ATIPN LEADERSHIP MANAGEMENT
1. The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals
is the nurse trying to achieve ?
A. Reduce cardiac arrests.
B. Reduce surgical site infection.
C. Induce shivering.
D. Reduce blood loss
2. The nurse is caring for a postoperative patient with an incision. Which actions will the
nurse take to decrease wound infections?
A. Use a straight razor to remove hair.
B. Perform hand hygiene before and after contact with the patient.
C. Administer antibiotics within 60 minutes before surgical incision
D. Perform first dressing change 2 days postoperatively.
3. 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 aspiration pneumonia and a respiratory rate of 28/min
B. A client who has a hip fracture and is in Buck’s traction
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
4. The nurse is participating in a “time-out.” In which activities will the nurse be involved?
A. Verify the correct patient.
B. Verify the correct procedure.
C. Perform the actual marking of the operative site.
D. Verify the correct site.
5. 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. Reposition the client for comfort
C. Apply a warm compress to the hip
D. Contact the client’s physical therapist
, 6. 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 explains to the mother that most clients with cancer lose their hair
B. The nurse investigates potential resources to help the client purchase wig
C. The nurse suggests counseling for the client’s body image issues.
D. The nurse informs the next shift nurse regarding the mother’s concerns.
7. Which of the following items must be discarded in a biohazard waste receptacle?
A. A bed sheet from a client with bacterial pneumonia
B. A perineal pad from a client who is 24-hr post-vaginal delivery
C. A urinary catheter drainage bag from a client who is post-opt
D. An empty IV bag removed from a client who has HIV
8. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get
better, I’m going to quit. “Which of the following responses appropriate?
A. “I think you have a right to be upset, I am tired of the changes too”
B. “So you are upset about all the changes on the Unit”
C. You should file complaints with hospital administrator
D. “Just stick with it a little longer. Things will get better soon
9. According to the HIPAA regulations, which of the following is a violation of client
confidentiality?
A. Telephone the pharmacy with a prescription for the spouse to pick up
B. Providing a copy of the record to the transporting paramedic
C. Reporting a client’s disposition to the referring provider
D. Informing housekeeping staff that the client is in dialysis unit
10. A Nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a
sterile procedure. Which of the following actions indicates the nurse is maintaining
sterile technique?
A. Open the sterile pack by first unfolding the flap farthest from her body
B. Places sterile items within 1.25 cm (0.5 inch) border around the edge of the
sterile field
C. Rests the cap of a solution container upside down on the sterile field
1. The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals
is the nurse trying to achieve ?
A. Reduce cardiac arrests.
B. Reduce surgical site infection.
C. Induce shivering.
D. Reduce blood loss
2. The nurse is caring for a postoperative patient with an incision. Which actions will the
nurse take to decrease wound infections?
A. Use a straight razor to remove hair.
B. Perform hand hygiene before and after contact with the patient.
C. Administer antibiotics within 60 minutes before surgical incision
D. Perform first dressing change 2 days postoperatively.
3. 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 aspiration pneumonia and a respiratory rate of 28/min
B. A client who has a hip fracture and is in Buck’s traction
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
4. The nurse is participating in a “time-out.” In which activities will the nurse be involved?
A. Verify the correct patient.
B. Verify the correct procedure.
C. Perform the actual marking of the operative site.
D. Verify the correct site.
5. 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. Reposition the client for comfort
C. Apply a warm compress to the hip
D. Contact the client’s physical therapist
, 6. 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 explains to the mother that most clients with cancer lose their hair
B. The nurse investigates potential resources to help the client purchase wig
C. The nurse suggests counseling for the client’s body image issues.
D. The nurse informs the next shift nurse regarding the mother’s concerns.
7. Which of the following items must be discarded in a biohazard waste receptacle?
A. A bed sheet from a client with bacterial pneumonia
B. A perineal pad from a client who is 24-hr post-vaginal delivery
C. A urinary catheter drainage bag from a client who is post-opt
D. An empty IV bag removed from a client who has HIV
8. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get
better, I’m going to quit. “Which of the following responses appropriate?
A. “I think you have a right to be upset, I am tired of the changes too”
B. “So you are upset about all the changes on the Unit”
C. You should file complaints with hospital administrator
D. “Just stick with it a little longer. Things will get better soon
9. According to the HIPAA regulations, which of the following is a violation of client
confidentiality?
A. Telephone the pharmacy with a prescription for the spouse to pick up
B. Providing a copy of the record to the transporting paramedic
C. Reporting a client’s disposition to the referring provider
D. Informing housekeeping staff that the client is in dialysis unit
10. A Nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a
sterile procedure. Which of the following actions indicates the nurse is maintaining
sterile technique?
A. Open the sterile pack by first unfolding the flap farthest from her body
B. Places sterile items within 1.25 cm (0.5 inch) border around the edge of the
sterile field
C. Rests the cap of a solution container upside down on the sterile field
