ATI Leadership Proctored Exam

1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the

nurse recommend for an interdisciplinary care conference?

A client who is at 35 weeks of gestation and has a biophysical profile of 6

2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells the

nurse she can no longer handle caring for the client. Which of the following actions should the nurse

take?

Contact the case manager to discuss discharge options

3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma.

The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following

referrals should the nurse recommend?

Social worker

4. A nurse is supervising assistive personnel who’s feeding a client with dysphagia. Which of the

following actions by the AP should the nurse identify as correct technique?

Instructing the client to place their chin to chest while swallowing

5. A nurse is providing an in-service about client rights for a group of nurses. Which of the following

statements should the nurse include in the in-service?

“A nurse can disclose information to a family member with the client’s permission.”

6. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has

not yet delivered the oxygen tank. Which of the following action should the nurse take?

Contact social services about the delivery of the oxygen equipment.

7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse

that she has reconsidered because she is worried about the pain. Which of the following response by

the nurse is appropriate?

I understand, and it’s not too late to change your mind.

8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel

position him in bed with excessive force. Which of the following actions should the nurse take?

Contact the nurse manager

9. A nurse is assessing a client who has meningitis. Which of the following finding should the nurse

report to the provider immediately?

Decreased level of consciousness

10. A nurse is caring for a client who wanders through the halls yelling obscenities at staff other clients

and visitors. Which action should the nurse take?

A) Administer sedatives

B) Keep the client in her room with the door closed

C) Contact family members to come sit with the client

D) Place the client in a wheelchair with a lap tray

11. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having

trouble focusing and had difficulty completing care for his assigned client. Which of the following

intervention is appropriate?

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Recommend that he take time to plan at the beginning of his shift.

12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage

bone cancer to an experienced AP. Which of the following assessment should the nurse make before

delegating care?

Has data been collected about specific client needs related to turning?

13. 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?

A sufficient supply of personal protective equipment.

14. A nurse manger observes an assistive personnel incorrectly transferring a client to the bedside

commode. Which of the following actions should the nurse take first?

Help the AP transfer the patient

15. A nurse manager is leading discussion about ethical dilemmas. Which of the following situations

should the nurse manager include as an example of an ethical dilemma?

A) a nurse witnesses another nurse administer incorrect medication

B) a visitor experiences minor burns at a facility after receiving….

C) a parent wants a 14-year-old adolescent to receive radiation treatment against his will

D) a client receives operation on the wrong side of the body

16. A nurse a caring for a client who request information about the prevalence of Tay-Sachs disease.

Which of the following resources should the nurse use to obtain this information?

An evidence-based nursing journal

17. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following

statement by the newly licensed nurse indicates an understanding of the teaching?

I should encrypt personal health information when sending email.

18. A nurse in the emergency department is assessing a client who is unconscious following a motorvehicle crash. The client requires immediate surgery. Which of the following actions should the nurse

take?

Transport the client to the operating room without verifying informed consent.

19. A nurse enters a clients room to witness an informed consent for a gastroscopy. The client states he

does not understand the procedure. Which of the following actions should the nurse take?

Inform the provider that the client requires clarification about the procedure

20. A case manager is preparing a discharge plan for a client following coronary artery bypass graphing

surgery. Which of the following client issues should the nurse address first?

Inadequate food supply

21. 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?

Pertussis

22. A nurse is preparing to complete an incident report regarding a medication error. Which of the

following actions should the nurse plan to take SATA.

A. Place a copy of the completed report in the client’s medical record

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