2023
ATI RN LEADERSHIP 2019
ALREADY GRADED A+
,1
ATI RN LEADERSHIP 2019 GRADED A+.
1. A client is brought to the emergency department following a motor-vehicle crash. Drug use
issuspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuse
s toprovide thespecimen.Whichof the following istheappropriateactionbythenurse?
a. Telltheclientthatacatheterwillbeinserted.
b. Documenttheclient'srefusalinthechart.
c. Assesstheclientforurinaryretention.
d. Obtain a provider's prescription for a blood alcohol
levelAnswer: b-Document theclient'srefusal inthechart.
If the client is repeatedly refusing to provide specimen for drug test then nurse can
justdocumentedhisrefusal.Thatdocumentcanbeusedagainsttheclientregardingthemotorvehicle
accident.
2. A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriateto assignto alicensed practicalnurse?
a. Pickupthemeal traysafter lunch.
b. Administeranasogastrictubefeeding.
c. Planbreaktimesforassistivepersonnel.
d. Determine adequacy of ventilator
settingsAnswer:b.Administeranasogastrictube
feeding
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a
sterileprocedure. Which of the following actions indicates the newly licensed nurse is
maintainingsteriletechnique?(SATA)
a. Placessterileitemswithin a1.25cm(0.5in)borderaroundtheedgesofthe sterilefield
b. Opensthesterile packbyfirstunfoldingthe topflap awayfromherbody
c. Preparesacontainerofsterilesolutiononthefieldafterputtingonsterilegloves
d. Removestheoutsidepackagingofasterileinstrument beforedroppingitontothesterilefield
e. Holds the sterile solution bottle with the label facing upb. Opens the sterile pack by
firstunfolding thetop flap awayfromher body
Answer: d. Removes the outside packaging of a sterile instrument before dropping it onto
thesterilefield
, 1
4. A nurse enters a client's room and identifies that the client is receiving too much IV
fluidbecausetheIVpumpisnotworkingproperly.Whichofthefollowingactionsshouldthenursetak
efirst?
a. Auscultatetheclient'slungs.
b. Notifytheprovider.
c. Placeafaulty equipmenttag onthepump.
d. Completeanincidentreport.
Answer:a.Auscultatetheclient'slungs.
5. A nurse is planning care for a group of clients and can delegate care to a licensed
practicalnurse(LPN)andanassistive personnel.Whichofthe
followingtasksshouldthenurseassigntothe LPN?
a. Reinforcingteachingwithaclientwhoislearningtoself-administerinsulin
b. Ambulatingaclientwhoisscheduledfordischargelaterintheday
c. AdministeringmorphineIVbolustoaclient whois hrpostoperative
d. Admittinganewclientwhohaschronicback painto theunit
Answer:a.Reinforcingteachingwithaclientwhoislearningtoself-administerinsulin
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis.
Afterdonning a sterile gown and gloves, which of the following actions by the newly licensed
nursedemonstratescorrectaseptictechnique?
a. Thenurseappliesgoggles.
b. Thenurse turnsherbackto thesterilefield.
c. Thenurseholdsherhandsabove herwaist.
d. Thenurse putsonaface mask.
Answer:c.Thenurseholdsherhandsaboveherwaist
7. A nurse who is caring for a group of clients delegates collection of vital signs to an
assistivepersonnel(AP).Which ofthefollowingactionsshouldthe nursetaketo
evaluatethedelegatedtask?
ATI RN LEADERSHIP 2019
ALREADY GRADED A+
,1
ATI RN LEADERSHIP 2019 GRADED A+.
1. A client is brought to the emergency department following a motor-vehicle crash. Drug use
issuspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuse
s toprovide thespecimen.Whichof the following istheappropriateactionbythenurse?
a. Telltheclientthatacatheterwillbeinserted.
b. Documenttheclient'srefusalinthechart.
c. Assesstheclientforurinaryretention.
d. Obtain a provider's prescription for a blood alcohol
levelAnswer: b-Document theclient'srefusal inthechart.
If the client is repeatedly refusing to provide specimen for drug test then nurse can
justdocumentedhisrefusal.Thatdocumentcanbeusedagainsttheclientregardingthemotorvehicle
accident.
2. A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriateto assignto alicensed practicalnurse?
a. Pickupthemeal traysafter lunch.
b. Administeranasogastrictubefeeding.
c. Planbreaktimesforassistivepersonnel.
d. Determine adequacy of ventilator
settingsAnswer:b.Administeranasogastrictube
feeding
3. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a
sterileprocedure. Which of the following actions indicates the newly licensed nurse is
maintainingsteriletechnique?(SATA)
a. Placessterileitemswithin a1.25cm(0.5in)borderaroundtheedgesofthe sterilefield
b. Opensthesterile packbyfirstunfoldingthe topflap awayfromherbody
c. Preparesacontainerofsterilesolutiononthefieldafterputtingonsterilegloves
d. Removestheoutsidepackagingofasterileinstrument beforedroppingitontothesterilefield
e. Holds the sterile solution bottle with the label facing upb. Opens the sterile pack by
firstunfolding thetop flap awayfromher body
Answer: d. Removes the outside packaging of a sterile instrument before dropping it onto
thesterilefield
, 1
4. A nurse enters a client's room and identifies that the client is receiving too much IV
fluidbecausetheIVpumpisnotworkingproperly.Whichofthefollowingactionsshouldthenursetak
efirst?
a. Auscultatetheclient'slungs.
b. Notifytheprovider.
c. Placeafaulty equipmenttag onthepump.
d. Completeanincidentreport.
Answer:a.Auscultatetheclient'slungs.
5. A nurse is planning care for a group of clients and can delegate care to a licensed
practicalnurse(LPN)andanassistive personnel.Whichofthe
followingtasksshouldthenurseassigntothe LPN?
a. Reinforcingteachingwithaclientwhoislearningtoself-administerinsulin
b. Ambulatingaclientwhoisscheduledfordischargelaterintheday
c. AdministeringmorphineIVbolustoaclient whois hrpostoperative
d. Admittinganewclientwhohaschronicback painto theunit
Answer:a.Reinforcingteachingwithaclientwhoislearningtoself-administerinsulin
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis.
Afterdonning a sterile gown and gloves, which of the following actions by the newly licensed
nursedemonstratescorrectaseptictechnique?
a. Thenurseappliesgoggles.
b. Thenurse turnsherbackto thesterilefield.
c. Thenurseholdsherhandsabove herwaist.
d. Thenurse putsonaface mask.
Answer:c.Thenurseholdsherhandsaboveherwaist
7. A nurse who is caring for a group of clients delegates collection of vital signs to an
assistivepersonnel(AP).Which ofthefollowingactionsshouldthe nursetaketo
evaluatethedelegatedtask?
