ATI RN Leadership Proctored Exam (Form A
& B) + NGN Retake Questions & Answers
(2023 Updated) | Complete Verified Study
Guide for RN Success
• This study guide contains 200 verified multiple-choice questions covering the ATI
RN Leadership Proctored Exam (Form A & B) including NGN Retake Questions,
designed to prepare you thoroughly for your RN licensure success.
• Work through each question independently before checking the highlighted
correct answer and EXPERT RATIONALE below it — this active recall method
maximizes retention and exam readiness.
QUESTION 1
A charge nurse is planning care for a group of clients. Which task should the
charge nurse delegate to an assistive personnel (AP)?
A. Assessing a client who has just returned from surgery
B. Teaching a client about a new diabetic diet
C. Administering oral medications to a stable client
D. Measuring and recording urine output for a client who has an indwelling
catheter
E. Developing a care plan for a newly admitted client
CORRECT ANSWER: D. Measuring and recording urine output for a client
who has an indwelling catheter
EXPERT RATIONALE: Measuring and recording urine output is a routine, non-
invasive task that falls within the scope of practice for an AP. Assessment, teaching,
medication administration, and care planning require the clinical judgment of a
licensed nurse and cannot be delegated to an AP.
QUESTION 2
,A nurse manager is using a transformational leadership style. Which of the
following behaviors should the nurse expect the manager to demonstrate?
A. Focuses on rules and regulations to maintain order
B. Motivates staff by inspiring a shared vision and encouraging innovation
C. Makes all decisions independently without staff input
D. Rewards staff only based on performance metrics
E. Avoids involvement in conflict resolution
CORRECT ANSWER: B. Motivates staff by inspiring a shared vision and
encouraging innovation
EXPERT RATIONALE: Transformational leaders inspire and motivate staff by
creating a shared vision, fostering creativity, and encouraging professional growth.
This contrasts with transactional leadership, which focuses on rules, rewards, and
performance metrics.
QUESTION 3
A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. What is the nurse's priority action?
A. Administer the transfusion because it is medically necessary
B. Contact the client's family to obtain consent
C. Respect the client's decision and document the refusal
D. Ask the provider to convince the client to accept treatment
E. Transfer the client to another facility
CORRECT ANSWER: C. Respect the client's decision and document the
refusal
, EXPERT RATIONALE: Autonomy is a fundamental ethical principle. A competent
adult has the legal and ethical right to refuse any medical treatment, including
blood transfusions, regardless of religious or personal reasons. The nurse must
respect this decision, ensure informed refusal is documented, and notify the
provider.
QUESTION 4
A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a fractured hip awaiting surgery scheduled for tomorrow
B. A client with type 2 diabetes who has a blood glucose of 180 mg/dL
C. A client who had a myocardial infarction 2 days ago and is stable
D. A client with asthma who is reporting difficulty breathing and an O2 saturation of
88%
E. A client requesting pain medication for a chronic back condition
CORRECT ANSWER: D. A client with asthma who is reporting difficulty
breathing and an O2 saturation of 88%
EXPERT RATIONALE: Using the ABCs (Airway, Breathing, Circulation)
framework, a client with difficulty breathing and low oxygen saturation (88%)
presents the most immediate life-threatening situation and must be assessed first.
All other clients are in comparatively stable conditions.
QUESTION 5
A nurse manager notices that a staff nurse is consistently late for shifts.
Which is the most appropriate initial action by the manager?
A. Issue a formal written warning immediately
, B. Report the nurse to the State Board of Nursing
C. Have a private, direct conversation with the nurse to discuss the tardiness
D. Reassign the nurse to a different unit
E. Ignore the behavior and monitor over the next month
CORRECT ANSWER: C. Have a private, direct conversation with the nurse to
discuss the tardiness
EXPERT RATIONALE: The first step in progressive discipline is a private,
informal discussion to identify the cause of the behavior and set expectations.
Jumping immediately to formal warnings or reporting is not appropriate unless the
behavior continues after counseling.
QUESTION 6
A nurse is caring for a client who has just been informed of a terminal
diagnosis. The client states, "I don't believe this is happening to me." Which
stage of grief is this client experiencing?
A. Anger
B. Bargaining
C. Depression
D. Denial
E. Acceptance
CORRECT ANSWER: D. Denial
EXPERT RATIONALE: According to Kübler-Ross's stages of grief, denial is the
first stage, characterized by disbelief and shock upon receiving devastating news.
The client's statement reflects an inability to accept reality, which is consistent with
denial.
& B) + NGN Retake Questions & Answers
(2023 Updated) | Complete Verified Study
Guide for RN Success
• This study guide contains 200 verified multiple-choice questions covering the ATI
RN Leadership Proctored Exam (Form A & B) including NGN Retake Questions,
designed to prepare you thoroughly for your RN licensure success.
• Work through each question independently before checking the highlighted
correct answer and EXPERT RATIONALE below it — this active recall method
maximizes retention and exam readiness.
QUESTION 1
A charge nurse is planning care for a group of clients. Which task should the
charge nurse delegate to an assistive personnel (AP)?
A. Assessing a client who has just returned from surgery
B. Teaching a client about a new diabetic diet
C. Administering oral medications to a stable client
D. Measuring and recording urine output for a client who has an indwelling
catheter
E. Developing a care plan for a newly admitted client
CORRECT ANSWER: D. Measuring and recording urine output for a client
who has an indwelling catheter
EXPERT RATIONALE: Measuring and recording urine output is a routine, non-
invasive task that falls within the scope of practice for an AP. Assessment, teaching,
medication administration, and care planning require the clinical judgment of a
licensed nurse and cannot be delegated to an AP.
QUESTION 2
,A nurse manager is using a transformational leadership style. Which of the
following behaviors should the nurse expect the manager to demonstrate?
A. Focuses on rules and regulations to maintain order
B. Motivates staff by inspiring a shared vision and encouraging innovation
C. Makes all decisions independently without staff input
D. Rewards staff only based on performance metrics
E. Avoids involvement in conflict resolution
CORRECT ANSWER: B. Motivates staff by inspiring a shared vision and
encouraging innovation
EXPERT RATIONALE: Transformational leaders inspire and motivate staff by
creating a shared vision, fostering creativity, and encouraging professional growth.
This contrasts with transactional leadership, which focuses on rules, rewards, and
performance metrics.
QUESTION 3
A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. What is the nurse's priority action?
A. Administer the transfusion because it is medically necessary
B. Contact the client's family to obtain consent
C. Respect the client's decision and document the refusal
D. Ask the provider to convince the client to accept treatment
E. Transfer the client to another facility
CORRECT ANSWER: C. Respect the client's decision and document the
refusal
, EXPERT RATIONALE: Autonomy is a fundamental ethical principle. A competent
adult has the legal and ethical right to refuse any medical treatment, including
blood transfusions, regardless of religious or personal reasons. The nurse must
respect this decision, ensure informed refusal is documented, and notify the
provider.
QUESTION 4
A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a fractured hip awaiting surgery scheduled for tomorrow
B. A client with type 2 diabetes who has a blood glucose of 180 mg/dL
C. A client who had a myocardial infarction 2 days ago and is stable
D. A client with asthma who is reporting difficulty breathing and an O2 saturation of
88%
E. A client requesting pain medication for a chronic back condition
CORRECT ANSWER: D. A client with asthma who is reporting difficulty
breathing and an O2 saturation of 88%
EXPERT RATIONALE: Using the ABCs (Airway, Breathing, Circulation)
framework, a client with difficulty breathing and low oxygen saturation (88%)
presents the most immediate life-threatening situation and must be assessed first.
All other clients are in comparatively stable conditions.
QUESTION 5
A nurse manager notices that a staff nurse is consistently late for shifts.
Which is the most appropriate initial action by the manager?
A. Issue a formal written warning immediately
, B. Report the nurse to the State Board of Nursing
C. Have a private, direct conversation with the nurse to discuss the tardiness
D. Reassign the nurse to a different unit
E. Ignore the behavior and monitor over the next month
CORRECT ANSWER: C. Have a private, direct conversation with the nurse to
discuss the tardiness
EXPERT RATIONALE: The first step in progressive discipline is a private,
informal discussion to identify the cause of the behavior and set expectations.
Jumping immediately to formal warnings or reporting is not appropriate unless the
behavior continues after counseling.
QUESTION 6
A nurse is caring for a client who has just been informed of a terminal
diagnosis. The client states, "I don't believe this is happening to me." Which
stage of grief is this client experiencing?
A. Anger
B. Bargaining
C. Depression
D. Denial
E. Acceptance
CORRECT ANSWER: D. Denial
EXPERT RATIONALE: According to Kübler-Ross's stages of grief, denial is the
first stage, characterized by disbelief and shock upon receiving devastating news.
The client's statement reflects an inability to accept reality, which is consistent with
denial.
