ATI RN Leadership
Proctored Exam 33
Versions Test Bank | ATI
Leadership NCLEX-style
2300+ questions (
exam-ready Answers with
NCLEX case scenarios
Rationales)
Page 1
, ATI LEADERSHIP
[Questions & Answers with Rationales]
1. A nurse is orienting a newly licensed nurse on a neurological unit and is deciding which
client assignment would be appropriate. Which of the following clients should the nurse
assign to the newly licensed nurse?
A. A client who has multiple sclerosis and ataxia
B. A client who has increased intracranial pressure following a head injury
C. A client who is experiencing status epilepticus
D. A client who has a new spinal cord injury
Answer: A
2. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a
change in wound care procedures. Which of the following findings indicates that a
wound is healing?
A. Erythema on the skin surrounding the wound
B. Deep red color in the center of the wound
C. Inflammation at the tissue edges of the wound
D. Increased serosanguineous drainage from the wound
Answer: B
3. A nurse receives a change-of-shift report at 0700 for four clients. Which of the following
actions should the nurse perform first?
A. Obtain a breakfast tray for a client who received a morning dose of insulin as part
B. Administer pain medication to a client who has rheumatoid arthritis and received the
last dose at 0400
C. Restart an infiltrated IV for a client whose antibiotic is scheduled for 0900
D. Replace a client’s enteral nutrition feeding solution that has been hanging for 24
hours
Answer: A
Page 2
, 4. A nurse is assigned to care for four clients. Which of the following clients should the
nurse assess first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus and a stage 2 pressure ulcer on the foot
D. A client who has a Clostridium difficile infection and needs a stool specimen collected
Answer: B
5. A nurse is caring for a client who fell and is reporting severe pain in the left hip with
external rotation of the leg. The nurse has been unable to reach the provider after
several attempts over the past 30 minutes. Which of the following actions should the
nurse take?
A. Notify the nursing supervisor about the situation
B. Contact the client’s physical therapist
C. Apply a warm compress to the affected hip
D. Reposition the client for comfort
Answer: A
6. The mother of a client who has breast cancer states, “It has been hard for her, especially
after losing her hair, and it has been difficult to pay for all the treatments.” Which of the
following actions should the nurse take to demonstrate client advocacy?
A. Investigate potential resources to help the client purchase a wig
B. Explain that most clients undergoing cancer treatment lose their hair
C. Inform the next shift nurse about the mother’s concerns
D. Suggest counseling for body image issues
Answer: A
7. A nurse is disposing of client care items. Which of the following items should be
discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a postoperative client
B. A bed sheet from a client who has bacterial pneumonia
C. A perineal pad from a client who is 24 hours postpartum
D. An empty IV bag from a client who has HIV
Answer: C
8. A nurse tells the unit manager, “I am tired of all the changes in the unit. If things don’t get
better, I am going to quit.” Which of the following responses by the unit manager is
appropriate?
Page 3
, A. “So you are upset about all the changes on the unit?”
B. “I think you have a right to be upset. I am tired of the changes too.”
C. “Just give it more time. Things will get better soon.”
D. “You should file a complaint with the administration.”
Answer: A
9. A nurse is reviewing situations that require completion of an incident report. Which of the
following situations should the nurse identify as requiring an incident report?
A. A piece of equipment malfunctions and is removed for repair
B. A staff member fails to report for a scheduled shift
C. A client reports that their dentures are missing
D. A disagreement occurs between the nurse and the supervisor about staffing
Answer: C
10. A staff nurse has applied for a promotion. The hiring manager suggests that entering into
a personal relationship would improve the nurse’s chances of promotion. Which of the
following actions should the nurse take first?
A. Tell the hiring manager that the behavior is inappropriate and must stop
B. Report the incident to the nurse manager
C. Document the incident in writing and store it securely
D. Seek advice from a trusted colleague
Answer: A
11. A nurse delegates a task to an assistive personnel (AP), who refuses to perform the
task. Which of the following responses by the nurse is appropriate?
A. “I feel you are being inconsiderate of the team.”
B. “You must complete this task immediately.”
C. “Can you explain why you are unable to perform this task?”
D. “I will report you to the charge nurse.”
Answer: C
12. A charge nurse is providing education to staff on the use of new IV infusion pumps.
Which of the following actions should the charge nurse take to best evaluate staff
competency?
A. Ask staff to read the procedure and sign a competency form
B. Allow staff to demonstrate correct use of the equipment
C. Require staff to complete a written test
D. Ask staff verbal questions about the equipment
Answer: B
Page 4
Proctored Exam 33
Versions Test Bank | ATI
Leadership NCLEX-style
2300+ questions (
exam-ready Answers with
NCLEX case scenarios
Rationales)
Page 1
, ATI LEADERSHIP
[Questions & Answers with Rationales]
1. A nurse is orienting a newly licensed nurse on a neurological unit and is deciding which
client assignment would be appropriate. Which of the following clients should the nurse
assign to the newly licensed nurse?
A. A client who has multiple sclerosis and ataxia
B. A client who has increased intracranial pressure following a head injury
C. A client who is experiencing status epilepticus
D. A client who has a new spinal cord injury
Answer: A
2. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a
change in wound care procedures. Which of the following findings indicates that a
wound is healing?
A. Erythema on the skin surrounding the wound
B. Deep red color in the center of the wound
C. Inflammation at the tissue edges of the wound
D. Increased serosanguineous drainage from the wound
Answer: B
3. A nurse receives a change-of-shift report at 0700 for four clients. Which of the following
actions should the nurse perform first?
A. Obtain a breakfast tray for a client who received a morning dose of insulin as part
B. Administer pain medication to a client who has rheumatoid arthritis and received the
last dose at 0400
C. Restart an infiltrated IV for a client whose antibiotic is scheduled for 0900
D. Replace a client’s enteral nutrition feeding solution that has been hanging for 24
hours
Answer: A
Page 2
, 4. A nurse is assigned to care for four clients. Which of the following clients should the
nurse assess first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus and a stage 2 pressure ulcer on the foot
D. A client who has a Clostridium difficile infection and needs a stool specimen collected
Answer: B
5. A nurse is caring for a client who fell and is reporting severe pain in the left hip with
external rotation of the leg. The nurse has been unable to reach the provider after
several attempts over the past 30 minutes. Which of the following actions should the
nurse take?
A. Notify the nursing supervisor about the situation
B. Contact the client’s physical therapist
C. Apply a warm compress to the affected hip
D. Reposition the client for comfort
Answer: A
6. The mother of a client who has breast cancer states, “It has been hard for her, especially
after losing her hair, and it has been difficult to pay for all the treatments.” Which of the
following actions should the nurse take to demonstrate client advocacy?
A. Investigate potential resources to help the client purchase a wig
B. Explain that most clients undergoing cancer treatment lose their hair
C. Inform the next shift nurse about the mother’s concerns
D. Suggest counseling for body image issues
Answer: A
7. A nurse is disposing of client care items. Which of the following items should be
discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a postoperative client
B. A bed sheet from a client who has bacterial pneumonia
C. A perineal pad from a client who is 24 hours postpartum
D. An empty IV bag from a client who has HIV
Answer: C
8. A nurse tells the unit manager, “I am tired of all the changes in the unit. If things don’t get
better, I am going to quit.” Which of the following responses by the unit manager is
appropriate?
Page 3
, A. “So you are upset about all the changes on the unit?”
B. “I think you have a right to be upset. I am tired of the changes too.”
C. “Just give it more time. Things will get better soon.”
D. “You should file a complaint with the administration.”
Answer: A
9. A nurse is reviewing situations that require completion of an incident report. Which of the
following situations should the nurse identify as requiring an incident report?
A. A piece of equipment malfunctions and is removed for repair
B. A staff member fails to report for a scheduled shift
C. A client reports that their dentures are missing
D. A disagreement occurs between the nurse and the supervisor about staffing
Answer: C
10. A staff nurse has applied for a promotion. The hiring manager suggests that entering into
a personal relationship would improve the nurse’s chances of promotion. Which of the
following actions should the nurse take first?
A. Tell the hiring manager that the behavior is inappropriate and must stop
B. Report the incident to the nurse manager
C. Document the incident in writing and store it securely
D. Seek advice from a trusted colleague
Answer: A
11. A nurse delegates a task to an assistive personnel (AP), who refuses to perform the
task. Which of the following responses by the nurse is appropriate?
A. “I feel you are being inconsiderate of the team.”
B. “You must complete this task immediately.”
C. “Can you explain why you are unable to perform this task?”
D. “I will report you to the charge nurse.”
Answer: C
12. A charge nurse is providing education to staff on the use of new IV infusion pumps.
Which of the following actions should the charge nurse take to best evaluate staff
competency?
A. Ask staff to read the procedure and sign a competency form
B. Allow staff to demonstrate correct use of the equipment
C. Require staff to complete a written test
D. Ask staff verbal questions about the equipment
Answer: B
Page 4
