ATI Leadership 2019 A
1. An AP tells a charge nurse that it is unfair that they have to take care of all the clients
who are in continent.Which of the following responses shouldthe charge nurse make?
A. I delegate tasks to personnel based on their job descriptions
B. Everyone working here has to care for clients who are in continent
C. Let's talk about organizing the workflow so you care for fewer of theseclients
D. Why do you not want to care for clients who are in continent.?
ANSA.I delegatetasks to personnel based on their job descriptions
2. A nurse on a MedSurg unit is caring for four clients.The nurse shouldrecognize
that which of the following clients is the priority?
A. A client who is scheduled for a tubal ligation in two hours and is crying
B. A client who has PVD and absent pulse in right foot
C. A client who has T1DMN needs first dressing change for ulcer
D. A client who has MR essay and axillary temp of 38°C
ANSB. A client who hasperipheral vascular disease and absent pulse in right foot
3. Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to an AP?Leadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
1 of 32 07/27/24, 04:04 AM A. Take vital signs every two hours for the client you had a choleycystectomyin room 6122
B. Check the UO at 11 o'clock for John Doe and report it to me immediately
C. Report to me if the chest tube drainage is excessive for Jane doe in room2438
D. Please notify me of any clients who is vital signs or blood glucose levelsare
significant
ANSB. Check the UO at 11 o'clock for John Doe and report it to me immediately
This instruction follows the five rights of delegation by including the requirementsfor right
direction/communication
the data to collect, client-specific information, a timeline for coat collection, and theexpectation
for communicating the findings back to the nurse
4. A client on a general surgical unit tells the nurse that staff members are not
answering the call light promptly.The client request to be transferred toanother unit.
Which of the following actions should the nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely mannerLeadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
2 of 32 07/27/24, 04:04 AM D. Ask client to verbalize their expectations
ANSD. Ask client to verbalize theirexpectations
5. A nurse is caring for a client who is recovering from a stroke.The provider
recommends extracranial intracranial bypass, but the client tells the nurse that he will
not have the surgery. Which of the following action should the nurse take?
A. Informed the client of consequences of decreased cerebral circulation
B. Initiate mental health consult to determine why client refuses surgery
C. Discussed clients concerns about having the surgery
D. Provide client with information on additional treatment options
ANSC. Discussclients concerns about having the surgery
6. A charge nurse is supervising the care of several clients.Which of thefollowing
actions requires intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were request-ed
ANSA. Nurse photocopying their assigned clients diagnostic test resultsLeadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
3 of 32 07/27/24, 04:04 AM 7. A nurse is receiving report from the AP assigned to the nurses group of clients.
Which of the following statements from the EAP indicates the clientthe nurse should
assess first
A nurse is receiving report from the AP assigned to the nurses group of clients.Which
of the following statements from the AP indicates the clientthe nurse should assess
first?
A. Client who had ABD surgery three days ago and reporting feeling consti-pated
B. Client who had hip surgery reports pain 4/10
C. Client indwelling urinary catheter removed eight hours ago reports inabil-ity to void
D. Client who is scheduled for discharge today states they are ready to signtheir paper
ANSC. Client who had indwelling urinary catheter removed eight hours ago reports inability
to void
8. A nurse manager is planning an in-service for a group of nurses aboutcaring for
clients following stem cell transplant. Which of the following instructions should the
nurse manager include in the teaching?
A. Assigned to clients who have had a stem cell transplant to the same room
B. Obtain rectal temp Q4 hours
C. Where an N 95 respirator mask while caring for these clientsLeadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
4 of 32 07/27/24, 04:04 AM
1. An AP tells a charge nurse that it is unfair that they have to take care of all the clients
who are in continent.Which of the following responses shouldthe charge nurse make?
A. I delegate tasks to personnel based on their job descriptions
B. Everyone working here has to care for clients who are in continent
C. Let's talk about organizing the workflow so you care for fewer of theseclients
D. Why do you not want to care for clients who are in continent.?
ANSA.I delegatetasks to personnel based on their job descriptions
2. A nurse on a MedSurg unit is caring for four clients.The nurse shouldrecognize
that which of the following clients is the priority?
A. A client who is scheduled for a tubal ligation in two hours and is crying
B. A client who has PVD and absent pulse in right foot
C. A client who has T1DMN needs first dressing change for ulcer
D. A client who has MR essay and axillary temp of 38°C
ANSB. A client who hasperipheral vascular disease and absent pulse in right foot
3. Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to an AP?Leadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
1 of 32 07/27/24, 04:04 AM A. Take vital signs every two hours for the client you had a choleycystectomyin room 6122
B. Check the UO at 11 o'clock for John Doe and report it to me immediately
C. Report to me if the chest tube drainage is excessive for Jane doe in room2438
D. Please notify me of any clients who is vital signs or blood glucose levelsare
significant
ANSB. Check the UO at 11 o'clock for John Doe and report it to me immediately
This instruction follows the five rights of delegation by including the requirementsfor right
direction/communication
the data to collect, client-specific information, a timeline for coat collection, and theexpectation
for communicating the findings back to the nurse
4. A client on a general surgical unit tells the nurse that staff members are not
answering the call light promptly.The client request to be transferred toanother unit.
Which of the following actions should the nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely mannerLeadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
2 of 32 07/27/24, 04:04 AM D. Ask client to verbalize their expectations
ANSD. Ask client to verbalize theirexpectations
5. A nurse is caring for a client who is recovering from a stroke.The provider
recommends extracranial intracranial bypass, but the client tells the nurse that he will
not have the surgery. Which of the following action should the nurse take?
A. Informed the client of consequences of decreased cerebral circulation
B. Initiate mental health consult to determine why client refuses surgery
C. Discussed clients concerns about having the surgery
D. Provide client with information on additional treatment options
ANSC. Discussclients concerns about having the surgery
6. A charge nurse is supervising the care of several clients.Which of thefollowing
actions requires intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were request-ed
ANSA. Nurse photocopying their assigned clients diagnostic test resultsLeadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
3 of 32 07/27/24, 04:04 AM 7. A nurse is receiving report from the AP assigned to the nurses group of clients.
Which of the following statements from the EAP indicates the clientthe nurse should
assess first
A nurse is receiving report from the AP assigned to the nurses group of clients.Which
of the following statements from the AP indicates the clientthe nurse should assess
first?
A. Client who had ABD surgery three days ago and reporting feeling consti-pated
B. Client who had hip surgery reports pain 4/10
C. Client indwelling urinary catheter removed eight hours ago reports inabil-ity to void
D. Client who is scheduled for discharge today states they are ready to signtheir paper
ANSC. Client who had indwelling urinary catheter removed eight hours ago reports inability
to void
8. A nurse manager is planning an in-service for a group of nurses aboutcaring for
clients following stem cell transplant. Which of the following instructions should the
nurse manager include in the teaching?
A. Assigned to clients who have had a stem cell transplant to the same room
B. Obtain rectal temp Q4 hours
C. Where an N 95 respirator mask while caring for these clientsLeadership practice 2019 a.pdf file:///C:/Users/BADLANDS/Downloads/Leadership%20practice%20...
4 of 32 07/27/24, 04:04 AM
