ATI RN LEADERSHIP PROCTORED EXAM 2019 VERSION 2
1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a
change in wound care procedure. Which of the following findings indicate wound healing?
a. Erythema on the skin surrounding a client’s wound
b. Inflammation noted on the tissue edges of a client’s wound
c. Increase in serosanguinous exudate from a client’s wound
d. Deep red color on the center of a client’s wound
2. A nurse received change-of-shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
a. Administer pain medication to a client who has rheumatoid arthritis and received
the last dose at 0400
b. Obtain a breakfast tray for a client who received a morning dose of insulin aspart
c. Replace a client’s enteral nutrition feeding solution that has been hanging for 24 hr
d. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
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 sustained a concussion and is being monitored for complications
b. A client who has a brain tumor and is admitted for chemotherapy
c. A client who has Gullain-Barre syndrome and a tracheostomy
d. A client who has multiple sclerosis and ataxia
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. My durable power of attorney for health care is part of my advance directives
b. My doctor will need to provide approval for the decisions outlined in my living will
c. Once I sign my living will, a family member must co-sign it
d. I will wait until I have a serious health problem to sign 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. Establish measurement criteria for infant safety systems
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Identify the industry standards for infant safety
, 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. Respiratory therapist
b. Physical therapist
c. Occupational therapist
d. Speech 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? (Select all that apply.)
a. A wheeled office chair at the client’s computer desk
b. A two-wheeled walker used to assist the client with ambulation
c. A throw rug covering some cracked vinyl flooring in the kitchen
d. A folding chair without arm rests
e. A raised vinyl seat on the toilet in the bathroom
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 licensed practical nurse?
a. An adolescent client who is newly diagnosed with diabetes and requires
teaching regarding insulin administration
b. A middle adult client who had a below-the-knee amputation and requires a
dressing change
c. An older adult client who has lung cancer and has periodic episodes of severe dyspnea
d. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
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 action for the nurse to take?
a. Reinforce the potential consequences of not having this information on record to
the nursing staff
b. Ask nurses who are caring for clients without this information in the medical record
to obtain it
c. Meet with nursing staff to review the policy regarding advance directives
d. Remind nurses to obtain this information during the admission process
10. A nurse is caring for a group of clients. Which of the following clients should the nurse
see first?
1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a
change in wound care procedure. Which of the following findings indicate wound healing?
a. Erythema on the skin surrounding a client’s wound
b. Inflammation noted on the tissue edges of a client’s wound
c. Increase in serosanguinous exudate from a client’s wound
d. Deep red color on the center of a client’s wound
2. A nurse received change-of-shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
a. Administer pain medication to a client who has rheumatoid arthritis and received
the last dose at 0400
b. Obtain a breakfast tray for a client who received a morning dose of insulin aspart
c. Replace a client’s enteral nutrition feeding solution that has been hanging for 24 hr
d. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
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 sustained a concussion and is being monitored for complications
b. A client who has a brain tumor and is admitted for chemotherapy
c. A client who has Gullain-Barre syndrome and a tracheostomy
d. A client who has multiple sclerosis and ataxia
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. My durable power of attorney for health care is part of my advance directives
b. My doctor will need to provide approval for the decisions outlined in my living will
c. Once I sign my living will, a family member must co-sign it
d. I will wait until I have a serious health problem to sign 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. Establish measurement criteria for infant safety systems
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Identify the industry standards for infant safety
, 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. Respiratory therapist
b. Physical therapist
c. Occupational therapist
d. Speech 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? (Select all that apply.)
a. A wheeled office chair at the client’s computer desk
b. A two-wheeled walker used to assist the client with ambulation
c. A throw rug covering some cracked vinyl flooring in the kitchen
d. A folding chair without arm rests
e. A raised vinyl seat on the toilet in the bathroom
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 licensed practical nurse?
a. An adolescent client who is newly diagnosed with diabetes and requires
teaching regarding insulin administration
b. A middle adult client who had a below-the-knee amputation and requires a
dressing change
c. An older adult client who has lung cancer and has periodic episodes of severe dyspnea
d. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
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 action for the nurse to take?
a. Reinforce the potential consequences of not having this information on record to
the nursing staff
b. Ask nurses who are caring for clients without this information in the medical record
to obtain it
c. Meet with nursing staff to review the policy regarding advance directives
d. Remind nurses to obtain this information during the admission process
10. A nurse is caring for a group of clients. Which of the following clients should the nurse
see first?
