ATI RN LEADERSHIP 138
QUESTIONS AND ANSWERS 2023
2024
1. A client 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 client repeatedly refuses to provide the
specimen. Which of the following is the appropriate action by the
nurse?: Document the client s refusal in the chart.
2. A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical nurse?:
Administer a nasogastric tube feeding.
3. A nurse preceptor is evaluating a newly licensed nurse s
competency in assisting with a sterile procedure. Which of the following
actions indicates the newly licensed nurse is maintaining sterile
technique? (SATA): Opens the sterile pack by first unfolding the top flap
away from her body
Removes the outside packaging of a sterile instrument before dropping i
onto the sterile field
4. A nurse enters a client s room and identifies that the client is
receiving too much IV fluid because the IV pump is not working
properly. Which of the following actions should the nurse take first?:
Auscultate the client s lungs.
,5. A nurse is planning care for a group of clients and can delegate
care to a licensed practical nurse (LPN) and an assistive personnel.
Which of the following tasks should the nurse assign to the LPN?:
Reinforcing teaching with a client who is learning to self-administer
insulin
6. A nurse is supervising a newly licensed nurse who is performing
surgical asepsis. After donning a sterile gown and gloves, which of the
following actions by the newly licensed nurse demonstrates correct
aseptic technique?: The nurse holds her hands above her waist.
7. A nurse who is caring for a group of clients delegates collection of
vital signs to an assistive personnel (AP). Which of the following actions
should the nurse take to evaluate the delegated task?: Recheck vital
signs that are outside the expected reference range.
8. A nurse is caring for four clients. Which of the following tasks can
be delegated to an assistive personnel?: Obtaining a stool sample from
a client who has renal failure
9. A nurse is triaging a group of clients following a disaster. Which of
the following clients should the nurse recommend for treatment first?:
A client who has two open chest wounds with a left tracheal deviation
10. A nurse manager is reviewing guidelines for informed consent with
the nursing staff. Which of the following statements by a staff nurse
indicates that the teaching was effective?: "Consent can be given by a
durable power of attorney."
11. A nurse is caring for four clients. For which of the following clients
should the nurse collaborate with the facility ethics committee?: An
, .
adolescent client whose parents refuse a blood transfusion for religious
reasons
12. A nurse in an ambulatory care setting is orient a newly licensed
nurse who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of telehealth?:
Establishing communication between providers
13. A nurse is providing discharge teaching to a client who has a new
diagnosis of diabetes. The client expresses concern about the cost of
blood-glucose monitoring supplies. Which of the following actions
should the nurse take?: -
Refer the client to the social services department
14. A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?: The
emergency department nurse is waiting to give report on a new
admission
15. . A nurse who is precepting a newly licensed nurse is discussing
the client assignment for the shift. Which of the following actions should
the nurse preceptor take first to demonstrate appropriate time
management?: c.
Determine client care goals (set/plan goals)
16. A charge nurse is reviewing information about HIPAA with a group
of staff nurses. Which of the following statements by a staff nurse
indicates understanding?: d. "HIPAA allows clients to request a review
of their own medical records."
QUESTIONS AND ANSWERS 2023
2024
1. A client 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 client repeatedly refuses to provide the
specimen. Which of the following is the appropriate action by the
nurse?: Document the client s refusal in the chart.
2. A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical nurse?:
Administer a nasogastric tube feeding.
3. A nurse preceptor is evaluating a newly licensed nurse s
competency in assisting with a sterile procedure. Which of the following
actions indicates the newly licensed nurse is maintaining sterile
technique? (SATA): Opens the sterile pack by first unfolding the top flap
away from her body
Removes the outside packaging of a sterile instrument before dropping i
onto the sterile field
4. A nurse enters a client s room and identifies that the client is
receiving too much IV fluid because the IV pump is not working
properly. Which of the following actions should the nurse take first?:
Auscultate the client s lungs.
,5. A nurse is planning care for a group of clients and can delegate
care to a licensed practical nurse (LPN) and an assistive personnel.
Which of the following tasks should the nurse assign to the LPN?:
Reinforcing teaching with a client who is learning to self-administer
insulin
6. A nurse is supervising a newly licensed nurse who is performing
surgical asepsis. After donning a sterile gown and gloves, which of the
following actions by the newly licensed nurse demonstrates correct
aseptic technique?: The nurse holds her hands above her waist.
7. A nurse who is caring for a group of clients delegates collection of
vital signs to an assistive personnel (AP). Which of the following actions
should the nurse take to evaluate the delegated task?: Recheck vital
signs that are outside the expected reference range.
8. A nurse is caring for four clients. Which of the following tasks can
be delegated to an assistive personnel?: Obtaining a stool sample from
a client who has renal failure
9. A nurse is triaging a group of clients following a disaster. Which of
the following clients should the nurse recommend for treatment first?:
A client who has two open chest wounds with a left tracheal deviation
10. A nurse manager is reviewing guidelines for informed consent with
the nursing staff. Which of the following statements by a staff nurse
indicates that the teaching was effective?: "Consent can be given by a
durable power of attorney."
11. A nurse is caring for four clients. For which of the following clients
should the nurse collaborate with the facility ethics committee?: An
, .
adolescent client whose parents refuse a blood transfusion for religious
reasons
12. A nurse in an ambulatory care setting is orient a newly licensed
nurse who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of telehealth?:
Establishing communication between providers
13. A nurse is providing discharge teaching to a client who has a new
diagnosis of diabetes. The client expresses concern about the cost of
blood-glucose monitoring supplies. Which of the following actions
should the nurse take?: -
Refer the client to the social services department
14. A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?: The
emergency department nurse is waiting to give report on a new
admission
15. . A nurse who is precepting a newly licensed nurse is discussing
the client assignment for the shift. Which of the following actions should
the nurse preceptor take first to demonstrate appropriate time
management?: c.
Determine client care goals (set/plan goals)
16. A charge nurse is reviewing information about HIPAA with a group
of staff nurses. Which of the following statements by a staff nurse
indicates understanding?: d. "HIPAA allows clients to request a review
of their own medical records."
