Latest ATI Leadership Practice Questions, Answers and Rationales 2025, Exams of Nursing

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ATI RN Leadership Practice 2025 Exam

Questions and Verified Answers

A charge nurse in an ER is making assignment for an AP for a shift with unexpected staff absences. Which of the following assignments should the charge assign to a float AP from the med surg unit? a. escort clients from the ER to other areas of the facility for tests b. sit at the reception desk CORRECT ANSWER Escort clients from the ER to other areas of the facility for tests. A charge nurse is evaluating conflict resolution between two staff nurses. Which of the following conflict resolution styles is an example of one nurse putting aside her own goals to satisfy the other nurse? a. avoidance b. accommodation - CORRECT ANSWER b. accommodation A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? a. A client who is to be discharged with a PICC line b. A client who is disoriented and awaiting transfer to a long term facility c. A client who is 16 hr post op following a total larryngectomy - CORRECT ANSWER b. A client who is disoriented and awaiting transfer to a long term facility A charge nurse is observing a group of new RNs. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? a. assigning a client who requested a private room to a semi private due to unavailability b. placing a client who is confused in restraints c. talking about clients with other nurses in the cafe - CORRECT ANSWER c. talking about clients with other nurses in the cafe A charge nurse on a ped unit is delegating tasks to an AP who is pregnant and reports that she is unsure of her immune status. Which of the following clients should the charge nurse assign to the AP? a. A 9 yr old child who has fifths disease b. A 4 yr old child who has varicella c. A 6 yr old child who has rubella

Transformational leaders give group members responsibilities that will enhance their professional development. in cardiopulmonary resuscitation, one person must organize the group's actions and guide the resuscitation efforts. A home health nurse is caring for a client who asks what is included in a living will. Which of the following statements should the nurse include in the teaching? a. It establishes who will make health care decisions if the client is not able b. It allows the client to express personal wishes regarding health care decisions c. It serves as an informed consent for procedures - CORRECT ANSWER b. It allows the client to express personal wishes regarding health care decisions A nurse discovers that the wrong med was given to a confused client who CORRECT ANSWER ered to the name the nurse stated when entering the room. The provider is notified and states that the med the client received will cause any harm. Which of the following actions should the nurse take? a. Complete an incident report documenting the occurrence b. Make a note in the client's medical record that an incident report was completed - CORRECT ANSWER a. complete an incident report documenting the occurrence A nurse in an ER is caring for four clients. Which of the following findings requires the nurse to act as a mandatory reporter? a child who was left unsupervised for several hours at home and is being treated for a fractured leg. a client who was admitted for pneumonia and admits to having no heat or running water at home. a client who has depression and self-inflicted wrist laceration. - CORRECT ANSWER A child left unsupervised for several hrs at home and is being treated for a fractured leg. This child exhibits findings of neglect and endangerment. the nurse is a mandatory reporter of any client situation in which children or older adult clients are being abused or neglected. A nurse in the emergency department is preparing to obtain informed consent for surgery from a client who received meperidine hydrochloride IV during transport from a rural hospital. Which of the following actions should the nurse take to obtain consent for surgery? - CORRECT ANSWER Obtain consent from a relative of the client.

This medication can alter the client's ability to understand the consent process. the nurse should obtain consent from a relative of the client. if a relative is unavailable and the surgery is determined to be critical, the surgery can proceed without client consent. A nurse is ambulating a client who has an IV with an infusion pump. Upon returning to the client's room and plugging the infusion pump in, the client reports a slight tingling in his hand. Which of the following actions should the nurse take? a. plug the pump into a different outlet b. place a service tag on the pump for a routine inspection c. unplug the pump and plug it back into the same outlet to see if the sensation of tingling is repeated d. turn the pump off - CORRECT ANSWER Turn the pump off The pump must be turned off immediately to protect the client and the nurse from the risk of electrical injury and fire. A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents? a. I want to talk to you how important it is for you to consider donating your child's organs for transplantation b. I want to give you some info about an option that you have regarding donating your child's organs to others who are in need. - CORRECT ANSWER b. I want to give you some info about an option that you have regarding donating your child's organs to others who are in need A nurse is caring for a client who is a local public official. A local newspaper reporter repeatedly phones the unit seeking info and states, "it is the public's right to know that health status of elected officials." Which of the following actions should the nurse take? a. Acknowledge that the person is a client on the unit but give no specific details b. Refer any calls directly to the client's room so that the client and the family can decide what to tell the press c. Refer media inquires to the nursing supervisor d. Hang up on callers from the news media because the nurse is not required to speak to them

• CORRECT ANSWER Refer the media inquires to the nursing supervisor

a. Cerebral arteriogram b. MRI c. CT scan - CORRECT ANSWER a. Cerebral arteriogram (because it is an invasive procedure) A nurse is caring for several clients who require diagnostic testing and is delegating tasks to an AP. Which of the following tasks should the nurse direct the AP to perform FIRST? a. change the transparent dressing on a pt who has a stage 2 pressure ulcer b. bring a pitcher of fresh water to a pt who has just had a lumbar puncture c. transport a pt to the radiology department for a routine chest x-ray d. take an arterial blood gas specimen to the lab - CORRECT ANSWER d. take an arterial blood gas specimen to the lab A nurse is completing an incident report after administering an incorrect dose of med to a patient, even though the client experienced no ill effects from the error. Which of the following should the nurse recognize as the purpose for completing the incident report? a. Alerts facility administration of a possible litigation situation b. Tracks employee performance for possible disciplinary action c. Provides detailed report of the occurrence for the family d. Identifies situations that contribute to the occurrence of med erros - CORRECT ANSWER d. Identifies situations that contribute to the occurrence of med errors A nurse is delegating a client care task to an AP. Which of the following directions should the nurse give the AP? a. This client needs to ambulate using a walker three times today b. Please record strict I & O for this client - CORRECT ANSWER a. This client needs to ambulate using a walker three times today A nurse is delegating a task to an AP. The AP is to transfer a pt who has a below the knee amputation from a bed to a wheelchair. The AP has never transferred a pt with an amputation before. Which of the following actions should the nurse take? a. provide the AP with a manual on how to b. assist the AP after he has practiced the transfer

c. transfer the client while the AP observes - CORRECT ANSWER b. assist the AP after he has practiced the transfer A nurse is discussing with a newly licensed nurse about how to obtain informed consent from a client who is to undergo an epidural procedure. Which of the following ethical principles should the nurse include in the teaching? a. Benedicence b. Autonomy c. Paternalism - CORRECT ANSWER b. Autonomy Informed consent is based on the ethical principle of autonomy, which is the right to self- determination, independence, and freedom of choice. A nurse is making a client's bed and finds a capsule in the sheets. Which of the following actions by the nurse is consistent with safe nursing practice? Select all that APPLY a. administer the med to the client b. notify the provider of the missed dose c. complete a variance report d. document the missed dose of the med on the MAR e. place the med back in the med drawer - CORRECT ANSWER b. notify the provider of the missed dose c. complete a variance report A nurse is preparing to give change of shift report to the oncoming nurse. Which of the following info should the nurse include? a. routine care procedures b. biographical info c. objective measurements about the client's condition - CORRECT ANSWER c. objective measurements about the client's condition A nurse is preparing to provide discharge teaching to an older adult client. Which of the following teaching considerations should the nurse include? a. allow frequent rest periods during teaching

A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which of the following is an assertive statement that the charge nurse should use to initiate discussion of the issue? a. I understand that you are allowed to take scheduled breaks during each shift, but you are taking more than the number allocated. Let's set a time when we can discuss this behavior b. you are taking more breaks during each shift than hospital policy allows. You will need to take only the number of breaks specified and be sure you are back on time - CORRECT ANSWER a. I understand that you are allowed to take scheduled breaks during each shift, but you are taking more than the number allocated. Let's set a time when we can discuss this behavior A nurse manager calls a meeting of the unit's staff members to discuss cost-containment issues. The nurse manager has asked for staff input regarding strategies that might help reduce costs. Which of the following types of leadership is the nurse manager using? a. Autocratic b. Democratic c. Laissez-faire d. Moral - CORRECT ANSWER Democratic A democratic leader guides staff toward reaching an objective and shares responsibility with the staff. this is the ideal type of leadership in this situation because a great amount of creativity can occur and many strategies can be developed. A nurse manager is participating in a root cause analysis following a sentinel event on her unit. Which of the following descriptions defines the purpose of a root cause analysis? a. A root cause analysis in preparing a legal defense for the event b. A root cause analysis estimates the costs involved in the event c.The root cause analysis investigates deviations from the standards of care surrounding the event - CORRECT ANSWER c. The root cause analysis investigates deviations from the standards of care surrounding the event A nurse manager is planning staff development activities for the unit's new AP's. Which of the following activities should the nurse manager perform first? a. determine the learning needs of the AP's

b. Administer a skills pretest to the new APs - CORRECT ANSWER a. Determine the learning needs of the AP's The nurse should apply the nursing process priority-setting framework. the nurse can use the nursing process to plan client care and prioritize nursing actions. A nurse on a med surg unit is caring for a group of pts. For which of the following situations should the nurse complete a variance report? a. clarification of a med dose prescribed by the provider b. the discovery that a pre-op client has received and eaten breakfast - CORRECT ANSWER b. the discovery that a pre-op client has received and eaten breakfast A nurse on a medical surgical unit is caring for a group of clients. for which of the following situations should the nurse complete a variance report? - CORRECT ANSWER This discovery that a preoperative client has received and eaten breakfast. This situation represents a variation from the standard of care. a change in the client's plan of care is necessary for this client because the surgical procedure will need to be delayed. a principle that is based on the assumption that one person can assume responsibility for making the decisions for another person - CORRECT ANSWER paternalism A pt in long term care facility falls out of bed, fracturing his right hip. The side rails on the bed were not raise at bedtime, although this pt was a high fall risk. The nurse should identify what tort has occurred? - CORRECT ANSWER Negligence Negligence occurs when a client is exposed to an unreasonable risk of injury. raised side rails help to decrease the risk of falling out of the bed and are a standard of care for clients who have been identified as at risk for falling. An RN and a LPN are caring for a pt who has a small bowl obstruction and is NPO with a NG tube set to continuous suction. Which of the following tasks should the RN perform? a. obtain daily weight b. inspect the pt oral cavity for dryness hourly c. assess for bowel sounds every 2 hrs - CORRECT ANSWER c. assess for bowel sounds every 2 hrs Based on recommendation following a regulatory agency visit, the nurse manager mandates a policy change. One of the staff nurses on the unit is resistant to the change, and the nurse