LEADERSHIP ATI EXAM QUESTIONS WITH COMPLETE
SOLUTIONS ANSWERED CORRECTLY GRADED A+
A nurse on a med-surge unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in the
right foot
C. A client who has type 1 diabetes and needs the first dressing change for an
ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F
B. A client who has peripheral vascular disease and has an absent pulse in the right
foot
Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to a CNA?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room
6122'
B. "Check the urinary output at 1100 for John Doe and report it to me
immediately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels are
significant"
B
A client on a general surgical unit tells a nurse that staff members are not
answering the call light properly. The client requests to be transferred to another
unit. Which of the following actions should the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
,C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations
D
A nurse is caring for a client who is recovering from a stroke. The provider
recommends an extracranial-intracranial bypass, but the client tells the nurse that
he will not have the surgery. Which of the following actions should the nurse
take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses the
surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options
C
A charge nurse is supervising the care of several clients. Which of the following
actions requires intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
B. A CNA documents a client's vitals on the client's paper-based graphic record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records that were
requested
A
A nurse is receiving report from the CNA assigned to the nurse's group of clients.
Which of the following statements from the CNA indicates the client the nurse
should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling
constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of 0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports inability
to void"
D. "The client who is scheduled for discharge today states they are ready to sign
their paperwork"
, C
A nurse manager is planning an in-service for a group of nurses about caring for
clients following stem cell transplants. Which of the following instructions should
the nurse manager include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms
D
A nurse is developing a plan of care for a school-age child whose family is
homeless. Which of the following findings should the nurse identify as the
priority?
A. The child has red fissures at the corners of their mouth
B. The child has several small bruises on both legs
C. The child sleeps for about 13 hours each night
D. The child is not regularly attending school
A
A charge nurse recognizes a trend of poor attendance at monthly staff meetings.
To address this issue, which of the following actions should the charge nurse
take first?
A. Write a memo 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
C
A nurse walks into the nurse's station and sees several staff members are looking
at the EHR for a celebrity client on another unit. Which of the following actions
should the nurse take first?
A. Remind the staff members that this is a breach of confidentiality
B. Discuss the issue with the nurse manager
C. Request that an administrative restriction be placed on the client's record
SOLUTIONS ANSWERED CORRECTLY GRADED A+
A nurse on a med-surge unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in the
right foot
C. A client who has type 1 diabetes and needs the first dressing change for an
ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F
B. A client who has peripheral vascular disease and has an absent pulse in the right
foot
Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to a CNA?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room
6122'
B. "Check the urinary output at 1100 for John Doe and report it to me
immediately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels are
significant"
B
A client on a general surgical unit tells a nurse that staff members are not
answering the call light properly. The client requests to be transferred to another
unit. Which of the following actions should the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
,C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations
D
A nurse is caring for a client who is recovering from a stroke. The provider
recommends an extracranial-intracranial bypass, but the client tells the nurse that
he will not have the surgery. Which of the following actions should the nurse
take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses the
surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options
C
A charge nurse is supervising the care of several clients. Which of the following
actions requires intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
B. A CNA documents a client's vitals on the client's paper-based graphic record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records that were
requested
A
A nurse is receiving report from the CNA assigned to the nurse's group of clients.
Which of the following statements from the CNA indicates the client the nurse
should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling
constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of 0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports inability
to void"
D. "The client who is scheduled for discharge today states they are ready to sign
their paperwork"
, C
A nurse manager is planning an in-service for a group of nurses about caring for
clients following stem cell transplants. Which of the following instructions should
the nurse manager include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms
D
A nurse is developing a plan of care for a school-age child whose family is
homeless. Which of the following findings should the nurse identify as the
priority?
A. The child has red fissures at the corners of their mouth
B. The child has several small bruises on both legs
C. The child sleeps for about 13 hours each night
D. The child is not regularly attending school
A
A charge nurse recognizes a trend of poor attendance at monthly staff meetings.
To address this issue, which of the following actions should the charge nurse
take first?
A. Write a memo 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
C
A nurse walks into the nurse's station and sees several staff members are looking
at the EHR for a celebrity client on another unit. Which of the following actions
should the nurse take first?
A. Remind the staff members that this is a breach of confidentiality
B. Discuss the issue with the nurse manager
C. Request that an administrative restriction be placed on the client's record
