1
ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
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
toprovide 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 retention.
d. Obtain a provider's prescription for a blood alcohol
levelAnswer: 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
Answer: b. Administer a nasogastric tube
feeding
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a
sterileprocedure. 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 field
e. Holds the sterile solution bottle with the label facing up b. Opens the sterile pack by first
unfolding the top flap away from her body
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ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
Answer: 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
nursetake 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.
Answer: a. Auscultate the client's lungs.
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ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
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
tothe 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
Answer: 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
nursedemonstrates 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.
Answer: 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.
Answer: b. Recheck vital signs that are outside the expected reference range.
, 4
ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
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. Monitoring a client who has a fluid restriction
c. Assessing a client who just returned from hemodialysis
d. Reviewing dietary instructions for a client who has kidney stones
Answer: a. Obtaining a stool sample from a client who has renal
failure
9. A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first?
a. A client who has a neck injury and is unable to breathe spontaneously
b. A client who has two open chest wounds with a left tracheal deviation
c. A client who has major burns over 75% of her body surface area
d. A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3)
Answer: b. A client who has two open chest wounds with a left tracheal deviation
ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
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
toprovide 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 retention.
d. Obtain a provider's prescription for a blood alcohol
levelAnswer: 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
Answer: b. Administer a nasogastric tube
feeding
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a
sterileprocedure. 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 field
e. Holds the sterile solution bottle with the label facing up b. Opens the sterile pack by first
unfolding the top flap away from her body
,2
ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
Answer: 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
nursetake 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.
Answer: a. Auscultate the client's lungs.
,3
ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
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
tothe 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
Answer: 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
nursedemonstrates 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.
Answer: 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.
Answer: b. Recheck vital signs that are outside the expected reference range.
, 4
ATI RN LEADERSHIP EXAM 2019 - RETAKE GUIDE.
STUDY GUIDE
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. Monitoring a client who has a fluid restriction
c. Assessing a client who just returned from hemodialysis
d. Reviewing dietary instructions for a client who has kidney stones
Answer: a. Obtaining a stool sample from a client who has renal
failure
9. A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first?
a. A client who has a neck injury and is unable to breathe spontaneously
b. A client who has two open chest wounds with a left tracheal deviation
c. A client who has major burns over 75% of her body surface area
d. A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3)
Answer: b. A client who has two open chest wounds with a left tracheal deviation
