Leadership ATI Proctored Focus
2022/2023 Updated 2024-2025(A+ Grade )
A nurse on a med surg unit is planning care of assigned clients. Which of the following
clients should the nurse assess first?
A. A client who is newly admitted & is to have an indwelling urinary catheter inserted
B. A client who has kidney stones & reports flank pain 6 out of 10
C. A client diagnosed w/early-stage chronic kidney disease w/a serum creatinine level
of 2.0 mg/dL
D. A client who has a cast newly applied on his forearm and reports tingling of his
fingers - CORRECT ANSWERS-D
An RN working w/an LPN is planning client care assignments. Which of the following
tasks should the nurse delegate to the LPN?
A. Performing tracheostomy suctioning for a stable client
B. Performing an admission assessment of a client who is preop
C. Initiating the referral of a client to hospice
D. Interpreting a client's digoxin level - CORRECT ANSWERS-A
A client is prescribed morphine sulfate IM. Which of the following should the nurse
recognize as a requirement for governing controlled substances?
A. Delegate med admin to a RN
B. Ask another nurse to observe disposal of unused med
C. Request another nurse to validate admin of the med
D. Observe the LPN admin the med - CORRECT ANSWERS-B
An older adult client who has early Alzheimer's disease is living w/an adult child who is
employed part-time but is committed to keeping her parent at home. Which of the
following options is appropriate for the nurse to discuss w/the client & family at this
time?
A. Hospice care
B. Adult day care
C. An assisted-living facility
D. Long-term care facility - CORRECT ANSWERS-B
A nurse is overheard telling other nurses that the unit manager gives preferential
treatment to nurses on the night shift. Which of the following approaches by the unit
manager reflects an assertive response to resolution of this conflict?
, A. Understand that the vocal nurse is misinformed & take no action.
B. Assign the vocal staff nurse to work the night shift to allow direct experience w/the
night shift.
C. Meet one-on-one w/the vocal staff nurse to discuss the concerns raised
D. Confront the staff nurse during the next unit meeting regarding her statement -
CORRECT ANSWERS-C
An RN has to teach the client initially but can delegate ________to an LPN. -
CORRECT ANSWERS-reinforcing the teaching
An LPN can perform ______care. - CORRECT ANSWERS-tracheostomy care
Can an RN delegate to an LPN to perform suctioning? - CORRECT ANSWERS-yes
Can an RN delegate to an LPN to put in a urinary catheter? - CORRECT ANSWERS-
yes
Can an RN delegate to an AP to feed a client not on swallow precautions? - CORRECT
ANSWERS-yes
Is an RN allowed to delegate to an AP to collect a urine sample? - CORRECT
ANSWERS-yes
A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who
required naloxone (narcan) for depressed respirations. Is this an appropriate task for the
AP? - CORRECT ANSWERS-no
An older adult client who is on fall precautions is found lying on the floor of his hospital
room. Which of the following actions is most appropriate for the nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance - CORRECT ANSWERS-C.
Inspect the client for injuries
An RN on a med-surg unit is making assignments at the beginning of the shift. Which of
the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client - CORRECT ANSWERS-A
2022/2023 Updated 2024-2025(A+ Grade )
A nurse on a med surg unit is planning care of assigned clients. Which of the following
clients should the nurse assess first?
A. A client who is newly admitted & is to have an indwelling urinary catheter inserted
B. A client who has kidney stones & reports flank pain 6 out of 10
C. A client diagnosed w/early-stage chronic kidney disease w/a serum creatinine level
of 2.0 mg/dL
D. A client who has a cast newly applied on his forearm and reports tingling of his
fingers - CORRECT ANSWERS-D
An RN working w/an LPN is planning client care assignments. Which of the following
tasks should the nurse delegate to the LPN?
A. Performing tracheostomy suctioning for a stable client
B. Performing an admission assessment of a client who is preop
C. Initiating the referral of a client to hospice
D. Interpreting a client's digoxin level - CORRECT ANSWERS-A
A client is prescribed morphine sulfate IM. Which of the following should the nurse
recognize as a requirement for governing controlled substances?
A. Delegate med admin to a RN
B. Ask another nurse to observe disposal of unused med
C. Request another nurse to validate admin of the med
D. Observe the LPN admin the med - CORRECT ANSWERS-B
An older adult client who has early Alzheimer's disease is living w/an adult child who is
employed part-time but is committed to keeping her parent at home. Which of the
following options is appropriate for the nurse to discuss w/the client & family at this
time?
A. Hospice care
B. Adult day care
C. An assisted-living facility
D. Long-term care facility - CORRECT ANSWERS-B
A nurse is overheard telling other nurses that the unit manager gives preferential
treatment to nurses on the night shift. Which of the following approaches by the unit
manager reflects an assertive response to resolution of this conflict?
, A. Understand that the vocal nurse is misinformed & take no action.
B. Assign the vocal staff nurse to work the night shift to allow direct experience w/the
night shift.
C. Meet one-on-one w/the vocal staff nurse to discuss the concerns raised
D. Confront the staff nurse during the next unit meeting regarding her statement -
CORRECT ANSWERS-C
An RN has to teach the client initially but can delegate ________to an LPN. -
CORRECT ANSWERS-reinforcing the teaching
An LPN can perform ______care. - CORRECT ANSWERS-tracheostomy care
Can an RN delegate to an LPN to perform suctioning? - CORRECT ANSWERS-yes
Can an RN delegate to an LPN to put in a urinary catheter? - CORRECT ANSWERS-
yes
Can an RN delegate to an AP to feed a client not on swallow precautions? - CORRECT
ANSWERS-yes
Is an RN allowed to delegate to an AP to collect a urine sample? - CORRECT
ANSWERS-yes
A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who
required naloxone (narcan) for depressed respirations. Is this an appropriate task for the
AP? - CORRECT ANSWERS-no
An older adult client who is on fall precautions is found lying on the floor of his hospital
room. Which of the following actions is most appropriate for the nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance - CORRECT ANSWERS-C.
Inspect the client for injuries
An RN on a med-surg unit is making assignments at the beginning of the shift. Which of
the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client - CORRECT ANSWERS-A
