ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
1. A nurse on a med-surge unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in
the right foot
C. A client who has type 1 diabetes and needs the first dressing change for an
ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F: B. A client
who has peripheral vascular disease and has an absent pulse in the right foot
When using ABCs approach to client care, the nurse determines that the priority
finding is an absent pulse, which indicates no blood flow to the extremity.
2. Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to an AP?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room
6122'
B. "Check the urinary output at 1100 for John Doe and report it to me imme-
diately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels
are significant": B. "Check the urinary output at 1100 for John Doe and report it to
me immediately"
Follows the Five Rights of Delegation by including the requirements for right di-
rection/communication: the data to collect, client-specific information, a timeline for
collection, and the expectation for communicating the findings back to the nurse.
3. A client on a general surgical unit tells a nurse that staff members are
not answering the call light properly. The client requests to be transferred to
another unit. Which of the following actions should the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations: D. Ask the client to verbalize
their expectations
The first action the nurse should take using the nursing process is to assess;
therefore, the first action the nurse should take is to assess the client's feelings and
clarify expectations.
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
4. A nurse is caring for a client who is recovering from a stroke. The provider
recommends an extracranial-intracranial bypass, but the client tells the nurse
that he will not have the surgery. Which of the following actions should the
nurse take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses
the surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options: C.
Discuss the client's concerns about having the surgery
The nurse should ask the client relevant questions to determine their concerns
regarding having the surgery. By asking relevant, open-ended questions, the nurse
can help the client clarify their thoughts and feelings about the surgery. The nurse
can then relay concerns to the provider for further discussion if needed.
5. A charge nurse is supervising the care of several clients. Which of the
following actions requires intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
B. A CNA documents a client's vitals on the client's paper-based graphic
record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records that were
requested: A. A nurse is photocopying their assigned client's diagnostic results
Photocopying diagnostic test results is a breach of the clients confidentiality and
privacy
6. A nurse is receiving report from the CNA assigned to the nurse's group of
clients. Which of the following statements from the CNA indicates the client
the nurse should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling
constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of
0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports
inability to void"
D. "The client who is scheduled for discharge today states they are ready to
sign their paperwork": C. "The client who had an indwelling cath removed 8 hours
ago reports inability to void"
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
Not voiding for 6-8 hours after indwelling urinary catheter removal indicates this
client is at risk for urinary retention, which can cause a UTI. Overdistention of the
bladder can cause damage to the mucosa. Therefore, the nurse should assess this
client first and report findings to the provider.
7. A nurse manager is planning an in-service for a group of nurses about
caring for clients following stem cell transplants. Which of the following in-
structions should the nurse manager include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms: D. Place clients in positive
pressure airflow rooms
The nurse should place a client who requires protective environment precautions
following a stem cell transplant in a private, positive-pressure airflow room. The room
air is filtered through a HEPA filter and the airflow rate is set at more than 12 air
exchanges each hour.
8. A nurse is developing a plan of care for a school-age child whose family
is homeless. Which of the following findings should the nurse identify as the
priority?
A. The child has red fissures at the corners of their mouth
B. The child has several small bruises on both legs
C. The child sleeps for about 13 hours each night
D. The child is not regularly attending school: A. The child has red fissures at the
corners of their mouth
Using Maslow's hierarchy of needs, the nurse should determine that the priority
finding is red fissures at the corners of the child's mouth. This can indicate a vitamin
B deficiency, which is a physiology need.
9. A charge nurse recognizes a trend of poor attendance at monthly staff
meetings. To address this issue, which of the following actions should the
charge nurse take first?
A. Write a memo emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend: C. Explore
the reasons that staff are not attending the meetings
Study online at https://quizlet.com/_e409py
1. A nurse on a med-surge unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority?
A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in
the right foot
C. A client who has type 1 diabetes and needs the first dressing change for an
ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F: B. A client
who has peripheral vascular disease and has an absent pulse in the right foot
When using ABCs approach to client care, the nurse determines that the priority
finding is an absent pulse, which indicates no blood flow to the extremity.
2. Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to an AP?
A. "Take vitals every 2 hours for the client who had a cholecystectomy in room
6122'
B. "Check the urinary output at 1100 for John Doe and report it to me imme-
diately"
C. "Report to me if the chest drainage is excessive for Jane Doe in room 2438"
D. "Please notify me of any clients whose vital signs of blood glucose levels
are significant": B. "Check the urinary output at 1100 for John Doe and report it to
me immediately"
Follows the Five Rights of Delegation by including the requirements for right di-
rection/communication: the data to collect, client-specific information, a timeline for
collection, and the expectation for communicating the findings back to the nurse.
3. A client on a general surgical unit tells a nurse that staff members are
not answering the call light properly. The client requests to be transferred to
another unit. Which of the following actions should the nurse take first?
A. notify the charge nurse of the client's request for transfer
B. Assure the client that their concern has been shared with staff
C. Tell the client that future calls will be answered in a timely manner
D. Ask the client to verbalize their expectations: D. Ask the client to verbalize
their expectations
The first action the nurse should take using the nursing process is to assess;
therefore, the first action the nurse should take is to assess the client's feelings and
clarify expectations.
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
4. A nurse is caring for a client who is recovering from a stroke. The provider
recommends an extracranial-intracranial bypass, but the client tells the nurse
that he will not have the surgery. Which of the following actions should the
nurse take?
A. Inform the client of the consequences of decreased cerebral circulation
B. Initiate a mental health consultation to determine why they client refuses
the surgery
C. Discuss the client's concerns about having the surgery
D. Provide the client with information on additional treatment options: C.
Discuss the client's concerns about having the surgery
The nurse should ask the client relevant questions to determine their concerns
regarding having the surgery. By asking relevant, open-ended questions, the nurse
can help the client clarify their thoughts and feelings about the surgery. The nurse
can then relay concerns to the provider for further discussion if needed.
5. A charge nurse is supervising the care of several clients. Which of the
following actions requires intervention by the charge nurse?
A. A nurse is photocopying their assigned client's diagnostic results
B. A CNA documents a client's vitals on the client's paper-based graphic
record
C. The unit secretary faxes a client's lab results to the provider
D. An RN stays with a client who is reading the medical records that were
requested: A. A nurse is photocopying their assigned client's diagnostic results
Photocopying diagnostic test results is a breach of the clients confidentiality and
privacy
6. A nurse is receiving report from the CNA assigned to the nurse's group of
clients. Which of the following statements from the CNA indicates the client
the nurse should assess first?
A. "The client who has abdominal surgery 3 days ago is reporting feeling
constipated'
B. "The client who had the hip replacement reports pain as a 4 on a scale of
0-10"
C. "The client who had an indwelling cath removed 8 hours ago reports
inability to void"
D. "The client who is scheduled for discharge today states they are ready to
sign their paperwork": C. "The client who had an indwelling cath removed 8 hours
ago reports inability to void"
, ATI: RN Leadership Online Practice 2019 A
Study online at https://quizlet.com/_e409py
Not voiding for 6-8 hours after indwelling urinary catheter removal indicates this
client is at risk for urinary retention, which can cause a UTI. Overdistention of the
bladder can cause damage to the mucosa. Therefore, the nurse should assess this
client first and report findings to the provider.
7. A nurse manager is planning an in-service for a group of nurses about
caring for clients following stem cell transplants. Which of the following in-
structions should the nurse manager include in the teaching?
A. Assign two clients who have had a stem cell transplant to the same room
B. Obtain a rectal temp on client's q4 hours
C. Wear an N95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms: D. Place clients in positive
pressure airflow rooms
The nurse should place a client who requires protective environment precautions
following a stem cell transplant in a private, positive-pressure airflow room. The room
air is filtered through a HEPA filter and the airflow rate is set at more than 12 air
exchanges each hour.
8. A nurse is developing a plan of care for a school-age child whose family
is homeless. Which of the following findings should the nurse identify as the
priority?
A. The child has red fissures at the corners of their mouth
B. The child has several small bruises on both legs
C. The child sleeps for about 13 hours each night
D. The child is not regularly attending school: A. The child has red fissures at the
corners of their mouth
Using Maslow's hierarchy of needs, the nurse should determine that the priority
finding is red fissures at the corners of the child's mouth. This can indicate a vitamin
B deficiency, which is a physiology need.
9. A charge nurse recognizes a trend of poor attendance at monthly staff
meetings. To address this issue, which of the following actions should the
charge nurse take first?
A. Write a memo emphasizing the importance of attending staff meetings
B. Appoint a task force to promote attendance at the meetings
C. Explore the reasons that staff are not attending the meetings
D. Reduce the number of meetings the staff are required to attend: C. Explore
the reasons that staff are not attending the meetings
