ATI Leadership RN 2022|ALL ANSWERED | 100% CORRECT
A case manager is planning interprofessional conference for a client who is three days postop following
ORIF of right hip. Which of the following concerns is the priority for discussion at the conference?
A. Client does not have transportation for DC home
B. Client refuses to attend PT sessions
C. Clients home health nurse has not completed the home assessment
D. Client describes feelings of depression after family visits - ansB. Client refuses to attend PT sessions.
The greatest risk to this client is postoperative complications due to immobility, such as atelectasis or
pneumonia
A charge nurse is leading a committee that is revising the policy for client discharge. After developing the
initial plan, which of the following actions should the nurse take next?
A. Set target dates for completion
B. Identify areas of support
C. Determine goals and objectives
D. Implement recommended strategies - ansC. Determine goals and objectives
A charge nurse is observing a newly licensed nurse who is caring for a client who has pulmonary
tuberculosis. The charge nurse should expect the newly licensed nurse to take which of the following
actions?
Place the client on droplet precautions.
Place the client in a room with positive-pressure airflow.
Wear a surgical mask when taking the client out of the room.
Wear an N95 respirator mask when in the client's room. - answhere an N 95 respirator mask when in the
clients room
A charge nurse is observing a newly licensed nurses use of time management skills. Which of the
following actions by the newly licensed nurse indicates effective use of the skill?
A. Documents client tasks at end of shift
B. Gather supplies as needed while completing activity
C. Groups tasks that are in same location
D. Skips breaks throughout the day to complete work on time - ansC. Groups tasks that are in same
location
The newly licensed nurse should group tasks that are in the same location to effectively use time. This
prevents the nurse from going back and forth from one area to another. This action promotes effective
time-management skills.
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment.
Which of the following action should the charge nurse expect the newly licensed nurse to take?
Place the client in a dorsal recumbent position for the examination.
Auscultate for vascular bruits with the diaphragm of the stethoscope.
Begin the assessment by using light palpation over the abdomen.
Ensure that the client has a full bladder before beginning the procedure. - ansPlace the client in a dorsal
recumbent position for the exam or supine position and ensure that the client relaxes her abdominal
muscles
A charge nurse is supervising the care of several clients. Which of the following actions requires
intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were requested - ansA. Nurse
photocopying their assigned clients diagnostic test results
,ATI Leadership RN 2022|ALL ANSWERED | 100% CORRECT
A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the
following behavior should the charge nurse identify as an indication that the staff nurse might be working
while impaired?
Spends free time conversing with other staff at the nurses' station
Frequent use of restroom
Asks other nurses to administer pain medication for their clients
Delegates tasks to assistive personnel - ansFrequent use of restroom
Frequent use of the restroom can indicate that the nurse might be working while impaired. Other
indications can include frequent errors, mood swings, inability to focus, and excessive wasting of
controlled substances.
A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue,
which of the following actions should the nurse charge nurse take first?
A. Write a memorandum emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend - ansC. Explore the reasons the staff
are not attending the meetings
A client is considering having a tubal ligation and reports being uncertain about if it is the right thing to do.
Which of the following actions should the nurse take?
Provide information about alternate birth control methods.
Ask if the client has discussed the decision with their partner.
Emphasize the benefits of having the procedure.
Discuss the client's feelings about the procedure. - ansDiscuss the clients feelings about the procedure
A client on a general surgical unit tells the nurse that staff members are not answering the call light
promptly. The client request to be transferred to another unit. Which of the following actions should the
nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely manner
D. Ask client to verbalize their expectations - ansD. Ask client to verbalize their expectations
A client who has back pain presented to the ER and is provided a prescription for oxycodone. A staff
nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress.
Which of the following responses should the charge nurse make? - ansClients are the experts on their
own pain
A home health nurse is planning her daily visits and receives lab results for four clients. The nurse should
first visit the client who has which of the following lab values?
Digoxin 1.0 ng/mL
WBC 6,000/mm3
Platelets 100,000/mm3
Serum potassium 4.0 mEq/L - ansPlatelets 100,000
A hospice nurse is planning care for a client who does not have advance directives. Which of the
following intervention should the nurse include in the plan of care - ansProvide the client with information
about advance directives
A nurse asks a newly hired a P to remove a clients indwelling urinary catheter. Which of the following
actions should the nurse take to ensure the AP is qualified to perform this task
,ATI Leadership RN 2022|ALL ANSWERED | 100% CORRECT
Show the AP how to remove an indwelling urinary catheter.
Review the AP's skill competency checklist.
Ask the AP if they know how to remove an indwelling urinary catheter.
Pair the newly hired AP with an experienced AP. - ansReview the AP skill competency checklist
A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic
experience. Which of the following client should be assigned to the medical nurse?
A client who is in balanced skeletal traction
A client who had a total hip arthroplasty 3 days ago
A client who has a fractured femur with a new cast
A client who had a right above-the-knee amputation 24 hr ago - ansClient you had a right above the knee
amputation 24 hours ago
-- A nurse from a medical unit can care for this client because the surgical dressing is usually left in place
for 48 to 72 hr, so the residual limb does not require special care at this time.
A nurse in ER is admitting client following earthquake. Emergency disaster plan has been implemented
due to the anticipated arrival of a large number of casualties. Which of the following clients are the nurse
recommend the provider evaluate first?
A client who has a penetrating head injury and respiratory rate of 4/min
A client who has a comminuted fracture of the femur
A client who has a 15.2-cm (6-in) laceration to the scalp with clotted blood visible
A client who has a sucking chest wound - ansThe client who has a sucking chest wound;
A nurse is assigning care for for clients. Which of the following task for the Nurse plan to tailgate to AP? -
ansDetermine the client intake and output
A nurse is caring for a 19-year-old client who has just been informed that her cancer has metastasized.
The client tells the nurse that they do not want to continue chemotherapy. Which of the following
responses should the nurse make?
"I will have the provider discuss treatment options with your parents."
"I will gather information about palliative care for you."
"I will contact your spiritual advisor to discuss this decision with you."
"I will contact your parents about becoming your designees in your durable power of attorney." - ansI will
gather information about palliative care for you
A nurse is caring for a client who has a terminal illness and voice his concern about performing self-care
after discharge. Which of the following statement should the nurse me
"A social worker will address your concerns after discharge."
"You should plan to go to a skilled nursing facility after discharge."
"Your case manager will coordinate the resources you will need."
"You will need hospice care until you feel stronger." - ansYour case manager will coordinate the
resources you will need
A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning their clothes. The nurse
should recommend a referral for the client to which of the following members of the inter-professional
team?
A. Podiatrist
B. Social worker
C. Para medical technologist
D. Occupational therapist - ansD. Occupational therapist
, ATI Leadership RN 2022|ALL ANSWERED | 100% CORRECT
The nurse should recommend a referral to an occupational therapist for a client who has osteoarthritis
and reports difficulty with ADLs, such as buttoning clothing. Occupational therapy can assist the client
with exercises to help the client complete these tasks.
A podiatrist specializes in the care of clients who have conditions involving the feet and ankles.
A social worker specializes in counseling and care of clients who have concerns related to psychosocial
needs, such as financial or domestic issues.
A paramedical technologist specializes in the performance of medical procedures such as phlebotomy or
ECG monitoring.
A nurse is caring for a client who is comatose. The client has a LivingWell that declines the use of artificial
enteral nutrition as a life sustaining measure, but the clients family has requested that staff begin to
feedings. Which of the following actions should the nurse take?
Insert the tube and begin feedings per the family's request.
Ask the provider to discuss the issue with the family.
Report the dilemma to the facility's dietitian.
Review the client's request with the family. - ansReview the clients request with the family
The client's living will states that artificial enteral feedings should not be allowed, and the nurse should
review the client's request with the family. Staff members should use the client's living will as the guide for
treatment unless a durable power of attorney for health care has been created.
A nurse is caring for a client who is recovering from a stroke. The provider recommends extracranial
intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following
action should the nurse take?
A. Informed the client of consequences of decreased cerebral circulation
B. Initiate mental health consult to determine why client refuses surgery
C. Discussed clients concerns about having the surgery
D. Provide client with information on additional treatment options - ansC. Discuss clients concerns about
having the surgery
A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions
should the nurse take to verify the client gave informed consent?
Verify that the client understands the risks of the surgery.
Ask the client to explain the procedure that is being performed.
Answer the client's questions about the outcomes of the surgery.
Determine if the client understands the benefits of the procedure. - ansAsk the client to explain the
procedure that is being performed
A nurse is caring for a client who is terminally ill and receiving nutritional support. The clients adult
children disagree about continuing nutritional support. The dilemma is referred to the ethics committee.
Which of the following actions should the nurse expect the committee to take? - ansAssist in weighing the
options involved in the decision.
Ethics committees are members of the interprofessional team who assist with problem solving related to
ethical dilemmas. The ethics committee examines all of the facts and provides support for the clients and
caregivers.
A nurse is caring for a client who is three days postop following open heart surgery and will be transferred
to the medical surgical unit. Which of the following information to the should the nurse include in the
verbal report?
A case manager is planning interprofessional conference for a client who is three days postop following
ORIF of right hip. Which of the following concerns is the priority for discussion at the conference?
A. Client does not have transportation for DC home
B. Client refuses to attend PT sessions
C. Clients home health nurse has not completed the home assessment
D. Client describes feelings of depression after family visits - ansB. Client refuses to attend PT sessions.
The greatest risk to this client is postoperative complications due to immobility, such as atelectasis or
pneumonia
A charge nurse is leading a committee that is revising the policy for client discharge. After developing the
initial plan, which of the following actions should the nurse take next?
A. Set target dates for completion
B. Identify areas of support
C. Determine goals and objectives
D. Implement recommended strategies - ansC. Determine goals and objectives
A charge nurse is observing a newly licensed nurse who is caring for a client who has pulmonary
tuberculosis. The charge nurse should expect the newly licensed nurse to take which of the following
actions?
Place the client on droplet precautions.
Place the client in a room with positive-pressure airflow.
Wear a surgical mask when taking the client out of the room.
Wear an N95 respirator mask when in the client's room. - answhere an N 95 respirator mask when in the
clients room
A charge nurse is observing a newly licensed nurses use of time management skills. Which of the
following actions by the newly licensed nurse indicates effective use of the skill?
A. Documents client tasks at end of shift
B. Gather supplies as needed while completing activity
C. Groups tasks that are in same location
D. Skips breaks throughout the day to complete work on time - ansC. Groups tasks that are in same
location
The newly licensed nurse should group tasks that are in the same location to effectively use time. This
prevents the nurse from going back and forth from one area to another. This action promotes effective
time-management skills.
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment.
Which of the following action should the charge nurse expect the newly licensed nurse to take?
Place the client in a dorsal recumbent position for the examination.
Auscultate for vascular bruits with the diaphragm of the stethoscope.
Begin the assessment by using light palpation over the abdomen.
Ensure that the client has a full bladder before beginning the procedure. - ansPlace the client in a dorsal
recumbent position for the exam or supine position and ensure that the client relaxes her abdominal
muscles
A charge nurse is supervising the care of several clients. Which of the following actions requires
intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were requested - ansA. Nurse
photocopying their assigned clients diagnostic test results
,ATI Leadership RN 2022|ALL ANSWERED | 100% CORRECT
A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the
following behavior should the charge nurse identify as an indication that the staff nurse might be working
while impaired?
Spends free time conversing with other staff at the nurses' station
Frequent use of restroom
Asks other nurses to administer pain medication for their clients
Delegates tasks to assistive personnel - ansFrequent use of restroom
Frequent use of the restroom can indicate that the nurse might be working while impaired. Other
indications can include frequent errors, mood swings, inability to focus, and excessive wasting of
controlled substances.
A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue,
which of the following actions should the nurse charge nurse take first?
A. Write a memorandum emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend - ansC. Explore the reasons the staff
are not attending the meetings
A client is considering having a tubal ligation and reports being uncertain about if it is the right thing to do.
Which of the following actions should the nurse take?
Provide information about alternate birth control methods.
Ask if the client has discussed the decision with their partner.
Emphasize the benefits of having the procedure.
Discuss the client's feelings about the procedure. - ansDiscuss the clients feelings about the procedure
A client on a general surgical unit tells the nurse that staff members are not answering the call light
promptly. The client request to be transferred to another unit. Which of the following actions should the
nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely manner
D. Ask client to verbalize their expectations - ansD. Ask client to verbalize their expectations
A client who has back pain presented to the ER and is provided a prescription for oxycodone. A staff
nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress.
Which of the following responses should the charge nurse make? - ansClients are the experts on their
own pain
A home health nurse is planning her daily visits and receives lab results for four clients. The nurse should
first visit the client who has which of the following lab values?
Digoxin 1.0 ng/mL
WBC 6,000/mm3
Platelets 100,000/mm3
Serum potassium 4.0 mEq/L - ansPlatelets 100,000
A hospice nurse is planning care for a client who does not have advance directives. Which of the
following intervention should the nurse include in the plan of care - ansProvide the client with information
about advance directives
A nurse asks a newly hired a P to remove a clients indwelling urinary catheter. Which of the following
actions should the nurse take to ensure the AP is qualified to perform this task
,ATI Leadership RN 2022|ALL ANSWERED | 100% CORRECT
Show the AP how to remove an indwelling urinary catheter.
Review the AP's skill competency checklist.
Ask the AP if they know how to remove an indwelling urinary catheter.
Pair the newly hired AP with an experienced AP. - ansReview the AP skill competency checklist
A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic
experience. Which of the following client should be assigned to the medical nurse?
A client who is in balanced skeletal traction
A client who had a total hip arthroplasty 3 days ago
A client who has a fractured femur with a new cast
A client who had a right above-the-knee amputation 24 hr ago - ansClient you had a right above the knee
amputation 24 hours ago
-- A nurse from a medical unit can care for this client because the surgical dressing is usually left in place
for 48 to 72 hr, so the residual limb does not require special care at this time.
A nurse in ER is admitting client following earthquake. Emergency disaster plan has been implemented
due to the anticipated arrival of a large number of casualties. Which of the following clients are the nurse
recommend the provider evaluate first?
A client who has a penetrating head injury and respiratory rate of 4/min
A client who has a comminuted fracture of the femur
A client who has a 15.2-cm (6-in) laceration to the scalp with clotted blood visible
A client who has a sucking chest wound - ansThe client who has a sucking chest wound;
A nurse is assigning care for for clients. Which of the following task for the Nurse plan to tailgate to AP? -
ansDetermine the client intake and output
A nurse is caring for a 19-year-old client who has just been informed that her cancer has metastasized.
The client tells the nurse that they do not want to continue chemotherapy. Which of the following
responses should the nurse make?
"I will have the provider discuss treatment options with your parents."
"I will gather information about palliative care for you."
"I will contact your spiritual advisor to discuss this decision with you."
"I will contact your parents about becoming your designees in your durable power of attorney." - ansI will
gather information about palliative care for you
A nurse is caring for a client who has a terminal illness and voice his concern about performing self-care
after discharge. Which of the following statement should the nurse me
"A social worker will address your concerns after discharge."
"You should plan to go to a skilled nursing facility after discharge."
"Your case manager will coordinate the resources you will need."
"You will need hospice care until you feel stronger." - ansYour case manager will coordinate the
resources you will need
A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning their clothes. The nurse
should recommend a referral for the client to which of the following members of the inter-professional
team?
A. Podiatrist
B. Social worker
C. Para medical technologist
D. Occupational therapist - ansD. Occupational therapist
, ATI Leadership RN 2022|ALL ANSWERED | 100% CORRECT
The nurse should recommend a referral to an occupational therapist for a client who has osteoarthritis
and reports difficulty with ADLs, such as buttoning clothing. Occupational therapy can assist the client
with exercises to help the client complete these tasks.
A podiatrist specializes in the care of clients who have conditions involving the feet and ankles.
A social worker specializes in counseling and care of clients who have concerns related to psychosocial
needs, such as financial or domestic issues.
A paramedical technologist specializes in the performance of medical procedures such as phlebotomy or
ECG monitoring.
A nurse is caring for a client who is comatose. The client has a LivingWell that declines the use of artificial
enteral nutrition as a life sustaining measure, but the clients family has requested that staff begin to
feedings. Which of the following actions should the nurse take?
Insert the tube and begin feedings per the family's request.
Ask the provider to discuss the issue with the family.
Report the dilemma to the facility's dietitian.
Review the client's request with the family. - ansReview the clients request with the family
The client's living will states that artificial enteral feedings should not be allowed, and the nurse should
review the client's request with the family. Staff members should use the client's living will as the guide for
treatment unless a durable power of attorney for health care has been created.
A nurse is caring for a client who is recovering from a stroke. The provider recommends extracranial
intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following
action should the nurse take?
A. Informed the client of consequences of decreased cerebral circulation
B. Initiate mental health consult to determine why client refuses surgery
C. Discussed clients concerns about having the surgery
D. Provide client with information on additional treatment options - ansC. Discuss clients concerns about
having the surgery
A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions
should the nurse take to verify the client gave informed consent?
Verify that the client understands the risks of the surgery.
Ask the client to explain the procedure that is being performed.
Answer the client's questions about the outcomes of the surgery.
Determine if the client understands the benefits of the procedure. - ansAsk the client to explain the
procedure that is being performed
A nurse is caring for a client who is terminally ill and receiving nutritional support. The clients adult
children disagree about continuing nutritional support. The dilemma is referred to the ethics committee.
Which of the following actions should the nurse expect the committee to take? - ansAssist in weighing the
options involved in the decision.
Ethics committees are members of the interprofessional team who assist with problem solving related to
ethical dilemmas. The ethics committee examines all of the facts and provides support for the clients and
caregivers.
A nurse is caring for a client who is three days postop following open heart surgery and will be transferred
to the medical surgical unit. Which of the following information to the should the nurse include in the
verbal report?
