Leadership ATI Proctored Focus
1. An RN has to teach the client initially but can delegate to an
LPN.: reinforcing the teaching
2. An LPN can perform care.: tracheostomy care
3. Can an RN delegate to an LPN to perform suctioning?: yes
4. Can an RN delegate to an LPN to put in a urinary catheter?: yes
5. Can an RN delegate to an AP to feed a client not on swallow precautions?-
: yes
6. Is an RN allowed to delegate to an AP to collect a urine sample?: yes
7. A nurse delegates to an AP to assist in obtaining vital signs from a postop
patient who required naloxone (narcan) for depressed respirations. Is this an
appropriate task for the AP?: no
8. An older adult client who is on fall precautions is found lying on the floor of
his hospital room. Which of the following actions is most appropriate for the
nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance: C. Inspect the client
for injuries
9. An RN on a med-surg unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client: A
10. A nurse is caring for an older adult client who has left the unit for a
radiology procedure. The client's son asks the nurse what med is being given
to the client. Which of the following is an appropriate response by the nurse?
A. "I am sorry, but that is information you will need to ask your mother or her
doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam
, Leadership ATI Proctored Focus
(Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before discharge."-
: A.
11. A nurse works in a mental health facility that uses a case management
nursing model to provide care. The nurse should recognize that which of the
following describes a case management approach to care?
A. A nurse provides total care for several clients
B. Collaboration between disciplines creates a multidisciplinary care plan for
each client.
C. The focus of care is on detecting disorders at an early stage.
D. The team leader assigns care for a group of clients: B
12. A nurse overhears a client talking with an attorney, reporting physical
abuse, use of restraints & denial of meals. What action should the nurse take?
A. Report the conversation to the nurse manager to allow for follow-up inves-
tigation.
B. Question the client about the allegations to identify staff who were allegedly
involved.
C. Ignore the conversation unless the client brings it to the attention of the
nurse.
D. Recognize this as a privileged communication that cannot be discussed
w/anyone.: A
13. A nurse manager is planning a department meeting to discuss client advo-
cacy. Which of the following situations should be included in the discussion?
Select all that apply.
A. Discussing treatment options w/a client who was pancreatic cancer
B. Notifying the surgeon when a client signing a surgical consent form has
questions about the procedure
C. Helping a client make a list of questions she would like to ask the provider
D. Clarifying the dosage of a med prescribed for an older adult client who has
impaired liver function
E. Carrying out end-of-life wishes outlined in the living will of an older adult: B,
C, D, E
1. An RN has to teach the client initially but can delegate to an
LPN.: reinforcing the teaching
2. An LPN can perform care.: tracheostomy care
3. Can an RN delegate to an LPN to perform suctioning?: yes
4. Can an RN delegate to an LPN to put in a urinary catheter?: yes
5. Can an RN delegate to an AP to feed a client not on swallow precautions?-
: yes
6. Is an RN allowed to delegate to an AP to collect a urine sample?: yes
7. A nurse delegates to an AP to assist in obtaining vital signs from a postop
patient who required naloxone (narcan) for depressed respirations. Is this an
appropriate task for the AP?: no
8. An older adult client who is on fall precautions is found lying on the floor of
his hospital room. Which of the following actions is most appropriate for the
nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance: C. Inspect the client
for injuries
9. An RN on a med-surg unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client: A
10. A nurse is caring for an older adult client who has left the unit for a
radiology procedure. The client's son asks the nurse what med is being given
to the client. Which of the following is an appropriate response by the nurse?
A. "I am sorry, but that is information you will need to ask your mother or her
doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam
, Leadership ATI Proctored Focus
(Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before discharge."-
: A.
11. A nurse works in a mental health facility that uses a case management
nursing model to provide care. The nurse should recognize that which of the
following describes a case management approach to care?
A. A nurse provides total care for several clients
B. Collaboration between disciplines creates a multidisciplinary care plan for
each client.
C. The focus of care is on detecting disorders at an early stage.
D. The team leader assigns care for a group of clients: B
12. A nurse overhears a client talking with an attorney, reporting physical
abuse, use of restraints & denial of meals. What action should the nurse take?
A. Report the conversation to the nurse manager to allow for follow-up inves-
tigation.
B. Question the client about the allegations to identify staff who were allegedly
involved.
C. Ignore the conversation unless the client brings it to the attention of the
nurse.
D. Recognize this as a privileged communication that cannot be discussed
w/anyone.: A
13. A nurse manager is planning a department meeting to discuss client advo-
cacy. Which of the following situations should be included in the discussion?
Select all that apply.
A. Discussing treatment options w/a client who was pancreatic cancer
B. Notifying the surgeon when a client signing a surgical consent form has
questions about the procedure
C. Helping a client make a list of questions she would like to ask the provider
D. Clarifying the dosage of a med prescribed for an older adult client who has
impaired liver function
E. Carrying out end-of-life wishes outlined in the living will of an older adult: B,
C, D, E
