ATI RN Leadership 2026 Proctored Exam – Review with Answers

What action should the nurse take regarding surgical consent for a married 17-year-old client preparing for an appendectomy whose parents have not spoken with the surgeon?

Have the client sign the consent form after the surgeon explains the procedure.

What information should the nurse document when completing an incident report regarding a medication error?

Identify the medication name and dosage administered to the client, and include the time the medication error occurred.

Which of the following actions should NOT be taken with an incident report: placing a copy in the client's medical record, or making a personal copy?

Neither action should be taken; the nurse should never place a copy of an incident report in the medical record nor copy it for personal records.

For which client on a medical-surgical unit should the nurse schedule an interdisciplinary conference?

A client who has type 1 diabetes mellitus and uses an insulin pump.

What action should the nurse take when caring for a client who does not share a language with the nurse?

Notify the client in writing of their rights to receive an interpreter.

Which response to a post-total knee arthroplasty client who asks to miss physical therapy demonstrates the ethical principle of beneficence?

"I can provide you with medication if you are experiencing discomfort."

What is a characteristic of a transactional leader?

A transactional leader is results-oriented.

What action should the nurse take first for a confused client attempting to remove their IV access?

Arrange for someone to sit with the client.

What measure should a nurse manager implement to reduce the cost of treatment in an acute care setting?

Encourage staff to participate in quality improvement projects.

Which referral should the nurse recommend for the parent of a toddler with asthma who is unable to afford a prescribed nebulizer?

Social worker

What critical information should the nurse include in a change-of-shift report when transferring a surgical client to a rehabilitation facility?

The time the client received their last dose of pain medication.

What is the nurse's first action upon finding an unconscious client's son reading her electronic medical records from a bedside monitor?

Log out the computer so that the client's son is unable to view his mother's information.

Administering blood to a client scheduled for coronary artery bypass surgery who refuses blood transfusions violates which ethical principle?

Autonomy

Which task should the registered nurse assign to a licensed practical nurse (LPN) on a medical-surgical unit?

Reinforcing dietary teaching with a client who has heart disease.

What action should a charge nurse take first after noticing that two staff nurses are not taking meal breaks during their shifts?

Determine the reasons the nurses are not taking scheduled breaks.

Which condition is classified as a nationally notifiable infectious disease reportable to community health officials?

Lyme disease

What personal protective equipment is required under airborne precautions when caring for a client who has measles?

An N95 respirator mask

What is the first action the hazardous materials team lead nurse should take as clients arrive at the triage area after a chemical mass casualty incident?

Remove contaminated clothing.

What action should a bilingual staff nurse take if asked by a charge nurse to witness an informed consent for a client who speaks their language?

Review the facility's policy regarding the use of staff members as interpreters.

Which client should the nurse delegate to an assistive personnel (AP) for vital sign measurements?

A client who has sickle-cell anemia and has completed an infusion of packed RBCs.

Which assessment finding in a client who had a recent stroke indicates the need for a referral to an occupational therapist?

Unilateral neglect

Which piece of equipment should the charge nurse ensure is available in the room of a newly admitted client who has dysphagia?

Yankauer suction device

What key information regarding the purpose of a living will should be included in nurse training?

A living will addresses resuscitation measures.

What action must the nurse take when witnessing informed consent for a gastroscopy if the client states they do not understand the procedure?

Inform the provider that the client requires clarification about the procedure.

What is the legal duty of a charge nurse reviewing laboratory reports that indicate communicable diseases in clinic clients?

Report the clients who have reportable communicable diseases to public health officials as required by law.