ATI RN LEADERSHIP PROCTORED EXAM WITH NGN – 200 PRACTICE QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS AND DETAILED RATIONALE

ATI RN LEADERSHIP PROCTORED EXAM WITH NGN – 200 PRACTICE QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS AND DETAILED RATIONALE 1. A charge nurse is delegating tasks to an LPN and an assistive personnel (AP). Which task should the charge nurse assign to the AP? A. Reinforcing teaching about insulin self-administration to a client with diabetes B. Obtaining a clean-catch urine specimen from a client with a urinary tract infection C. Completing the initial admission assessment for a newly admitted client D. Administering IV antibiotics to a client with pneumonia Correct Answer: B Rationale: Obtaining a clean-catch urine specimen is a standard, non-invasive task that can be delegated to AP. Reinforcing teaching (A) is within LPN scope but not AP. Initial admission assessment (C) must be performed by an RN. IV antibiotic administration (D) requires an RN license. ________________________________________ 2. A nurse manager is reviewing the stages of conflict resolution with the nursing staff. Which of the following is the correct order of the stages of conflict? A. Latent conflict, perceived conflict, felt conflict, manifest conflict, conflict aftermath B. Perceived conflict, latent conflict, felt conflict, manifest conflict, conflict aftermath C. Felt conflict, latent conflict, perceived conflict, manifest conflict, conflict aftermath D. Latent conflict, felt conflict, perceived conflict, manifest conflict, conflict aftermath Correct Answer: A Rationale: The stages of conflict in order are: latent conflict (conditions exist for conflict), perceived conflict (awareness), felt conflict (emotional response), manifest conflict (overt action), and conflict aftermath (resolution or continuation). ________________________________________ 3. A nurse is caring for a client who refuses a prescribed blood transfusion due to religious beliefs. Which of the following actions should the nurse take? A. Inform the client that the transfusion is necessary to save their life B. Contact the provider to discuss alternative treatment options C. Administer the transfusion without the client's consent D. Ask the client's family to convince the client to accept the transfusion Correct Answer: B Rationale: The nurse must respect the client's autonomy and religious beliefs. The appropriate action is to contact the provider to explore alternative treatments. Administering without consent (C) constitutes battery. ________________________________________ 4. A charge nurse is making assignments on a medical-surgical unit. Which client should be assigned to the most experienced RN? A. A client scheduled for discharge later in the day B. A client who is 2 days post-operative with stable vital signs C. A client with new-onset confusion and unstable vital signs D. A client requiring routine wound care Correct Answer: C Rationale: The most unstable client (new-onset confusion with unstable vitals) requires the most experienced RN due to the need for complex assessment and critical thinking. ________________________________________ 5. A nurse is teaching a client about informed consent. Which of the following information should the nurse include? A. Nurses rely on consent to perform interventions B. Consent can only be written, not verbal C. The nurse is responsible for disclosing all risks of the proposed treatment D. The provider's signature indicates they witnessed the client's signature Correct Answer: A Rationale: Nurses rely on consent to perform nursing interventions. Consent can be verbal or written (B is incorrect). The provider is responsible for disclosing risks (C is incorrect). The nurse's signature witnesses the client's signature (D is incorrect). ________________________________________ 6. A nurse manager finds that six of 15 medical records lack documentation regarding advance directives. Which of the following is the priority action? A. Meet with staff to review the policy regarding advance directives B. Ask nurses caring for clients without this information to obtain it C. Report the potential consequences of not having this information to nursing staff D. Remind nurses to obtain this information during the admission process Correct Answer: B Rationale: The priority action is to obtain the missing information immediately to ensure client rights are protected. Education and reminders (A, C, D) are important but secondary to obtaining the documentation. ________________________________________ 7. A nurse is preparing to delegate a task to an AP. Which of the following is the nurse's responsibility before delegating? A. Ensure the AP has the appropriate training and competency B. Allow the AP to determine which tasks to perform C. Delegate all tasks to the AP to reduce the nurse's workload D. Avoid providing supervision after delegation Correct Answer: A Rationale: The nurse must ensure the AP is competent to perform the delegated task. The nurse retains accountability and must provide supervision (D is incorrect). ________________________________________ 8. A client who is confused and agitated is placed in wrist restraints. Which of the following actions by the nurse is correct? A. Tie the restraints to the side rails of the bed B. Remove the restraints every 4 hours for range-of-motion exercises C. Document the client's behavior and the reason for restraint use D. Apply restraints for the entire shift without reassessment Correct Answer: C Rationale: The nurse must document the behavior that necessitated restraints and the interventions used. Restraints must be removed every 2 hours (not 4) for ROM (B is incorrect) and tied to the bed frame, not side rails (A is incorrect). ________________________________________ 9. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client's family requests that resuscitation be attempted. Which of the following actions should the nurse take? A. Initiate resuscitation per the family's request B. Respect the DNR order and not initiate resuscitation C. Contact the hospital ethics committee immediately D. Ask the family to leave the room Correct Answer: B Rationale: A DNR order is a legal medical order. The nurse must respect the client's advance directive and not initiate resuscitation. The provider should be contacted to discuss family concerns. ________________________________________