ATI Capstone Leadership | ATI Capstone Leadership Exam Real
Questions and Answers Self-Assessment Guide 2024/2025 Rated A+
A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the
family might need respite care services. When a family member asks how respite care can help, which
response should the nurse provide? Respite care allows the primary caregiver time away from day-to-
day care responsibilities
A nurse is caring for a group of pts. Which of the following clients should the nurse refer to a social
worker? a client who requires placement in an assisted living facility a pt who requests to secure an
emergency notification system in the home a pt who requests to get school assignments while
hospitalized on a pediatric unit
A charge nurse is preparing an educational session about addictive disorders for nursing staff. Which of
the following should the nurse include as an etiological factor of addictive disorder? low self-esteem
family history of addiction, personality disorders
A nurse is reinforcing teaching about self-care with a pt who has pelvic inflammatory disease. The pt
does not speak English, what action by the nurse is appropriate? seek assistance from a facility-approved
interpreter
A nurse is among the first responders to a mass-causality incident and does not know what type of
personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?
choose the highest level of protection equipment available
A nurse is supervising a LPN who is providing care to a pt who is postoperative. Which of the following
statements by the pt requires the nurse to follow up with the PN? i have not received any of my
medications today
A nurse in the emergency department is caring for a pt. who has extensive partial and full-thickness
burnsof the head, neck, and chest. While planning the pts care, the nurse should identify which of the
following risks as the priority for assessment and intervention? Airway obstruction
A nurse is planning a staff education session regarding biological weapons of mass destruction. What
should he plan to include in the session? Smallpox anthrax botulism
A nurse overhears 2 APs from the med surg unit discussing a hospitalized pt while in the cafeteria, what
action should be taken quietly tell the Aps? that this is not appropriate
A nurse is caring for a pt whose family member requests to view the pt's medical record. what response
should the nurse make ? the pt should provide permission to share the records with you
A nurse is caring for an OA pt who is disoriented and has a history of falls, what actions should the nurse
take? check on the pt hourly instruct the pt to use the call light apply an ambulation alarm to the pt's leg
A charge nurse is working with an AP who provides excellent care to pts and is an effective team
member. what action should the nurse take first to recognize the APs contributions to pt care? give
positive feedback directly to the AP
A nurse is planning care for a pt who has hepatitis B, what interventions should the nurse include in the
plan? encourage short periods of ambulation
, A nurse is planning care for 4 clients and is assigning tasks to a LPN, and an AP, what should be assigned
to the LPN? reinforcing teaching to a pt to begin taking enoxaparin at home following a hip arthroplasty
A nurse is assigned a group of pts at the start of the shift. what client should the nurse care for first? a pt
asking about his PCA pump that contains morphine
a nurse in a long-term care facility enters the day room and finds the window curtains on fire, what is
the order of emergency actions? remove the pt from the room activate the fire alarm close the door
extinguish the fire
a nurse is caring for four pts, after administering morning meds, she realizes that the nifedipine
prescribed for one pt was inadvertently administered to another pt, what actions should the nurse take?
first check the pt's vital signs
An AP reports to the nurse that a pt who is 3 days postoperative following an abdominal hysterectomy
has a dressing that is saturated with blood, what tasks should the nurse delegate to the AP? obtain vital
signs
A nurse is teaching a newly licensed nurse about methods to reduce costs of pt care, what statements by
the newly licensed nurse indicates understanding of the teaching? I should encourage clients to receive
an annual flu immunization
A nurse is caring for 4 pts who are postop from surgery 24 hours ago, at 1200 the nurse assesses the pts,
what pt is priority? the pt whose bp at 0800 was 138/86 and at 1200 is 106/60
A nurse is teaching a class on torts, the nurse should include what situation as an example of
negligence? a nurse identifies the absence of peripheral pulsation in a casted extremity in the early
morning and reports it to the provider in the early afternoon
A nurse on a pediatric unit is caring for a pt and his family, his parents define family as a husband, wife,
and child, this is the definition of a? Nuclear family
A nurse is providing instructions for a 52-year-old pt who is scheduled for a colonoscopy, the pt reports
that he has not had the procedure before and is anxious about pain, what response by the nurse is
appropriate? Before the examination, your provider will give you a sedative that will make you sleepy
A nurse is completing discharge teaching with a pt, of the following barriers to learning, the nurse
identifies with this pt, which should the nurse interpret as a need to postpone this session? Pain
A nurse educator is discussing community mental health with a group of nursing students, what sites should
theeducator identify as a source of secondary preventions crisis center
A community health nurse is reviewing the levels of disease prevention, what activities is an example of
tertiary prevention providing treatment for pt's who have COPD
A charge nurse allows 2 nurses who are arguing about who gets to go to lunch first to go together. the
charge nurse agrees to take care of both of the nurse's pts while they are at lunch, the charge nurse is
demonstrating which of the following types of conflict management cooperating
A nurse on a surgical unit is caring for a group of pts, what is a priority action of the nurse assessing a pt
who experiences unilateral calf pain when ambulating
, A community health nurse is reviewing information about infectious diseases with the nurses on her team.
the nurse should remind the team that which ofthe following diseases are included in the list of nationally
notifiable infectious diseases
Chancroid gonorrhea chlamydia
A nurse is reviewing the lab report of a client who has been experiencing a fever for the last 3d, what lab
results indicates the client is experiencing FVD? Increased hematocrit (increased USG and BUN)
A nurse is updating a plan of care after an evaluation of a client who has dysphagia, which interventions
should the nurse include in the plan? Have the client sit upright for 1 hr following meals (facilitates
swallowing of undigested food and reduce risk of aspiration)
A nurse is caring for a client who reports burning around the peripheral IV site, which finding should the
nurse identify as a manifestation of infiltration? Edema (leakage of the IV solution into the extravascular
tissue)
A charge nurse is making assignments for the upcoming shift, what assignments should the charge nurse
assign to a LPN? a client who has dehydration and IBD (does not require complex med admin or
assessment)
A nurse is in an ED monitoring the hydration status of a client receiving oral rehydration, what should
the intervene for? Heart rate 120/min (initiate IV fluid replacement)
A nurse is documenting client care, which of the following entries should the nurse identify as an
example of implementation of client care? Contacted the provider to report client findings
A charge nurse discovers that a nurse did not notify the provider that a client's condition had changed.
The charge nurse should identify that the nurse is accountable for which of the following torts?
Negligence
A nurse is completing an admission assessment for a client who has hearing loss, what action should the
nurse take? Use written communication to assist with communication
A nurse is caring for a client who has dementia and frequently tries to get out of bed, which of the
following actions should the nurse take? (SATA) turn on the bed alarm maintain the bed in the lowest
position encourage the family to stay with the pt
A nurse is preparing a client for transfer to another unit? Which finding does the nurse include in the
transfer report? Response to pain medication review of ongoing discharge plan recent physical changes
A nurse in aprovider’s office is assessing the motor skill development of a 15 month old toddler during a
well child visit, what gross motor skills should the nurse expect? Walks without assistance using a wide
stance
A nurse is admitting a client who has recently developed fever, confusion, and a decreased level of
consciousness. Which of the following actions should the nurse take first after obtaining the client's
history and assessment? Identify the client's needs
A nurse is planning a community education program about colorectal cancer. Which of the following risk
factors should the nurse identify as modifiable?
Smoking alcohol consumption, high-fat diet
A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing
dyspnea, which of the findings should the nurse expect? Flaring of the nostrils(increased RR, increased
depth of R, expected pulse ox reading of
