ATI Leadership Proctored Exam
Version 3 | NGN-Style Questions & Case Scenarios
Actual Qs & Ans to Pass the Exam
1. 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?
Answer B* Document the client‟s refusal inthe chart.
2. A nurseismaking shiftassignmentsinahospital. Whichofthefollowing tasks is appropriate to
assign to a licensed practical nurse?
Answer Administer a nasogastric tube feeding.
3. 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)
Answer 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
,4. 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?
Answer Auscultate the client‟s lungs.
5. A nurse is planning care for a group of clients and can delegate care to a li- censed practical
nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the
LPN?
Answer Reinforcing teaching with a client who is learning to self-administer insulin
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown andgloves, which of the following actions by the newly licensed nurse
demonstrates correct aseptic technique?
Answer Thenurse holds her hands above her waist.
7. 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?
Answer Recheck vital signs that are outside the expected reference range.
8. A nurse is caring for four clients. Which of the following tasks can be delegat- ed to an assistive
personnel?
Answer Obtaining a stool sample from a client who has renal failure
, 9. A nurse is triaging a group of clients following a disaster. Which of the following clients should
the nurse recommend for treatment first?
Answer A client who has two open chest wounds with a left tracheal deviation
10. 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?
Answer "Consent can be given by a durable power of attorney."
11. A nurse is caring for four clients. Forwhichof the following clients should the nurse collaborate
with the facility ethics committee?
Answer An adolescent client whose parents
refuse a blood transfusion for religious reasons
12. 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?
Answer Establishing communication between providers
13. 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.Whichofthe
followingactionsshouldthenursetake?
Answer Refer the client to the social services department
Version 3 | NGN-Style Questions & Case Scenarios
Actual Qs & Ans to Pass the Exam
1. 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?
Answer B* Document the client‟s refusal inthe chart.
2. A nurseismaking shiftassignmentsinahospital. Whichofthefollowing tasks is appropriate to
assign to a licensed practical nurse?
Answer Administer a nasogastric tube feeding.
3. 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)
Answer 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
,4. 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?
Answer Auscultate the client‟s lungs.
5. A nurse is planning care for a group of clients and can delegate care to a li- censed practical
nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the
LPN?
Answer Reinforcing teaching with a client who is learning to self-administer insulin
6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown andgloves, which of the following actions by the newly licensed nurse
demonstrates correct aseptic technique?
Answer Thenurse holds her hands above her waist.
7. 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?
Answer Recheck vital signs that are outside the expected reference range.
8. A nurse is caring for four clients. Which of the following tasks can be delegat- ed to an assistive
personnel?
Answer Obtaining a stool sample from a client who has renal failure
, 9. A nurse is triaging a group of clients following a disaster. Which of the following clients should
the nurse recommend for treatment first?
Answer A client who has two open chest wounds with a left tracheal deviation
10. 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?
Answer "Consent can be given by a durable power of attorney."
11. A nurse is caring for four clients. Forwhichof the following clients should the nurse collaborate
with the facility ethics committee?
Answer An adolescent client whose parents
refuse a blood transfusion for religious reasons
12. 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?
Answer Establishing communication between providers
13. 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.Whichofthe
followingactionsshouldthenursetake?
Answer Refer the client to the social services department
