ATI RN Leadership
and Management
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,DOMAIN 1: MANAGING CLIENT CARE (Delegation, Prioritization,
Assignment)
Question 1
A charge nurse is assigning clients on a medical-surgical unit. Which of the
following clients should the charge nurse assign to a licensed practical nurse
(LPN)?
A) A client who is 2 hours post-cardiac catheterization requiring vital signs
every 15 minutes
B) A client with newly diagnosed diabetes requiring initial teaching on insulin
administration
C) A client with a urinary tract infection requiring administration of oral
antibiotics
D) A client with unstable angina requiring continuous cardiac monitoring
Correct Answer: C
Rationale:
Correct (C): LPNs can administer oral medications to stable clients with
predictable outcomes, which falls within their scope of practice. The LPN can
monitor for expected responses and report abnormalities to the RN. The client
with a UTI receiving oral antibiotics is stable and has predictable needs,
making this an appropriate LPN assignment.
, Incorrect (A): A client 2 hours post-cardiac catheterization requires
frequent assessment of the access site, vital signs, and monitoring for
complications; this client should be assigned to an RN.
Incorrect (B): Initial patient teaching requires RN-level assessment of
learning needs, comprehension, and evaluation of understanding; this is
outside the LPN scope of practice.
Incorrect (D): Unstable angina requires continuous cardiac monitoring and
complex assessment; this client should be assigned to an RN.
Study Tip: "LPNs care for STABLE clients with PREDICTABLE outcomes. RNs
care for UNSTABLE clients or those requiring INITIAL
ASSESSMENT/TEACHING."
Question 2
A nurse is caring for a client who is scheduled for surgery. The client
expresses doubt about the procedure. Which of the following actions should
the nurse take?
A) Explain the risks and benefits of the surgery to the client
B) Document that the client is non-compliant with the plan of care
C) Notify the surgeon that the client has questions about the procedure
D) Reassure the client that the surgeon is highly skilled
Correct Answer: C
, Rationale:
Correct (C): The nurse's role in informed consent is to witness the signature
and ensure the client understands the information provided. When a client
expresses doubt or has questions, the nurse should notify the provider so the
provider can answer questions and clarify information. The provider is legally
responsible for obtaining informed consent, not the nurse.
Incorrect (A): Explaining risks and benefits is the provider's responsibility,
not the nurse's.
Incorrect (B): Documenting non-compliance is inappropriate; the client has
the right to ask questions before consenting to a procedure.
Incorrect (D): Reassurance does not address the client's underlying
concerns and may undermine informed consent.
Study Tip: "Informed consent: PROVIDER explains procedure/risks/benefits;
NURSE witnesses signature and confirms understanding."
Question 3
A nurse manager is preparing to implement a new evidence-based practice for
wound care. Which of the following actions should the nurse manager take
first?
A) Provide staff training on the new procedure
B) Evaluate the cost-effectiveness of the materials
and Management
Proctored Exam |
Complete Test Bank |
MULTI CHOICE
Questions with
Verified Answers and
Detailed Rationales |
Latest 2025/2026
,DOMAIN 1: MANAGING CLIENT CARE (Delegation, Prioritization,
Assignment)
Question 1
A charge nurse is assigning clients on a medical-surgical unit. Which of the
following clients should the charge nurse assign to a licensed practical nurse
(LPN)?
A) A client who is 2 hours post-cardiac catheterization requiring vital signs
every 15 minutes
B) A client with newly diagnosed diabetes requiring initial teaching on insulin
administration
C) A client with a urinary tract infection requiring administration of oral
antibiotics
D) A client with unstable angina requiring continuous cardiac monitoring
Correct Answer: C
Rationale:
Correct (C): LPNs can administer oral medications to stable clients with
predictable outcomes, which falls within their scope of practice. The LPN can
monitor for expected responses and report abnormalities to the RN. The client
with a UTI receiving oral antibiotics is stable and has predictable needs,
making this an appropriate LPN assignment.
, Incorrect (A): A client 2 hours post-cardiac catheterization requires
frequent assessment of the access site, vital signs, and monitoring for
complications; this client should be assigned to an RN.
Incorrect (B): Initial patient teaching requires RN-level assessment of
learning needs, comprehension, and evaluation of understanding; this is
outside the LPN scope of practice.
Incorrect (D): Unstable angina requires continuous cardiac monitoring and
complex assessment; this client should be assigned to an RN.
Study Tip: "LPNs care for STABLE clients with PREDICTABLE outcomes. RNs
care for UNSTABLE clients or those requiring INITIAL
ASSESSMENT/TEACHING."
Question 2
A nurse is caring for a client who is scheduled for surgery. The client
expresses doubt about the procedure. Which of the following actions should
the nurse take?
A) Explain the risks and benefits of the surgery to the client
B) Document that the client is non-compliant with the plan of care
C) Notify the surgeon that the client has questions about the procedure
D) Reassure the client that the surgeon is highly skilled
Correct Answer: C
, Rationale:
Correct (C): The nurse's role in informed consent is to witness the signature
and ensure the client understands the information provided. When a client
expresses doubt or has questions, the nurse should notify the provider so the
provider can answer questions and clarify information. The provider is legally
responsible for obtaining informed consent, not the nurse.
Incorrect (A): Explaining risks and benefits is the provider's responsibility,
not the nurse's.
Incorrect (B): Documenting non-compliance is inappropriate; the client has
the right to ask questions before consenting to a procedure.
Incorrect (D): Reassurance does not address the client's underlying
concerns and may undermine informed consent.
Study Tip: "Informed consent: PROVIDER explains procedure/risks/benefits;
NURSE witnesses signature and confirms understanding."
Question 3
A nurse manager is preparing to implement a new evidence-based practice for
wound care. Which of the following actions should the nurse manager take
first?
A) Provide staff training on the new procedure
B) Evaluate the cost-effectiveness of the materials
