LEADERSHIP ATI PROCTORED FOCUS – NURSING LEADERSHIP & MANAGEMENT – ATI
LEADERSHIP EXAM PRACTICE QUESTIONS AND RATIONALES
1. An RN on a med-surg unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr post op following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client: A. Obtain vitals for a client who
is 2 hr post op following a cardiac cath
2. A nurse is caring for an older adult client who has left the unit for a radiology
procedure. The client's son asks the nurse what med is being given to the
client. Which of the following is an appropriate response by the nurse?
A. "I am sorry, but that is information you will need to ask your mother or her
doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam
(Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before discharge."-
: A. "I am sorry, but that is information you will need to ask your mother or her doctor."
3. A nurse discovers that a client was administered an antihypertensive med
in error. Number the following actions in the appropriate sequence that the
nurse should follow.
A. Call the client's provider
B. Monitor the client's vitals
C. Notify the risk manager
D. Complete an incident report
E. Instruct the client to remain in bed until
further notice: 1. B. Monitor the client's vitals
2. E. Instruct the client to remain
, LEADERSHIP ATI PROCTORED FOCUS – NURSING LEADERSHIP & MANAGEMENT – ATI
LEADERSHIP EXAM PRACTICE QUESTIONS AND RATIONALES
in bed until further notice
3. A. Call the client's provider
4. D. Complete an incident report
5. C. Notify the risk manager
4. A nurse manager is explaining the use of incident reports to a group of
nurses in an orientation program. Which of the following statements should
the nurse manager include? Select all that apply.
A. A description of the incident should be
documented in the client's health care
record
B. Incident reports should not be shared w/the
client
C. Incident reports include a description of the
incident & actions taken
D. A copy of the incident report should be
placed in the client's health care record
E. The risk management dept. investigates the
incident: A. A description of the incident should be documented in the client's health care record
B. Incident reports should not be shared w/the client
C. Incident reports include a description of the incident & actions taken
E. The risk management dept. investigates the incident
5. An AP reports that a client's finger-stick blood glucose reading 30 min before
lunch is 58 mg/dL. The client's morning finger-stick blood glucose was 285
mg/dL. The client is asymptomatic for hypoglycemia, & his next dose of insulin
is scheduled to be administered at this time. Which of the following actions
should the nurse take first?
A. Recalibrate the glucometer, & recheck the client's blood glucose
B. Have the lab draw a stat serum glucose
, LEADERSHIP ATI PROCTORED FOCUS – NURSING LEADERSHIP & MANAGEMENT – ATI
LEADERSHIP EXAM PRACTICE QUESTIONS AND RATIONALES
C. Inform the AP to give the client 120 mL of orange juice
D. Administer insulin as prescribed: A. Recalibrate the glucometer, & recheck the client's blood
glucose
6. A nurse is observing a newly licensed nurse & an AP pull a client up in bed
using a drawsheet. Which of the following actions by the newly licensed nurse
indicates a need for further education?
A. The nurse spreads his legs apart
B. The nurse uses his body weight to counter the client's weight
C. The nurse's feet are facing inward, toward the center of the bed
D. The nurse uses the muscles in his arms to lift the client off the bed using
the drawsheet: C. The nurse's feet are facing inward, toward the center of the bed
7. A client is brought back to the unit after a total hip arthroplasty. The client
is confused, is moving his leg into positions that could dislocate the new hip
joint, & repeatedly attempts to get out of bed. Which of the following actions
should the nurse take? Select all that apply.
A. Apply arm & leg restraints immediately
B. Get an order from the provider
C. Have a family member sign the consent for restraints
D. Use a square knot to secure the restraints to the bed frame
E. Ensure that only one finger can be inserted between the restraint and the
client: A. Apply arm & leg restraints immediately
B. Get an order from the provider
C. Have a family member sign the consent for restraints
8. A home health nurse is assessing the safety of a client's home. Which of the
following factors may increase the client's risk for falls? Select all that apply.
A. History of a previous fall
B. Reduced vision
C. Impaired memory
LEADERSHIP EXAM PRACTICE QUESTIONS AND RATIONALES
1. An RN on a med-surg unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr post op following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client: A. Obtain vitals for a client who
is 2 hr post op following a cardiac cath
2. A nurse is caring for an older adult client who has left the unit for a radiology
procedure. The client's son asks the nurse what med is being given to the
client. Which of the following is an appropriate response by the nurse?
A. "I am sorry, but that is information you will need to ask your mother or her
doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam
(Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before discharge."-
: A. "I am sorry, but that is information you will need to ask your mother or her doctor."
3. A nurse discovers that a client was administered an antihypertensive med
in error. Number the following actions in the appropriate sequence that the
nurse should follow.
A. Call the client's provider
B. Monitor the client's vitals
C. Notify the risk manager
D. Complete an incident report
E. Instruct the client to remain in bed until
further notice: 1. B. Monitor the client's vitals
2. E. Instruct the client to remain
, LEADERSHIP ATI PROCTORED FOCUS – NURSING LEADERSHIP & MANAGEMENT – ATI
LEADERSHIP EXAM PRACTICE QUESTIONS AND RATIONALES
in bed until further notice
3. A. Call the client's provider
4. D. Complete an incident report
5. C. Notify the risk manager
4. A nurse manager is explaining the use of incident reports to a group of
nurses in an orientation program. Which of the following statements should
the nurse manager include? Select all that apply.
A. A description of the incident should be
documented in the client's health care
record
B. Incident reports should not be shared w/the
client
C. Incident reports include a description of the
incident & actions taken
D. A copy of the incident report should be
placed in the client's health care record
E. The risk management dept. investigates the
incident: A. A description of the incident should be documented in the client's health care record
B. Incident reports should not be shared w/the client
C. Incident reports include a description of the incident & actions taken
E. The risk management dept. investigates the incident
5. An AP reports that a client's finger-stick blood glucose reading 30 min before
lunch is 58 mg/dL. The client's morning finger-stick blood glucose was 285
mg/dL. The client is asymptomatic for hypoglycemia, & his next dose of insulin
is scheduled to be administered at this time. Which of the following actions
should the nurse take first?
A. Recalibrate the glucometer, & recheck the client's blood glucose
B. Have the lab draw a stat serum glucose
, LEADERSHIP ATI PROCTORED FOCUS – NURSING LEADERSHIP & MANAGEMENT – ATI
LEADERSHIP EXAM PRACTICE QUESTIONS AND RATIONALES
C. Inform the AP to give the client 120 mL of orange juice
D. Administer insulin as prescribed: A. Recalibrate the glucometer, & recheck the client's blood
glucose
6. A nurse is observing a newly licensed nurse & an AP pull a client up in bed
using a drawsheet. Which of the following actions by the newly licensed nurse
indicates a need for further education?
A. The nurse spreads his legs apart
B. The nurse uses his body weight to counter the client's weight
C. The nurse's feet are facing inward, toward the center of the bed
D. The nurse uses the muscles in his arms to lift the client off the bed using
the drawsheet: C. The nurse's feet are facing inward, toward the center of the bed
7. A client is brought back to the unit after a total hip arthroplasty. The client
is confused, is moving his leg into positions that could dislocate the new hip
joint, & repeatedly attempts to get out of bed. Which of the following actions
should the nurse take? Select all that apply.
A. Apply arm & leg restraints immediately
B. Get an order from the provider
C. Have a family member sign the consent for restraints
D. Use a square knot to secure the restraints to the bed frame
E. Ensure that only one finger can be inserted between the restraint and the
client: A. Apply arm & leg restraints immediately
B. Get an order from the provider
C. Have a family member sign the consent for restraints
8. A home health nurse is assessing the safety of a client's home. Which of the
following factors may increase the client's risk for falls? Select all that apply.
A. History of a previous fall
B. Reduced vision
C. Impaired memory
