ATI LEADERSHIP
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 LEADERSHIP nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales consistent with entry-
level practical nursing standards.
,### Question 1: Postoperative Client Assessment (NGN, Select All That Apply)
A client is 6 hours postoperative following abdominal surgery. Review the findings
below and identify 6 that require immediate follow-up by the provider.
| Time | Findings |
|------------|-------------------------------------------|
| Day 1, 1715 | Resting, easily awakened, alert ×3; moderate serosanguineous drainage;
dressings intact; pain 4/10; normoactive bowel sounds; tolerating sips; urinary output
320 mL/4 hr |
| Day 1, 2030 | Restless, short of breath; pain 8/10; large bright red bleeding on
dressing; Vital signs (assess now): BP 88/54 mmHg, HR 122 bpm, RR 28/min, SpO₂
88% on room air |
Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
,E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
Rationale:
Restlessness, increased pain, hypotension (low BP), tachycardia (high HR), tachypnea
(high RR), decreased oxygen saturation, significant bleeding, and reduced urine
output are signs of hemorrhage or shock and require urgent medical evaluation.
Bowel sounds and preserved orientation are less urgent here.
---
### Question 2: Infection Control for Herpes Simplex Lesions
A charge nurse reviews a plan of care for a client with active herpes simplex lesions.
Which intervention is appropriate?
A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when caring for the client.
C. Have the client wear a mask during transport.
, D. Wear a face mask and eye protection when caring for the client.
Answer: B
Rationale:
Herpes simplex requires contact precautions, including gloves and gowns, to prevent
transmission. Negative-pressure rooms and masks are unnecessary; airborne and
droplet precautions do not apply.
---
### Question 3: Maintaining Client Confidentiality
Which action should the nurse take to maintain client confidentiality?
A. Tell a client’s partner that laboratory tests cannot be released without permission.
B. Ask assistive personnel to refer to clients by room numbers in public areas.
C. Explain to a nursing student that verbal permission is needed before using client
names in assignments.
D. Share client information after removing personal identifiers.
Answer: A
Rationale:
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
Passing Score Guarantee
Exam has 70 LEADERSHIP nursing questions
multiple-choice format (A, B, C, D) with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
Some questions feature brief “scenario” elements and rationales consistent with entry-
level practical nursing standards.
,### Question 1: Postoperative Client Assessment (NGN, Select All That Apply)
A client is 6 hours postoperative following abdominal surgery. Review the findings
below and identify 6 that require immediate follow-up by the provider.
| Time | Findings |
|------------|-------------------------------------------|
| Day 1, 1715 | Resting, easily awakened, alert ×3; moderate serosanguineous drainage;
dressings intact; pain 4/10; normoactive bowel sounds; tolerating sips; urinary output
320 mL/4 hr |
| Day 1, 2030 | Restless, short of breath; pain 8/10; large bright red bleeding on
dressing; Vital signs (assess now): BP 88/54 mmHg, HR 122 bpm, RR 28/min, SpO₂
88% on room air |
Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
,E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
Rationale:
Restlessness, increased pain, hypotension (low BP), tachycardia (high HR), tachypnea
(high RR), decreased oxygen saturation, significant bleeding, and reduced urine
output are signs of hemorrhage or shock and require urgent medical evaluation.
Bowel sounds and preserved orientation are less urgent here.
---
### Question 2: Infection Control for Herpes Simplex Lesions
A charge nurse reviews a plan of care for a client with active herpes simplex lesions.
Which intervention is appropriate?
A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when caring for the client.
C. Have the client wear a mask during transport.
, D. Wear a face mask and eye protection when caring for the client.
Answer: B
Rationale:
Herpes simplex requires contact precautions, including gloves and gowns, to prevent
transmission. Negative-pressure rooms and masks are unnecessary; airborne and
droplet precautions do not apply.
---
### Question 3: Maintaining Client Confidentiality
Which action should the nurse take to maintain client confidentiality?
A. Tell a client’s partner that laboratory tests cannot be released without permission.
B. Ask assistive personnel to refer to clients by room numbers in public areas.
C. Explain to a nursing student that verbal permission is needed before using client
names in assignments.
D. Share client information after removing personal identifiers.
Answer: A
Rationale:
