ATI PN LEADERSHIP PROCTORED EXAM 2026 ACTUAL
EXAM QUESTIONS WITH DETAILED SOLUTIONS A N D
RATIONALES
A nurse is reinforcing teaching with a client about fire safety
in the home. Which of the following instructions should the
nurse include in the teaching?
a. Open windows to allow smoke to escape if a fire occurs
b. change batteries in home smoke alarms every 2 years
c. store a fire extinguisher away from the stove in the home
d. aim the extinguisher nozzle at the top of the flame if a fire
occurs - ...ANSWER...c. store a fire extinguisher away from
the stove in the home
A nurse is preparing to administer an intermittent enteral
feeding through a small-bore NG tube. which of the
following action should the nurse take before initiating the
feeding?
a. Inject air through the tube and auscultate for gurgling
sounds
b. flush the tube with five ml. of water
,c. test the pH of fluid aspirated from the tube
d. change the bag and tubing system every 12 hrs. -
...ANSWER...c. test the pH of fluid aspirated from the tube
A nurse is reviewing documentation on a group of clients as
part of quality improvement initiative. Which of the
following actions should the nurse document as decreasing
their risk for skin breakdown?
a. implementation of incentive spirometry for clients who
are postoperative
b. documentation of PAINAD scale for clients who have
dementia
c. use of the Braden scale for clients who are immobile
d. daily weighing of clients who have heart failure -
...ANSWER...c. use of the Braden scale for clients who are
immobile
a nurse is observing a newly licensed nurse fax client
information. For which of the following action should the
nurse intervene?
a. Marking out client's identifier information prior to faxing
b. shredding documents after faxing the information
c. contacting the recipient before faxing the information
, d. including critical lab values on the fax cover sheet -
...ANSWER...d. including critical lab values on the fax
cover sheet
a nurse is reinforcing teaching with a client about living
will. Which of the following statements made by the client
indicates an understanding of the teaching?
a. My provider will make my healthcare decisions
b. I will have an outline of my wishes for medical treatment
c. I need my partner present in medical emergency
d. I am required to appoint a health care surrogate -
...ANSWER...b. I will have an outline of my wishes for
medical treatment
A nurse is prioritizing care for four clients. Which of the
following task should the nurse perform first?
a. Initiate oxygen therapy via nasal cannula for a client who
has COPD.
b. Administer an antibiotic for a client who has methicillin-
resistant Staphylococcus aureus.
c. Change the dressing for a client who has a decubitus
ulcer.
EXAM QUESTIONS WITH DETAILED SOLUTIONS A N D
RATIONALES
A nurse is reinforcing teaching with a client about fire safety
in the home. Which of the following instructions should the
nurse include in the teaching?
a. Open windows to allow smoke to escape if a fire occurs
b. change batteries in home smoke alarms every 2 years
c. store a fire extinguisher away from the stove in the home
d. aim the extinguisher nozzle at the top of the flame if a fire
occurs - ...ANSWER...c. store a fire extinguisher away from
the stove in the home
A nurse is preparing to administer an intermittent enteral
feeding through a small-bore NG tube. which of the
following action should the nurse take before initiating the
feeding?
a. Inject air through the tube and auscultate for gurgling
sounds
b. flush the tube with five ml. of water
,c. test the pH of fluid aspirated from the tube
d. change the bag and tubing system every 12 hrs. -
...ANSWER...c. test the pH of fluid aspirated from the tube
A nurse is reviewing documentation on a group of clients as
part of quality improvement initiative. Which of the
following actions should the nurse document as decreasing
their risk for skin breakdown?
a. implementation of incentive spirometry for clients who
are postoperative
b. documentation of PAINAD scale for clients who have
dementia
c. use of the Braden scale for clients who are immobile
d. daily weighing of clients who have heart failure -
...ANSWER...c. use of the Braden scale for clients who are
immobile
a nurse is observing a newly licensed nurse fax client
information. For which of the following action should the
nurse intervene?
a. Marking out client's identifier information prior to faxing
b. shredding documents after faxing the information
c. contacting the recipient before faxing the information
, d. including critical lab values on the fax cover sheet -
...ANSWER...d. including critical lab values on the fax
cover sheet
a nurse is reinforcing teaching with a client about living
will. Which of the following statements made by the client
indicates an understanding of the teaching?
a. My provider will make my healthcare decisions
b. I will have an outline of my wishes for medical treatment
c. I need my partner present in medical emergency
d. I am required to appoint a health care surrogate -
...ANSWER...b. I will have an outline of my wishes for
medical treatment
A nurse is prioritizing care for four clients. Which of the
following task should the nurse perform first?
a. Initiate oxygen therapy via nasal cannula for a client who
has COPD.
b. Administer an antibiotic for a client who has methicillin-
resistant Staphylococcus aureus.
c. Change the dressing for a client who has a decubitus
ulcer.
