ATI RN LEADERSHIP PROCTORED EXAM 2025 LATEST

A client is brought to the emergency department following a motor-vehicle crash. Drug

use is suspected in the crash, and a voided urine specimen is ordered. The client

repeatedly refuses to provide the specimen. Which of the following is the appropriate

action by the nurse? - ANS-B* Document the client‟s refusal in the chart.

A nurse is making shift assignments in a hospital. Which of the following tasks is

appropriate to assign to a licensed practical nurse? - ANS-Administer a nasogastric

tube feeding.

A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a

sterile procedure. Which of the following actions indicates the newly licensed nurse is

maintaining sterile technique? (SATA) - ANS-b. Opens the sterile pack by first unfolding

the top flap away from her body

d. Removes the outside packaging of a sterile instrument before dropping it onto the

sterile field

A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid

because the IV pump is not working properly. Which of the following actions should the

nurse take first? - ANS-Auscultate the client‟s lungs.

A nurse is planning care for a group of clients and can delegate care to a licensed

practical nurse (LPN) and an assistive personnel. Which of the following tasks should

the nurse assign to the LPN? - ANS-Reinforcing teaching with a client who is learning to

self-administer insulin

A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After

donning a sterile gown and gloves, which of the following actions by the newly licensed

nurse demonstrates correct aseptic technique? - ANS-The nurse holds her hands above

her waist.

A nurse who is caring for a group of clients delegates collection of vital signs to an

assistive personnel (AP). Which of the following actions should the nurse take to

evaluate the delegated task? - ANS-Recheck vital signs that are outside the expected

reference range.

A nurse is caring for four clients. Which of the following tasks can be delegated to an

assistive personnel? - ANS-Obtaining a stool sample from a client who has renal failure

A nurse is triaging a group of clients following a disaster. Which of the following clients

should the nurse recommend for treatment first? - ANS-A client who has two open chest

wounds with a left tracheal deviation

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A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? - ANS-B* Document the client‟s refusal in the chart. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse? - ANS-Administer a nasogastric tube feeding. A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a sterile procedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA) - ANS-b. Opens the sterile pack by first unfolding the top flap away from her body d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? - ANS-Auscultate the client‟s lungs. A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN? - ANS-Reinforcing teaching with a client who is learning to self-administer insulin A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique? - ANS-The nurse holds her hands above her waist. A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel (AP). Which of the following actions should the nurse take to evaluate the delegated task? - ANS-Recheck vital signs that are outside the expected reference range. A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive personnel? - ANS-Obtaining a stool sample from a client who has renal failure A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first? - ANS-A client who has two open chest wounds with a left tracheal deviation

A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following statements by a staff nurse indicates that the teaching was effective? - ANS-"Consent can be given by a durable power of attorney." A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee? - ANS-An adolescent client whose parents refuse a blood transfusion for religious reasons A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth? - ANS-Establishing communication between providers A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The client expresses concern about the cost of blood-glucose monitoring supplies. Which of the following actions should the nurse take? - ANS-Refer the client to the social services department A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first? - ANS-The emergency department nurse is waiting to give report on a new admission. A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management? - ANS-Determine client care goals (set/plan goals) A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding? - ANS- "HIPAA allows clients to request a review of their own medical records." A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client‟s partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done? - ANS- Whether the client understands the risk of refusing the procedure A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurse are available for staffing. Which of the following tasks should the nurse assign to a licensed practical nurse? - ANS-Administer a hepatitis B vaccine. During a staff meeting a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first? - ANS-Determine factors that interfere with the documentation of client education.

A nurse in the emergency department is caring for a 16-year-old client who reports abdominal pain and is accompanied by an adult neighbor. The provider diagnoses a ruptured appendix and states that the client requires an emergency appendectomy. Which of the following actions should the nurse? - ANS-Attempt to notify the client‟s guardian to obtain consent. A nurse on a medical-surgical unit is caring for four clients. Which of the following findings is the highest priority? - ANS-A client who had a cardiac catheterization whose capillary refill in the great toe is 4 seconds A charge nurse suspects that a staff nurse is chemically impaired. Which of the following actions should the charge nurse take? - ANS-Collect data about the staff nurse to support further action A nurse is assessing a client‟s comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure? - ANS-"I might have to wear a nose clip during this test." A nurse in the emergency department is triaging four clients. Which of the following clients should the nurse recommend to be examined first? - ANS-An older adult client who has dyspnea and a respiratory rate of 26/min A home health nurse finds piles of newspapers in the hallway of a client‟s home. The nurse explains the need to discard the newspapers for safety reasons. The client agrees to move the newspapers into the living room. Which of the following conflict resolution strategies has the nurse used? - ANS-Collaborating A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to an assistive personnel? - ANS-Performing post mortem care prior to transferring the client to the morgue A nurse is providing discharge teaching to a client following a total knee arthroplasty. Which of the following information should the nurse include (SATA) - ANS-b.Contact information for the physical therapist c. Medication guidelines information e. Information about follow-up care A nurse is planning to discharge a client who has terminal cancer and suggests that the family might benefit from respite services. When the client‟s partner asks how this service can help, which of the following responses by the nurse is appropriate? - ANS- "It makes it possible for you to have some time away from caring for your wife." A nurse is teaching a client how to use a finger-stick glucometer at home. Which of the following instructions should the nurse include? - ANS-Warm the hands prior to piercing the skin.

A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate the need for referral to an occupational therapist? - ANS-Unilateral neglect - is one of the disabling features of stroke, and is defined as a failure to attend to the side opposite a brain lesion. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event? - ANS-A sufficient supply of personal protective equipment A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department? - ANS- Pertussis A charge nurse is teaching a newly licensed nurse about proper cleaning of equipment used for a client who has Clostridium difficile. Which of the following solutions should the nurse recommend to clean the equipment? - ANS-Chlorine bleach A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the following actions should the nurse take? - ANS-Ask the client‟s son to go to the waiting area A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching? - ANS-"I should have a sputum culture done every 2 to 4 weeks." An older adult client is awaiting surgery for a fractured right hip. The nurse should recognize that which of the following can be delegated to an assistive personnel? - ANS-Recording the client‟s vital signs A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? - ANS-Obtain the weight of a newborn that is receiving formula A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - ANS-"I will remove a client‟s restraints every 4 hours." An infection control nurse is planning an education program for a group of newly licensed nurses. Which of the following infections should the nurse include when discussing illnesses requiring droplet precautions? - ANS-Mumps

role of a client advocate? - ANS-"My role as a client advocate is to empower the clients to make informed healthcare decisions." .A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first? - ANS-Refer the AP to the facility procedure manual. A nurse at the local health department is caring for four clients who have communicable diseases. Which of the following infections should the nurse report to the state health department? - ANS-Chlamydia trachomatis A charge nurse witnesses two nurses having a loud discussion at the nurses‟station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take? - ANS-Escort the nurses to the nurses‟ lounge to continue the discussion A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experiences to safely care for his assigned clients. Which of the following actions should the nurse take? - ANS-Request that the charge nurse modify the assignment A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy? - ANS-a. Recommending a referral for a client who requires physical therapy A charge nurse in the emergency department is supervising a nurse who is floating from the medical- surgical unit. Which of the following assignments is appropriate for the float nurse? - ANS-Perform a urinary catheterization for a client who has experienced a cerebrovascular accident. A home health nurse is assessing the home environment during an initial visit to a client who has history of falls. Which of the following findings should the nurse identify as increasing the client‟s risk for falls? (SATA) - ANS-a. A folding chair without arm rests b. A wheeled office chair at the client‟s computer desk c. A throw rug covering some cracked vinyl flooring in the kitchen A nurse in a long-term care facility should identify that which of the following will provide security for clients who have dementia? - ANS-Setting alarms on exits A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take? - ANS-Proceed with treatment without obtaining written consent (Implied Consent)

A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first? - ANS-Observe the client‟s condition

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