requires a head-to-toe assessment
Correct Answer
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
Rationales...
It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter
when prescribed by a provider
A. an RN should develop & update a pt's plan of care
B. an RN should provide discharge teaching to a pt
D. an RN should perform an assessment of a pt
Page 3 of 85
, Question 4
A nurse manager is evaluating the time-management strategies of a newly licensed
nurse on the ped unit. Which of the following actions taken by the nurse are effective
time-management strategies?
A. completing one task before beginning another task
B. documenting pt care at the end of the shift
C. taking time to plan care at the beginning of the shift
D. completing more time-consuming tasks at the end of the shift
E. mentally visualizing a procedure prior to gathering equipment
Correct Answer
A. completing one task before beginning another task
C. taking time to plan care at the beginning of the shift
E. mentally visualizing a procedure prior to gathering equipment
Rationales..
Completing one task before beginning another task, planning care at the beginning
of the shift, and mentally visualizing a procedure prior to gathering equipment are
effective time management strategies for the newly licensed nurse. Daily planning is
important for managing and prioritizing tasks
B. documenting pt care at the end of shift is not an effective time management
strategy. The newly licensed nurse should document care as soon as possible after
an intervention is completed to facilitate accuracy and thorough documentation
D. completing more time-consuming tasks at the end of the shift is not an effective
time management strategy. The newly licensed nurse should complete more
difficult / strenuous tasks earlier in the day when energy levels are higher. This
strategy also helps avoid procrastination
Page 4 of 85
and Answers
Question 1
A nurse enters the room of an older adult pt & finds him attempting to crawl over the
side rail of his bed. Which of the following actions should the nurse take?
A. tell the pt that he will be put in restraints if he attempts to get out of bed again
B. ask an AP to sit w/ the pt
C. remind the pt to stay in bed
D. restrain the pt immediately to prevent self-harm
Correct Answer
B. ask an assistive personnel to sit w/ the pt
Rationales..
This pt is at risk of falling. Having an AP sit w/ the pt protects him from harm. The
nurse can contact the provider to discuss care options for this pt (restraints /
placing an audible alarm)
A. the nurse in this situation is threatening the pt w/ restraints if a change in
behavior does not occur, which is a form of assault
C. this pt is at risk of falling, & this action will not promote the pt's immediate
safety. Nurses are negligent for failing to make provisions for pt safety when the
situation requires
D. the nurse should apply restraints only when necessary to protect the pt from
harm & after all other alternative measures are exhausted
Page 1 of 85
,Question 2
A charge nurse overhears a unit nurse informing other unit nurses that the charge
nurse is fiving preferential tx to the unit nurses on the night shift. Which of the
following approaches by the charge nurse reflects an assertive response this conflict?
A. understanding that the unit nurse is misinformed & taking no action
B. assigning the unit nurse to work the night shift to facilitate direct experience w/ the
night shift
C. meeting one on one w/ the unit nurse to discuss these concerns
D. confronting the unit nurse during the next unit meeting regarding this statement
Correct Answer
C. meeting one on one w/ the unit nurse to discuss these concerns
Rationales..
The charge nurse should schedule a time to speak privately w/ the nurse nurse
about the situation. Assertive behavior involves discussing a situation directly w/ the
person involved
A. avoidance by the charge nurse is a form of passive behavior, which does not
solve the conflict
B. a unit nurse should not be reassigned to the night shift for the purpose of
gaining experience of the night shift. The charge nurse should provide guidance in
this situation w/ the unit nurse in another manner
D. the charge nurse should not confront the unit nurse about the situation in front
of other staff members. This action can create further conflict between both parties
& does not solve the present issue
Page 2 of 85
,Question 3
A charge nurse on a med surg unit is making assignments for the oncoming shift.
Which of the following pts should the charge nurse assign to a LPN?
A. a pt who requires an updated plan of care following a dx of cancer
B. a pt who is postop following a total hip replacement & requires discharge teaching
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
D. a pt who has just arrived from PACU & requires a head-to-toe assessment
Correct Answer
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
Rationales...
It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter
when prescribed by a provider
A. an RN should develop & update a pt's plan of care
B. an RN should provide discharge teaching to a pt
D. an RN should perform an assessment of a pt
Page 3 of 85
, Question 4
A nurse manager is evaluating the time-management strategies of a newly licensed
nurse on the ped unit. Which of the following actions taken by the nurse are effective
time-management strategies?
A. completing one task before beginning another task
B. documenting pt care at the end of the shift
C. taking time to plan care at the beginning of the shift
D. completing more time-consuming tasks at the end of the shift
E. mentally visualizing a procedure prior to gathering equipment
Correct Answer
A. completing one task before beginning another task
C. taking time to plan care at the beginning of the shift
E. mentally visualizing a procedure prior to gathering equipment
Rationales..
Completing one task before beginning another task, planning care at the beginning
of the shift, and mentally visualizing a procedure prior to gathering equipment are
effective time management strategies for the newly licensed nurse. Daily planning is
important for managing and prioritizing tasks
B. documenting pt care at the end of shift is not an effective time management
strategy. The newly licensed nurse should document care as soon as possible after
an intervention is completed to facilitate accuracy and thorough documentation
D. completing more time-consuming tasks at the end of the shift is not an effective
time management strategy. The newly licensed nurse should complete more
difficult / strenuous tasks earlier in the day when energy levels are higher. This
strategy also helps avoid procrastination
Page 4 of 85
