ATI Leadership and Management Proctored Questions

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Sample questions from ATI Leadership and Management Proctored Questions

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A charge nurse is assigning tasks to an experienced assistive personnel (AP). Which task is appropriate to delegate?

   • A.Obtaining routine vital signs for a stable client
   • B.Assessing a client who reports new chest pain
   • C.Evaluating a client's response to an analgesic
   • D.Teaching a client how to use an incentive spirometer

   Rationale: Obtaining routine vital signs for a stable client is a predictable task that can be delegated to trained AP. Assessments, teaching, and evaluation require nursing judgment and remain the nurse's responsibility. The nurse must communicate parameters for reporting abnormal findings and follow up on the results.

2. 2.A nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client 1 day after surgery who rates incisional pain 7 out of 10
   • B.A client scheduled for discharge who needs a review of prescriptions
   • C.A client with diabetes who requests assistance ordering lunch
   • D.A client with heart failure who has new confusion and an oxygen saturation of 88%

   Rationale: New confusion with hypoxemia can indicate impaired oxygenation and requires immediate assessment and intervention. Pain, meal planning, and discharge teaching are important but do not take priority over a potential acute respiratory problem. Use airway and breathing priorities when deciding which client to see first.

3. 3.A registered nurse is delegating care to an AP. Which actions support safe delegation? Select all that apply.

   • A.Delegate initial assessment of a newly admitted client to the AP
   • B.Remain accountable for evaluating the client's outcome
   • C.Verify that the AP has the skills needed for the task
   • D.Confirm that the task is permitted by facility policy and the AP's role
   • E.Give clear instructions about what findings to report promptly

   Rationale: Safe delegation includes confirming that the task is allowed, providing clear directions, checking competence, and evaluating the outcome. An initial assessment requires nursing judgment and cannot be delegated to an AP. Delegation transfers performance of an appropriate task, not the nurse's accountability for nursing care.

4. 4.A competent adult client declines a prescribed blood transfusion after the nurse explains the risks. What should the nurse do?

   • A.Ask the family to persuade the client to accept the transfusion
   • B.Request that the provider obtain consent from the client's spouse
   • C.Notify the provider and document the client's decision and teaching
   • D.Begin the transfusion because it is prescribed

   Answer and rationale are in the full material.

5. 5.A nurse discovers that a medication was administered to the wrong client. What is the nurse's priority action?

   • A.Notify the nurse manager at the end of the shift
   • B.Assess the client who received the medication
   • C.Document that an incident report was filed in the medical record
   • D.Complete an incident report before taking further action

   Answer and rationale are in the full material.