ATI RN LEADERSHIP EXAM 2022/2023 - RETAKE
STUDY GUIDE (100% CORRECT)
1. A
nurse on the neurology unit has the following patients. Which would be the most concerning
and require the nurse to contact the physician
A patient who states, “I have a headache and my balance has been off all day”.
A patient who states, “My vision becomes blurry when I get up in the morning”.
A patient who becomes dizzy and almost falls when standing from a seated position.
A patient recovering from a motor vehicle collision with intracranial monitoring and an ICP that
has risen from 6 mmHg to 11 mmHg.
2. The nurse assesses the patient who arrived to the emergency department complaining of right
sided weakness and numbness. The nurse suspects a stroke. What is the most important
question to ask before administering IV tissue plasminogen activator?
“When did you first notice the symptoms?”
“Are you on any NSAIDs?”
“Do you have history of kidney disease?”
“Do you get short of breath when walking?”
3.The nurse assesses a patient in the emergency department who is suspected of a heroine
overdose. The patient breaths 4 times per minute and is non-responsive. What drug would the
nurse anticipate giving first
Naloxone.
Epinephrine.
Methadone.
Flumazenil.
4.The nurse in the emergency room is rapidly infusing crystalloids for a patient that is
hemorrhaging secondary to multiple gun shot wounds. What additional step should be taken by
the nurse to ensure safe administration of the intravenous fluids
,Avoid using the internal jugular or subclavian veins.Use a 22 gauge IV catheter if possible.
Warm the fluids while hanging.
Double-check the fluids with another nurse.
5.After reviewing voicemails left from home care patients, which phone call will the home health
care nurse return first?
A patient complaining of sudden swelling, warmth, and 7/10 pain in both lower legs.
A patient with osteoarthritis reporting warmth and tenderness in her left knee.
A patient with coronary artery disease who is complaining of pain along his shoulders and bicep.
A patient reporting rebound abdominal pain and a fever.
6.The nurse cares for a patient suffering from orthostatic hypotension. How could the nurse
best document the findings?
Patient’s BP 140/88 mmHg lying down. Patient BP 112/69 mmHg after standing.
Patient’s seems dizzy when standing from a seated position.
Afternoon blood pressure 140/88 mmHg.
Patient complains of dizziness after standing up.
7. Which of the following is considered a contraindication for the administration of metoprolol?
Increased urine output.
Decreased respiratory rate.
Hypertension.
Bradycardia.
8.An obese patient is found down in the room next to the bed. No pulses or respirations are
detected. The emergency system is activated and help arrives. How should the nurse proceed?
, Give a brief report to the physician before attempting resuscitation.
Begin CPR immediately.
Move the patient to a stretcher or bed to begin CPR.
Place a backboard underneath the patient for more effective compressions.
9.The nurse cares for a patient who has an IV with fever, chills, malaise, tachycardia,
tachypnea, hypotension, and altered mental status. The nurse should suspect:
Disseminated intravascular coagulation (DIC).
Sepsis.
Inflammatory response syndrome.
Infection.
10.Following the initial care of a client with asthma and impending anaphylaxis from
hypersensitivity to a drug, the nurse should take which of the following steps next?
Administer bronchodilators.
Obtain serum electrolyte levels.
Have the client lie flat in the bed.
Administer beta-adrenergic blockers.
11. The nurse is caring for a patient admitted through the emergency department with a drug
overdose. The brother of the patient works on a different unit in the same hospital. He asks you
if he can see the results of the drug screen. What is the best action by the nurse?
Ask the charge nurse if it is ok for him to view the information.
Allow him to view the drug screen because he has a password and can find the information
already.
Ask the patient if it’s ok for his brother to look at the laboratory results.
Explain that this is private information and he is not allowed access.
STUDY GUIDE (100% CORRECT)
1. A
nurse on the neurology unit has the following patients. Which would be the most concerning
and require the nurse to contact the physician
A patient who states, “I have a headache and my balance has been off all day”.
A patient who states, “My vision becomes blurry when I get up in the morning”.
A patient who becomes dizzy and almost falls when standing from a seated position.
A patient recovering from a motor vehicle collision with intracranial monitoring and an ICP that
has risen from 6 mmHg to 11 mmHg.
2. The nurse assesses the patient who arrived to the emergency department complaining of right
sided weakness and numbness. The nurse suspects a stroke. What is the most important
question to ask before administering IV tissue plasminogen activator?
“When did you first notice the symptoms?”
“Are you on any NSAIDs?”
“Do you have history of kidney disease?”
“Do you get short of breath when walking?”
3.The nurse assesses a patient in the emergency department who is suspected of a heroine
overdose. The patient breaths 4 times per minute and is non-responsive. What drug would the
nurse anticipate giving first
Naloxone.
Epinephrine.
Methadone.
Flumazenil.
4.The nurse in the emergency room is rapidly infusing crystalloids for a patient that is
hemorrhaging secondary to multiple gun shot wounds. What additional step should be taken by
the nurse to ensure safe administration of the intravenous fluids
,Avoid using the internal jugular or subclavian veins.Use a 22 gauge IV catheter if possible.
Warm the fluids while hanging.
Double-check the fluids with another nurse.
5.After reviewing voicemails left from home care patients, which phone call will the home health
care nurse return first?
A patient complaining of sudden swelling, warmth, and 7/10 pain in both lower legs.
A patient with osteoarthritis reporting warmth and tenderness in her left knee.
A patient with coronary artery disease who is complaining of pain along his shoulders and bicep.
A patient reporting rebound abdominal pain and a fever.
6.The nurse cares for a patient suffering from orthostatic hypotension. How could the nurse
best document the findings?
Patient’s BP 140/88 mmHg lying down. Patient BP 112/69 mmHg after standing.
Patient’s seems dizzy when standing from a seated position.
Afternoon blood pressure 140/88 mmHg.
Patient complains of dizziness after standing up.
7. Which of the following is considered a contraindication for the administration of metoprolol?
Increased urine output.
Decreased respiratory rate.
Hypertension.
Bradycardia.
8.An obese patient is found down in the room next to the bed. No pulses or respirations are
detected. The emergency system is activated and help arrives. How should the nurse proceed?
, Give a brief report to the physician before attempting resuscitation.
Begin CPR immediately.
Move the patient to a stretcher or bed to begin CPR.
Place a backboard underneath the patient for more effective compressions.
9.The nurse cares for a patient who has an IV with fever, chills, malaise, tachycardia,
tachypnea, hypotension, and altered mental status. The nurse should suspect:
Disseminated intravascular coagulation (DIC).
Sepsis.
Inflammatory response syndrome.
Infection.
10.Following the initial care of a client with asthma and impending anaphylaxis from
hypersensitivity to a drug, the nurse should take which of the following steps next?
Administer bronchodilators.
Obtain serum electrolyte levels.
Have the client lie flat in the bed.
Administer beta-adrenergic blockers.
11. The nurse is caring for a patient admitted through the emergency department with a drug
overdose. The brother of the patient works on a different unit in the same hospital. He asks you
if he can see the results of the drug screen. What is the best action by the nurse?
Ask the charge nurse if it is ok for him to view the information.
Allow him to view the drug screen because he has a password and can find the information
already.
Ask the patient if it’s ok for his brother to look at the laboratory results.
Explain that this is private information and he is not allowed access.
