ATI CAPSTONE LEADERSHIP & COMMUNITY HEALTH
ASSESSMENT TESTBANK CURRENTLY TESTING
VERSION 2025-2026
A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge
nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating
which of the following types of conflict management?
Avoiding
Competing
Compromising
Cooperating
CORRECT ANSWER -Cooperating;
The charge nurse displayed cooperating, which is the resolution of the conflict by sacrificing. In this situation, it
allowed both staff nurses to get what they wanted.
Nurse educator is discussing community mental health with a group of nursing students. Secondary prevention?
Day care center
Outpatient rehabilitation center
Community recreational center
Crisis center
CORRECT ANSWER -Crisis center;
A crisis center, which has the goal of early detection and treatment of mental health disorders, is an example of
secondary public health prevention.
A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the
following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)?
Lyme disease
Cytomegalovirus
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Streptococcus pharyngitis
Toxoplasmosis
CORRECT ANSWER -Lyme disease;
Lyme disease is a nationally notifiable infectious disease.
A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of
negligence?
A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to
the provider in the early afternoon.
A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and
administers it to her without her knowledge.
A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The
nurse applies restraints to the client to prevent him from leaving.
A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she
will apply wrist restraints if he does not stop eating the potato chips.
CORRECT ANSWER -A nurse identifies the absence of peripheral pulsation in a casted extremity in the early
morning and reports it to the provider in the early afternoon;
Professional negligence is performing practice below the expected standard of care. It can be an act of omission,
which is the failure to perform an act that a reasonable prudent person, under similar circumstances, would do.
A reasonably prudent nurse would notify the provider of the neurovascular finding immediately.
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of
the head, neck and chest. While planning the client's care, the nurse should identify which of the following risks
as the priority for assessment and intervention?
Airway obstruction
Infection
Fluid imbalance
Paralytic ileus
CORRECT ANSWER -Airway obstruction;
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When using the airway, breathing, circulation approach to client care, the nurse determines that the priority risk
is airway obstruction. Burns of the head, neck, and chest often involve damage to the pulmonary tree due to heat
as well as smoke and soot inhalation. This can result in severe respiratory difficulty. Nursing measures to
maintain a patent airway should take priority in this client's care.
A nurse is among the first responders to a mass-casualty incident and does not know what type of personal
protective equipment (PPE) is needed. Which of the following actions should the nurse take?
Wait until the type of equipment needed is known.
Decontaminate victims before intervening.
Choose the highest level of protection equipment available.
Use a dosimeter to measure the level of radiation in the area before intervening.
CORRECT ANSWER -Choose the highest level of protection equipment available;
When the level or type of PPE is unknown, the nurse should wear the highest level of protection.
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an
example of tertiary prevention?
Providing treatment for clients who have chronic obstructive pulmonary disease
Performing screening for sexually transmitted infections
Administering influenza immunizations at a local health fair
Testing new nurses for exposure to tuberculosis.
CORRECT ANSWER -Providing treatment for clients who have chronic obstructive pulmonary disease;
Tertiary prevention reduces complications and disabilities experienced by clients who already have a medical
illness.
A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following
statements by the newly licensed nurse indicates understanding of the teaching?
"I should wait to empty my client's drainable colostomy until it is three-fourths full."
"I should delegate providing closed irrigation to the assistive personnel (AP)."
"I should encourage clients to receive an annual flu immunization."
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"I should recommend that my clients who have an established tracheostomy use sterile technique at home to
provide ostomy care."
CORRECT ANSWER -"I should encourage clients to receive an annual flu immunization.";
Cost containment is the delivery of effective and efficient care. Cost is maintained without loss of quality. The
nurse should encourage clients to receive an annual flu immunization to prevent the need for treatment and
hospitalization necessary with influenza.
A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse
include in the plan?
Administer antibiotics.
Provide a diet high in fat.
Restrict fluids.
Encourage short periods of ambulation.
CORRECT ANSWER -Encourage short periods of ambulation;
The nurse should encourage a client who has hepatitis B to alternate between activity and rest.
A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client
while in the cafeteria. Which of the following is the priority nursing action?
Quietly tell the APs that this is not appropriate.
Ask the nurse manager to provide an inservice program about confidentiality to the staff on the unit.
Complete an incident report.
Document the occurrence in a personal log.
CORRECT ANSWER -Quietly tell the APs that this is not appropriate;
The nurse has a professional duty to protect the client's confidential information. When using the urgent vs.
nonurgent approach to client care, the nurse determines the priority is to stop the APs before there is an
additional breach of confidentiality.