ATI Leadership Proctored Exam(7
Versions)(Questions &
Answers)(Newest, 2024-2025)latest
# ATI Leadership Proctored Exam – 7 Versions (2024-2025)
## VERSION 1
**Q1:** A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in
the wound care procedure. Which of the following findings indicate wound healing?
A. Erythema on the skin surrounding a client's wound
B. **Deep red color on the center of the client's wound**
,C. Inflammation noted on the tissue edges of a client's wound
D. Increase in serosanguineous exudate from the client's wound
**Answer: B**
**Rationale:** Deep red tissue in the wound center indicates healthy granulation tissue formation
during the proliferative stage of healing. Erythema, inflammation, and increased exudate suggest
infection or poor healing .
---
**Q2:** 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. 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
**Answer: B**
**Rationale:** This client has manifestations of a pulmonary embolism or other life-threatening
condition. The most critical action is to notify the Rapid Response Team for speedy diagnosis and
treatment. The other actions are appropriate but not the priority .
---
,**Q3:** A client is admitted with a pulmonary embolism (PE). The client is young, healthy, active, and
has no known risk factors. What action by the nurse is most appropriate?
A. Encourage the client to walk 5 minutes each hour
B. Refer the client to smoking cessation classes
C. **Teach the client about factor V Leiden testing**
D. Tell the client that sometimes no cause for disease is found
**Answer: C**
**Rationale:** Factor V Leiden is an inherited thrombophilia that can lead to abnormal clotting events
including PE. A client with no known risk factors should be referred for testing .
---
**Q4:** A nurse is reviewing the electronic medical record on clients following implementation of a
quality improvement plan to reduce healthcare-associated infections. Select the 3 clients whose findings
indicate the program is EFFECTIVE.
Exhibit 1: Client 1 - CVA
Exhibit 2: Client 2 - Pneumonia
Exhibit 3: Client 3 - Wound infection
Exhibit 4: Client 4 - UTI
Exhibit 5: Client 5 - Fractured hip
**Answer: Clients 2, 3, 5**
, **Rationale:** The QI plan is effective when infection rates decrease for targeted conditions.
Pneumonia, wound infections, and post-surgical infections (hip fracture) are common HAIs.
Improvements in these areas indicate program success .
---
**Q5:** A nurse is caring for a client who has an informed consent form for an upcoming procedure in
his health record. Which action should the nurse take to validate that the client understands the
procedure?
A. Review documentation by the provider of discussing the procedure with the client
B. **Ask the client to explain the purpose of the procedure**
C. Have the client sign the consent form again
D. Contact the client's family to verify understanding
**Answer: B**
**Rationale:** The nurse validates client understanding by asking the client to explain the procedure in
their own words (teach-back method). Reviewing provider documentation only confirms the discussion
occurred, not that the client understood .
---
**Q6:** A nurse in the ED is performing triage for a group of clients following an MVC. Which client
should the nurse request the provider assess first?
A. A client who has a closed leg fracture and reports peripheral paresthesia
B. A client who reports a sprained ankle and has a laceration over the medial ankle
Versions)(Questions &
Answers)(Newest, 2024-2025)latest
# ATI Leadership Proctored Exam – 7 Versions (2024-2025)
## VERSION 1
**Q1:** A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in
the wound care procedure. Which of the following findings indicate wound healing?
A. Erythema on the skin surrounding a client's wound
B. **Deep red color on the center of the client's wound**
,C. Inflammation noted on the tissue edges of a client's wound
D. Increase in serosanguineous exudate from the client's wound
**Answer: B**
**Rationale:** Deep red tissue in the wound center indicates healthy granulation tissue formation
during the proliferative stage of healing. Erythema, inflammation, and increased exudate suggest
infection or poor healing .
---
**Q2:** 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. 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
**Answer: B**
**Rationale:** This client has manifestations of a pulmonary embolism or other life-threatening
condition. The most critical action is to notify the Rapid Response Team for speedy diagnosis and
treatment. The other actions are appropriate but not the priority .
---
,**Q3:** A client is admitted with a pulmonary embolism (PE). The client is young, healthy, active, and
has no known risk factors. What action by the nurse is most appropriate?
A. Encourage the client to walk 5 minutes each hour
B. Refer the client to smoking cessation classes
C. **Teach the client about factor V Leiden testing**
D. Tell the client that sometimes no cause for disease is found
**Answer: C**
**Rationale:** Factor V Leiden is an inherited thrombophilia that can lead to abnormal clotting events
including PE. A client with no known risk factors should be referred for testing .
---
**Q4:** A nurse is reviewing the electronic medical record on clients following implementation of a
quality improvement plan to reduce healthcare-associated infections. Select the 3 clients whose findings
indicate the program is EFFECTIVE.
Exhibit 1: Client 1 - CVA
Exhibit 2: Client 2 - Pneumonia
Exhibit 3: Client 3 - Wound infection
Exhibit 4: Client 4 - UTI
Exhibit 5: Client 5 - Fractured hip
**Answer: Clients 2, 3, 5**
, **Rationale:** The QI plan is effective when infection rates decrease for targeted conditions.
Pneumonia, wound infections, and post-surgical infections (hip fracture) are common HAIs.
Improvements in these areas indicate program success .
---
**Q5:** A nurse is caring for a client who has an informed consent form for an upcoming procedure in
his health record. Which action should the nurse take to validate that the client understands the
procedure?
A. Review documentation by the provider of discussing the procedure with the client
B. **Ask the client to explain the purpose of the procedure**
C. Have the client sign the consent form again
D. Contact the client's family to verify understanding
**Answer: B**
**Rationale:** The nurse validates client understanding by asking the client to explain the procedure in
their own words (teach-back method). Reviewing provider documentation only confirms the discussion
occurred, not that the client understood .
---
**Q6:** A nurse in the ED is performing triage for a group of clients following an MVC. Which client
should the nurse request the provider assess first?
A. A client who has a closed leg fracture and reports peripheral paresthesia
B. A client who reports a sprained ankle and has a laceration over the medial ankle
