ATI LEADERSHIP PROCTORED ACTUAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
32. A nurse is preparing to discharge a client from an acute care facility to home.
Which of the following information should the nurse plan to include in the client's
discharge documentation?
o Laboratory test results
o Reconciled medications
o Do-not-resucitate status
o Acuity level of client care
Reconciled medication
50. A charge nurse notices that two staff nurses are not taking meal breaks
during their shifts. Which of the following actions should the nurse take first?
• Determine the reasons the nurses are not taking scheduled breaks.
• Discuss time management strategies with the nurses.
• Provide coverage for the nurses' breaks.
• Review facility policies for taking scheduled breaks.
Determine the reasons the nurses are not taking scheduled breaks.
2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1 action that
the nurse manager should take first.
o Schedule a meeting with the employee to address the occurrence within 24
hr.term-49
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use will not
be tolerated.
Remove the employee from the work environment.
,3. A nurse is triaging a group of clients as they arrive simultaneously in the
emergency department following a nearby bus crash.
Which of the following clients should the nurse transfer to the three available
trauma rooms? Select the 3 clients to transfer for immediate treatment.
Client 4,5,6
4. A charge nurse on a mental health unit is receiving change of shift report for a
group of clients. The charge nurse is working with an RN and PN and assistive
personnel (API from 0700 to 1900 and is reviewing client care: assignments.
Complete the following sentence by using the lists of options.
The charge nurse should first assess __________ due to ______________ and
___________
The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and
DELUSIONS
5. An infectious disease nurse is reviewing electronic medical records on a group
of clients.
Select 4 clients whose diagnosis should be reported to the health department.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis)
Clients 1, 2, 4, 6
6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker
, Hospice care, Respite care, Social worker
7. A nurse is caring for a client and notices fraying on the electrical cord of the
client's IV pump. Which of the following actions is the priority for the nurse to
take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room
Remove the IV pump from the client's room.
8. A nurse is observing a newly licensed nurse prepare a medication from an
ampule for a client's injection. For which of the following actions by the newly
licensed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration.
Withdraws the medication from the ampule using a subcutaneous needle.
9. A nurse manager observes an assistive personal (AP) incorrectly transferring a
client to the bedside commode. Which of the following actions should the nurse
take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual.
Help the AP assist the client with the transfer.
10. A nurse is participating in the development of a disaster management plan for
a hospital. The nurse should recognize that which of the following resources is
the highest priority to have available in response to a bioterrorism event?
o A sufficient supply of personal protective equipment
o A system for tracking client information
ANSWERS WITH COMPLETE SOLUTIONS
32. A nurse is preparing to discharge a client from an acute care facility to home.
Which of the following information should the nurse plan to include in the client's
discharge documentation?
o Laboratory test results
o Reconciled medications
o Do-not-resucitate status
o Acuity level of client care
Reconciled medication
50. A charge nurse notices that two staff nurses are not taking meal breaks
during their shifts. Which of the following actions should the nurse take first?
• Determine the reasons the nurses are not taking scheduled breaks.
• Discuss time management strategies with the nurses.
• Provide coverage for the nurses' breaks.
• Review facility policies for taking scheduled breaks.
Determine the reasons the nurses are not taking scheduled breaks.
2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1 action that
the nurse manager should take first.
o Schedule a meeting with the employee to address the occurrence within 24
hr.term-49
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use will not
be tolerated.
Remove the employee from the work environment.
,3. A nurse is triaging a group of clients as they arrive simultaneously in the
emergency department following a nearby bus crash.
Which of the following clients should the nurse transfer to the three available
trauma rooms? Select the 3 clients to transfer for immediate treatment.
Client 4,5,6
4. A charge nurse on a mental health unit is receiving change of shift report for a
group of clients. The charge nurse is working with an RN and PN and assistive
personnel (API from 0700 to 1900 and is reviewing client care: assignments.
Complete the following sentence by using the lists of options.
The charge nurse should first assess __________ due to ______________ and
___________
The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and
DELUSIONS
5. An infectious disease nurse is reviewing electronic medical records on a group
of clients.
Select 4 clients whose diagnosis should be reported to the health department.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis)
Clients 1, 2, 4, 6
6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker
, Hospice care, Respite care, Social worker
7. A nurse is caring for a client and notices fraying on the electrical cord of the
client's IV pump. Which of the following actions is the priority for the nurse to
take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room
Remove the IV pump from the client's room.
8. A nurse is observing a newly licensed nurse prepare a medication from an
ampule for a client's injection. For which of the following actions by the newly
licensed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration.
Withdraws the medication from the ampule using a subcutaneous needle.
9. A nurse manager observes an assistive personal (AP) incorrectly transferring a
client to the bedside commode. Which of the following actions should the nurse
take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual.
Help the AP assist the client with the transfer.
10. A nurse is participating in the development of a disaster management plan for
a hospital. The nurse should recognize that which of the following resources is
the highest priority to have available in response to a bioterrorism event?
o A sufficient supply of personal protective equipment
o A system for tracking client information
