lOMoARcPSD|22789381
lOMoARcPSD|22789381
ATI Leadership Test Bank| Leadership And Management|
140 Questions and Correct Answers|
Rated A+
A nurse is preparing an in-service for an annual skills fair at a community medical facility about
fire safety. Place the steps in the order in which they should be performed in the case of a fire
emergency. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.)
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
1. A nurse is caring for a client who is dying of metastatic breast cancer. She has a
prescription for an opioid pain medication PRN. The nurse is concerned that
administering a dose of pain medication might hasten the client's death. Which of the
following ethical principles should the nurse use to support the decision not to
administer the medication?
A. Utilitarianism
Rationale: Utilitarianism refers to actions that are right when they contribute to the
greatest good.
B. Nonmaleficence
Rationale: Nonmaleficence is the duty to do no harm. The ethical mandate of
nonmaleficence is that health care workers refrain from intentionally
inflicting harm to clients.
C. Fidelity
, lOMoARcPSD|22789381
Rationale: Fidelity is the duty to keep one's promises or word. It refers to the
obligation to be faithful to the agreements, commitments, and
responsibilities that one has made to oneself and others.
D. Veracity
Rationale: Veracity is the duty to tell the truth. It means that one does not
intentionally deceive or mislead clients.
2. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive
personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks
uncompleted. Which of the following statements should the charge nurse make to resolve
this conflict?
A. "I need to talk to you about unit expectations regarding delegating and completing tasks."
Rationale: This statement opens the conversation in a nonthreatening way. The focus
is on the issue of the equity of the assignment rather than on any personal
characteristic of the individual.
B. "Several staff members have commented that you don't do your fair share of the work."
Rationale: This statement is accusatory.
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1
, lOMoARcPSD|22789381
C. "If you don't do your share of the work, I will have to inform the nurse manager."
Rationale: This statement is punitive.
D. "You have been very inconsiderate of others by not completing your share of the work."
Rationale: This statement is punitive.
3. Anurse is providing care for a surgeon on a medical-surgical unit. A nurse from another
unit asks the nurse about the surgeon’s medical diagnosis. The nurse responds that he is
unable to provide the information requested. The nurse is displaying which of the
following ethical principles?
A. Utility
Rationale: Utility is the ethical principle that the good of many people outweighs the good
of one person.
B. Paternalism
Rationale: Paternalism is the belief that one individual has the right to make
decisions for another. It negates the client’s right to autonomy.
C. Justice
Rationale: Justice is the ethical principled based on the belief that everyone should be
treated fairly.
D. Nonmaleficence
Rationale: The nurse is obligated to protect the client’s confidential information. A
breach of confidentiality can place the client at risk of harm.
Nonmaleficence is the ethical duty to prevent harm to the client.
4. When planning delegation of tasks to assistive personnel (AP), a nurse considers the
five rights of delegation. Which of the following should the nurse consider when
using one of the five rights of delegation?
A. The AP's ability to prioritize
Rationale: Although the nurse could determine the AP’s ability to prioritize, this is
, lOMoARcPSD|22789381
not one of the rights of delegation.
B. The AP has the knowledge and skill to perform the task
Rationale: The right person is one of the five rights of delegation. The nurse should
seek information from the AP about his individual skill level before
delegating the task.
C. The AP's rapport with clients
Rationale: Although a positive rapport with clients is important, this is not
one of the five rights of delegation.
D. The AP’s ability to complete the task without assistance
Rationale:
Created on:11/29/2018 Page
2
lOMoARcPSD|22789381
ATI Leadership Test Bank| Leadership And Management|
140 Questions and Correct Answers|
Rated A+
A nurse is preparing an in-service for an annual skills fair at a community medical facility about
fire safety. Place the steps in the order in which they should be performed in the case of a fire
emergency. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.)
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
1. A nurse is caring for a client who is dying of metastatic breast cancer. She has a
prescription for an opioid pain medication PRN. The nurse is concerned that
administering a dose of pain medication might hasten the client's death. Which of the
following ethical principles should the nurse use to support the decision not to
administer the medication?
A. Utilitarianism
Rationale: Utilitarianism refers to actions that are right when they contribute to the
greatest good.
B. Nonmaleficence
Rationale: Nonmaleficence is the duty to do no harm. The ethical mandate of
nonmaleficence is that health care workers refrain from intentionally
inflicting harm to clients.
C. Fidelity
, lOMoARcPSD|22789381
Rationale: Fidelity is the duty to keep one's promises or word. It refers to the
obligation to be faithful to the agreements, commitments, and
responsibilities that one has made to oneself and others.
D. Veracity
Rationale: Veracity is the duty to tell the truth. It means that one does not
intentionally deceive or mislead clients.
2. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive
personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks
uncompleted. Which of the following statements should the charge nurse make to resolve
this conflict?
A. "I need to talk to you about unit expectations regarding delegating and completing tasks."
Rationale: This statement opens the conversation in a nonthreatening way. The focus
is on the issue of the equity of the assignment rather than on any personal
characteristic of the individual.
B. "Several staff members have commented that you don't do your fair share of the work."
Rationale: This statement is accusatory.
Created on:11/29/2018 Page
1
, lOMoARcPSD|22789381
C. "If you don't do your share of the work, I will have to inform the nurse manager."
Rationale: This statement is punitive.
D. "You have been very inconsiderate of others by not completing your share of the work."
Rationale: This statement is punitive.
3. Anurse is providing care for a surgeon on a medical-surgical unit. A nurse from another
unit asks the nurse about the surgeon’s medical diagnosis. The nurse responds that he is
unable to provide the information requested. The nurse is displaying which of the
following ethical principles?
A. Utility
Rationale: Utility is the ethical principle that the good of many people outweighs the good
of one person.
B. Paternalism
Rationale: Paternalism is the belief that one individual has the right to make
decisions for another. It negates the client’s right to autonomy.
C. Justice
Rationale: Justice is the ethical principled based on the belief that everyone should be
treated fairly.
D. Nonmaleficence
Rationale: The nurse is obligated to protect the client’s confidential information. A
breach of confidentiality can place the client at risk of harm.
Nonmaleficence is the ethical duty to prevent harm to the client.
4. When planning delegation of tasks to assistive personnel (AP), a nurse considers the
five rights of delegation. Which of the following should the nurse consider when
using one of the five rights of delegation?
A. The AP's ability to prioritize
Rationale: Although the nurse could determine the AP’s ability to prioritize, this is
, lOMoARcPSD|22789381
not one of the rights of delegation.
B. The AP has the knowledge and skill to perform the task
Rationale: The right person is one of the five rights of delegation. The nurse should
seek information from the AP about his individual skill level before
delegating the task.
C. The AP's rapport with clients
Rationale: Although a positive rapport with clients is important, this is not
one of the five rights of delegation.
D. The AP’s ability to complete the task without assistance
Rationale:
Created on:11/29/2018 Page
2
