ATI Leadership Exam B
1) A nurse is teaching an AP about caring for a client who has a DNR order. Which of the following
statements by the AP indicates an understanding of the teaching?
a. “I will call for the client’s nurse to come to the room if I cannot detect the client’s pulse.”
2) A nurse is caring for four clients. Which of the following tasks can the nurse assign to an AP?
a. Perform chest compressions on a client who is in cardiac arrest
3) A nurse is teaching a newly licensed nurse about using electronic medical records. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a. “My access to client electronic records might be tracked by my nurse manager.”
4) A nurse is receiving change-of-shit report. Which of the following clients should the nurse assess
first?
a. A client who had abdominal surgery 6 hr. ago and has had a HR of 120/min. for the last 2
hr.
5) An RN delegates the task of obtaining the BP of a client who is 2 hr. post-op following a
cholecystectomy to an LPN. The LPN reports a BP that is significantly higher than the client’s
previous reading. Which of the following actions should the RN take first?
a. Recheck the client’s BP
6) A public health nurse is developing a list of recommendations for the supervisor about how to use
evidence-base practice to improve community outcomes. Which of the following should the nurse
recommend as a qualitative research method?
a. Phenomenology
7) A nurse at an urgent care clinic notices that a pain assessment is not being performed for all
clients as required by policy. Which of the following actions should the nurse take to ensure care
is provided according to policy?
a. Report this issue to the nurse manager
, 8) A nurse is teaching a client about advance directives. Which of the following statements by the
client indicates an understanding of the teaching?
a. “These will outline my wishes for medication treatment.”
9) A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The
client states that he does not plan to tell his adult children about the diagnosis. Which of the
following responses displays advocacy by the nurse?
a. “Let’s review what you understand about this test result.”
10) A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. Which
of the following statements should the nurse make?
a. “Let’s talk about the benefits of each treatment.”
11) A nurse in a community health clinic is caring for four clients who each have a communicable
disease. Which of the following conditions is considered a nationally notifiable infectious
disease?
a. Chlamydia trachomatis
12) A staff nurse detects alcohol on the breath of another nurse working on the unit. The staff nurse
observes that the nurse’s speech is slurred, and their gait is unsteady. Which of the following
actions should the nurse take?
a. Notify the charge nurse of the nurse’s behavior
13) A nurse manager is developing a class for newly licensed nurses on strategies to promote client
rights. Which of the following should the nurse manager include in the teaching?
a. Verify that a provider prescription is in the medical record for clients who have restraints.
14) A nurse has just received report on four clients on a medical-surgical unit. Which of the following
clients should the nurse plan to assess first?
a. A client who is post-op following a total knew arthroplasty and has a cap refill of 4
seconds.
15) A nurse case manager is planning a teaching session on the use of critical pathways with a group
of newly licensed nurses. Which of the following information should the nurse include in the
teaching?
a. Critical pathways prevent unnecessary expense
16) A nurse is caring for a client who has a potassium level of 3.2 mEq/L. The nurse has been paging
the provider for 1 hr. to attempt to report the potassium level. Which of the following actions
should the nurse take next?
a. Notify the nursing supervisor
17) A nurse manager sends home a nurse who is chemically impaired. Which of the following actions
should the nurse manager take?
a. Set up a formal meeting with the nurse within 24 hr.
18) A nurse is speaking with the adult child of a client who has severe Alzheimer’s diseases. The
child is crying and tells the nurse, “I don’t know how much longer I can keep this up.” Which of
the following responses should the nurse make?
a. “Let’s discuss options for respite care.”
19) A charge nurse notices that a newly hired nurse consistently does not finish client care tasks by
the end of the shift. Which of the following statements should the charger nurse make?
a. “You should set aside time to plan your day at the beginning of each shift.”
20) A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff
nurse, the charge nurse should recognize that which of the following reflects an intrapersonal
conflict?
a. “I’m not sure whether I want to apply for the unit manager’s position or start a family this
year.”
1) A nurse is teaching an AP about caring for a client who has a DNR order. Which of the following
statements by the AP indicates an understanding of the teaching?
a. “I will call for the client’s nurse to come to the room if I cannot detect the client’s pulse.”
2) A nurse is caring for four clients. Which of the following tasks can the nurse assign to an AP?
a. Perform chest compressions on a client who is in cardiac arrest
3) A nurse is teaching a newly licensed nurse about using electronic medical records. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a. “My access to client electronic records might be tracked by my nurse manager.”
4) A nurse is receiving change-of-shit report. Which of the following clients should the nurse assess
first?
a. A client who had abdominal surgery 6 hr. ago and has had a HR of 120/min. for the last 2
hr.
5) An RN delegates the task of obtaining the BP of a client who is 2 hr. post-op following a
cholecystectomy to an LPN. The LPN reports a BP that is significantly higher than the client’s
previous reading. Which of the following actions should the RN take first?
a. Recheck the client’s BP
6) A public health nurse is developing a list of recommendations for the supervisor about how to use
evidence-base practice to improve community outcomes. Which of the following should the nurse
recommend as a qualitative research method?
a. Phenomenology
7) A nurse at an urgent care clinic notices that a pain assessment is not being performed for all
clients as required by policy. Which of the following actions should the nurse take to ensure care
is provided according to policy?
a. Report this issue to the nurse manager
, 8) A nurse is teaching a client about advance directives. Which of the following statements by the
client indicates an understanding of the teaching?
a. “These will outline my wishes for medication treatment.”
9) A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The
client states that he does not plan to tell his adult children about the diagnosis. Which of the
following responses displays advocacy by the nurse?
a. “Let’s review what you understand about this test result.”
10) A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. Which
of the following statements should the nurse make?
a. “Let’s talk about the benefits of each treatment.”
11) A nurse in a community health clinic is caring for four clients who each have a communicable
disease. Which of the following conditions is considered a nationally notifiable infectious
disease?
a. Chlamydia trachomatis
12) A staff nurse detects alcohol on the breath of another nurse working on the unit. The staff nurse
observes that the nurse’s speech is slurred, and their gait is unsteady. Which of the following
actions should the nurse take?
a. Notify the charge nurse of the nurse’s behavior
13) A nurse manager is developing a class for newly licensed nurses on strategies to promote client
rights. Which of the following should the nurse manager include in the teaching?
a. Verify that a provider prescription is in the medical record for clients who have restraints.
14) A nurse has just received report on four clients on a medical-surgical unit. Which of the following
clients should the nurse plan to assess first?
a. A client who is post-op following a total knew arthroplasty and has a cap refill of 4
seconds.
15) A nurse case manager is planning a teaching session on the use of critical pathways with a group
of newly licensed nurses. Which of the following information should the nurse include in the
teaching?
a. Critical pathways prevent unnecessary expense
16) A nurse is caring for a client who has a potassium level of 3.2 mEq/L. The nurse has been paging
the provider for 1 hr. to attempt to report the potassium level. Which of the following actions
should the nurse take next?
a. Notify the nursing supervisor
17) A nurse manager sends home a nurse who is chemically impaired. Which of the following actions
should the nurse manager take?
a. Set up a formal meeting with the nurse within 24 hr.
18) A nurse is speaking with the adult child of a client who has severe Alzheimer’s diseases. The
child is crying and tells the nurse, “I don’t know how much longer I can keep this up.” Which of
the following responses should the nurse make?
a. “Let’s discuss options for respite care.”
19) A charge nurse notices that a newly hired nurse consistently does not finish client care tasks by
the end of the shift. Which of the following statements should the charger nurse make?
a. “You should set aside time to plan your day at the beginning of each shift.”
20) A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff
nurse, the charge nurse should recognize that which of the following reflects an intrapersonal
conflict?
a. “I’m not sure whether I want to apply for the unit manager’s position or start a family this
year.”
