ATI LEADERSHIP PRACTICE EXAM QUESTIONS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A+
Nurse is reviewing the process of medication reconciliation with a newly licensed
nurse. The nurse should include?
The purpose of medication reconciliation is to prevent adverse medication reactions.
Caring for a client who falls in his room. Nurse assesses the client, notifies
provider, and completes incident report, which action should the nurse take
next?
Submit the incident report to the risk manager.
Following a tornado, a nurse is determining which of the clients assigned to her
care can be discharged to free up beds for injured clients. Which client should be
recommended for discharge?
A young adult client who has Crohn's disease and is 1 day preoperative for an
ileostomy.
AP comes to work with a new set of artificial nails. The nurse takes the AP to a
private location to discuss the issue. Which of the following is appropriate?
There is a higher risk of infection for our clients associated with artificial nails.
Nurse has several tasks to delegate to an assistive personnel. Which of the
following tasks should the nurse ask the AP to perform first?
Take an arterial blood gas specimen to the laboratory.
Nurse manager is reviewing the admission history of four adults who were
admitted to the med/surg unit during the shift. which situation is the nurse
required to disclose information to an outside agency about the client &
circumstances?
A dependent adult admitted for the treatment of a spiral fracture.
An AP tells the manager that she observed a nurse on the unit removing
morphine from syringes prior to administering the medication to clients. Which
action should the manager take first?
,Gather data about the nurse's work performance and attendance history.
Client with severe head injury and is declared brain dead. Transplant coordinator
has spoken to family about organ donation. Client's spouse is confused and
doesn't know what to do. What is the appropriate response?
What do you think your spouse would have wanted ?
Which lab finding requires follow up?
BUN 15 mg/dL
Platelet count 60,000/mm3
WBC 6,000/mm3
Hemoglobin 14 g/dL
Platelet count 60,000/mm3
Older client with terminal illness and ventilator dependent. Client is A&O and
wants to discontinue ventilator. Continued treatment against the client's wishes
is a violation of?
Veracity
Autonomy
Fidelity
Justice
Autonomy
Nurse prepares a soap suds enema to a client with constipation. Nurse explains
procedure and client states "Doctor didn't tell me I was supposed to receive an
enema." Which of the following nursing actions is appropriate at this time?
Check the client's medical record for the providers prescription.
Manager is reviewing Good Samaritan laws with a group of newly licensed
nurses. Which statement is appropriate?
"If you render aid in an accident, do not leave the scene until another competent person
can take over."
Nurse overhears two APs from med/surg discussing a client in the cafeteria.
Which of the following is the priority nursing action?
Quietly tell the APs that this is not appropriate.
, Nurse demonstrates adherence to the ethical principle of fidelity by doing which
of the following?
Keeping an appointment with a client.
Nurse suspects that a coworker is diverting opioid analgesics. Which is the
adverse effect of opioid medications?
Euphoria
Rhinorrhea
Hallucinations
Dilated pupils
Euphoria
A coworker puts an arm around a nurse and says "I bet you are a great lover."
Which of the following is an appropriate response by the nurse?
"Speaking to me like that makes me uncomfortable."
Caring for clients at urgent care. Which should be seen immediately?
A middle adult male who is diaphoretic and reports epigastric pain.
(Manifestations of acute MI)
Client in ER with compression fracture of spinal vertebra. Client given IV
morphine in transport. Neuro determined urgent surgery needed. Staff is unable
to reach family. Which action should the nurse anticipate neurosurgeon taking?
Invoking implied consent.
Caring for a client scheduled for surgery. What is the nurse role in regards to
informed consent?
Determining the client's level of understanding about the procedure.
Caring for a client with advanced lung cancer. Provider recommends hospice.
Which statement indicates a correct understanding of hospice care?
I should expect the hospice team to help me manage my dyspnea.
A volunteer assigned to the peds unit reports to the charge nurse for an
assignment. Which assignment is unsafe for the volunteer?
Transporting a school age client who is in traction to another department.
COMPLETE SOLUTIONS VERIFIED GRADED A+
Nurse is reviewing the process of medication reconciliation with a newly licensed
nurse. The nurse should include?
The purpose of medication reconciliation is to prevent adverse medication reactions.
Caring for a client who falls in his room. Nurse assesses the client, notifies
provider, and completes incident report, which action should the nurse take
next?
Submit the incident report to the risk manager.
Following a tornado, a nurse is determining which of the clients assigned to her
care can be discharged to free up beds for injured clients. Which client should be
recommended for discharge?
A young adult client who has Crohn's disease and is 1 day preoperative for an
ileostomy.
AP comes to work with a new set of artificial nails. The nurse takes the AP to a
private location to discuss the issue. Which of the following is appropriate?
There is a higher risk of infection for our clients associated with artificial nails.
Nurse has several tasks to delegate to an assistive personnel. Which of the
following tasks should the nurse ask the AP to perform first?
Take an arterial blood gas specimen to the laboratory.
Nurse manager is reviewing the admission history of four adults who were
admitted to the med/surg unit during the shift. which situation is the nurse
required to disclose information to an outside agency about the client &
circumstances?
A dependent adult admitted for the treatment of a spiral fracture.
An AP tells the manager that she observed a nurse on the unit removing
morphine from syringes prior to administering the medication to clients. Which
action should the manager take first?
,Gather data about the nurse's work performance and attendance history.
Client with severe head injury and is declared brain dead. Transplant coordinator
has spoken to family about organ donation. Client's spouse is confused and
doesn't know what to do. What is the appropriate response?
What do you think your spouse would have wanted ?
Which lab finding requires follow up?
BUN 15 mg/dL
Platelet count 60,000/mm3
WBC 6,000/mm3
Hemoglobin 14 g/dL
Platelet count 60,000/mm3
Older client with terminal illness and ventilator dependent. Client is A&O and
wants to discontinue ventilator. Continued treatment against the client's wishes
is a violation of?
Veracity
Autonomy
Fidelity
Justice
Autonomy
Nurse prepares a soap suds enema to a client with constipation. Nurse explains
procedure and client states "Doctor didn't tell me I was supposed to receive an
enema." Which of the following nursing actions is appropriate at this time?
Check the client's medical record for the providers prescription.
Manager is reviewing Good Samaritan laws with a group of newly licensed
nurses. Which statement is appropriate?
"If you render aid in an accident, do not leave the scene until another competent person
can take over."
Nurse overhears two APs from med/surg discussing a client in the cafeteria.
Which of the following is the priority nursing action?
Quietly tell the APs that this is not appropriate.
, Nurse demonstrates adherence to the ethical principle of fidelity by doing which
of the following?
Keeping an appointment with a client.
Nurse suspects that a coworker is diverting opioid analgesics. Which is the
adverse effect of opioid medications?
Euphoria
Rhinorrhea
Hallucinations
Dilated pupils
Euphoria
A coworker puts an arm around a nurse and says "I bet you are a great lover."
Which of the following is an appropriate response by the nurse?
"Speaking to me like that makes me uncomfortable."
Caring for clients at urgent care. Which should be seen immediately?
A middle adult male who is diaphoretic and reports epigastric pain.
(Manifestations of acute MI)
Client in ER with compression fracture of spinal vertebra. Client given IV
morphine in transport. Neuro determined urgent surgery needed. Staff is unable
to reach family. Which action should the nurse anticipate neurosurgeon taking?
Invoking implied consent.
Caring for a client scheduled for surgery. What is the nurse role in regards to
informed consent?
Determining the client's level of understanding about the procedure.
Caring for a client with advanced lung cancer. Provider recommends hospice.
Which statement indicates a correct understanding of hospice care?
I should expect the hospice team to help me manage my dyspnea.
A volunteer assigned to the peds unit reports to the charge nurse for an
assignment. Which assignment is unsafe for the volunteer?
Transporting a school age client who is in traction to another department.
