ATI RN LEADERSHIP PROCTORED EXAM
2019 VERSION 1/ATI RN LEADERSHIP
PROCTORED EXAM 2019 VERSION 2
, Leadership
Form A
1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get
better, I’m going to quit.” Which of the following responses by the unit manager is appropriate?
a. You should file a written complaint with hospital administration
b. Just stick with it a little longer. Things will get better soon
c. So, you are upset about all the changes on the unit?
d. I think you have a right to be upset. I am tired of the changes, too
2. 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?
a. Provide coverage for the nurses’ breaks
b. Review facility policies for taking scheduled breaks
c. Determine the reasons the nurses are not taking scheduled breaks
d. Discuss time management strategies with the nurses
3. A client has a new permanent pacemaker inserted. Which of the following home care
instructions should the nurse include?
a. Regular programming evaluations can be conducted by telephone
b. The client should avoid using remote control devices to prevent dysrhythmias
c. The client should avoid using a microwave oven to heat food
d. Swimming could cause the unit to have an electrical short
4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a. I will use an alcohol-based hand cleanser when caring for a client who has C.diff
b. I will wear a cover gown when caring for a client who has herpes simplex
c. I will wear an N95 respirator mask when caring for a client who is on contact precautions
d. I will place a client who requires protective isolation in a negative airflow room
5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an
intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse
is appropriate?
a. Adding colored food dye to the formula
b. Flushing the tube with 15 mL of water
c. Elevating the head of the bed to a 20-degree angle
d. Checking residual volume before each feeding
, 6. A nurse is preparing an education program about professional codes of ethics for nurses.
Which of the following information should the nurse plan to include?
a. A code of ethics is a step-by-step approach to decision-making
b. A code of ethics is a set of principles for nursing practice
c. A code of ethics is legally binding
d. A code of ethics outlines the nurse’s scope of practice
7. A nurse receives change-of-shift report for the following four clients. Which of the following
clients should the nurse assess first?
a. An older adult client who has bacterial pneumonia and a new onset of restlessness
b. A client who is 1-day postoperative following hip fracture repair and reports a pain level
of 6 on a scale from 0 to 10
c. A middle adult client who has diabetes mellitus and a morning blood glucose of 172
mg/dL
d. A client who has myasthenia gravis with ptosis and has developed urinary incontinence
8. A charge nurse is assessing staff knowledge about safety procedures regarding needle-stick
injuries. Which of the following statements by a nurse indicates appropriate understanding of
these safety procedures?
a. Prophylactic treatment should be initiated after a needle-stick during preparation of an
injection
b. The needle should be recapped to prevent injury during transport to the biohazard
container
c. I should stop the bleeding as soon as possible following a needle-stick injury
d. An incident report should be completed if a client receives a stick from her own used
needle
9. A case manager is reviewing documentation on several clients and notes a progress report
that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager
should identify that which of the following torts has occurred?
a. Libel
b. Battery
c. Slander
d. Negligence
10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist
restraints to a client who is agitated and does not have a prescription for restraints. Which of
the following actions should the nurse take first?
a. Inform the unit manager of the incident
2019 VERSION 1/ATI RN LEADERSHIP
PROCTORED EXAM 2019 VERSION 2
, Leadership
Form A
1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get
better, I’m going to quit.” Which of the following responses by the unit manager is appropriate?
a. You should file a written complaint with hospital administration
b. Just stick with it a little longer. Things will get better soon
c. So, you are upset about all the changes on the unit?
d. I think you have a right to be upset. I am tired of the changes, too
2. 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?
a. Provide coverage for the nurses’ breaks
b. Review facility policies for taking scheduled breaks
c. Determine the reasons the nurses are not taking scheduled breaks
d. Discuss time management strategies with the nurses
3. A client has a new permanent pacemaker inserted. Which of the following home care
instructions should the nurse include?
a. Regular programming evaluations can be conducted by telephone
b. The client should avoid using remote control devices to prevent dysrhythmias
c. The client should avoid using a microwave oven to heat food
d. Swimming could cause the unit to have an electrical short
4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a. I will use an alcohol-based hand cleanser when caring for a client who has C.diff
b. I will wear a cover gown when caring for a client who has herpes simplex
c. I will wear an N95 respirator mask when caring for a client who is on contact precautions
d. I will place a client who requires protective isolation in a negative airflow room
5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an
intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse
is appropriate?
a. Adding colored food dye to the formula
b. Flushing the tube with 15 mL of water
c. Elevating the head of the bed to a 20-degree angle
d. Checking residual volume before each feeding
, 6. A nurse is preparing an education program about professional codes of ethics for nurses.
Which of the following information should the nurse plan to include?
a. A code of ethics is a step-by-step approach to decision-making
b. A code of ethics is a set of principles for nursing practice
c. A code of ethics is legally binding
d. A code of ethics outlines the nurse’s scope of practice
7. A nurse receives change-of-shift report for the following four clients. Which of the following
clients should the nurse assess first?
a. An older adult client who has bacterial pneumonia and a new onset of restlessness
b. A client who is 1-day postoperative following hip fracture repair and reports a pain level
of 6 on a scale from 0 to 10
c. A middle adult client who has diabetes mellitus and a morning blood glucose of 172
mg/dL
d. A client who has myasthenia gravis with ptosis and has developed urinary incontinence
8. A charge nurse is assessing staff knowledge about safety procedures regarding needle-stick
injuries. Which of the following statements by a nurse indicates appropriate understanding of
these safety procedures?
a. Prophylactic treatment should be initiated after a needle-stick during preparation of an
injection
b. The needle should be recapped to prevent injury during transport to the biohazard
container
c. I should stop the bleeding as soon as possible following a needle-stick injury
d. An incident report should be completed if a client receives a stick from her own used
needle
9. A case manager is reviewing documentation on several clients and notes a progress report
that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager
should identify that which of the following torts has occurred?
a. Libel
b. Battery
c. Slander
d. Negligence
10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist
restraints to a client who is agitated and does not have a prescription for restraints. Which of
the following actions should the nurse take first?
a. Inform the unit manager of the incident
