ATI LEADERSHIP PROCTORED EXAM – UPDATED STUDY GUIDE
1. A nurse is providing an in-service about client right for a group of nurses. Which of the
following statements should the nurse include in the service?
a. A nurse can disclose information to a family member with the client’s permission
b. A nurse can apply restraints on a PRN basis
c. A nurse can administer medications without consent to a client as a part of a
research study
d. A nurse is responsible for informing clients about treatment options
2. A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the
bedside commode. Which of the following should the nurse take first?
a. Refer the AP to the facility procedure manual
b. Demonstrate the proper client transfer technique for the AP?
c. Instruct the AP to request assistance when unsure about a task
d. Help the AP assist the client with the transfer
3. A nurse enters a client room to witness an informed consent for a gastroscopy. The client states
he does not understand the procedure. Which of the following actions should the nurse take?
a. Educate the client about the risks of refusing medications
b. Complete an incident report
c. Answer the client question concerning the procedure
d. Inform the provider that the client requires clarification about the procedure
4. A nurse is developing a discharge plan for a client who is postoperative and will require a
wheelchair in the home. The nurse should place a referral to which of the following resources
to assist the client with this need?
a. Physical therapy
b. Social services
c. Occupational therapy
d. Home health
5. A nurse is preparing a teaching session with a client who speaks a different language than
the nurse. Which of the following interventions should the nurse plan to make?
a. Provider an interpreter when obtaining consent from the client
b. Validate understanding by interpreting the client’s body language
c. Include the client’s partner to assist with the teaching session
d. Incorporate gestures and hand signals when presenting information
6. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of
the following information should the nurse include in the change of shift report?
a. The steps to follow when providing wound care
b. The clients preferred time for bathing
c. The belief that client has a difficult relationship with his son
d. The time the client received his last dose of pain medication
7. A nurse is preparing to discharge a client who as end stage heart failure. The client’s
partner tells the nurse she can no longer handle caring for the client. Which of the following
action should the nurse take?
a. Request another family member assist the client’s partner with care
b. Recommend the partner place the client in long term-care facility
c. Contact the case manager to discuss discharge options
, d. Ask the provider to delay the clients discharge home for a few more days
8. A nurse working in an emergency department is performing triage. To which of the
following clients should the nurse assign priority?
a. A client who reports night sweats and fever for the last week
b. A client who has compound fractures of the tibia and humerus
c. A client who reports severe vomiting and diarrhea
d. A client who has soot markings around each naris following a house fire
9. To resolve a conflict between staff members regarding potential changes in policy, a nurse
manager decides to implement the changes regardless of the feelings of those who oppose
those changes. Which of the following conflict resolution strategies is the nurse manager
using?
a. Competing
b. Collaborating.
c. Compromising.
d. Cooperating.
10. A nurse is assessing an older adult client who was brought to the emergency department by his
son, who reports that that client fell at home. The nurse suspects elder abuse. Which of the
following actions should the nurse take?
a. File an incident report.
b. Ask the client about his injuries with the son present.
c. Ask the clients son to go to the waiting area .
d. Treat and discharge the client
11. A nurse in the emergency department is assessing a client who is unconscious following a
motor-vehicle crash. the client requires immediate surgery. Which of the following
actions should the nurse take?
a. a. Transport the client to the operating room without verifying informed consent
b. b. ask the anesthesiologist to sign the consent
c. c. obtain telephone consent from the facility administrator before the surgery
d. d. delay the surgery until the nurse can obtain informed consent
12. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse recommend for conference?
a. A. A client who is at 28 weeks gestation and has a negative Coombs’ titer
b. B. A client who is 39 weeks of gestation and has a negative contraction stress test
c. C. A client who is at 35 weeks of gestation and has a biophysical profile of 6
d. D. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1
13. A nurse is receiving a verbal prescription from the provider for a client who is having increased
pain. The nurse should transcribe which of the following prescriptions in the clients medical
record?
a. A. Morphine sulfate 10 mg IV q 4 IV prn for pain
b. B. MS 10 mg IV every 4 ‘ prn for pain
c. C. MSO4 10 mg IVP q 4 ‘ prn for pain
d. D. Morphine sulfate 10.0 mg every 4 hours IV prn for pain
14. A nurse is assessing a client who has meningitis. Which of the following findings should
the nurse report to the provider immediately?
a. A. Generalized rash over trunk
1. A nurse is providing an in-service about client right for a group of nurses. Which of the
following statements should the nurse include in the service?
a. A nurse can disclose information to a family member with the client’s permission
b. A nurse can apply restraints on a PRN basis
c. A nurse can administer medications without consent to a client as a part of a
research study
d. A nurse is responsible for informing clients about treatment options
2. A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the
bedside commode. Which of the following should the nurse take first?
a. Refer the AP to the facility procedure manual
b. Demonstrate the proper client transfer technique for the AP?
c. Instruct the AP to request assistance when unsure about a task
d. Help the AP assist the client with the transfer
3. A nurse enters a client room to witness an informed consent for a gastroscopy. The client states
he does not understand the procedure. Which of the following actions should the nurse take?
a. Educate the client about the risks of refusing medications
b. Complete an incident report
c. Answer the client question concerning the procedure
d. Inform the provider that the client requires clarification about the procedure
4. A nurse is developing a discharge plan for a client who is postoperative and will require a
wheelchair in the home. The nurse should place a referral to which of the following resources
to assist the client with this need?
a. Physical therapy
b. Social services
c. Occupational therapy
d. Home health
5. A nurse is preparing a teaching session with a client who speaks a different language than
the nurse. Which of the following interventions should the nurse plan to make?
a. Provider an interpreter when obtaining consent from the client
b. Validate understanding by interpreting the client’s body language
c. Include the client’s partner to assist with the teaching session
d. Incorporate gestures and hand signals when presenting information
6. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of
the following information should the nurse include in the change of shift report?
a. The steps to follow when providing wound care
b. The clients preferred time for bathing
c. The belief that client has a difficult relationship with his son
d. The time the client received his last dose of pain medication
7. A nurse is preparing to discharge a client who as end stage heart failure. The client’s
partner tells the nurse she can no longer handle caring for the client. Which of the following
action should the nurse take?
a. Request another family member assist the client’s partner with care
b. Recommend the partner place the client in long term-care facility
c. Contact the case manager to discuss discharge options
, d. Ask the provider to delay the clients discharge home for a few more days
8. A nurse working in an emergency department is performing triage. To which of the
following clients should the nurse assign priority?
a. A client who reports night sweats and fever for the last week
b. A client who has compound fractures of the tibia and humerus
c. A client who reports severe vomiting and diarrhea
d. A client who has soot markings around each naris following a house fire
9. To resolve a conflict between staff members regarding potential changes in policy, a nurse
manager decides to implement the changes regardless of the feelings of those who oppose
those changes. Which of the following conflict resolution strategies is the nurse manager
using?
a. Competing
b. Collaborating.
c. Compromising.
d. Cooperating.
10. A nurse is assessing an older adult client who was brought to the emergency department by his
son, who reports that that client fell at home. The nurse suspects elder abuse. Which of the
following actions should the nurse take?
a. File an incident report.
b. Ask the client about his injuries with the son present.
c. Ask the clients son to go to the waiting area .
d. Treat and discharge the client
11. A nurse in the emergency department is assessing a client who is unconscious following a
motor-vehicle crash. the client requires immediate surgery. Which of the following
actions should the nurse take?
a. a. Transport the client to the operating room without verifying informed consent
b. b. ask the anesthesiologist to sign the consent
c. c. obtain telephone consent from the facility administrator before the surgery
d. d. delay the surgery until the nurse can obtain informed consent
12. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse recommend for conference?
a. A. A client who is at 28 weeks gestation and has a negative Coombs’ titer
b. B. A client who is 39 weeks of gestation and has a negative contraction stress test
c. C. A client who is at 35 weeks of gestation and has a biophysical profile of 6
d. D. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1
13. A nurse is receiving a verbal prescription from the provider for a client who is having increased
pain. The nurse should transcribe which of the following prescriptions in the clients medical
record?
a. A. Morphine sulfate 10 mg IV q 4 IV prn for pain
b. B. MS 10 mg IV every 4 ‘ prn for pain
c. C. MSO4 10 mg IVP q 4 ‘ prn for pain
d. D. Morphine sulfate 10.0 mg every 4 hours IV prn for pain
14. A nurse is assessing a client who has meningitis. Which of the following findings should
the nurse report to the provider immediately?
a. A. Generalized rash over trunk
