ATI RN LEADERSHIP EXAM 2019RETAKE || 30
LEADERSHIP
QUESTIONS || ALREADY GRADED A+
A patient is brought to the emergency department following a motor- vehicle crash
Drug use is suspected in the crash, and a voided urine specimen is ordered. The pa
repeatedly refuses to provide the specimen. Which of the following is the appropri
action by the nurse?
• Tell the patient that a catheter will be inserted.
• Document the patient's refusal in the chart.
• Assess the patient for urinary retention.
• Obtain a provider's prescription for a blood alcohol level. -ANSWER- b.
Document the patient's refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse?
• Pick up the meal trays after lunch.
• Administer a nasogastric tube feeding.
• Plan break times for assistive personnel.
• Determine adequacy of ventilator settings. - ANSWER- b. Administera
nasogastric tube feeding.
,A nurse preceptor is evaluating a newly licensed nurse's competency inassisting w
sterile procedure.Which of the following actions indicates the newly licensed nurs
maintaining sterile technique? (SATA)
• Places sterile items within a 1.25 cm (0.5 in) border around the edgesof the s
field
• Opens the sterile pack by first unfolding the top flap away from herbody
• Prepares a container of sterile solution on the field after putting onsterile glo
• Removes the outside packaging of a sterile instrument before dropping it ont
the sterile field e. Holds the sterile solution bottle withthe label facing up - ANSW
b,c
A nurse enters a patient's room and identifies that the patient is receiving too much
fluid because the IV pump is not working properly. Whichof the following actions
should the nurse take first?
• Auscultate the patient's lungs.
• Notify the provider.
• Place a faulty equipment tag on the pump.
• Complete an incident report. - ANSWER- a. Auscultate the patient'slungs.
A nurse is planning care for a group of patients and can delegate care to alicensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks sho
the nurse assign to the LPN?
,• Reinforcing teaching with a patient who is learning to self-administerinsulin
• Ambulating a patient who is scheduled for discharge later in the day
• Administering morphine IV bolus to a patient who is hr postoperative
• Admitting a new patient who has chronic back pain to the unit - ANSWER-
Reinforcing teaching with a patient who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgicalasepsis. A
donning a sterile gown and gloves, which of the following actions by the newly
licensed nurse demonstrates correct aseptic technique?
• The nurse applies goggles.
• The nurse turns her back to the sterile field.
• The nurse holds her hands above her waist.
• The nurse puts on a face mask. - ANSWER- c. The nurse holds herhands abo
her waist.
A nurse who is caring for a group of patients delegates collection of vitalsigns to a
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task?
• Review vital sign trends at the end of the shift.
• Recheck vital signs that are outside the expected reference range
.c. Ask the AP to write a summary of the delegated tasks during the shift.
, d. Compare the vital signs the AP obtained with those taken by anotherAP on a
previous shift. - ANSWER- b. Recheck vital signs that are outside the expected
reference range
A nurse is caring for four patients. Which of the following tasks can bedelegated to
assistive personnel?
• Obtaining a stool sample from a patient who has renal failure
• Monitoring a patient who has a fluid restriction
• Assessing a patient who just returned from hemodialysis
• Reviewing dietary instructions for a patient who has kidney stones -ANSWE
a. Obtaining a stool sample from a patient who has renal failure
A nurse is triaging a group of patients following a disaster. Which of thefollowing
patients should the nurse recommend for treatment first?
• A patient who has a neck injury and is unable to breathe spontaneously
• A patient who has two open chest wounds with a left tracheal deviation
• A patient who has major burns over 75% of her body surface area
• A patient who has bipolar disorder and is exhibiting signs of hallucination (C
3) - ANSWER- b. A patient who has two open chestwounds with a left tracheal
deviation
LEADERSHIP
QUESTIONS || ALREADY GRADED A+
A patient is brought to the emergency department following a motor- vehicle crash
Drug use is suspected in the crash, and a voided urine specimen is ordered. The pa
repeatedly refuses to provide the specimen. Which of the following is the appropri
action by the nurse?
• Tell the patient that a catheter will be inserted.
• Document the patient's refusal in the chart.
• Assess the patient for urinary retention.
• Obtain a provider's prescription for a blood alcohol level. -ANSWER- b.
Document the patient's refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse?
• Pick up the meal trays after lunch.
• Administer a nasogastric tube feeding.
• Plan break times for assistive personnel.
• Determine adequacy of ventilator settings. - ANSWER- b. Administera
nasogastric tube feeding.
,A nurse preceptor is evaluating a newly licensed nurse's competency inassisting w
sterile procedure.Which of the following actions indicates the newly licensed nurs
maintaining sterile technique? (SATA)
• Places sterile items within a 1.25 cm (0.5 in) border around the edgesof the s
field
• Opens the sterile pack by first unfolding the top flap away from herbody
• Prepares a container of sterile solution on the field after putting onsterile glo
• Removes the outside packaging of a sterile instrument before dropping it ont
the sterile field e. Holds the sterile solution bottle withthe label facing up - ANSW
b,c
A nurse enters a patient's room and identifies that the patient is receiving too much
fluid because the IV pump is not working properly. Whichof the following actions
should the nurse take first?
• Auscultate the patient's lungs.
• Notify the provider.
• Place a faulty equipment tag on the pump.
• Complete an incident report. - ANSWER- a. Auscultate the patient'slungs.
A nurse is planning care for a group of patients and can delegate care to alicensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks sho
the nurse assign to the LPN?
,• Reinforcing teaching with a patient who is learning to self-administerinsulin
• Ambulating a patient who is scheduled for discharge later in the day
• Administering morphine IV bolus to a patient who is hr postoperative
• Admitting a new patient who has chronic back pain to the unit - ANSWER-
Reinforcing teaching with a patient who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgicalasepsis. A
donning a sterile gown and gloves, which of the following actions by the newly
licensed nurse demonstrates correct aseptic technique?
• The nurse applies goggles.
• The nurse turns her back to the sterile field.
• The nurse holds her hands above her waist.
• The nurse puts on a face mask. - ANSWER- c. The nurse holds herhands abo
her waist.
A nurse who is caring for a group of patients delegates collection of vitalsigns to a
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task?
• Review vital sign trends at the end of the shift.
• Recheck vital signs that are outside the expected reference range
.c. Ask the AP to write a summary of the delegated tasks during the shift.
, d. Compare the vital signs the AP obtained with those taken by anotherAP on a
previous shift. - ANSWER- b. Recheck vital signs that are outside the expected
reference range
A nurse is caring for four patients. Which of the following tasks can bedelegated to
assistive personnel?
• Obtaining a stool sample from a patient who has renal failure
• Monitoring a patient who has a fluid restriction
• Assessing a patient who just returned from hemodialysis
• Reviewing dietary instructions for a patient who has kidney stones -ANSWE
a. Obtaining a stool sample from a patient who has renal failure
A nurse is triaging a group of patients following a disaster. Which of thefollowing
patients should the nurse recommend for treatment first?
• A patient who has a neck injury and is unable to breathe spontaneously
• A patient who has two open chest wounds with a left tracheal deviation
• A patient who has major burns over 75% of her body surface area
• A patient who has bipolar disorder and is exhibiting signs of hallucination (C
3) - ANSWER- b. A patient who has two open chestwounds with a left tracheal
deviation
