ATI PN Leadership 2023 Proctored Exam: 180 Questions with Correct Answers and Detailed Rationales for Success

#




ATI PN Leadership 2023 Proctored Exam: 180 Questions with
# # # # # # # #



Correct Answers and Detailed Rationales for Success
# # # # # #




ATI PN LEADERSHIP 2023 PROCTORED EXAM
# # # # #




Comprehensive Sample: 180Questions with Answers & Rationales
# # # # # #




SECTION 1: PRIORITIZATION & ACUTE CARE (
# # # # # #




Q1. A nurse is assigned four clients. Which client should the nurse assess first?
# # # # # # # # # # # # #




• A. A client with a hip fracture in Buck's traction reporting pain of 4 on a 0-
# # # # # # # # # # # # # # # #


10 scale#




• B. A client with aspiration pneumonia and a respiratory rate of 28/min with
# # # # # # # # # # # #


oxygen saturation of 89% # # #




• C. A client with diabetes mellitus and a stage 2 pressure ulcer requiring a
# # # # # # # # # # # # #


dressing change #




• D. A client with C. difficile infection needing a stool specimen collected
# # # # # # # # # # #




☑Correct Answer-: B # #




Rationale: The client with aspiration pneumonia and respiratory rate of 28/min
# # # # # # # # # #


with oxygen saturation of 89% shows signs of respiratory compromise and
# # # # # # # # # #


requires immediate assessment. Airway and breathing always take priority. The
# # # # # # # # #


other clients have stable conditions that can wait.
# # # # # # #




Q2. A charge nurse is making client assignments. Which client should be
# # # # # # # # # # #


assigned to the most experienced RN?
# # # # #




• A. A client scheduled for discharge teaching
# # # # # #




• B. A client requiring a wound culture
# # # # # #

,#




• C. A client newly admitted with chest pain and unstable vital signs
# # # # # # # # # # #




• D. A client requesting pain medication
# # # # #




☑Correct Answer-: C # #




Rationale: The newly admitted client with chest pain and unstable vital signs is
# # # # # # # # # # # #


unstable and requires complex assessment, critical thinking, and immediate
# # # # # # # #


intervention. This client should be assigned to the most experienced RN. Stable
# # # # # # # # # # #


clients with predictable needs can be assigned to less experienced staff or LPNs.
# # # # # # # # # # # #




Q3. A nurse receives shift report. Which client should the nurse see first?
# # # # # # # # # # # #




• A. A client post-operative day 2 requesting pain medication
# # # # # # # #




• B. A client with a new diagnosis of diabetes needing insulin teaching
# # # # # # # # # # #




• C. A client with a tracheostomy who has thick secretions and difficulty
# # # # # # # # # # #


breathing
• D. A client needing a scheduled IV antibiotic
# # # # # # #




☑Correct Answer-: C # #




Rationale: The client with a tracheostomy experiencing difficulty breathing and
# # # # # # # # #


thick secretions has an actual airway problem that requires immediate
# # # # # # # # #


intervention. Airway patency is the highest priority. The other clients have needs
# # # # # # # # # # #


that can be addressed after ensuring this client's airway is stable.
# # # # # # # # # #




Q4. A nurse is caring for four clients. Which finding requires immediate
# # # # # # # # # # #


intervention?
• A. A client with a Foley catheter reporting burning sensation
# # # # # # # # #




• B. A client with a cast reporting itching under the cast
# # # # # # # # # #




• C. A client post-surgery with a blood pressure of 88/50 mm Hg and heart
# # # # # # # # # # # # #


rate of 120/min
# #




• D. A client with a wound vac reporting intermittent suctioning
# # # # # # # # #

,#




☑Correct Answer-: C # #




Rationale: The client with hypotension (88/50) and tachycardia (120) may be
# # # # # # # # # #


experiencing hypovolemic shock, possibly from postoperative bleeding. This is a
# # # # # # # # #


life-threatening emergency requiring immediate intervention. The other findings
# # # # # # #


are concerning but not immediately life-threatening.
# # # # #




Q5. A nurse on a medical-surgical unit receives report. Which client should the
# # # # # # # # # # # #


nurse assess first?
# #




• A. A client with chronic kidney disease whose potassium level is 5.8 mEq/L
# # # # # # # # # # # #




• B. A client with hypertension whose blood pressure is 148/90 mm Hg
# # # # # # # # # # #




• C. A client with diabetes whose blood glucose is 180 mg/dL
# # # # # # # # # #




• D. A client with heart failure who has 1+ edema in bilateral lower
# # # # # # # # # # # #


extremities

☑Correct Answer-: A # #




Rationale: A potassium level of 5.8 mEq/L indicates hyperkalemia, which can lead
# # # # # # # # # # #


to life-threatening cardiac dysrhythmias. This requires immediate assessment and
# # # # # # # #


intervention. The other findings are abnormal but not immediately life-
# # # # # # # # #


threatening.


Q6. A nurse is prioritizing care for four clients. Which client should be seen first?
# # # # # # # # # # # # # #




• A. A client requesting discharge instructions
# # # # #




• B. A client needing a routine wound dressing change
# # # # # # # #




• C. A client with a nasogastric tube who reports nausea and abdominal
# # # # # # # # # # #


distention
• D. A client who needs a routine medication
# # # # # # #




☑Correct Answer-: C # #

,#




Rationale: Nausea and abdominal distention in a client with an NG tube may
# # # # # # # # # # # #


indicate tube malfunction, obstruction, or displacement. This requires immediate
# # # # # # # #


assessment to prevent complications such as vomiting, aspiration, or bowel
# # # # # # # # #


perforation.


Q7. A nurse is assessing clients in the emergency department. Which client
# # # # # # # # # # #


requires immediate intervention?
# #




• A. A client with a fever of 101.2°F and productive cough
# # # # # # # # # #




• B. A client with chest pain radiating to the left arm and diaphoresis
# # # # # # # # # # # #




• C. A client with a laceration requiring sutures
# # # # # # #




• D. A client with a sprained ankle requesting pain medication
# # # # # # # # #




☑Correct Answer-: B # #




Rationale: Chest pain radiating to the left arm with diaphoresis are classic signs of
# # # # # # # # # # # # #


myocardial infarction. This client is at immediate risk for cardiac arrest and
# # # # # # # # # # #


requires rapid assessment and intervention. Emergency department triage
# # # # # # #


prioritizes life-threatening conditions first.
# # #




Q8. A nurse is caring for four clients. Which client is at highest risk for falls?
# # # # # # # # # # # # # # #




• A. A client who is ambulatory with a walker
# # # # # # # #




• B. A client who received morphine 2 hours ago for postoperative pain
# # # # # # # # # # #




• C. A client who is oriented to person, place, and time
# # # # # # # # # #




• D. A client who has a urinary catheter
# # # # # # #




☑Correct Answer-: B # #




Rationale: The client who received morphine is at highest risk for falls due to
# # # # # # # # # # # # #


opioid-induced sedation, dizziness, and orthostatic hypotension. The peak effect
# # # # # # # #


of morphine occurs within 1-2 hours, placing this client at increased risk during
# # # # # # # # # # # #


this time frame.
# #