ATI RN Leadership Proctored

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Sample questions from ATI RN Leadership Proctored

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

1. 1.At change of shift, the charge nurse assigns clients to four registered nurses. Which assignment is appropriate for a newly licensed nurse?

   • A.A client admitted with chest pain who is awaiting the first troponin result
   • B.A client with stable heart failure who needs routine morning medications and daily weights
   • C.A client whose continuous bladder irrigation has stopped draining and who reports suprapubic pressure
   • D.A client who is 2 hours postoperative after a thyroidectomy and reports tingling around the mouth

   Rationale: The stable client with heart failure has predictable needs and is appropriate for a newly licensed nurse. The postoperative thyroidectomy client may develop airway compromise or hypocalcemia, the client with chest pain needs ongoing evaluation, and the client with obstructed irrigation requires prompt assessment and intervention. Assign clients according to acuity, stability, and the nurse's demonstrated competence.

2. 2.During a medical-surgical shift, a charge nurse reviews this chart. Refer to the client's chart. Which action should the charge nurse take first?

   • A.Document the change in condition in the charge nurse's notes
   • B.Notify the provider that the client has worsening pain
   • C.Arrange for the client to be transferred to a higher level of care
   • D.Ask the nurse to reassess the client immediately and remain at the bedside

   Rationale: The chart shows worsening abdominal pain, tachycardia, hypotension, and a falling hemoglobin, so the immediate priority is a focused reassessment and bedside evaluation. The charge nurse should then escalate care and communicate the changes; notifying the provider without confirming the current assessment may delay recognition of deterioration. Documentation and transfer planning follow immediate assessment and stabilization.

3. 3.A nurse is delegating tasks to assistive personnel (AP) on a long-term care unit. Which tasks are appropriate to delegate to the AP? Select all that apply.

   • A.Evaluate whether a PRN analgesic relieved pain
   • B.Measure and record the intake and output of a stable resident
   • C.Teach a resident how to use a walker after a fall
   • D.Obtain routine vital signs for a stable resident
   • E.Assist a stable resident with bathing and dressing

   Rationale: Routine vital signs, personal care, and measuring and recording intake and output are predictable tasks that can be delegated to trained AP, with the nurse responsible for interpreting findings. Teaching walker use requires nursing assessment and instruction, and evaluating analgesic effectiveness requires nursing judgment. Delegation transfers a task, not accountability for the client's care.

4. 4.A client scheduled for surgery tells the nurse, "I signed the form, but I still do not understand the risks." Which action should the nurse take?

   • A.Ask a family member to explain the procedure to the client
   • B.Explain the surgical risks and ask the client to sign again
   • C.Notify the surgeon that the client needs further explanation before proceeding
   • D.Witness the signature because the client has already signed the form

   Answer and rationale are in the full material.

5. 5.A home health nurse receives a referral for a client who needs complex wound care and has unstable blood glucose levels. Which action is most appropriate when planning care?

   • A.Coordinate with the provider and diabetes educator to establish an interdisciplinary plan
   • B.Schedule visits according to the nurse's convenience
   • C.Wait until the next scheduled visit to report abnormal glucose readings
   • D.Ask the client's neighbor to perform the dressing changes

   Answer and rationale are in the full material.