ATI RN LEADERSHIP PROCTORED EXAM NGN (ACTUAL EXAM) NEWEST
VERSION 2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
A client is brought to the emergency department following a motor-
vehicle crash. Drug use is suspected in the crash, and a voided urine
specimen is ordered. The client repeatedly refuses to provide the
specimen. Which of the following is the appropriate action by the
nurse?
B* Document the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical
nurse?
Administer a nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in
assisting with a sterile procedure. Which of the following actions
indicates the newly licensed nurse is maintaining sterile technique?
(SATA)
b. Opens the sterile pack by first unfolding the top flap away from
her body
d. Removes the outside packaging of a sterile instrument before
dropping it onto the sterile field
A nurse enters a client‟s room and identifies that the client is
receiving too much IV fluid because the IV pump is not working
properly. Which of the following actions should the nurse take first?
, ATI RN LEADERSHIP PROCTORED EXAM NGN (ACTUAL EXAM) NEWEST
VERSION 2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care
to a licensed practical nurse (LPN) and an assistive personnel. Which
of the following tasks should the nurse assign to the LPN?
Reinforcing teaching with a client who is learning to self-administer
insulin
A nurse is supervising a newly licensed nurse who is performing
surgical asepsis. After donning a sterile gown and gloves, which of
the following actions by the newly licensed nurse demonstrates correct
aseptic technique?
The nurse holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of
vital signs to an assistive personnel (AP). Which of the following
actions should the nurse take to evaluate the delegated task?
Recheck vital signs that are outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can
be delegated to an assistive personnel?
Obtaining a stool sample from a client who has renal failure
A nurse is triaging a group of clients following a disaster. Which of
the following clients should the nurse recommend for treatment first?
, ATI RN LEADERSHIP PROCTORED EXAM NGN (ACTUAL EXAM) NEWEST
VERSION 2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
A client who has two open chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the
nursing staff. Which of the following statements by a staff nurse
indicates that the teaching was effective?
"Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients
should the nurse collaborate with the facility ethics committee?
An adolescent client whose parents refuse a blood transfusion for
religious reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse
who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of telehealth?
Establishing communication between providers
A nurse is providing discharge teaching to a client who has a new
diagnosis of diabetes. The client expresses concern about the cost of
blood-glucose monitoring supplies. Which of the following actions
should the nurse take?
Refer the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?
VERSION 2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
A client is brought to the emergency department following a motor-
vehicle crash. Drug use is suspected in the crash, and a voided urine
specimen is ordered. The client repeatedly refuses to provide the
specimen. Which of the following is the appropriate action by the
nurse?
B* Document the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical
nurse?
Administer a nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in
assisting with a sterile procedure. Which of the following actions
indicates the newly licensed nurse is maintaining sterile technique?
(SATA)
b. Opens the sterile pack by first unfolding the top flap away from
her body
d. Removes the outside packaging of a sterile instrument before
dropping it onto the sterile field
A nurse enters a client‟s room and identifies that the client is
receiving too much IV fluid because the IV pump is not working
properly. Which of the following actions should the nurse take first?
, ATI RN LEADERSHIP PROCTORED EXAM NGN (ACTUAL EXAM) NEWEST
VERSION 2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care
to a licensed practical nurse (LPN) and an assistive personnel. Which
of the following tasks should the nurse assign to the LPN?
Reinforcing teaching with a client who is learning to self-administer
insulin
A nurse is supervising a newly licensed nurse who is performing
surgical asepsis. After donning a sterile gown and gloves, which of
the following actions by the newly licensed nurse demonstrates correct
aseptic technique?
The nurse holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of
vital signs to an assistive personnel (AP). Which of the following
actions should the nurse take to evaluate the delegated task?
Recheck vital signs that are outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can
be delegated to an assistive personnel?
Obtaining a stool sample from a client who has renal failure
A nurse is triaging a group of clients following a disaster. Which of
the following clients should the nurse recommend for treatment first?
, ATI RN LEADERSHIP PROCTORED EXAM NGN (ACTUAL EXAM) NEWEST
VERSION 2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
A client who has two open chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the
nursing staff. Which of the following statements by a staff nurse
indicates that the teaching was effective?
"Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients
should the nurse collaborate with the facility ethics committee?
An adolescent client whose parents refuse a blood transfusion for
religious reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse
who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of telehealth?
Establishing communication between providers
A nurse is providing discharge teaching to a client who has a new
diagnosis of diabetes. The client expresses concern about the cost of
blood-glucose monitoring supplies. Which of the following actions
should the nurse take?
Refer the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?
