exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Mana
ment 2019, leadership 7 version
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?: "So you are upset about all the changes
on the unit?"
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?: Determine the reasons the nurses are not taking scheduled breaks.
3. A client has a new permanent pacemaker inserted. Which of the following
home care instructions should the nurse include?: Regular programming eval-
uations can be conducted by telephone
4. A nurse manager is reviewing isolation guidelines with a newly licensed
nurse indicates an understanding of the teaching?: I will wear a cover gown
when caring for a client who has herpes simplex.
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?: 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 code of ethics a set of principles for nursing practice
7. The nurse receives change-of-shift report for the following 4 clients. Which
patient should the nurse assess first?: An older adult client who has bacterial
pneumonia and a new onset of restlessness
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?: "An inci-
dent 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+ due to multiple
sexual partners. The CM should identify that which of the following torts has
occurred?: Libel
10. A charge nurse making rounds observes that an AP has applied wrist
restraints to a client who is agitated and does not have a prescription for re-
straints. Which of the following actions should the nurse take first?: Remove
restraints
, exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Mana
ment 2019, leadership 7 version
11. To resolve a conflict between staff members regarding potential changes
in policy, a nurse manager decides to implement the changes she prefers
regardless of the feelings of those who oppose those changes. Which of the
following conflict resolution strategies is the nurse manager using?: Com-
peting
12. A nurse is caring for a client and notices fraying on the electrical cord of
the client's IV pump. Which of the following actions is priority?: Remove IV
pump from the client's room
13. A nurse is providing discharge teaching to the parent of a toddler who
has a new diagnosis of asthma. The parent states that she is unable to afford
the nebulizer prescribed for the child. Which of the following referrals should
the nurse recommend?: Social worker
14. A charge nurse is completing client care assignments. Which of the
following assignments is appropriate for a LPN?: A client who is 1 day postop-
erative and has a continuous bladder irrigation
15. A nurse is caring for a client who is comatose and has advanced direc-
tives designating his adult daughter as his healthy proxy. The client's partner
instructs the nurse to institute CPR if the client experiences cardiac arrest.
Which of the following actions should the nurse take first?: Inform the partner
that the staff must follow the client's advance directives
16. A L&D nurse is assigned to float to a med-surg unit. Which of the following
actions should the nurse take first?: Request orientation to the med-surg unit
17. A nurse in the ED is preparing a married 17 y/o client for an appendecto-
my. The client's parents are enroute to the facility but have not spoken with
the surgeon. Which of the following actions should the nurse take first?: Have
the client sign the consent form after the surgeon explains the procedure.
18. Client satisfaction surveys from a surgical unit indicate that pain is not
being adequately relieved during the first 12 hours postoperatively. The unit
manager decides to identify postoperative pain as a quality indicator. Which
of the following data sources will be helpful in determining the reason why
clients are not receiving adequate pain management after surgery?: Pain
assessment policy
19. A nurse manager is reviewing the nursing code of ethics with the staff
nurses. Which of the following statements by a staff nurse indicate under-
standing of the teaching? SATA:: "I can delegate the removal of an IV catheter
to an LPN on the unit"
, exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Mana
ment 2019, leadership 7 version
"I will attend continuing education classes for professional growth."
"I administer pain medication to my clients even if they have a history of narcotic
addiction."
20. A nurse on a surgical unit is preparing to transfer a client to a rehab
facility. Which of the following information should the nurse include in the
change-of-shift report?: The time the client received his last dose of pain med-
ication
21. A nurse on a med-surg unit is delegating client care. Which of the follow-
ing tasks should the nurse delegate to the AP?: Using a pain rating scale to
monitor a client's pain leve
22. A nurse on a med-surg unit is making staff assignments. Which of the
following tasks should the nurse delegate to an AP?: Pouching a client's
established ostomy
23. A charge nurse is reviewing how to set up a sterile field with a newly
licensed nurse. Which of the following statements by the newly licensed
nurse indicates an understanding of the process?: "I will keep the label of the
solution bottle facing up when pouring solution into the sterile cup"
24. A nurse is providing care for 4 post-op clients. The nurse should first
assess the client -: Whose pulse has been steadily increasing during the past
shift
25. A charge nurse overhears a provider and a nurse talking about a client's
diagnosis in the cafeteria. Which of the following actions should the nurse
take first?: Remind them that client information is confidential
26. A facility provides annual staff education regarding ethical practice. A
charge nurse recognizes a need for further education when which of the
following behaviors is observed?: -++++++++A nurse explains to a client's
family that aDNR oder includes withholding comfort measures
27. The family members of an older adult client are expressing conflict over
whether the client should have surgery that is recommended by the provider.
The oldest adult child has durable POA for health care for the client. The client
is orientated to person, place, and time. Which of the following people has
the legal authority to make this health decision?: The client
28. A nurse is preparing to discharge a client who requires home oxygen.
The equipment company has not yet delivered the oxygen tank. Which of the
, exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Mana
ment 2019, leadership 7 version
following actions should the nurse take?: Contact social services about the
delivery of the oxygen equipment
29. A nurse at a LTC facility is assessing a client who has returned from an
acute care facility following a brief illness. The nurse observes that the client
is confused and agitated. Which of the following actions should the nurse
take first?: Reorient the client to his surroundings
30. A nurse is caring for the client who is scheduled for a procedure. Which
of the following is an appropriate when the nurse is witnessing the client
signing the consent form? SATA:: Ensure the client gives consent voluntarily
Verify that the client affirms understanding of the procedure
Confirm the authenticity of the client's signature
31. A nurse is documenting and completing an incident report after a client
falls out of bed. Which of the following actions should the nurse take when
completing the documentation?: Document in the incident report, "entered
room and discovered client laying prone on the floor."
32. The nurse provides discharge instructions to a client who is 2 hr post-op
following cataract surgery on the left eye. Which of the following instructions
should the nurse include in the teaching?: Sleep on your right side
33. A client is admitted with TB and placed in a negative-pressure room.
Which of the following actions is appropriate?: Notify the local health dept of
the admission
34. A nurse in the ED is preparing to care for a client who arrived via
ambulance. The client is disoriented and has a cardiac arrhythmia. Which of
the following actions should the nurse take?: Proceed with treatment without
obtaining written consent
35. A nurse is preparing a client for surgery. The client has signed the consent
form but tells the nurse that she has reconsidered because she is worried
about the pain. Which of the following responses by the nurse is appropri-
ate?: "I understand, and it's not too late to change your mind"
36. A charge nurse is evaluating a newly licensed nurse's understanding of
infection control procedures. Which of the following actions demonstrates
that the nurse is following the appropriate protocol for a client who has
streptococcal pharyngitis?: Wearing a man when within 1 m of the client
ment 2019, leadership 7 version
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?: "So you are upset about all the changes
on the unit?"
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?: Determine the reasons the nurses are not taking scheduled breaks.
3. A client has a new permanent pacemaker inserted. Which of the following
home care instructions should the nurse include?: Regular programming eval-
uations can be conducted by telephone
4. A nurse manager is reviewing isolation guidelines with a newly licensed
nurse indicates an understanding of the teaching?: I will wear a cover gown
when caring for a client who has herpes simplex.
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?: 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 code of ethics a set of principles for nursing practice
7. The nurse receives change-of-shift report for the following 4 clients. Which
patient should the nurse assess first?: An older adult client who has bacterial
pneumonia and a new onset of restlessness
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?: "An inci-
dent 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+ due to multiple
sexual partners. The CM should identify that which of the following torts has
occurred?: Libel
10. A charge nurse making rounds observes that an AP has applied wrist
restraints to a client who is agitated and does not have a prescription for re-
straints. Which of the following actions should the nurse take first?: Remove
restraints
, exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Mana
ment 2019, leadership 7 version
11. To resolve a conflict between staff members regarding potential changes
in policy, a nurse manager decides to implement the changes she prefers
regardless of the feelings of those who oppose those changes. Which of the
following conflict resolution strategies is the nurse manager using?: Com-
peting
12. A nurse is caring for a client and notices fraying on the electrical cord of
the client's IV pump. Which of the following actions is priority?: Remove IV
pump from the client's room
13. A nurse is providing discharge teaching to the parent of a toddler who
has a new diagnosis of asthma. The parent states that she is unable to afford
the nebulizer prescribed for the child. Which of the following referrals should
the nurse recommend?: Social worker
14. A charge nurse is completing client care assignments. Which of the
following assignments is appropriate for a LPN?: A client who is 1 day postop-
erative and has a continuous bladder irrigation
15. A nurse is caring for a client who is comatose and has advanced direc-
tives designating his adult daughter as his healthy proxy. The client's partner
instructs the nurse to institute CPR if the client experiences cardiac arrest.
Which of the following actions should the nurse take first?: Inform the partner
that the staff must follow the client's advance directives
16. A L&D nurse is assigned to float to a med-surg unit. Which of the following
actions should the nurse take first?: Request orientation to the med-surg unit
17. A nurse in the ED is preparing a married 17 y/o client for an appendecto-
my. The client's parents are enroute to the facility but have not spoken with
the surgeon. Which of the following actions should the nurse take first?: Have
the client sign the consent form after the surgeon explains the procedure.
18. Client satisfaction surveys from a surgical unit indicate that pain is not
being adequately relieved during the first 12 hours postoperatively. The unit
manager decides to identify postoperative pain as a quality indicator. Which
of the following data sources will be helpful in determining the reason why
clients are not receiving adequate pain management after surgery?: Pain
assessment policy
19. A nurse manager is reviewing the nursing code of ethics with the staff
nurses. Which of the following statements by a staff nurse indicate under-
standing of the teaching? SATA:: "I can delegate the removal of an IV catheter
to an LPN on the unit"
, exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Mana
ment 2019, leadership 7 version
"I will attend continuing education classes for professional growth."
"I administer pain medication to my clients even if they have a history of narcotic
addiction."
20. A nurse on a surgical unit is preparing to transfer a client to a rehab
facility. Which of the following information should the nurse include in the
change-of-shift report?: The time the client received his last dose of pain med-
ication
21. A nurse on a med-surg unit is delegating client care. Which of the follow-
ing tasks should the nurse delegate to the AP?: Using a pain rating scale to
monitor a client's pain leve
22. A nurse on a med-surg unit is making staff assignments. Which of the
following tasks should the nurse delegate to an AP?: Pouching a client's
established ostomy
23. A charge nurse is reviewing how to set up a sterile field with a newly
licensed nurse. Which of the following statements by the newly licensed
nurse indicates an understanding of the process?: "I will keep the label of the
solution bottle facing up when pouring solution into the sterile cup"
24. A nurse is providing care for 4 post-op clients. The nurse should first
assess the client -: Whose pulse has been steadily increasing during the past
shift
25. A charge nurse overhears a provider and a nurse talking about a client's
diagnosis in the cafeteria. Which of the following actions should the nurse
take first?: Remind them that client information is confidential
26. A facility provides annual staff education regarding ethical practice. A
charge nurse recognizes a need for further education when which of the
following behaviors is observed?: -++++++++A nurse explains to a client's
family that aDNR oder includes withholding comfort measures
27. The family members of an older adult client are expressing conflict over
whether the client should have surgery that is recommended by the provider.
The oldest adult child has durable POA for health care for the client. The client
is orientated to person, place, and time. Which of the following people has
the legal authority to make this health decision?: The client
28. A nurse is preparing to discharge a client who requires home oxygen.
The equipment company has not yet delivered the oxygen tank. Which of the
, exam prep, leadership 1, ATI Leadership, VATI RN Leadership and Mana
ment 2019, leadership 7 version
following actions should the nurse take?: Contact social services about the
delivery of the oxygen equipment
29. A nurse at a LTC facility is assessing a client who has returned from an
acute care facility following a brief illness. The nurse observes that the client
is confused and agitated. Which of the following actions should the nurse
take first?: Reorient the client to his surroundings
30. A nurse is caring for the client who is scheduled for a procedure. Which
of the following is an appropriate when the nurse is witnessing the client
signing the consent form? SATA:: Ensure the client gives consent voluntarily
Verify that the client affirms understanding of the procedure
Confirm the authenticity of the client's signature
31. A nurse is documenting and completing an incident report after a client
falls out of bed. Which of the following actions should the nurse take when
completing the documentation?: Document in the incident report, "entered
room and discovered client laying prone on the floor."
32. The nurse provides discharge instructions to a client who is 2 hr post-op
following cataract surgery on the left eye. Which of the following instructions
should the nurse include in the teaching?: Sleep on your right side
33. A client is admitted with TB and placed in a negative-pressure room.
Which of the following actions is appropriate?: Notify the local health dept of
the admission
34. A nurse in the ED is preparing to care for a client who arrived via
ambulance. The client is disoriented and has a cardiac arrhythmia. Which of
the following actions should the nurse take?: Proceed with treatment without
obtaining written consent
35. A nurse is preparing a client for surgery. The client has signed the consent
form but tells the nurse that she has reconsidered because she is worried
about the pain. Which of the following responses by the nurse is appropri-
ate?: "I understand, and it's not too late to change your mind"
36. A charge nurse is evaluating a newly licensed nurse's understanding of
infection control procedures. Which of the following actions demonstrates
that the nurse is following the appropriate protocol for a client who has
streptococcal pharyngitis?: Wearing a man when within 1 m of the client
