ATI RN Leadership Online Exam
Questions and Answers, Latest
Versions Graded A+
Question>> 1
There has been a community disaster and stable clients must be
discharged from a facility to prepare for the influx of new casualties. A
nurse should identify that which of the following clients is safe to
discharge?
A client who has multiple sclerosis and reports ataxia
A client who has deep-vein thrombosis and an aPTT within the expected
reference range
A client who has right lower quadrant pain and positive rebound
tenderness A client whose amylase and lipase levels are twice the
expected value
Correct Answer>>
a client who has multiple sclerosis and reports ataxia. This client is safe
to discharge because multiple sclerosis is a chronic disorder and ataxia
is an expected finding. A client who has deep-vein thrombosis requires
aPTT monitoring at least daily and is at risk for developing a pulmonary
embolism. The nurse should not recommend this client for discharge. A
client who has right lower quadrant pain and positive
,rebound tenderness likely has appendicitis and is at risk for developing
peritonitis. The nurse should not recommend this client for discharge.
Amylase and lipase levels above the expected reference range indicate
pancreatitis, which places the client at risk for sepsis or hemorrhage.
The nurse should not recommend this client for discharge.
Question>> 2
A nurse on a medical-surgical unit is caring for four clients. The nurse
should recognize that which of the following clients is the priority?
A client who is scheduled for a tubal ligation in 2 hr 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 mellitus and needs the
first dressing change for an ulcer
A client who has methicillin-resistant Staphylococcus aureus (MRSA)
and has an axillary temperature of 38° C (100.4° F)
Correct Answer>>
A client who has peripheral vascular disease and has an absent pulse in
the right foot. When using the airway, breathing, circulation approach
to client care, the nurse determines that the priority finding is an absent
pulse, which indicates no blood flow to the extremity. The nurse should
assess this client to determine why they are crying; however, this
finding is not the nurse's priority. The nurse should change this client's
dressing to promote adequate wound healing; however, this finding is
not the nurse's priority. The nurse should implement measures to
,reduce the client's temperature; however, this finding is not the nurse's
priority.
Question>> 3
A nurse finds that a new IV pump has infused 400 mL of solution over 2
hr when the rate was set at 100 mL/hr. After notifying the provider and
verifying that the pump was properly programmed, which of the
following is the nurse's priority?
Fill out an incident report and submit it to the nurse manager.
Consult with other nurses who have experience with this type of pump.
Tag the pump for maintenance and acquire a new pump for the client.
Call the biomedical engineering department and report the problem.
Correct Answer>>
Tag the pump for maintenance and acquire a new pump for the client
The greatest risk is the potential for injury to a client if a nurse uses the
pump again before repair; therefore, the priority for the nurse is to tag
the pump for maintenance and acquire a new pump for the client.
Question>> 4
A charge nurse is planning care for a group of clients. Which of the
following tasks should be delegated to an assistive personnel (AP)?
select all that apply
Flushing a client's saline lock Ambulating a client who uses a walker
, Adding thickener to thin liquids on a client's food tray Teaching a client
how to use an incentive spirometer Evaluating a client's gag reflex
before mealtime
Correct Answer>>
ambulating a client who uses a walker, adding thickener to thin liquids
on a client's food tray
Question>> 5
A nurse is caring for a client. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)? select all that apply
Correct Answer>>
Place an absorbent pad on the client's bed, report the client's blood
pressure to the nurse, apply barrier cream to the client's buttocks,
document the client's vital signs
Question>> 6
A charge nurse on a maternal newborn unit is receiving change of shift
charge nurse report for a group of newborns. Which of the following 3
newborns should the charge nurse identify as requiring priority care?
Select 3 newborns the charge nurse should identify as priority.
Correct Answer>>
Questions and Answers, Latest
Versions Graded A+
Question>> 1
There has been a community disaster and stable clients must be
discharged from a facility to prepare for the influx of new casualties. A
nurse should identify that which of the following clients is safe to
discharge?
A client who has multiple sclerosis and reports ataxia
A client who has deep-vein thrombosis and an aPTT within the expected
reference range
A client who has right lower quadrant pain and positive rebound
tenderness A client whose amylase and lipase levels are twice the
expected value
Correct Answer>>
a client who has multiple sclerosis and reports ataxia. This client is safe
to discharge because multiple sclerosis is a chronic disorder and ataxia
is an expected finding. A client who has deep-vein thrombosis requires
aPTT monitoring at least daily and is at risk for developing a pulmonary
embolism. The nurse should not recommend this client for discharge. A
client who has right lower quadrant pain and positive
,rebound tenderness likely has appendicitis and is at risk for developing
peritonitis. The nurse should not recommend this client for discharge.
Amylase and lipase levels above the expected reference range indicate
pancreatitis, which places the client at risk for sepsis or hemorrhage.
The nurse should not recommend this client for discharge.
Question>> 2
A nurse on a medical-surgical unit is caring for four clients. The nurse
should recognize that which of the following clients is the priority?
A client who is scheduled for a tubal ligation in 2 hr 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 mellitus and needs the
first dressing change for an ulcer
A client who has methicillin-resistant Staphylococcus aureus (MRSA)
and has an axillary temperature of 38° C (100.4° F)
Correct Answer>>
A client who has peripheral vascular disease and has an absent pulse in
the right foot. When using the airway, breathing, circulation approach
to client care, the nurse determines that the priority finding is an absent
pulse, which indicates no blood flow to the extremity. The nurse should
assess this client to determine why they are crying; however, this
finding is not the nurse's priority. The nurse should change this client's
dressing to promote adequate wound healing; however, this finding is
not the nurse's priority. The nurse should implement measures to
,reduce the client's temperature; however, this finding is not the nurse's
priority.
Question>> 3
A nurse finds that a new IV pump has infused 400 mL of solution over 2
hr when the rate was set at 100 mL/hr. After notifying the provider and
verifying that the pump was properly programmed, which of the
following is the nurse's priority?
Fill out an incident report and submit it to the nurse manager.
Consult with other nurses who have experience with this type of pump.
Tag the pump for maintenance and acquire a new pump for the client.
Call the biomedical engineering department and report the problem.
Correct Answer>>
Tag the pump for maintenance and acquire a new pump for the client
The greatest risk is the potential for injury to a client if a nurse uses the
pump again before repair; therefore, the priority for the nurse is to tag
the pump for maintenance and acquire a new pump for the client.
Question>> 4
A charge nurse is planning care for a group of clients. Which of the
following tasks should be delegated to an assistive personnel (AP)?
select all that apply
Flushing a client's saline lock Ambulating a client who uses a walker
, Adding thickener to thin liquids on a client's food tray Teaching a client
how to use an incentive spirometer Evaluating a client's gag reflex
before mealtime
Correct Answer>>
ambulating a client who uses a walker, adding thickener to thin liquids
on a client's food tray
Question>> 5
A nurse is caring for a client. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)? select all that apply
Correct Answer>>
Place an absorbent pad on the client's bed, report the client's blood
pressure to the nurse, apply barrier cream to the client's buttocks,
document the client's vital signs
Question>> 6
A charge nurse on a maternal newborn unit is receiving change of shift
charge nurse report for a group of newborns. Which of the following 3
newborns should the charge nurse identify as requiring priority care?
Select 3 newborns the charge nurse should identify as priority.
Correct Answer>>
