ATI RN LEADERSHIP PROCTORED
ASSESSMENT WITH NGN QUESTIONS
AND ANSWERS
1. A nurse manager is discussing the purpose of a Root Cause Analysis (RCA) with the staff.
Which of the following statements should the manager include?
A. An RCA is performed to determine which individual staff member is at fault for a sentinel
event.
B. An RCA is primarily used to document staff performance for annual reviews.
C. An RCA is a proactive strategy used to prevent errors before they happen.
D. An RCA is a reactive process that identifies system-level vulnerabilities after an error
occurs.
Answer: D
Conceptual Explanation: A Root Cause Analysis is a retrospective (reactive) process
performed after a sentinel event or major error to identify the underlying system or
process failures that contributed to the event, rather than focusing on individual blame.
,2. A nurse is preparing to delegate tasks to an Assistive Personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication.
B. Administering a nebulizer treatment to a stable client.
C. Updating the plan of care for a client who is being discharged.
D. Performing postmortem care on a deceased client.
Answer: D
Conceptual Explanation: Postmortem care is within the scope of practice for an AP.
Evaluation, medication administration (in most states), and care planning require the
clinical judgment of a licensed nurse.
3. A nurse is caring for a group of clients on a medical-surgical unit. Which client should the
nurse assess first?
A. A client who had a knee replacement 24 hours ago and reports a pain level of 6/10.
B. A client with pneumonia who has a new onset of confusion and restlessness.
C. A client with diabetes whose pre-meal blood glucose is 150 mg/dL.
D. A client who is scheduled for physical therapy in 30 minutes.
Answer: B
, Conceptual Explanation: New onset confusion and restlessness are early signs of hypoxia.
Using the ABC (Airway, Breathing, Circulation) framework, this client is the highest
priority.
4. A charge nurse is observing a newly licensed nurse provide care. Which action by the new
nurse requires intervention?
A. The nurse shares their computer password with a respiratory therapist who needs to
document a treatment.
B. The nurse documents care in the electronic health record immediately after a procedure.
C. The nurse verifies the client’s identity using two identifiers before giving medication.
D. The nurse place a client in the recovery position after a seizure.
Answer: A
Conceptual Explanation: Sharing passwords is a violation of HIPAA and facility security
policies. Every staff member must use their own credentials to ensure an accurate audit
trail.
5. A nurse is working in a facility that uses the democratic leadership style. Which of the
following characteristics should the nurse expect?
A. The leader makes all the decisions and dictates tasks to the staff.
B. The leader provides little guidance and allows the group to make decisions.
C. The leader includes the staff in decision-making and encourages communication.
ASSESSMENT WITH NGN QUESTIONS
AND ANSWERS
1. A nurse manager is discussing the purpose of a Root Cause Analysis (RCA) with the staff.
Which of the following statements should the manager include?
A. An RCA is performed to determine which individual staff member is at fault for a sentinel
event.
B. An RCA is primarily used to document staff performance for annual reviews.
C. An RCA is a proactive strategy used to prevent errors before they happen.
D. An RCA is a reactive process that identifies system-level vulnerabilities after an error
occurs.
Answer: D
Conceptual Explanation: A Root Cause Analysis is a retrospective (reactive) process
performed after a sentinel event or major error to identify the underlying system or
process failures that contributed to the event, rather than focusing on individual blame.
,2. A nurse is preparing to delegate tasks to an Assistive Personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication.
B. Administering a nebulizer treatment to a stable client.
C. Updating the plan of care for a client who is being discharged.
D. Performing postmortem care on a deceased client.
Answer: D
Conceptual Explanation: Postmortem care is within the scope of practice for an AP.
Evaluation, medication administration (in most states), and care planning require the
clinical judgment of a licensed nurse.
3. A nurse is caring for a group of clients on a medical-surgical unit. Which client should the
nurse assess first?
A. A client who had a knee replacement 24 hours ago and reports a pain level of 6/10.
B. A client with pneumonia who has a new onset of confusion and restlessness.
C. A client with diabetes whose pre-meal blood glucose is 150 mg/dL.
D. A client who is scheduled for physical therapy in 30 minutes.
Answer: B
, Conceptual Explanation: New onset confusion and restlessness are early signs of hypoxia.
Using the ABC (Airway, Breathing, Circulation) framework, this client is the highest
priority.
4. A charge nurse is observing a newly licensed nurse provide care. Which action by the new
nurse requires intervention?
A. The nurse shares their computer password with a respiratory therapist who needs to
document a treatment.
B. The nurse documents care in the electronic health record immediately after a procedure.
C. The nurse verifies the client’s identity using two identifiers before giving medication.
D. The nurse place a client in the recovery position after a seizure.
Answer: A
Conceptual Explanation: Sharing passwords is a violation of HIPAA and facility security
policies. Every staff member must use their own credentials to ensure an accurate audit
trail.
5. A nurse is working in a facility that uses the democratic leadership style. Which of the
following characteristics should the nurse expect?
A. The leader makes all the decisions and dictates tasks to the staff.
B. The leader provides little guidance and allows the group to make decisions.
C. The leader includes the staff in decision-making and encourages communication.
