ATI NURSING LEADERSHIP AND
MANAGEMENT
1- A nurse enters the room of a client who is on contact precautions and find the
client lying on the floor. Which of the following actions should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed. – ANS C.
Inspect the client for injuries.
2- An RN on a medical surgical unit is making assignments at the beginning of the
shift. Which of the following tasks should the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
Catherine station.
B. Administer a unit of packed red blood cells to a client who has cancer.
C. Instruct a client who is scheduled for discharge in the performance of one care.
D. Develop a plan of care for a newly admitted client who has pneumonia. – ANS
A. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
Catherine station.
3- A PN ending her shift reports to the RN that a newly hired AP has not
calculated the intake and output for several clients. Which of the following action
should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN.
C. Ask the AP if she needs assistance.
D. Notify the nurse manager. – ANS C. Ask the AP if she needs assistance.
4- A nurse manager is developing an orientation plan for newly licensed nurses.
Which of the following information to the manager include in the plan? Select all
that apply
A. Skilled proficiency.
B. Assignment to a preceptor.
C. Budgetary principles.
D. Computerized charting.
E. Socialization into unit culture.
F. Facility policies and procedures. – ANS A. Skilled proficiency.
B. Assignment to a preceptor.
D. Computerized charting.
E. Socialization into you in a culture.
F. Facility policies and procedures.
The purpose of orientation is to assist the newly licensed nurse to transition from
the role of student to the role of employee and licensed nurse.
5- A nurse manager is providing information about the audit process to members
of the nursing team. Which of the following information should a nurse manager
include? Select all that apply
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluate the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark. – ANS A.
A structure audit evaluates the setting and resources available to provide care.
B. An outcome evaluate the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
E. After data collection is completed, it is compared to a benchmark.
- A nurse is participating in a quality improvement study of a procedure
frequently performed on the unit. Which of the following information will provide
data regarding the efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
ATI Leadership & Management
- A community health nurse is reinforcing with a group of parents about home
safety for children of various age groups. Which of the following
information should the nurse plan to include? – ANS the supine position
is the safest for sleeping infants - A nurse is monitoring a client who is receiving IV fluids via infusion pump
and notes the pump is malfunctioning. Which of the following actions
should the nurse take? – ANS place a tag on the IV pump - A nurse is caring for an adolescent child who requires a blood transfusion.
The clients parents will not consent to the transfusion due to religious
beliefs. Which of the following actions should the nurse take? – ANS
inform the charge nurse and recommend that social services be contacted - A nurse is assigned to care for a client who is in isolation. Which of the
following actions should the nurse take to manage time efficiently while
caring for this client? – ANS organize care into groups that can be
performed at one time - A nurse is assisting with the care of a client who has terminal cancer and is
receiving chemotherapy. The client tells the nurse that she is only continuing
treatment for her family sake. Which of the following responses should the
nurse make? – ANS lets talk about your reasons for continuing treatment - A nurse is caring for a client who received a skin tear during a routine
dressing change. After completing an incident report which of the following
actions should the nurse take? – ANS submit the incident report to the
nurse manager for review - A nurse is reinforcing teaching with a newly licensed nurse about the role of
the nurse in informed consent. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching? – ANS
my signature on the consent form indicates the client gave consent for the
procedure voluntarily - A charge nurse is evaluating the documentation of care for four clients by a
newly licensed nurse. Which of the following entries requires intervention
RN 2019 Leadership ATI
- A nurse is reviewing a client’s medication administration record and finds
that the client has not received a prescribed dose of warfarin for 2 days.
which of the following actions should the nurse take first? – ANS Check the
client’s INR. - A nurse manager is presenting an in-service about preventing readmission of
clients dues to complications following joint arthroplasty. Which of the
following leadership tasks is the nurse performing? – ANS Advocay - a nurse is teaching an AP about caring for a client who has a DNR order.
Which of the following statements by the AP indicates an understanding of
the teaching? – ANS “I will call for the client’s nurse to come to the room if
I cannot detect the client’s pulse.”
The AP should contact the nurse for further assessment whenever a client’s
condition does not meet expected findings. The client who has a DNR order in
place does not require resuscitation. - A nurse is caring for four clients. Which of the following tasks can the nurse
assign to an AP? – ANS Perform chest compressions on a client who is in
cardiac arrest.
The nurse should assign an AP to perform chest compressions on a client who is in
cardiac arrest. Performing basic CPR is within an AP’s range of function. - A Nurse is teaching a newly licensed nurse about using electronic medical
records. which of the following statements by the newly licensed nurse
indicated an understanding of the teaching? – ANS “My access to client
electronic medical records may be tracked by my nurse manager.”
The nurse should keep her password private and not share it with anyone else to
decrease the risk for a breach of client confidentiality.The nurse should expect her
employer to track access of client records to ensure client confidentiality.While a
client has the right to read his medical record, and the nurse can allow him to do so
by following facility protocol, a client’s partner does not have that right unless
granted by the client.The nurse should log out of the electronic medical record
when not actively using it. Failure to log out increases the risk for breach of client
confidentiality.
- a nurse is receiving change-of-shift report. which of the following clients
should the nurse assess first? – ANS A client who had abdominal surgery 6
hours ago and had a heart rate of 120/min for the last 2 hours. - A RN delegates the task of obtaining the bp of a client who is 2hr post-op
following a cholecystectomy to a LPN. The LPN reports a BP that is
significantly higher than the clients previous reading. which of the following
actions should the RN take first? – ANS Recheck client’s BP - A public health nurse is developing a list of recommendations for her
supervisior on how to use EBP to improve community outcomes. Which of
the following should the nurse recommend as a qualitative research method?
- ANS Phenomenology
Meta-analysis is a quantitative research method that provides a statistical
analysis of multiple studies conducted on the same topic.Experimental study
is a quantitative research method that uses control and treatment groups to
test at least one independent variable.Phenomenology is a qualitative