ATI LEADERSHIP
3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the
following clients should the nurse assign to the newly licensed nurse?
a. A client who has multiple sclerosis and ataxia
, b. A client who has brain tumor and is admitted for chemotherapy
c. A client who has guillain-barre syndrome and a tracheostomy
d. A client who sustained a concussion and is being monitored for complication
4. A nurse is providing teaching to a client about advance directives. Which of the
following statements by the client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co sign it”
b. “I will wait until I have a serious health problems to sign my advance directives”
c. “My doctor will need to provide approval for the decisions outlines in my living
will
d. “My durable power of attorney for health care is part of my advance
directives”
5. A nurse is chairing a committee about preventing infant abduction in a new birth care
center. Which of the following quality control tasks should the nurse assign to be
completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. A nurse notes that a client is eating about half of the food on his plate and coughs
frequently during meals. The nurse plans to perform dysphagia screening to determine
the client's need for a referral to which of the following providers?
a. Physical therapist
b. Respiratory therapist
, c. Speech therapist
d. Occupational therapist
7. A home health nurse is assessing the home environment during an initial visit to a client
who has a history of falls. Which of the following findings should the nurse identify as
increasing the client's risk for falls (SATA) [repeat]
• A wheeled office chair at the client's computer desk
• A raised vinyl seat on the toilet in the bathroom
• A throw rug covering some cracked floor
• A folding chair without arm rests
• A two wheeled walker used to assist the client with ambulation
8. 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
9. While auditing the medical records of clients currently on an oncology unit, the nurse
manager finds that six of the 15 records lack documentation regarding advance
directives. Which of the following is the priority for the nurse to take?
a. Remind nurses to obtain this information during the admission process
, b. Reinforce the potential consequences of not having his information on record to
the nursing staff
c. Meet with nursing staff to review the policy regarding advance directive
d. Ask nurse who are caring for client without his information in the medical record
to obtain it
10.A nurse is caring for a group of clients. Which of the following should the nurse see first?
a. A client who is postoperative and has a fever.
b. A client whose pressure ulcer has serosanguineous drainage on the dressing
c. A client who has diabetes mellitus and is diaphoretic
d. A client who has a fractured hip and reports a pain level of 7 on a scale from 0-10
11.A nurse is receiving change-of-shift report for four clients. Which of the following clients
should the nurse care for first?
a. A client who is 4 hr postoperative following a hernia repair and has pitting
edema of the right leg
b. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports
diarrhea
c. A client who has pneumonia and requires a tracheostomy dressing change
d. A client who has a new colostomy and requires discharge teaching
12.A nurse manager discovers there is a conflict between nurses working the day shift and
nurses working on the night shift. Which of the following actions should the nurse
manager take first?
a. Acknowledge the conflict and encourage the nurses to focus on working as a team
b. Gather information regarding the situation
3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the
following clients should the nurse assign to the newly licensed nurse?
a. A client who has multiple sclerosis and ataxia
, b. A client who has brain tumor and is admitted for chemotherapy
c. A client who has guillain-barre syndrome and a tracheostomy
d. A client who sustained a concussion and is being monitored for complication
4. A nurse is providing teaching to a client about advance directives. Which of the
following statements by the client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co sign it”
b. “I will wait until I have a serious health problems to sign my advance directives”
c. “My doctor will need to provide approval for the decisions outlines in my living
will
d. “My durable power of attorney for health care is part of my advance
directives”
5. A nurse is chairing a committee about preventing infant abduction in a new birth care
center. Which of the following quality control tasks should the nurse assign to be
completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. A nurse notes that a client is eating about half of the food on his plate and coughs
frequently during meals. The nurse plans to perform dysphagia screening to determine
the client's need for a referral to which of the following providers?
a. Physical therapist
b. Respiratory therapist
, c. Speech therapist
d. Occupational therapist
7. A home health nurse is assessing the home environment during an initial visit to a client
who has a history of falls. Which of the following findings should the nurse identify as
increasing the client's risk for falls (SATA) [repeat]
• A wheeled office chair at the client's computer desk
• A raised vinyl seat on the toilet in the bathroom
• A throw rug covering some cracked floor
• A folding chair without arm rests
• A two wheeled walker used to assist the client with ambulation
8. 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
9. While auditing the medical records of clients currently on an oncology unit, the nurse
manager finds that six of the 15 records lack documentation regarding advance
directives. Which of the following is the priority for the nurse to take?
a. Remind nurses to obtain this information during the admission process
, b. Reinforce the potential consequences of not having his information on record to
the nursing staff
c. Meet with nursing staff to review the policy regarding advance directive
d. Ask nurse who are caring for client without his information in the medical record
to obtain it
10.A nurse is caring for a group of clients. Which of the following should the nurse see first?
a. A client who is postoperative and has a fever.
b. A client whose pressure ulcer has serosanguineous drainage on the dressing
c. A client who has diabetes mellitus and is diaphoretic
d. A client who has a fractured hip and reports a pain level of 7 on a scale from 0-10
11.A nurse is receiving change-of-shift report for four clients. Which of the following clients
should the nurse care for first?
a. A client who is 4 hr postoperative following a hernia repair and has pitting
edema of the right leg
b. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports
diarrhea
c. A client who has pneumonia and requires a tracheostomy dressing change
d. A client who has a new colostomy and requires discharge teaching
12.A nurse manager discovers there is a conflict between nurses working the day shift and
nurses working on the night shift. Which of the following actions should the nurse
manager take first?
a. Acknowledge the conflict and encourage the nurses to focus on working as a team
b. Gather information regarding the situation
