ATI LEADERSHIP 1,2,3,4 TESTS QUESTIONS
AND WITH COMPLETE SOLUTIONS
1. A client is brought to the emergency department following a motor-vehicle crash.
Drug use is suspected in the crash, and a voided urine specimen is ordered. The
client repeatedly refuse s to provide the specimen. Which of the following is the
appropriate action by the nurse? a. Tell the client that a catheter will be inserted.
b. Document the client's refusal in the chart.
c. Assess the client for urinary
d. Obtain a provider's prescription for a blood
retention.
alcohol level
Correct Answers: Answer b .
Document the client's refusal in the chart.
If the client is repeatedly refusing to provide specimen for drug test then nurse can just
documented
his refusal. That document can be used against the client regarding the motor vehicle
accident.
2. A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse?
a. Pick up the meal trays after lunch.
b. Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
d. Determine adequacy of ventilator settings
Correct Answers: b. Administer a nasogastric tube feeding
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting
with a sterile procedure. Which of the following actions indicates the newly licensed
nurse is maintaining sterile technique? (SATA)
a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field
b. Opens the sterile pack by first unfolding the top flap away from her body
c. Prepares a container of sterile solution on the field after putting on sterile gloves
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile fi
e. Holds the sterile solution bottle with the label facing up
Correct Answers: b. Opens the sterile pack by first unfolding the top flap away
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile
field
4. A nurse enters a client's room and identifies that the client is receiving too much IV
fluid because
the IV pump is not working properly. Which of the following actions should the nurse
,take first?
,a. Auscultate the client's lungs.
b. Notify the provider.
c. Place a faulty equipment tag on the
pump.
d. Complete an incident report.
Correct Answers: a. Auscultate the client's lungs.
5. A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse
(LPN) and an assistive personnel. Which of the following tasks should the nurse assign to
the LPN?
a. Reinforcing teaching with a client who is learning to self-administer insulin
b. Ambulating a client who is scheduled for discharge later in the day
c. Administering morphine IV bolus to a client who is hr postoperative
d. Admitting a new client who has chronic back pain to the unit
Correct Answers: a. Reinforcing teaching with a client who is learning to self-administer
insulin
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a
sterile gown and gloves, which of the following actions by the newly licensed nurse
demonstrates
correct aseptic technique?
a. The nurse applies goggles.
b. The nurse turns her back to the sterile field.
c. The nurse holds her hands above her waist.
d. The nurse puts on a face mask.
Correct Answers: c. The nurse holds her hands above her waist
7. A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? a. Review vital sign trends at the end of the shift.
b. Recheck vital signs that are outside the expected reference range.
c. Ask the AP to write a summary of the delegated tasks during the shift.
d. Compare the vital signs the AP obtained with those taken by another AP on a previous shift
Correct Answers: b. Recheck vital signs that are outside the expected reference range.
8. A nurse is caring for four clients. Which of the following tasks can be delegated to
an assistive
personnel?
a. Obtaining a stool sample from a client who has renal failure
b. A
9. Monitoring a client awho
nurse is triaging hasofa clients
group fluid restriction
following a disaster. Which of the following clients sho
c. Assessing a client who just returned from hemodialysis
d. Reviewing dietary instructions for a client who has kidney stones
Correct Answers: a. Obtaining a stool sample from a client who has renal failure
,
AND WITH COMPLETE SOLUTIONS
1. A client is brought to the emergency department following a motor-vehicle crash.
Drug use is suspected in the crash, and a voided urine specimen is ordered. The
client repeatedly refuse s to provide the specimen. Which of the following is the
appropriate action by the nurse? a. Tell the client that a catheter will be inserted.
b. Document the client's refusal in the chart.
c. Assess the client for urinary
d. Obtain a provider's prescription for a blood
retention.
alcohol level
Correct Answers: Answer b .
Document the client's refusal in the chart.
If the client is repeatedly refusing to provide specimen for drug test then nurse can just
documented
his refusal. That document can be used against the client regarding the motor vehicle
accident.
2. A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse?
a. Pick up the meal trays after lunch.
b. Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
d. Determine adequacy of ventilator settings
Correct Answers: b. Administer a nasogastric tube feeding
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting
with a sterile procedure. Which of the following actions indicates the newly licensed
nurse is maintaining sterile technique? (SATA)
a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field
b. Opens the sterile pack by first unfolding the top flap away from her body
c. Prepares a container of sterile solution on the field after putting on sterile gloves
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile fi
e. Holds the sterile solution bottle with the label facing up
Correct Answers: b. Opens the sterile pack by first unfolding the top flap away
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile
field
4. A nurse enters a client's room and identifies that the client is receiving too much IV
fluid because
the IV pump is not working properly. Which of the following actions should the nurse
,take first?
,a. Auscultate the client's lungs.
b. Notify the provider.
c. Place a faulty equipment tag on the
pump.
d. Complete an incident report.
Correct Answers: a. Auscultate the client's lungs.
5. A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse
(LPN) and an assistive personnel. Which of the following tasks should the nurse assign to
the LPN?
a. Reinforcing teaching with a client who is learning to self-administer insulin
b. Ambulating a client who is scheduled for discharge later in the day
c. Administering morphine IV bolus to a client who is hr postoperative
d. Admitting a new client who has chronic back pain to the unit
Correct Answers: a. Reinforcing teaching with a client who is learning to self-administer
insulin
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a
sterile gown and gloves, which of the following actions by the newly licensed nurse
demonstrates
correct aseptic technique?
a. The nurse applies goggles.
b. The nurse turns her back to the sterile field.
c. The nurse holds her hands above her waist.
d. The nurse puts on a face mask.
Correct Answers: c. The nurse holds her hands above her waist
7. A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? a. Review vital sign trends at the end of the shift.
b. Recheck vital signs that are outside the expected reference range.
c. Ask the AP to write a summary of the delegated tasks during the shift.
d. Compare the vital signs the AP obtained with those taken by another AP on a previous shift
Correct Answers: b. Recheck vital signs that are outside the expected reference range.
8. A nurse is caring for four clients. Which of the following tasks can be delegated to
an assistive
personnel?
a. Obtaining a stool sample from a client who has renal failure
b. A
9. Monitoring a client awho
nurse is triaging hasofa clients
group fluid restriction
following a disaster. Which of the following clients sho
c. Assessing a client who just returned from hemodialysis
d. Reviewing dietary instructions for a client who has kidney stones
Correct Answers: a. Obtaining a stool sample from a client who has renal failure
,
