ATI Detailed Answer Key Leadership 2024 Assessment
(Latest-2024)
,ATI Detailed Answer Key Leadership 2024 Assessment (Latest-
2024)
1. A nurse is transcribing a client’s medication prescriptions and is having difficulty reading a written prescription by
the provider. Which of the following nursing actions should the nurse take?
A. Clarify the prescription with the client’s family.
Rationale: The nurse should not clarify the medication prescription with the client’s family, because this
action could be a breach of confidentiality.
B. Interpret the prescription based on the client’s health history.
Rationale: The nurse should not interpret the medication prescription based on the client’s health history,
because incorrect information may result.
C. Ask the pharmacist for clarification of the prescription.
Rationale: The nurse should not ask the pharmacist for clarification of the prescription, because incorrect
information may result.
D. Contact the provider to clarify the prescription.
Rationale: The nurse should contact the provider for clarification of the prescription to confirm the correct
interpretation of the prescription.
2. A nurse on a quality control committee is evaluating the results of recently implemented measures designed to
reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the
changes?
A. Establish a benchmark to identify a standard of performance.
Rationale: A benchmark measures the practices of an organization against a best–performing organization
in order to develop improvement of performance. It is used as a tool to determine the desired
standard of performance.
B. Compare the number of medication errors before and after the action was implemented.
Rationale: Preimplementation and postimplementation statistics for medication errors will provide
information to determine the success of the actions.
C. Provide the staff with a questionnaire to quantify staff satisfaction with the changes.
Rationale: A questionnaire that determines staff satisfaction can provide a means of communication
regarding the new practice, but it does not measure the success of the new measures.
D. Conduct a study about the time and money costs of implementing the change.
Rationale: A study about the time and money costs of the effort is useful for comparing the success of the
changes to the cost required to make them. However, this will not measure how successful the
changes were in reducing medication errors.
Page 1
, ATI Detailed Answer Key Leadership 2024 Assessment (Latest-
2024)
3. A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the
following assignments is an example of overdelegation?
A. Assigning two assistive personnel (AP) to ambulate all clients
Rationale: Assigning two APs to ambulate 10 clients follows the rights of delegation and expectations of the
APs. It is not an example of overdelegation.
B. Assigning a new graduate nurse to perform a wet-to-dry dressing change
Rationale: Assigning a new graduate nurse to perform a wet-to-dry dressing change follows the rights of
delegation and expectations of the nurse. It is not an example of overdelegation.
C. Assigning the most efficient AP to perform glucometer monitoring for each client
Rationale: Asking the most efficient AP to perform glucometer testing based on her efficiency in performing
this task is an example of overdelegation. This can result in the AP becoming overworked and
tired, thus decreasing productivity.
D. Assigning the most competent RN to perform a central line dressing change
Rationale: Assigning the most competent RN to perform a central line dressing change follows the rights of
delegation and expectations of the nurse. It is not an example of overdelegation.
4. A nurse on a medical unit is planning care for several clients. Which of the following clients should benefit most
from the nurse acting as an advocate?
A. A client who has previously undergone a procedure that is to be performed for a second time
Rationale: The nurse supports the client in this situation, but it is not an example of a client benefitting most
from the nurse acting as an advocate.
B. A client who has been educated on treatment options and chooses alternative treatments
Rationale: The nurse supports the client in this situation, but it is not an example of a client benefitting most
from the nurse acting as an advocate.
C. A client who makes an informed decision not to participate in chemotherapy treatment
Rationale: The nurse supports the client in this situation, but it is not an example of a client benefitting most
from the nurse acting as an advocate.
D. An older adult client who has no family and is uncertain about moving to assisted living
Rationale: The nurse acts as an advocate by ensuring the client has correct information to make an
appropriate decision in selecting needed services. This is an example of a client benefitting
most from the nurse acting as an advocate.
5. A nurse is caring for a client who has a history of dementia. The client is alert and oriented to person, place, and
time, and has advance directives. The client is scheduled for a procedure that requires informed consent. Which
of the following persons should sign the informed consent?
Page 2
(Latest-2024)
,ATI Detailed Answer Key Leadership 2024 Assessment (Latest-
2024)
1. A nurse is transcribing a client’s medication prescriptions and is having difficulty reading a written prescription by
the provider. Which of the following nursing actions should the nurse take?
A. Clarify the prescription with the client’s family.
Rationale: The nurse should not clarify the medication prescription with the client’s family, because this
action could be a breach of confidentiality.
B. Interpret the prescription based on the client’s health history.
Rationale: The nurse should not interpret the medication prescription based on the client’s health history,
because incorrect information may result.
C. Ask the pharmacist for clarification of the prescription.
Rationale: The nurse should not ask the pharmacist for clarification of the prescription, because incorrect
information may result.
D. Contact the provider to clarify the prescription.
Rationale: The nurse should contact the provider for clarification of the prescription to confirm the correct
interpretation of the prescription.
2. A nurse on a quality control committee is evaluating the results of recently implemented measures designed to
reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the
changes?
A. Establish a benchmark to identify a standard of performance.
Rationale: A benchmark measures the practices of an organization against a best–performing organization
in order to develop improvement of performance. It is used as a tool to determine the desired
standard of performance.
B. Compare the number of medication errors before and after the action was implemented.
Rationale: Preimplementation and postimplementation statistics for medication errors will provide
information to determine the success of the actions.
C. Provide the staff with a questionnaire to quantify staff satisfaction with the changes.
Rationale: A questionnaire that determines staff satisfaction can provide a means of communication
regarding the new practice, but it does not measure the success of the new measures.
D. Conduct a study about the time and money costs of implementing the change.
Rationale: A study about the time and money costs of the effort is useful for comparing the success of the
changes to the cost required to make them. However, this will not measure how successful the
changes were in reducing medication errors.
Page 1
, ATI Detailed Answer Key Leadership 2024 Assessment (Latest-
2024)
3. A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the
following assignments is an example of overdelegation?
A. Assigning two assistive personnel (AP) to ambulate all clients
Rationale: Assigning two APs to ambulate 10 clients follows the rights of delegation and expectations of the
APs. It is not an example of overdelegation.
B. Assigning a new graduate nurse to perform a wet-to-dry dressing change
Rationale: Assigning a new graduate nurse to perform a wet-to-dry dressing change follows the rights of
delegation and expectations of the nurse. It is not an example of overdelegation.
C. Assigning the most efficient AP to perform glucometer monitoring for each client
Rationale: Asking the most efficient AP to perform glucometer testing based on her efficiency in performing
this task is an example of overdelegation. This can result in the AP becoming overworked and
tired, thus decreasing productivity.
D. Assigning the most competent RN to perform a central line dressing change
Rationale: Assigning the most competent RN to perform a central line dressing change follows the rights of
delegation and expectations of the nurse. It is not an example of overdelegation.
4. A nurse on a medical unit is planning care for several clients. Which of the following clients should benefit most
from the nurse acting as an advocate?
A. A client who has previously undergone a procedure that is to be performed for a second time
Rationale: The nurse supports the client in this situation, but it is not an example of a client benefitting most
from the nurse acting as an advocate.
B. A client who has been educated on treatment options and chooses alternative treatments
Rationale: The nurse supports the client in this situation, but it is not an example of a client benefitting most
from the nurse acting as an advocate.
C. A client who makes an informed decision not to participate in chemotherapy treatment
Rationale: The nurse supports the client in this situation, but it is not an example of a client benefitting most
from the nurse acting as an advocate.
D. An older adult client who has no family and is uncertain about moving to assisted living
Rationale: The nurse acts as an advocate by ensuring the client has correct information to make an
appropriate decision in selecting needed services. This is an example of a client benefitting
most from the nurse acting as an advocate.
5. A nurse is caring for a client who has a history of dementia. The client is alert and oriented to person, place, and
time, and has advance directives. The client is scheduled for a procedure that requires informed consent. Which
of the following persons should sign the informed consent?
Page 2
