ATI RN LEADERSHIP PROCTORED EXAM
1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses
have verbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling
system?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately
beforeit implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the following
situations requires the nurse to complete a variance report with regard to the
carepathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed.
3. A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
,D. A nurse gives a med 30 min late
, 1. A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
2. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation
of the left leg. The nurse has been unable to reach the provider despite several attempts over the
past 30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client’s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it’s been hard for her, especially after losing
her hair. And it has been difficult to pay for all the treatments. Which of the following actions is
appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother’s concerns.
D. The nurse suggests counseling for the client’s body image issues
4. Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal
delivery D. An empty IV bag removed from a client who has HIV
1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety.
Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the
steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses
have verbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling
system?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately
beforeit implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the following
situations requires the nurse to complete a variance report with regard to the
carepathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed.
3. A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
,D. A nurse gives a med 30 min late
, 1. A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
2. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation
of the left leg. The nurse has been unable to reach the provider despite several attempts over the
past 30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client’s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it’s been hard for her, especially after losing
her hair. And it has been difficult to pay for all the treatments. Which of the following actions is
appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother’s concerns.
D. The nurse suggests counseling for the client’s body image issues
4. Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal
delivery D. An empty IV bag removed from a client who has HIV
1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety.
Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the
steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
