RN ATI Leadership Proctored EXAM
2023 ACTUAL QUESTIONS AND
CORRECT ANSWERS LATEST THIS
YEAR.pdf
SECTION 1: PRIORITIZATION
Question 1: A nurse is assigned four clients. Which client should the nurse assess
first?
A) Client with hip fracture in Buck's traction
B) Client with aspiration pneumonia and respiratory rate 28/min
C) Client with diabetes and a stage 2 pressure ulcer
D) Client with C. difficile needing a stool specimen
Correct Answer: B
Rationale: Tachypnea (28/min) in a client with aspiration pneumonia indicates potential
respiratory compromise or sepsis. Airway and breathing are the highest
priority according to the ABCs (Airway, Breathing, Circulation).
Question 2: Which finding is the highest priority?
A) Client post-cardiac catheterization with capillary refill in great toe 4 seconds
B) Client with hip fracture reporting pain 6/10
,C) Client with stable diabetes requesting a snack
D) Client awaiting discharge teaching
Correct Answer: A
Rationale: Capillary refill >3 seconds indicates decreased perfusion and potential
arterial compromise. This is a circulation priority in a post-catheterization client.
Question 3: A nurse enters a client's room and identifies the IV pump is
malfunctioning, delivering too much fluid. What action should the nurse take first?
A) Notify the provider
B) Complete an incident report
C) Auscultate the client's lungs
D) Place a faulty equipment tag on the pump
Correct Answer: C
Rationale: The nurse must assess the client first for signs of fluid overload (crackles,
dyspnea) before taking further action. Assessment precedes intervention.
SECTION 2: DELEGATION
Question 4: Which task is appropriate to assign to a licensed practical nurse (LPN)?
A) Perform initial admission assessment
B) Administer a nasogastric tube feeding
C) Administer IV push morphine
D) Evaluate client's pain management
Correct Answer: B
,Rationale: LPNs can administer enteral feedings and perform stable, routine
procedures. Initial assessments, IV push medications, and evaluation are RN
responsibilities.
Question 5: Which task can be delegated to an assistive personnel (AP)?
A) Assessing a client's post-operative wound
B) Teaching insulin self-administration
C) Obtaining a stool sample from a client with renal failure
D) Administering PRN acetaminophen
Correct Answer: C
Rationale: Obtaining a stool specimen is a non-invasive collection task that requires no
clinical judgment and falls within the AP's scope of practice.
Question 6: What are the Five Rights of Delegation? (Select all that apply)
A) Right Task
B) Right Circumstance
C) Right Person
D) Right Direction/Communication
E) Right Supervision/Evaluation
Correct Answers: A, B, C, D, E
Rationale: The Five Rights are: Right Task, Right Circumstance, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
Question 7: A nurse delegates vital signs collection to an AP. Which action should
the nurse take to evaluate the delegated task?
A) Review trends at end of shift
B) Recheck vital signs outside expected range
, C) Ask the AP for a written summary
D) Compare with previous shift
Correct Answer: B
Rationale: The nurse must recheck vital signs that are outside expected range to
ensure accuracy and client safety.
SECTION 3: LEGAL & ETHICAL ISSUES
Question 8: Which statement indicates understanding of informed consent?
A) "Consent can be given by a durable power of attorney"
B) "A family member can interpret for a deaf client"
C) "Guardian consent is required for an emancipated minor"
D) "The nurse can answer all questions about the procedure"
Correct Answer: A
Rationale: A durable power of attorney for health care can give informed consent on
behalf of a client who is unable to do so. Emancipated minors can consent for
themselves. Qualified interpreters are required for informed consent.
Question 9: For which client should the nurse collaborate with the facility ethics
committee?
A) Middle adult leaving AMA
B) Older adult with advanced directives on file
C) Young adult participating in a research study
D) Adolescent whose parents refuse a blood transfusion for religious reasons
Correct Answer: D
2023 ACTUAL QUESTIONS AND
CORRECT ANSWERS LATEST THIS
YEAR.pdf
SECTION 1: PRIORITIZATION
Question 1: A nurse is assigned four clients. Which client should the nurse assess
first?
A) Client with hip fracture in Buck's traction
B) Client with aspiration pneumonia and respiratory rate 28/min
C) Client with diabetes and a stage 2 pressure ulcer
D) Client with C. difficile needing a stool specimen
Correct Answer: B
Rationale: Tachypnea (28/min) in a client with aspiration pneumonia indicates potential
respiratory compromise or sepsis. Airway and breathing are the highest
priority according to the ABCs (Airway, Breathing, Circulation).
Question 2: Which finding is the highest priority?
A) Client post-cardiac catheterization with capillary refill in great toe 4 seconds
B) Client with hip fracture reporting pain 6/10
,C) Client with stable diabetes requesting a snack
D) Client awaiting discharge teaching
Correct Answer: A
Rationale: Capillary refill >3 seconds indicates decreased perfusion and potential
arterial compromise. This is a circulation priority in a post-catheterization client.
Question 3: A nurse enters a client's room and identifies the IV pump is
malfunctioning, delivering too much fluid. What action should the nurse take first?
A) Notify the provider
B) Complete an incident report
C) Auscultate the client's lungs
D) Place a faulty equipment tag on the pump
Correct Answer: C
Rationale: The nurse must assess the client first for signs of fluid overload (crackles,
dyspnea) before taking further action. Assessment precedes intervention.
SECTION 2: DELEGATION
Question 4: Which task is appropriate to assign to a licensed practical nurse (LPN)?
A) Perform initial admission assessment
B) Administer a nasogastric tube feeding
C) Administer IV push morphine
D) Evaluate client's pain management
Correct Answer: B
,Rationale: LPNs can administer enteral feedings and perform stable, routine
procedures. Initial assessments, IV push medications, and evaluation are RN
responsibilities.
Question 5: Which task can be delegated to an assistive personnel (AP)?
A) Assessing a client's post-operative wound
B) Teaching insulin self-administration
C) Obtaining a stool sample from a client with renal failure
D) Administering PRN acetaminophen
Correct Answer: C
Rationale: Obtaining a stool specimen is a non-invasive collection task that requires no
clinical judgment and falls within the AP's scope of practice.
Question 6: What are the Five Rights of Delegation? (Select all that apply)
A) Right Task
B) Right Circumstance
C) Right Person
D) Right Direction/Communication
E) Right Supervision/Evaluation
Correct Answers: A, B, C, D, E
Rationale: The Five Rights are: Right Task, Right Circumstance, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
Question 7: A nurse delegates vital signs collection to an AP. Which action should
the nurse take to evaluate the delegated task?
A) Review trends at end of shift
B) Recheck vital signs outside expected range
, C) Ask the AP for a written summary
D) Compare with previous shift
Correct Answer: B
Rationale: The nurse must recheck vital signs that are outside expected range to
ensure accuracy and client safety.
SECTION 3: LEGAL & ETHICAL ISSUES
Question 8: Which statement indicates understanding of informed consent?
A) "Consent can be given by a durable power of attorney"
B) "A family member can interpret for a deaf client"
C) "Guardian consent is required for an emancipated minor"
D) "The nurse can answer all questions about the procedure"
Correct Answer: A
Rationale: A durable power of attorney for health care can give informed consent on
behalf of a client who is unable to do so. Emancipated minors can consent for
themselves. Qualified interpreters are required for informed consent.
Question 9: For which client should the nurse collaborate with the facility ethics
committee?
A) Middle adult leaving AMA
B) Older adult with advanced directives on file
C) Young adult participating in a research study
D) Adolescent whose parents refuse a blood transfusion for religious reasons
Correct Answer: D
