NCLEX ATI PRACTICE: LEADERSHIP ASSESSMENT EXAM 2025 LATEST UPDATE| ACTUAL Q&As 100% CORRECT

A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. For which of the following actions should the charge nurse intervene? A) The nurse separates the client's labia with her dominant hand B) The nurse coats the indwelling urinary catheter with lubricant C) The nurse provides perineal care prior to inserting the urinary catheter D)The nurse applies the sterile drape prior to inserting the urinary catheter: A) The nurse separates the client's labia with her dominant hand - The nurse should use her non-dominant hand to separate the labia, or to hold the penis in male clients. - The dominant hand is the hand that should handle the catheter during insertion and when filling the balloon. - If the nurse separated the labia with her dominant hand, it would be more difficult to insert the catheter in a sterile environment and could result in introduction of bacteria into the urinary tract. 2. Nurse manager received a client request not to have a specific staff nurse care for her while at the acute care facility. Which is an appropriate action by the nurse manager? A) Ask other staff nurses about the level of care the specific staff nurse provides B) Address the concern with the specific staff nurse C) Recommend the specific staff nurse to be transferred to another unit D) Notify the human resources department about the request: B) Address the concern with the specific staff nurse - The nurse manager should use the conflict management skill collaborating to resolve the conflict. - The nurse manager should be assertive and ask the specific staff nurse about the problem. 3. While caring for a client, the nurse experiences a needle stick injury.Which action should the nurse take first? A) Complete an incident report 2 / 37 B) Request the risk manager obtain consent for HIV testing from the client C) Wash the site of injury with soap and water D) Consent to post-exposure treatment with antiretroviral meds.: C) Wash the site of injury with soap and water 3 / 37 - The greatest risk to the nurse is infection transmission; therefore, the nurse should first wash the area with soap and water to reduce the risk of transmission. 4. Nurse is caring for 4 clients on a med-surg unit. Which clients should the nurse assess first? A) A client who has NG tube for decompression and the gastric aspirate is green with a pH of 5.3 B) A client who had an indwelling urinary catheter removed 5 hr. ago and has not voided C) A client who has COPD and the capillary refill time on both hands is 4 seconds D) A client who has late-stage cirrhosis and whose breath has a fruity odor: B) A client who had an indwelling urinary catheter removed 5 hr. ago and has not voided - After removal of an indwelling urinary catheter, the client should void within 4 hr. - If the client has not voided in 4 hr, the nurse may need to reinsert the catheter; therefore, when using the priority-setting framework of urgent vs. nonurgent, this client should be assessed first because he has not voided for 5 hr. 5. Nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which responses by the nurse demonstrates assertiveness? A) "I feel as though I met the standard of care. Would you tell me more about your concerns?" B) "You shouldn't make accusations.Your nursing care doesn't always set a good example" C) "I am at a loss for words. I always do my best to give good care to my clients" D) "What do you have against me? It must be something or you wouldn't be criticizing my care": A) "I feel as though I met the standard of care. Would you tell me more about your concerns?" - Communicating assertively is expressing thoughts in an open, honest, and direct manner that demonstrates respect for self and others. - The use of "I" statements, maintaining eye contact, and congruent verbal and facial expressions are all components of assertiveness skills. - The nurse demonstrates respect for the opinion of the other nurse by asking for feedback and the reason for the concerns. 6. Nurse has several tasks to delegate to an AP. Which tasks should the AP perform first? A) Take ABG specimen to lab