LEADERSHIP ATI
1. 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?
a. Determine the reasons the nurses are not taking schedule breaks.
b. Provide coverage for the nurses’ breaks.
c. Review facility policies for taking scheduled breaks.
d. Discuss time management strategies with the nurses.
2. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following
statements by a staff nurse indicate understanding of the teaching? (Select all that apply)
a. I have the assistive personal double-check packed RBC’s when other nurses are busy.
b. I can delegate the removal of an IV catheter to an LPN on the unit.
c. I will attend continuing education classes for professional growth.
d. The family of a newly admitted client recently treated me to lunch in the hospital cafeteria.
e. I administer pain medication to clients even if they have a history of narcotic addiction.
3. A charge nurse is evaluating the implementation of infection control measures by unit nurses when
caring for clients who have Clostridium difficile. The charge nurse should intervene for which of the
following actions by a unit nurse?
a. Places the client in contact precautions.
b. Cleans contaminated equipment with bleach-based solution.
c. Wears goggles when emptying the bedpan of liquid stool.
d. Uses alcohol-based hand sanitizer after removing gloves. ( Wash hands with soap and water
because alcohol does not kill Clostridium difficile. Have family member wear a gown and gloves
when visiting)
4. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information
about the client’s treatment plan. Which of the following responses should the nurse make?
a. I cannot provide this information to you without your mother’s consent.
b. I will ask your mother’s primary care provider to speak with you.
c. I will have to speak directly to your mother about her treatment.
d. What would you like to know about your mother’s treatment?
5. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates understanding of isolation guidelines?
a. I will place a client who has compromised immunity in a negative-pressure airflow room.
b. I will instruct visitors to wear a mask when visiting a client who on contact precautions.
c. I will have a client who is on airborne precautions wear a mask when out of her room.
d. I will wear an N95 respirator mask when caring for a client who is on droplet precautions.
6. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change of shift report?
, a. The client’s preferred time for bathing.
b. The steps to follow when providing wound care.
c. The time the client received his last dose of pain medication.
d. The belief that the client has a difficult relationship with his son.
7. A nurse is receiving a verbal prescription from the provider for a client who is having increased pain.
The nurse should transcribe which of the following prescriptions in the client’s medical record?
a. Morphine sulfate 10.0 mg every 4-hour IV prn for pain.
b. MS 10 mg IV every 4’ prn for pain.
c. Morphine sulfate 10 mg IV q 4 h IV prn for pain.
d. MSO4 10 mg IVP q 4’ prn for pain.
8. A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse
should identify that which of the following actions by the staff nurse indicates an understanding of the
procedure?
a. List names of witnesses to the fall in the nurse’s notes.
b. Sends the incident report to the ethics committee.
c. Includes the client’s account of the fall in the incident report.
d. Document in the client’s record that an incident report was filed.
9. A nurse manager discovers there is a conflict between nurses working the day shift and nurses
working the night shift. Which of the following actions should the nurse manager take first?
a. Acknowledge the conflict and encourage the nurses to focus on working as a team.
b. Meet with committee of nurses from each shift to discuss issues related to the conflict.
c. Encourage the nurses to resolve the conflict autonomously.
d. Gather information regarding the situation.
10. A nurse is supervising an assistive personal (AP) who is feeding a client who has dysphagia. Which of
the following actions by the AP should the nurse identify as correct technique?
a. Instructing the client to place her chin toward her chest when swallowing.
b. Providing a 10 min rest period prior to meals.
c. Elevating the head of the client’s bed 30’ during mealtime.
d. Withholding fluid until the end of the meal.
11. A nurse witness a coworker not following facility procedure when discarding the unused portion of a
controlled substance. Which of the following actions should the nurse take? (Select all that apply)
a. File an anonymous report of the incident to the nurse manager.
b. Request that coworker complete an incident report.
c. Identify all witnesses to the incident.
d. Submit an incident report to the risk manager.
e. Document a factual account of the incident.
12. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients
following colon resection. Which of the following resources should the nurse use?
, a. Critical pathway
b. Provider’s prescription
c. Surgical record
d. Maslow’s hierarchy of needs.
13. A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following information is most important for the nurse to report at shift
change?
a. Laboratory tests schedule for next shift
b. Glasgow Coma Scale score
c. Reddened area on the coccyx
d. Most recent blood glucose reading
14. 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?
a. Determine client care goals
b. Complete required tasks
c. Documents assessment data
d. Review the client’s new laboratory values
15. A nurse is caring for client who has cancer. The client and her partner are asking the nurse about
hospice care. Which of the following statements by the nurse is appropriate?
a. Hospice care helpful for client at various stages of chronic illness
b. Hospice care is multidisciplinary program for client who are terminally ill.
c. Hospice care will prolong the life expectancy of clients who are terminally ill.
d. Hospital access is no longer available for clients who are in hospice care.
16. A charge nurse teaching a group of nurses about the purpose of living will. Which of following
information about living wills should the charge nurse include in the teaching?
a. Provides protection against malpractice.
b. Designated a health care surrogate to make health care decision.
c. Documents that the client gave informed consent
d. Addresses resuscitation measures
17. A change nurse on an obstetrical unit is preparing the shift assignment. Which of the following
clients should be assigned to an RN who has floated from a medical-surgical unit?
a. A client who has gestational diabetes and is receiving biweekly nonstress tests.
b. A multigravida client who has preeclampsia and is receiving misoprostol for introduction of
labor.
c. A client who is at 32 weeks of gestation and has premature rupture of membranes.
d. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA
pump.
1. 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?
a. Determine the reasons the nurses are not taking schedule breaks.
b. Provide coverage for the nurses’ breaks.
c. Review facility policies for taking scheduled breaks.
d. Discuss time management strategies with the nurses.
2. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following
statements by a staff nurse indicate understanding of the teaching? (Select all that apply)
a. I have the assistive personal double-check packed RBC’s when other nurses are busy.
b. I can delegate the removal of an IV catheter to an LPN on the unit.
c. I will attend continuing education classes for professional growth.
d. The family of a newly admitted client recently treated me to lunch in the hospital cafeteria.
e. I administer pain medication to clients even if they have a history of narcotic addiction.
3. A charge nurse is evaluating the implementation of infection control measures by unit nurses when
caring for clients who have Clostridium difficile. The charge nurse should intervene for which of the
following actions by a unit nurse?
a. Places the client in contact precautions.
b. Cleans contaminated equipment with bleach-based solution.
c. Wears goggles when emptying the bedpan of liquid stool.
d. Uses alcohol-based hand sanitizer after removing gloves. ( Wash hands with soap and water
because alcohol does not kill Clostridium difficile. Have family member wear a gown and gloves
when visiting)
4. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information
about the client’s treatment plan. Which of the following responses should the nurse make?
a. I cannot provide this information to you without your mother’s consent.
b. I will ask your mother’s primary care provider to speak with you.
c. I will have to speak directly to your mother about her treatment.
d. What would you like to know about your mother’s treatment?
5. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates understanding of isolation guidelines?
a. I will place a client who has compromised immunity in a negative-pressure airflow room.
b. I will instruct visitors to wear a mask when visiting a client who on contact precautions.
c. I will have a client who is on airborne precautions wear a mask when out of her room.
d. I will wear an N95 respirator mask when caring for a client who is on droplet precautions.
6. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change of shift report?
, a. The client’s preferred time for bathing.
b. The steps to follow when providing wound care.
c. The time the client received his last dose of pain medication.
d. The belief that the client has a difficult relationship with his son.
7. A nurse is receiving a verbal prescription from the provider for a client who is having increased pain.
The nurse should transcribe which of the following prescriptions in the client’s medical record?
a. Morphine sulfate 10.0 mg every 4-hour IV prn for pain.
b. MS 10 mg IV every 4’ prn for pain.
c. Morphine sulfate 10 mg IV q 4 h IV prn for pain.
d. MSO4 10 mg IVP q 4’ prn for pain.
8. A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse
should identify that which of the following actions by the staff nurse indicates an understanding of the
procedure?
a. List names of witnesses to the fall in the nurse’s notes.
b. Sends the incident report to the ethics committee.
c. Includes the client’s account of the fall in the incident report.
d. Document in the client’s record that an incident report was filed.
9. A nurse manager discovers there is a conflict between nurses working the day shift and nurses
working the night shift. Which of the following actions should the nurse manager take first?
a. Acknowledge the conflict and encourage the nurses to focus on working as a team.
b. Meet with committee of nurses from each shift to discuss issues related to the conflict.
c. Encourage the nurses to resolve the conflict autonomously.
d. Gather information regarding the situation.
10. A nurse is supervising an assistive personal (AP) who is feeding a client who has dysphagia. Which of
the following actions by the AP should the nurse identify as correct technique?
a. Instructing the client to place her chin toward her chest when swallowing.
b. Providing a 10 min rest period prior to meals.
c. Elevating the head of the client’s bed 30’ during mealtime.
d. Withholding fluid until the end of the meal.
11. A nurse witness a coworker not following facility procedure when discarding the unused portion of a
controlled substance. Which of the following actions should the nurse take? (Select all that apply)
a. File an anonymous report of the incident to the nurse manager.
b. Request that coworker complete an incident report.
c. Identify all witnesses to the incident.
d. Submit an incident report to the risk manager.
e. Document a factual account of the incident.
12. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients
following colon resection. Which of the following resources should the nurse use?
, a. Critical pathway
b. Provider’s prescription
c. Surgical record
d. Maslow’s hierarchy of needs.
13. A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following information is most important for the nurse to report at shift
change?
a. Laboratory tests schedule for next shift
b. Glasgow Coma Scale score
c. Reddened area on the coccyx
d. Most recent blood glucose reading
14. 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?
a. Determine client care goals
b. Complete required tasks
c. Documents assessment data
d. Review the client’s new laboratory values
15. A nurse is caring for client who has cancer. The client and her partner are asking the nurse about
hospice care. Which of the following statements by the nurse is appropriate?
a. Hospice care helpful for client at various stages of chronic illness
b. Hospice care is multidisciplinary program for client who are terminally ill.
c. Hospice care will prolong the life expectancy of clients who are terminally ill.
d. Hospital access is no longer available for clients who are in hospice care.
16. A charge nurse teaching a group of nurses about the purpose of living will. Which of following
information about living wills should the charge nurse include in the teaching?
a. Provides protection against malpractice.
b. Designated a health care surrogate to make health care decision.
c. Documents that the client gave informed consent
d. Addresses resuscitation measures
17. A change nurse on an obstetrical unit is preparing the shift assignment. Which of the following
clients should be assigned to an RN who has floated from a medical-surgical unit?
a. A client who has gestational diabetes and is receiving biweekly nonstress tests.
b. A multigravida client who has preeclampsia and is receiving misoprostol for introduction of
labor.
c. A client who is at 32 weeks of gestation and has premature rupture of membranes.
d. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA
pump.
