ATI RN Leadership Proctored Exam
Remediation Guide: What to Study
for a Top Score (Delegation, Conflict
Resolution, Staffing)
A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing
to return a call to a client. The nurse should explain that which of the following is an
objective of telehealth? - CORRECT ANSWERS -Establishing communication between
providers
A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes.
The client expresses concern about the cost of blood-glucose monitoring supplies.
Which of the following actions should the nurse take? - CORRECT ANSWERS -Refer
the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following situations
should the charge nurse address first? - CORRECT ANSWERS -The emergency
department nurse is waiting to give report on a new admission.
A nurse who is precepting a newly licensed nurse is discussing the client assignment for
the shift. Which of the following actions should the nurse preceptor take first to
demonstrate appropriate time management? - CORRECT ANSWERS -Determine client
care goals (set/plan goals)
A client is brought to the emergency department following a motor-vehicle crash. Drug
use is suspected in the crash, and a voided urine specimen is ordered. The client
repeatedly refuses to provide the specimen. Which of the following is the appropriate
action by the nurse? - CORRECT ANSWERS -B* Document the client‟s refusal in the
chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - CORRECT ANSWERS -
Administer a nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a
sterile procedure. Which of the following actions indicates the newly licensed nurse is
maintaining sterile technique? (SATA) - CORRECT ANSWERS -b. Opens the sterile
pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the
sterile field
,A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid
because the IV pump is not working properly. Which of the following actions should the
nurse take first? - CORRECT ANSWERS -Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN? - CORRECT ANSWERS -Reinforcing teaching with a
client who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown and gloves, which of the following actions by the newly licensed
nurse demonstrates correct aseptic technique? - CORRECT ANSWERS -The nurse
holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? - CORRECT ANSWERS -Recheck vital signs that are
outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - CORRECT ANSWERS -Obtaining a stool sample from a client
who has renal failure
A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first? - CORRECT ANSWERS -A client who
has two open chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the nursing staff.
Which of the following statements by a staff nurse indicates that the teaching was
effective? - CORRECT ANSWERS -"Consent can be given by a durable power of
attorney."
A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee? - CORRECT ANSWERS -An adolescent
client whose parents refuse a blood transfusion for religious reasons
A charge nurse is reviewing information about HIPAA with a group of staff nurses.
Which of the following statements by a staff nurse indicates understanding? -
CORRECT ANSWERS -"HIPAA allows clients to request a review of their own medical
records."
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? - CORRECT
ANSWERS -Whether the client understands the risk of refusing the procedure
A charge nurse is planning the care of four newborns. An assistive personnel and
licensed practical nurse are available for staffing. Which of the following tasks should
the nurse assign to a licensed practical nurse? - CORRECT ANSWERS -Administer a
hepatitis B vaccine.
During a staff meeting a unit manager reviews the results for documenting client
education and finds that they are below the benchmark. Which of the following
strategies should the nurse manager implement first? - CORRECT ANSWERS -
Determine factors that interfere with the documentation of client education.
A nurse is explaining ethics and values to a newly licensed nurse. The nurse should
explain that preventing client injury by removing a fall hazard demonstrates which of the
following ethical principles? - CORRECT ANSWERS -Nonmaleficence
A nurse is caring for a group of clients. Which of the following clients should the nurse
plan to assess first? - CORRECT ANSWERS -A client who has a nasogastric tube and
has crackles in the lungs (ABC-- airway)
A charge nurse is planning to evacuate clients on the unit because there is a fire on
another floor. Which of the following clients should the nurse evacuate first? -
CORRECT ANSWERS -A client who is receiving IV chemotherapy and is ambulatory
A nurse enters the room of a client who is unconscious and finds that the client‟s son is
reading her electronic medical records from a monitor located at the bedside. Which of
the following actions should the nurse take first? - CORRECT ANSWERS -Log out the
computer so that the client‟s son is unable to view his mother‟s information.
A nurse is preparing a client for cardiac catheterization. Just before the procedure, the
client asks the nurse about the risks of the procedure. Which of the following actions
should the nurse take? - CORRECT ANSWERS -Notify the provider about the client‟s
concerns.
A nurse is prioritizing care after receiving change-of-shift report on four clients. Which of
the following clients should the nurse assess first? - CORRECT ANSWERS -A client
who reports indigestion and pain in her jaw
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? - CORRECT
ANSWERS -Determine the reasons the nurses are not taking scheduled breaks. Assess
first
A nurse is preparing to delegate bathing and turning of a newly admitted client who has
end-stage bone cancer to an experienced assistive personnel (AP). Which of the
, following assessments should the nurse make before delegating care? - CORRECT
ANSWERS -Has data been collected about specific client needs related to turning?
(Assessment of holistic care r/t pt needs and what the experienced AP can do)
A nurse is preparing to transfer a client from the emergency department to a
medicalsurgical unit using the SBAR communication tool. Which of the following
information should the nurse include in the background portion of the report? -
CORRECT ANSWERS -The client‟s vital signs
A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the
following statements by the client should the nurse identify as an indication that a
referral to an occupation therapist is necessary? - CORRECT ANSWERS -"I will need
assistance with bathing."
A nurse in the emergency department is caring for a 16-year-old client who reports
abdominal pain and is accompanied by an adult neighbor. The provider diagnoses a
ruptured appendix and states that the client requires an emergency appendectomy.
Which of the following actions should the nurse? - CORRECT ANSWERS -Attempt to
notify the client‟s guardian to obtain consent.
A nurse on a medical-surgical unit is caring for four clients. Which of the following
findings is the highest priority? - CORRECT ANSWERS -A client who had a cardiac
catheterization whose capillary refill in the great toe is 4 seconds
A charge nurse suspects that a staff nurse is chemically impaired. Which of the
following actions should the charge nurse take? - CORRECT ANSWERS -Collect data
about the staff nurse to support further action
A nurse is assessing a client‟s comprehension of a pulmonary function test prior to the
procedure. Which of the following client statements indicates to the nurse an
understanding of the procedure? - CORRECT ANSWERS -"I might have to wear a nose
clip during this test."
A nurse in the emergency department is triaging four clients. Which of the following
clients should the nurse recommend to be examined first? - CORRECT ANSWERS -An
older adult client who has dyspnea and a respiratory rate of 26/min
A home health nurse finds piles of newspapers in the hallway of a client‟s home. The
nurse explains the need to discard the newspapers for safety reasons. The client
agrees to move the newspapers into the living room. Which of the following conflict
resolution strategies has the nurse used? - CORRECT ANSWERS -Collaborating
A nurse is planning to delegate client care assignments. Which of the following tasks
should the nurse plan to delegate to an assistive personnel? - CORRECT ANSWERS -
Performing post mortem care prior to transferring the client to the morgue
Remediation Guide: What to Study
for a Top Score (Delegation, Conflict
Resolution, Staffing)
A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing
to return a call to a client. The nurse should explain that which of the following is an
objective of telehealth? - CORRECT ANSWERS -Establishing communication between
providers
A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes.
The client expresses concern about the cost of blood-glucose monitoring supplies.
Which of the following actions should the nurse take? - CORRECT ANSWERS -Refer
the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following situations
should the charge nurse address first? - CORRECT ANSWERS -The emergency
department nurse is waiting to give report on a new admission.
A nurse who is precepting a newly licensed nurse is discussing the client assignment for
the shift. Which of the following actions should the nurse preceptor take first to
demonstrate appropriate time management? - CORRECT ANSWERS -Determine client
care goals (set/plan goals)
A client is brought to the emergency department following a motor-vehicle crash. Drug
use is suspected in the crash, and a voided urine specimen is ordered. The client
repeatedly refuses to provide the specimen. Which of the following is the appropriate
action by the nurse? - CORRECT ANSWERS -B* Document the client‟s refusal in the
chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - CORRECT ANSWERS -
Administer a nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a
sterile procedure. Which of the following actions indicates the newly licensed nurse is
maintaining sterile technique? (SATA) - CORRECT ANSWERS -b. Opens the sterile
pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the
sterile field
,A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid
because the IV pump is not working properly. Which of the following actions should the
nurse take first? - CORRECT ANSWERS -Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN? - CORRECT ANSWERS -Reinforcing teaching with a
client who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown and gloves, which of the following actions by the newly licensed
nurse demonstrates correct aseptic technique? - CORRECT ANSWERS -The nurse
holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? - CORRECT ANSWERS -Recheck vital signs that are
outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - CORRECT ANSWERS -Obtaining a stool sample from a client
who has renal failure
A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first? - CORRECT ANSWERS -A client who
has two open chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the nursing staff.
Which of the following statements by a staff nurse indicates that the teaching was
effective? - CORRECT ANSWERS -"Consent can be given by a durable power of
attorney."
A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee? - CORRECT ANSWERS -An adolescent
client whose parents refuse a blood transfusion for religious reasons
A charge nurse is reviewing information about HIPAA with a group of staff nurses.
Which of the following statements by a staff nurse indicates understanding? -
CORRECT ANSWERS -"HIPAA allows clients to request a review of their own medical
records."
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? - CORRECT
ANSWERS -Whether the client understands the risk of refusing the procedure
A charge nurse is planning the care of four newborns. An assistive personnel and
licensed practical nurse are available for staffing. Which of the following tasks should
the nurse assign to a licensed practical nurse? - CORRECT ANSWERS -Administer a
hepatitis B vaccine.
During a staff meeting a unit manager reviews the results for documenting client
education and finds that they are below the benchmark. Which of the following
strategies should the nurse manager implement first? - CORRECT ANSWERS -
Determine factors that interfere with the documentation of client education.
A nurse is explaining ethics and values to a newly licensed nurse. The nurse should
explain that preventing client injury by removing a fall hazard demonstrates which of the
following ethical principles? - CORRECT ANSWERS -Nonmaleficence
A nurse is caring for a group of clients. Which of the following clients should the nurse
plan to assess first? - CORRECT ANSWERS -A client who has a nasogastric tube and
has crackles in the lungs (ABC-- airway)
A charge nurse is planning to evacuate clients on the unit because there is a fire on
another floor. Which of the following clients should the nurse evacuate first? -
CORRECT ANSWERS -A client who is receiving IV chemotherapy and is ambulatory
A nurse enters the room of a client who is unconscious and finds that the client‟s son is
reading her electronic medical records from a monitor located at the bedside. Which of
the following actions should the nurse take first? - CORRECT ANSWERS -Log out the
computer so that the client‟s son is unable to view his mother‟s information.
A nurse is preparing a client for cardiac catheterization. Just before the procedure, the
client asks the nurse about the risks of the procedure. Which of the following actions
should the nurse take? - CORRECT ANSWERS -Notify the provider about the client‟s
concerns.
A nurse is prioritizing care after receiving change-of-shift report on four clients. Which of
the following clients should the nurse assess first? - CORRECT ANSWERS -A client
who reports indigestion and pain in her jaw
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? - CORRECT
ANSWERS -Determine the reasons the nurses are not taking scheduled breaks. Assess
first
A nurse is preparing to delegate bathing and turning of a newly admitted client who has
end-stage bone cancer to an experienced assistive personnel (AP). Which of the
, following assessments should the nurse make before delegating care? - CORRECT
ANSWERS -Has data been collected about specific client needs related to turning?
(Assessment of holistic care r/t pt needs and what the experienced AP can do)
A nurse is preparing to transfer a client from the emergency department to a
medicalsurgical unit using the SBAR communication tool. Which of the following
information should the nurse include in the background portion of the report? -
CORRECT ANSWERS -The client‟s vital signs
A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the
following statements by the client should the nurse identify as an indication that a
referral to an occupation therapist is necessary? - CORRECT ANSWERS -"I will need
assistance with bathing."
A nurse in the emergency department is caring for a 16-year-old client who reports
abdominal pain and is accompanied by an adult neighbor. The provider diagnoses a
ruptured appendix and states that the client requires an emergency appendectomy.
Which of the following actions should the nurse? - CORRECT ANSWERS -Attempt to
notify the client‟s guardian to obtain consent.
A nurse on a medical-surgical unit is caring for four clients. Which of the following
findings is the highest priority? - CORRECT ANSWERS -A client who had a cardiac
catheterization whose capillary refill in the great toe is 4 seconds
A charge nurse suspects that a staff nurse is chemically impaired. Which of the
following actions should the charge nurse take? - CORRECT ANSWERS -Collect data
about the staff nurse to support further action
A nurse is assessing a client‟s comprehension of a pulmonary function test prior to the
procedure. Which of the following client statements indicates to the nurse an
understanding of the procedure? - CORRECT ANSWERS -"I might have to wear a nose
clip during this test."
A nurse in the emergency department is triaging four clients. Which of the following
clients should the nurse recommend to be examined first? - CORRECT ANSWERS -An
older adult client who has dyspnea and a respiratory rate of 26/min
A home health nurse finds piles of newspapers in the hallway of a client‟s home. The
nurse explains the need to discard the newspapers for safety reasons. The client
agrees to move the newspapers into the living room. Which of the following conflict
resolution strategies has the nurse used? - CORRECT ANSWERS -Collaborating
A nurse is planning to delegate client care assignments. Which of the following tasks
should the nurse plan to delegate to an assistive personnel? - CORRECT ANSWERS -
Performing post mortem care prior to transferring the client to the morgue
