ATI RN Leadership Online Exam Practice
Questions and Answers
Question 1
There has been a community disaster and stable clients must be discharged from a
facility to prepare for the influx of new casualties. A nurse should identify that which
of the following clients is safe to discharge?
A client who has multiple sclerosis and reports ataxia
A client who has deep-vein thrombosis and an aPTT within the expected reference
range
A client who has right lower quadrant pain and positive rebound tenderness
A client whose amylase and lipase levels are twice the expected value
Correct Answer
a client who has multiple sclerosis and reports ataxia. This client is safe to discharge
because multiple sclerosis is a chronic disorder and ataxia is an expected finding. A
client who has deep-vein thrombosis requires aPTT monitoring at least daily and is
at risk for developing a pulmonary embolism. The nurse should not recommend this
client for discharge. A client who has right lower quadrant pain and positive
rebound tenderness likely has appendicitis and is at risk for developing peritonitis.
The nurse should not recommend this client for discharge. Amylase and lipase levels
above the expected reference range indicate pancreatitis, which places the client at
risk for sepsis or hemorrhage. The nurse should not recommend this client for
discharge.
Page 1 of 28
,Question 2
A nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority?
A client who is scheduled for a tubal ligation in 2 hr and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes mellitus and needs the first dressing change for an
ulcer
A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an
axillary temperature of 38° C (100.4° F)
Correct Answer
A client who has peripheral vascular disease and has an absent pulse in the right
foot. When using the airway, breathing, circulation approach to client care, the
nurse determines that the priority finding is an absent pulse, which indicates no
blood flow to the extremity. The nurse should assess this client to determine why
they are crying; however, this finding is not the nurse's priority. The nurse should
change this client's dressing to promote adequate wound healing; however, this
finding is not the nurse's priority. The nurse should implement measures to reduce
the client's temperature; however, this finding is not the nurse's priority.
Question 3
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the
rate was set at 100 mL/hr. After notifying the provider and verifying that the pump
was properly programmed, which of the following is the nurse's priority?
Fill out an incident report and submit it to the nurse manager.
Consult with other nurses who have experience with this type of pump.
Tag the pump for maintenance and acquire a new pump for the client.
Call the biomedical engineering department and report the problem.
Correct Answer
Tag the pump for maintenance and acquire a new pump for the client
The greatest risk is the potential for injury to a client if a nurse uses the pump again
before repair; therefore, the priority for the nurse is to tag the pump for
maintenance and acquire a new pump for the client.
Page 2 of 28
, Question 4
A charge nurse is planning care for a group of clients. Which of the following tasks
should be delegated to an assistive personnel (AP)? select all that apply
Flushing a client's saline lock
Ambulating a client who uses a walker
Adding thickener to thin liquids on a client's food tray
Teaching a client how to use an incentive spirometer
Evaluating a client's gag reflex before mealtime
Correct Answer
ambulating a client who uses a walker, adding thickener to thin liquids on a client's
food tray
Question 5
A nurse is caring for a client. Which of the following tasks should the nurse delegate
to an assistive personnel (AP)? select all that apply
Correct Answer
Place an absorbent pad on the client's bed, report the client's blood pressure to the
nurse, apply barrier cream to the client's buttocks, document the client's vital signs
Question 6
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse
report for a group of newborns. Which of the following 3 newborns should the charge
nurse identify as requiring priority care? Select 3 newborns the charge nurse should
identify as priority.
Correct Answer
Newborn 5, Newborn 3, Newborn 1
Question 7
A nurse manager is assessing incident reports for the unit. Which of the following
client's medical records indicate professional negligence? Select 2 clients that the
nurse manager should recognize have charts that indicate professional negligence.
Correct Answer
Client 4, Client 5
Page 3 of 28
Questions and Answers
Question 1
There has been a community disaster and stable clients must be discharged from a
facility to prepare for the influx of new casualties. A nurse should identify that which
of the following clients is safe to discharge?
A client who has multiple sclerosis and reports ataxia
A client who has deep-vein thrombosis and an aPTT within the expected reference
range
A client who has right lower quadrant pain and positive rebound tenderness
A client whose amylase and lipase levels are twice the expected value
Correct Answer
a client who has multiple sclerosis and reports ataxia. This client is safe to discharge
because multiple sclerosis is a chronic disorder and ataxia is an expected finding. A
client who has deep-vein thrombosis requires aPTT monitoring at least daily and is
at risk for developing a pulmonary embolism. The nurse should not recommend this
client for discharge. A client who has right lower quadrant pain and positive
rebound tenderness likely has appendicitis and is at risk for developing peritonitis.
The nurse should not recommend this client for discharge. Amylase and lipase levels
above the expected reference range indicate pancreatitis, which places the client at
risk for sepsis or hemorrhage. The nurse should not recommend this client for
discharge.
Page 1 of 28
,Question 2
A nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority?
A client who is scheduled for a tubal ligation in 2 hr and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes mellitus and needs the first dressing change for an
ulcer
A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an
axillary temperature of 38° C (100.4° F)
Correct Answer
A client who has peripheral vascular disease and has an absent pulse in the right
foot. When using the airway, breathing, circulation approach to client care, the
nurse determines that the priority finding is an absent pulse, which indicates no
blood flow to the extremity. The nurse should assess this client to determine why
they are crying; however, this finding is not the nurse's priority. The nurse should
change this client's dressing to promote adequate wound healing; however, this
finding is not the nurse's priority. The nurse should implement measures to reduce
the client's temperature; however, this finding is not the nurse's priority.
Question 3
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the
rate was set at 100 mL/hr. After notifying the provider and verifying that the pump
was properly programmed, which of the following is the nurse's priority?
Fill out an incident report and submit it to the nurse manager.
Consult with other nurses who have experience with this type of pump.
Tag the pump for maintenance and acquire a new pump for the client.
Call the biomedical engineering department and report the problem.
Correct Answer
Tag the pump for maintenance and acquire a new pump for the client
The greatest risk is the potential for injury to a client if a nurse uses the pump again
before repair; therefore, the priority for the nurse is to tag the pump for
maintenance and acquire a new pump for the client.
Page 2 of 28
, Question 4
A charge nurse is planning care for a group of clients. Which of the following tasks
should be delegated to an assistive personnel (AP)? select all that apply
Flushing a client's saline lock
Ambulating a client who uses a walker
Adding thickener to thin liquids on a client's food tray
Teaching a client how to use an incentive spirometer
Evaluating a client's gag reflex before mealtime
Correct Answer
ambulating a client who uses a walker, adding thickener to thin liquids on a client's
food tray
Question 5
A nurse is caring for a client. Which of the following tasks should the nurse delegate
to an assistive personnel (AP)? select all that apply
Correct Answer
Place an absorbent pad on the client's bed, report the client's blood pressure to the
nurse, apply barrier cream to the client's buttocks, document the client's vital signs
Question 6
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse
report for a group of newborns. Which of the following 3 newborns should the charge
nurse identify as requiring priority care? Select 3 newborns the charge nurse should
identify as priority.
Correct Answer
Newborn 5, Newborn 3, Newborn 1
Question 7
A nurse manager is assessing incident reports for the unit. Which of the following
client's medical records indicate professional negligence? Select 2 clients that the
nurse manager should recognize have charts that indicate professional negligence.
Correct Answer
Client 4, Client 5
Page 3 of 28
