,ATI RN Leadership Exam (2023) – NGN Questions
and Case Scenarios (ATI) (Guarantee Pass)
Table of Contents
SET 1 EXAM
SET 2 EXAM
SET 3 EXAM
SET 4 EXAM
SET 5 EXAM
SET 1 EXAM
Question 1
A nurse manager is observing a new graduate RN caring for a patient with a chest tube.
Which actions by the new graduate would cause the manager to intervene? (Select all
that apply)
• A. Clamping the chest tube during patient transport
• B. Placing the drainage system below the level of the patient's chest
• C. Emptying the drainage system without wearing gloves
• D. Reporting a sudden increase in bubbling in the water seal chamber
• E. Coiling excess tubing on the bed to prevent dependent loops
Correct Answer: A, C, E
Rationale:
• A (Clamping during transport) – Can cause tension pneumothorax; never clamp
unless specifically ordered .
• C (Emptying without gloves) – Infection risk; gloves are required .
, • E (Coiling tubing on bed) – Creates dependent loops that impede drainage;
tubing should be secured without loops .
• B is correct – Placing drainage below chest level promotes drainage .
• D is correct – Increased bubbling indicates possible air leak and should be
reported .
Question 2
A charge nurse suspects that a staff nurse is chemically impaired. Which of the following
actions should the charge nurse take?
• A. Arrange a confidential meeting with the impaired nurse within 24 hours
• B. Provide ongoing private counseling sessions directly with the impaired nurse
• C. Discuss the situation with all other staff nurses to gather more information
• D. Submit an immediate report to the facility risk manager
Correct Answer: A
Rationale: After removing the chemically impaired nurse from the care setting and
ensuring safe transportation home, the nurse manager should schedule a formal,
confidential meeting within 24 hours. It is not appropriate for the manager to provide
long-term counseling, and confidentiality must be maintained .
Question 3
A nurse in the emergency department is triaging four clients. Which of the following
clients should the nurse recommend to be examined first?
• A. An older adult client who has dyspnea and a respiratory rate of 26/min
• B. A toddler who cries when their parent enters the examination room
• C. A client with a sucking chest wound
• D. A client with right lower quadrant pain and rebound tenderness
, Correct Answer: A
Rationale: Dyspnea with tachypnea (respiratory rate of 26/min) indicates respiratory
distress, which is the highest priority according to the ABCs (Airway, Breathing,
Circulation). The sucking chest wound (C) would also be high priority but requires
immediate intervention—in triage, airway and breathing compromise take precedence .
Question 4
A nurse is reviewing laboratory reports for a group of clients. Which of the following
diseases should the nurse report to the state health department?
• A. Tuberculosis
• B. Pertussis
• C. Mumps
• D. All of the above
Correct Answer: D
Rationale: Pertussis, tuberculosis, and mumps are all reportable communicable diseases
that must be reported to the state health department for public health surveillance and
outbreak management .
Question 5
A charge nurse is teaching a newly licensed nurse about proper cleaning of equipment
used for a client who has Clostridioides difficile. Which of the following solutions should
the nurse recommend to clean the equipment?
• A. Alcohol-based sanitizer
• B. Chlorine bleach solution
• C. Hydrogen peroxide
• D. Soap and water only
Correct Answer: B
and Case Scenarios (ATI) (Guarantee Pass)
Table of Contents
SET 1 EXAM
SET 2 EXAM
SET 3 EXAM
SET 4 EXAM
SET 5 EXAM
SET 1 EXAM
Question 1
A nurse manager is observing a new graduate RN caring for a patient with a chest tube.
Which actions by the new graduate would cause the manager to intervene? (Select all
that apply)
• A. Clamping the chest tube during patient transport
• B. Placing the drainage system below the level of the patient's chest
• C. Emptying the drainage system without wearing gloves
• D. Reporting a sudden increase in bubbling in the water seal chamber
• E. Coiling excess tubing on the bed to prevent dependent loops
Correct Answer: A, C, E
Rationale:
• A (Clamping during transport) – Can cause tension pneumothorax; never clamp
unless specifically ordered .
• C (Emptying without gloves) – Infection risk; gloves are required .
, • E (Coiling tubing on bed) – Creates dependent loops that impede drainage;
tubing should be secured without loops .
• B is correct – Placing drainage below chest level promotes drainage .
• D is correct – Increased bubbling indicates possible air leak and should be
reported .
Question 2
A charge nurse suspects that a staff nurse is chemically impaired. Which of the following
actions should the charge nurse take?
• A. Arrange a confidential meeting with the impaired nurse within 24 hours
• B. Provide ongoing private counseling sessions directly with the impaired nurse
• C. Discuss the situation with all other staff nurses to gather more information
• D. Submit an immediate report to the facility risk manager
Correct Answer: A
Rationale: After removing the chemically impaired nurse from the care setting and
ensuring safe transportation home, the nurse manager should schedule a formal,
confidential meeting within 24 hours. It is not appropriate for the manager to provide
long-term counseling, and confidentiality must be maintained .
Question 3
A nurse in the emergency department is triaging four clients. Which of the following
clients should the nurse recommend to be examined first?
• A. An older adult client who has dyspnea and a respiratory rate of 26/min
• B. A toddler who cries when their parent enters the examination room
• C. A client with a sucking chest wound
• D. A client with right lower quadrant pain and rebound tenderness
, Correct Answer: A
Rationale: Dyspnea with tachypnea (respiratory rate of 26/min) indicates respiratory
distress, which is the highest priority according to the ABCs (Airway, Breathing,
Circulation). The sucking chest wound (C) would also be high priority but requires
immediate intervention—in triage, airway and breathing compromise take precedence .
Question 4
A nurse is reviewing laboratory reports for a group of clients. Which of the following
diseases should the nurse report to the state health department?
• A. Tuberculosis
• B. Pertussis
• C. Mumps
• D. All of the above
Correct Answer: D
Rationale: Pertussis, tuberculosis, and mumps are all reportable communicable diseases
that must be reported to the state health department for public health surveillance and
outbreak management .
Question 5
A charge nurse is teaching a newly licensed nurse about proper cleaning of equipment
used for a client who has Clostridioides difficile. Which of the following solutions should
the nurse recommend to clean the equipment?
• A. Alcohol-based sanitizer
• B. Chlorine bleach solution
• C. Hydrogen peroxide
• D. Soap and water only
Correct Answer: B
