RN ATI LEADERSHIP PROCTORED EXAM
RETAKE 2023 WITH NGN
Questions 1-10: Prioritization & Clinical Judgment
1. A nurse is assigned the following four clients for the current shift.
Which client should the nurse assess first?
A. A client who has a hip fracture and is in Buck's traction
B. A client who has aspiration pneumonia and a respiratory rate of
28/min
C. A client who has diabetes mellitus with a stage 2 pressure ulcer on
his foot
D. A client who has a C. diff infection and needs a stool specimen
collected
2. A nurse is caring for a client who fell and is reporting pain in the left
hip with external rotation of the left leg. The nurse has been unable to
reach the provider despite several attempts over the past 30 minutes.
Which action should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client's physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. A nurse is providing care for 4 post-operative clients. The nurse
should first assess the client:
A. Whose pulse has been steadily increasing during the past shift
B. Who is reporting a pain level of 8 on a scale of 0 to 10
C. Whose urine output averaged 32 mL/hr for the past 24 hr
D. Who is reporting nausea after the prescribed antiemetic was
administered
,4. A nurse answers a call light and finds a client anxious, short of
breath, reporting chest pain, and having a blood pressure of 88/52
mm Hg on the cardiac monitor. What action by the nurse takes
priority?
A. Assess the client's lung sounds
B. Notify the Rapid Response Team
C. Provide reassurance to the client
D. Take a full set of vital signs
5. A nurse is caring for a group of clients. Which client should the
nurse plan to assess first?
A. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in
the past 24 hr
B. A client who has diabetes mellitus and reports paresthesia in his
fingers and toes
C. A client who has a nasogastric tube and has crackles in the lungs
D. A client who has a new diagnosis of Graves' disease and a TSH level
of 0.2 microunits/mL
6. A charge nurse is receiving change-of-shift report. Which situation
should the charge nurse address first?
A. A nurse on the previous shift wrote an incident report about a
medication error
B. Two staff members have called to say they will be absent
C. Transport assistance is unavailable to take a client to occupational
therapy
D. The emergency department nurse is waiting to give report on a new
admission
7. A nurse is prioritizing care for four clients. Which client should the
nurse see first?
A. A client with a fever of 38.3°C (101°F) and chills
,B. A client with a blood glucose of 70 mg/dL who is diaphoretic
C. A client with a new order for an IV antibiotic
D. A client who needs discharge teaching
8. A charge nurse is planning to evacuate clients because of a fire on
another floor. Which client should the nurse evacuate first?
A. A client who is in Buck's traction for a left hip fracture
B. A client who is 1 day postoperative following thoracic surgery and
has a chest tube
C. A client who is confused and restrained for safety
D. A client who is receiving IV chemotherapy and is ambulatory
9. A client appears dyspneic, but the oxygen saturation is 97%. What
action by the nurse is best?
A. Assess for other manifestations of hypoxia
B. Change the sensor on the pulse oximeter
C. Obtain a new oximeter from central supply
D. Tell the client to take slow, deep breaths
10. An older adult client who is on fall precautions is found lying on
the floor of his hospital room. Which action is most appropriate for
the nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed without assistance
Questions 11-25: Delegation & Supervision
11. A nurse is making shift assignments. Which task is appropriate to
assign to a licensed practical nurse (LPN)?
A. Pick up the meal trays after lunch
, B. Administer a nasogastric tube feeding
C. Plan break times for assistive personnel
D. Determine adequacy of ventilator settings
12. A nurse is planning care for a group of clients and can delegate
care to an LPN and assistive personnel (AP). Which task should the
nurse assign to the LPN?
A. Reinforcing teaching with a client who is learning to self-administer
insulin
B. Ambulating a client who is scheduled for discharge later in the day
C. Administering morphine IV bolus to a client who is 1 hr postoperative
D. Admitting a new client who has chronic back pain to the unit
13. A nurse is caring for four clients. Which task can be delegated to
an assistive personnel (AP)?
A. Obtaining a stool sample from a client who has renal failure
B. Monitoring a client who has a fluid restriction
C. Assessing a client who just returned from hemodialysis
D. Reviewing dietary instructions for a client who has kidney stones
14. A nurse who is caring for a group of clients delegates collection of
vital signs to an AP. Which action should the nurse take to evaluate
the delegated task?
A. Review vital sign trends at the end of the shift
B. Recheck vital signs that are outside the expected reference range
C. Ask the AP to write a summary of the delegated tasks during the shift
D. Compare the vital signs the AP obtained with those taken by another
AP on a previous shift
15. A charge nurse is planning care for four newborns. An AP and LPN
are available. Which task should the nurse assign to the LPN?
A. Conduct the newborn hearing screening
B. Administer a hepatitis B vaccine
RETAKE 2023 WITH NGN
Questions 1-10: Prioritization & Clinical Judgment
1. A nurse is assigned the following four clients for the current shift.
Which client should the nurse assess first?
A. A client who has a hip fracture and is in Buck's traction
B. A client who has aspiration pneumonia and a respiratory rate of
28/min
C. A client who has diabetes mellitus with a stage 2 pressure ulcer on
his foot
D. A client who has a C. diff infection and needs a stool specimen
collected
2. A nurse is caring for a client who fell and is reporting pain in the left
hip with external rotation of the left leg. The nurse has been unable to
reach the provider despite several attempts over the past 30 minutes.
Which action should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client's physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. A nurse is providing care for 4 post-operative clients. The nurse
should first assess the client:
A. Whose pulse has been steadily increasing during the past shift
B. Who is reporting a pain level of 8 on a scale of 0 to 10
C. Whose urine output averaged 32 mL/hr for the past 24 hr
D. Who is reporting nausea after the prescribed antiemetic was
administered
,4. A nurse answers a call light and finds a client anxious, short of
breath, reporting chest pain, and having a blood pressure of 88/52
mm Hg on the cardiac monitor. What action by the nurse takes
priority?
A. Assess the client's lung sounds
B. Notify the Rapid Response Team
C. Provide reassurance to the client
D. Take a full set of vital signs
5. A nurse is caring for a group of clients. Which client should the
nurse plan to assess first?
A. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in
the past 24 hr
B. A client who has diabetes mellitus and reports paresthesia in his
fingers and toes
C. A client who has a nasogastric tube and has crackles in the lungs
D. A client who has a new diagnosis of Graves' disease and a TSH level
of 0.2 microunits/mL
6. A charge nurse is receiving change-of-shift report. Which situation
should the charge nurse address first?
A. A nurse on the previous shift wrote an incident report about a
medication error
B. Two staff members have called to say they will be absent
C. Transport assistance is unavailable to take a client to occupational
therapy
D. The emergency department nurse is waiting to give report on a new
admission
7. A nurse is prioritizing care for four clients. Which client should the
nurse see first?
A. A client with a fever of 38.3°C (101°F) and chills
,B. A client with a blood glucose of 70 mg/dL who is diaphoretic
C. A client with a new order for an IV antibiotic
D. A client who needs discharge teaching
8. A charge nurse is planning to evacuate clients because of a fire on
another floor. Which client should the nurse evacuate first?
A. A client who is in Buck's traction for a left hip fracture
B. A client who is 1 day postoperative following thoracic surgery and
has a chest tube
C. A client who is confused and restrained for safety
D. A client who is receiving IV chemotherapy and is ambulatory
9. A client appears dyspneic, but the oxygen saturation is 97%. What
action by the nurse is best?
A. Assess for other manifestations of hypoxia
B. Change the sensor on the pulse oximeter
C. Obtain a new oximeter from central supply
D. Tell the client to take slow, deep breaths
10. An older adult client who is on fall precautions is found lying on
the floor of his hospital room. Which action is most appropriate for
the nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed without assistance
Questions 11-25: Delegation & Supervision
11. A nurse is making shift assignments. Which task is appropriate to
assign to a licensed practical nurse (LPN)?
A. Pick up the meal trays after lunch
, B. Administer a nasogastric tube feeding
C. Plan break times for assistive personnel
D. Determine adequacy of ventilator settings
12. A nurse is planning care for a group of clients and can delegate
care to an LPN and assistive personnel (AP). Which task should the
nurse assign to the LPN?
A. Reinforcing teaching with a client who is learning to self-administer
insulin
B. Ambulating a client who is scheduled for discharge later in the day
C. Administering morphine IV bolus to a client who is 1 hr postoperative
D. Admitting a new client who has chronic back pain to the unit
13. A nurse is caring for four clients. Which task can be delegated to
an assistive personnel (AP)?
A. Obtaining a stool sample from a client who has renal failure
B. Monitoring a client who has a fluid restriction
C. Assessing a client who just returned from hemodialysis
D. Reviewing dietary instructions for a client who has kidney stones
14. A nurse who is caring for a group of clients delegates collection of
vital signs to an AP. Which action should the nurse take to evaluate
the delegated task?
A. Review vital sign trends at the end of the shift
B. Recheck vital signs that are outside the expected reference range
C. Ask the AP to write a summary of the delegated tasks during the shift
D. Compare the vital signs the AP obtained with those taken by another
AP on a previous shift
15. A charge nurse is planning care for four newborns. An AP and LPN
are available. Which task should the nurse assign to the LPN?
A. Conduct the newborn hearing screening
B. Administer a hepatitis B vaccine
