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.
,### 1. NCLEX (NGN Style)
A nurse is instructing an assistive personnel (AP) about care for a client with a Do-Not-
Resuscitate (DNR) order. Which statement by the AP indicates understanding?
A. "If I cannot detect the client’s pulse, I will have another AP verify it."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect the client’s pulse."
D. "I will call the nurse to come to the room if I cannot detect the client’s pulse."
Answer: D. "I will call the nurse to come to the room if I cannot detect the client’s
pulse."
Rationale: The AP should notify the nurse for further assessment. CPR is not indicated
for clients with a DNR order, and the nurse is responsible for clinical decision-making
in such situations.
---
### 2. Which task can the nurse safely assign to an assistive personnel (AP)?
A. Perform chest compressions on a client in cardiac arrest.
B. Change a sterile dressing on a client’s leg wound.
C. Check the residual volume of a client’s gastrostomy tube.
,D. Instruct the client on the use of a blood glucose machine.
Answer: A. Perform chest compressions on a client in cardiac arrest
Rationale: Basic CPR, including chest compressions, is within the scope of practice for
APs. More complex assessments and procedures must be performed by licensed
nurses.
---
### 3. A nurse is caring for a client who is experiencing adverse effects after receiving
a new medication. Which communication tool should the nurse use to manage this
complication?
A. Critical pathway
B. Incident reporting
C. SBAR framework
D. Root cause analysis
Answer: C. SBAR framework
Rationale: The SBAR (Situation-Background-Assessment-Recommendation) framework
facilitates clear and focused communication concerning the client’s current condition
and needs. This promotes timely clinical decision-making and appropriate escalation
of care.
, ---
### 4. A nurse at an urgent care clinic notices a pain assessment is not being
performed for all clients as required by policy. Which action should the nurse take?
A. Check client satisfaction surveys for feedback on pain management.
B. Post an educational article on pain assessment on the bulletin board.
C. Document this finding on an incident report.
D. Report the issue to the nurse manager.
Answer: D. Report the issue to the nurse manager
Rationale: It is the nurse manager’s responsibility to ensure adherence to policies
and standards of care. Reporting this issue ensures corrective action and
accountability at the leadership level.
---
### 5. A nurse has been paging the provider for 1 hour to report a potassium level of
3.2 mEq/L without response. What should the nurse do next?
A. Continue attempting to contact the provider.
B. Notify the nursing supervisor.
C. Administer an emergency potassium dose.
D. Consult with the pharmacist.
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.
,### 1. NCLEX (NGN Style)
A nurse is instructing an assistive personnel (AP) about care for a client with a Do-Not-
Resuscitate (DNR) order. Which statement by the AP indicates understanding?
A. "If I cannot detect the client’s pulse, I will have another AP verify it."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect the client’s pulse."
D. "I will call the nurse to come to the room if I cannot detect the client’s pulse."
Answer: D. "I will call the nurse to come to the room if I cannot detect the client’s
pulse."
Rationale: The AP should notify the nurse for further assessment. CPR is not indicated
for clients with a DNR order, and the nurse is responsible for clinical decision-making
in such situations.
---
### 2. Which task can the nurse safely assign to an assistive personnel (AP)?
A. Perform chest compressions on a client in cardiac arrest.
B. Change a sterile dressing on a client’s leg wound.
C. Check the residual volume of a client’s gastrostomy tube.
,D. Instruct the client on the use of a blood glucose machine.
Answer: A. Perform chest compressions on a client in cardiac arrest
Rationale: Basic CPR, including chest compressions, is within the scope of practice for
APs. More complex assessments and procedures must be performed by licensed
nurses.
---
### 3. A nurse is caring for a client who is experiencing adverse effects after receiving
a new medication. Which communication tool should the nurse use to manage this
complication?
A. Critical pathway
B. Incident reporting
C. SBAR framework
D. Root cause analysis
Answer: C. SBAR framework
Rationale: The SBAR (Situation-Background-Assessment-Recommendation) framework
facilitates clear and focused communication concerning the client’s current condition
and needs. This promotes timely clinical decision-making and appropriate escalation
of care.
, ---
### 4. A nurse at an urgent care clinic notices a pain assessment is not being
performed for all clients as required by policy. Which action should the nurse take?
A. Check client satisfaction surveys for feedback on pain management.
B. Post an educational article on pain assessment on the bulletin board.
C. Document this finding on an incident report.
D. Report the issue to the nurse manager.
Answer: D. Report the issue to the nurse manager
Rationale: It is the nurse manager’s responsibility to ensure adherence to policies
and standards of care. Reporting this issue ensures corrective action and
accountability at the leadership level.
---
### 5. A nurse has been paging the provider for 1 hour to report a potassium level of
3.2 mEq/L without response. What should the nurse do next?
A. Continue attempting to contact the provider.
B. Notify the nursing supervisor.
C. Administer an emergency potassium dose.
D. Consult with the pharmacist.
