ATI 2019 Leadership Proctored Exam scored 96% LATEST
UPDATED 2023 JUNE
ATI Leadership Proctored Exam
1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses
have verbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling system?
A. Identify nurses who accept the change to help influence other staff nurses
B. Provide a brief overview of the new scheduling system immediately before it
implementation
C. Introduce the new scheduling system by describing how it will save the institution money
D. Offer to reassign staff who do not support the change to another unit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance
with the care pathway, antibiotic therapy is prescribed. Which of the following situations
requires the nurse to complete a variance report with regard to the care pathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway
B. A blood culture was obtained after antibiotic therapy has been initiated
C. The route of antibiotic therapy on the care pathway was changed from IV to PO
D. An allergy to penicillin required an alternative antibiotic to be prescribed.
3. A nurse should recognize that an incident report is required when
A. A client refuses to attend physical therapy
, B. A visitor pinches his finger in the client‟s bed frame
C. A client throws a box of tissues at a nurse
5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately
relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a
quality indicator. Which of the following data sources will be helpful in determine the reason
A. Arrange the consultation for time when the nurse is caring for the client is able to be
present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client‟s wound care
C. Request the consultation after several wound care treatment tried
D. Arrange for the wound care nurse specialist to see the client daily to provide the
recommended treatment
8. A client is admitted wit TB and placed in a negative pressure room. Which of the following
actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client‟s door with the diagnosis
C. Ensure that admitting staff undergo PPD skin tests
D. Determine who had contact with the client in the last 48 hr
9. A nurse is caring for a client who is unconscious and whose partner is health care proxy.
The partner has spoken with the provider and wishes to discontinue the client‟s feeding tube.
, The provider states the nurse, “I will not discontinue the client‟s treatment. His partner has no
right to make decisions regarding the client‟s care. “Which of the following responses by the
nurse is appropriate?
A. You should consider speaking with the facility‟s ethics committee before making your
decision B. You have the right to make decision, even if the partner is the client‟s health
care proxy
C. The client has designated his partner as health care proxy in his advance directives
D. We‟ll need to have the nursing supervisor review the client‟s advance directives
10. A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following info is most important for the nurse to report at shift
change?
13. The mother of a client with breast cancer states, it‟s been hard for her, especially after losing
her hair. And it has been difficult to pay for all the treatments. Which of the following actions
is appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother‟s concerns.
D. The nurse suggests counseling for the client‟s body image issues
14. Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
UPDATED 2023 JUNE
ATI Leadership Proctored Exam
1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses
have verbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling system?
A. Identify nurses who accept the change to help influence other staff nurses
B. Provide a brief overview of the new scheduling system immediately before it
implementation
C. Introduce the new scheduling system by describing how it will save the institution money
D. Offer to reassign staff who do not support the change to another unit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance
with the care pathway, antibiotic therapy is prescribed. Which of the following situations
requires the nurse to complete a variance report with regard to the care pathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway
B. A blood culture was obtained after antibiotic therapy has been initiated
C. The route of antibiotic therapy on the care pathway was changed from IV to PO
D. An allergy to penicillin required an alternative antibiotic to be prescribed.
3. A nurse should recognize that an incident report is required when
A. A client refuses to attend physical therapy
, B. A visitor pinches his finger in the client‟s bed frame
C. A client throws a box of tissues at a nurse
5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately
relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a
quality indicator. Which of the following data sources will be helpful in determine the reason
A. Arrange the consultation for time when the nurse is caring for the client is able to be
present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client‟s wound care
C. Request the consultation after several wound care treatment tried
D. Arrange for the wound care nurse specialist to see the client daily to provide the
recommended treatment
8. A client is admitted wit TB and placed in a negative pressure room. Which of the following
actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client‟s door with the diagnosis
C. Ensure that admitting staff undergo PPD skin tests
D. Determine who had contact with the client in the last 48 hr
9. A nurse is caring for a client who is unconscious and whose partner is health care proxy.
The partner has spoken with the provider and wishes to discontinue the client‟s feeding tube.
, The provider states the nurse, “I will not discontinue the client‟s treatment. His partner has no
right to make decisions regarding the client‟s care. “Which of the following responses by the
nurse is appropriate?
A. You should consider speaking with the facility‟s ethics committee before making your
decision B. You have the right to make decision, even if the partner is the client‟s health
care proxy
C. The client has designated his partner as health care proxy in his advance directives
D. We‟ll need to have the nursing supervisor review the client‟s advance directives
10. A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following info is most important for the nurse to report at shift
change?
13. The mother of a client with breast cancer states, it‟s been hard for her, especially after losing
her hair. And it has been difficult to pay for all the treatments. Which of the following actions
is appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother‟s concerns.
D. The nurse suggests counseling for the client‟s body image issues
14. Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
