ATI RN Leadership Proctored Exam Retake (2026) | NGN
Leadership Nursing Questions & ANSWERs
QUESTION 1 (NGN – Postoperative Hemorrhage Indicators)
Scenario: A client, 6 hours postoperative from abdominal surgery (Day 1, 1715), was resting comfortably
with a pain level of 4 (0–10 scale) and moderate serosanguineous drainage. Later (Day 1, 2030), the
client becomes restless, short of breath, and reports severe abdominal pain (8/10) with an abdominal
dressing saturated in bright red blood. Vital signs reflect potential instability.
Question: Which combination of new findings most likely indicates hemorrhage requiring immediate
provider notification?
A. Slight pain increase, stable heart rate, unchanged respiratory rate, elevated temperature, normal O2
saturation, pink-tinged drainage.
B. Decreased blood pressure, increased respiratory rate, pain 8/10, large amount of bright red drainage,
decreased oxygen saturation, increased heart rate.
C. Moderate serosanguineous drainage, heat at incision site, stable respiratory rate, stable blood
pressure, pain 5/10, normal O2 saturation.
D. Unchanged blood pressure, no new drainage, decreased pain, shortness of breath resolved, normal
heart rate, mild nausea.
Correct ANSWER: B
Rationale: Sudden changes of tachycardia, tachypnea, hypotension, severe pain (8/10), large amounts of
bright red blood, and decreased O2 saturation collectively indicate the possibility of hemorrhage.
,Immediate provider notification and intervention are crucial. Option A shows stable vital signs with only
slight pain increase, not indicative of hemorrhage. Option C demonstrates stable findings with localized
wound issues only. Option D shows improving symptoms with no hemorrhage indicators.
QUESTION 2
Scenario: A charge nurse is making assignments on a medical-surgical unit. The unit has 6 clients and 3
RNs, 1 LPN, and 1 UAP. Which client assignment is most appropriate for the LPN?
A. A client with acute myocardial infarction requiring continuous cardiac monitoring.
B. A client with diabetes mellitus requiring insulin administration and blood glucose monitoring.
C. A client with respiratory failure requiring mechanical ventilation.
D. A client with status epilepticus requiring continuous EEG monitoring.
Correct ANSWER: B
Rationale: LPNs can administer medications including insulin and perform blood glucose monitoring for
stable clients. Option A requires RN assessment and monitoring of cardiac rhythms. Option C requires
RN care for clients on mechanical ventilation. Option D requires specialized RN monitoring for seizure
activity and EEG interpretation.
QUESTION 3
Scenario: A nurse manager is implementing a new evidence-based fall prevention program on a medical
unit. Which action should the manager take first?
A. Create educational materials about the new fall prevention protocol.
B. Assess the current fall rates and identify areas for improvement.
,C. Schedule mandatory training sessions for all staff nurses.
D. Purchase new equipment needed for the fall prevention program.
Correct ANSWER: B
Rationale: Before implementing any change, the manager should first assess the current situation to
identify areas needing improvement. This provides baseline data to measure effectiveness of the new
program. Options A, C, and D are implementation steps that occur after the assessment phase.
QUESTION 4
Scenario: A nurse is caring for a client with terminal cancer who has a do-not-resuscitate (DNR) order.
The client's family member demands that the nurse perform CPR when the client experiences cardiac
arrest. What is the nurse's best response?
A. "I understand your concern, but I must follow the legal DNR order."
B. "I will call the provider to come speak with you immediately."
C. "I will begin CPR as you are requesting despite the DNR."
D. "You should have discussed this with the provider earlier."
Correct ANSWER: A
Rationale: The nurse must follow the legal DNR order and should explain this to the family member
while remaining empathetic. Option B delays necessary action. Option C would violate the DNR order
and could have legal consequences. Option D is dismissive and not therapeutic communication.
QUESTION 5
, Scenario: A charge nurse is evaluating the effectiveness of a new electronic health record (EHR) system
on a nursing unit. Which indicator is the best measure of effectiveness?
A. Number of staff complaints about the new EHR system.
B. Amount of time spent documenting per shift.
C. Number of medication errors reported after implementation.
D. Reduction in charting errors and improved accessibility of client information.
Correct ANSWER: D
Rationale: The primary goal of an EHR system is to improve documentation accuracy and information
accessibility. Options A, B, and C may be important metrics but do not directly measure the
effectiveness of the EHR system in achieving its primary purpose.
QUESTION 6
Scenario: A nurse is delegating tasks to a UAP on a busy medical-surgical unit. Which task should the
nurse delegate to the UAP?
A. Administering oral medications to stable clients.
B. Performing a sterile wound dressing change.
C. Assisting a client with ambulation using a gait belt.
D. Assessing a client's lung sounds.
Correct ANSWER: C
Leadership Nursing Questions & ANSWERs
QUESTION 1 (NGN – Postoperative Hemorrhage Indicators)
Scenario: A client, 6 hours postoperative from abdominal surgery (Day 1, 1715), was resting comfortably
with a pain level of 4 (0–10 scale) and moderate serosanguineous drainage. Later (Day 1, 2030), the
client becomes restless, short of breath, and reports severe abdominal pain (8/10) with an abdominal
dressing saturated in bright red blood. Vital signs reflect potential instability.
Question: Which combination of new findings most likely indicates hemorrhage requiring immediate
provider notification?
A. Slight pain increase, stable heart rate, unchanged respiratory rate, elevated temperature, normal O2
saturation, pink-tinged drainage.
B. Decreased blood pressure, increased respiratory rate, pain 8/10, large amount of bright red drainage,
decreased oxygen saturation, increased heart rate.
C. Moderate serosanguineous drainage, heat at incision site, stable respiratory rate, stable blood
pressure, pain 5/10, normal O2 saturation.
D. Unchanged blood pressure, no new drainage, decreased pain, shortness of breath resolved, normal
heart rate, mild nausea.
Correct ANSWER: B
Rationale: Sudden changes of tachycardia, tachypnea, hypotension, severe pain (8/10), large amounts of
bright red blood, and decreased O2 saturation collectively indicate the possibility of hemorrhage.
,Immediate provider notification and intervention are crucial. Option A shows stable vital signs with only
slight pain increase, not indicative of hemorrhage. Option C demonstrates stable findings with localized
wound issues only. Option D shows improving symptoms with no hemorrhage indicators.
QUESTION 2
Scenario: A charge nurse is making assignments on a medical-surgical unit. The unit has 6 clients and 3
RNs, 1 LPN, and 1 UAP. Which client assignment is most appropriate for the LPN?
A. A client with acute myocardial infarction requiring continuous cardiac monitoring.
B. A client with diabetes mellitus requiring insulin administration and blood glucose monitoring.
C. A client with respiratory failure requiring mechanical ventilation.
D. A client with status epilepticus requiring continuous EEG monitoring.
Correct ANSWER: B
Rationale: LPNs can administer medications including insulin and perform blood glucose monitoring for
stable clients. Option A requires RN assessment and monitoring of cardiac rhythms. Option C requires
RN care for clients on mechanical ventilation. Option D requires specialized RN monitoring for seizure
activity and EEG interpretation.
QUESTION 3
Scenario: A nurse manager is implementing a new evidence-based fall prevention program on a medical
unit. Which action should the manager take first?
A. Create educational materials about the new fall prevention protocol.
B. Assess the current fall rates and identify areas for improvement.
,C. Schedule mandatory training sessions for all staff nurses.
D. Purchase new equipment needed for the fall prevention program.
Correct ANSWER: B
Rationale: Before implementing any change, the manager should first assess the current situation to
identify areas needing improvement. This provides baseline data to measure effectiveness of the new
program. Options A, C, and D are implementation steps that occur after the assessment phase.
QUESTION 4
Scenario: A nurse is caring for a client with terminal cancer who has a do-not-resuscitate (DNR) order.
The client's family member demands that the nurse perform CPR when the client experiences cardiac
arrest. What is the nurse's best response?
A. "I understand your concern, but I must follow the legal DNR order."
B. "I will call the provider to come speak with you immediately."
C. "I will begin CPR as you are requesting despite the DNR."
D. "You should have discussed this with the provider earlier."
Correct ANSWER: A
Rationale: The nurse must follow the legal DNR order and should explain this to the family member
while remaining empathetic. Option B delays necessary action. Option C would violate the DNR order
and could have legal consequences. Option D is dismissive and not therapeutic communication.
QUESTION 5
, Scenario: A charge nurse is evaluating the effectiveness of a new electronic health record (EHR) system
on a nursing unit. Which indicator is the best measure of effectiveness?
A. Number of staff complaints about the new EHR system.
B. Amount of time spent documenting per shift.
C. Number of medication errors reported after implementation.
D. Reduction in charting errors and improved accessibility of client information.
Correct ANSWER: D
Rationale: The primary goal of an EHR system is to improve documentation accuracy and information
accessibility. Options A, B, and C may be important metrics but do not directly measure the
effectiveness of the EHR system in achieving its primary purpose.
QUESTION 6
Scenario: A nurse is delegating tasks to a UAP on a busy medical-surgical unit. Which task should the
nurse delegate to the UAP?
A. Administering oral medications to stable clients.
B. Performing a sterile wound dressing change.
C. Assisting a client with ambulation using a gait belt.
D. Assessing a client's lung sounds.
Correct ANSWER: C
