ATI RN LEADERSHIP PROCTORED
ASSESSMENT WITH NGN 2026
1. A nurse manager is preparing to implement a new evidence-based practice protocol on the
unit. Which of the following actions should the nurse manager take first according to Lewin’s
Change Theory?
A. Inform the staff of the upcoming change and the reasons for it.
B. Select a small group of staff to pilot the new protocol.
C. Reward staff who demonstrate adherence to the new protocol.
D. Provide necessary equipment and supplies for the protocol.
Answer: A
Conceptual Explanation: According to Lewin’s Change Theory, the first stage is
‘Unfreezing,’ which involves creating awareness of the need for change and ensuring staff
understand why the status quo is no longer acceptable.
2. An RN is planning care for a group of clients. Which of the following tasks should the nurse
delegate to an assistive personnel (AP)?
A. Applying a sterile dressing to a pressure injury.
,B. Performing a simple dressing change on a post-operative wound.
C. Obtaining a stool specimen for occult blood.
D. Instructing a client on the use of an incentive spirometer.
Answer: C
Conceptual Explanation: Obtaining a stool specimen is a routine, non-invasive task that
does not require nursing judgment, making it appropriate for an AP. Sterile dressings and
teaching are outside the AP’s scope.
3. A nurse is caring for a client who has end-stage renal disease and is refusing further dialysis
treatments. Which of the following ethical principles is the nurse demonstrating by
supporting the client’s decision?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B
Conceptual Explanation: Autonomy is the right of the client to make their own decisions
regarding their healthcare, even if those decisions are not in their best medical interest
according to the healthcare team.
, 4. A nurse is triaging clients following a mass casualty event. Which of the following clients
should the nurse assign a red tag?
A. A client who has a tension pneumothorax and is in respiratory distress.
B. A client who has a 2-inch laceration to the forearm and is walking around.
C. A client who has fixed and dilated pupils and agonal respirations.
D. A client who has a compound fracture of the right femur and a pulse of 110/min.
Answer: A
Conceptual Explanation: A red tag (emergent) is assigned to clients with life-threatening
injuries who have a high probability of survival if treated immediately, such as tension
pneumothorax. Agonal respirations get a black tag (expectant).
5. A charge nurse is observing a newly licensed nurse provide care for a client. Which of the
following actions by the new nurse requires intervention?
A. Placing a client who has a Clostridium difficile infection in a private room.
B. Reviewing the medical record of a client assigned to another nurse to ‘learn about the
condition’.
C. Documenting client care immediately after completing the task.
D. Verifying the client’s identity using two identifiers before medication administration.
Answer: B
ASSESSMENT WITH NGN 2026
1. A nurse manager is preparing to implement a new evidence-based practice protocol on the
unit. Which of the following actions should the nurse manager take first according to Lewin’s
Change Theory?
A. Inform the staff of the upcoming change and the reasons for it.
B. Select a small group of staff to pilot the new protocol.
C. Reward staff who demonstrate adherence to the new protocol.
D. Provide necessary equipment and supplies for the protocol.
Answer: A
Conceptual Explanation: According to Lewin’s Change Theory, the first stage is
‘Unfreezing,’ which involves creating awareness of the need for change and ensuring staff
understand why the status quo is no longer acceptable.
2. An RN is planning care for a group of clients. Which of the following tasks should the nurse
delegate to an assistive personnel (AP)?
A. Applying a sterile dressing to a pressure injury.
,B. Performing a simple dressing change on a post-operative wound.
C. Obtaining a stool specimen for occult blood.
D. Instructing a client on the use of an incentive spirometer.
Answer: C
Conceptual Explanation: Obtaining a stool specimen is a routine, non-invasive task that
does not require nursing judgment, making it appropriate for an AP. Sterile dressings and
teaching are outside the AP’s scope.
3. A nurse is caring for a client who has end-stage renal disease and is refusing further dialysis
treatments. Which of the following ethical principles is the nurse demonstrating by
supporting the client’s decision?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B
Conceptual Explanation: Autonomy is the right of the client to make their own decisions
regarding their healthcare, even if those decisions are not in their best medical interest
according to the healthcare team.
, 4. A nurse is triaging clients following a mass casualty event. Which of the following clients
should the nurse assign a red tag?
A. A client who has a tension pneumothorax and is in respiratory distress.
B. A client who has a 2-inch laceration to the forearm and is walking around.
C. A client who has fixed and dilated pupils and agonal respirations.
D. A client who has a compound fracture of the right femur and a pulse of 110/min.
Answer: A
Conceptual Explanation: A red tag (emergent) is assigned to clients with life-threatening
injuries who have a high probability of survival if treated immediately, such as tension
pneumothorax. Agonal respirations get a black tag (expectant).
5. A charge nurse is observing a newly licensed nurse provide care for a client. Which of the
following actions by the new nurse requires intervention?
A. Placing a client who has a Clostridium difficile infection in a private room.
B. Reviewing the medical record of a client assigned to another nurse to ‘learn about the
condition’.
C. Documenting client care immediately after completing the task.
D. Verifying the client’s identity using two identifiers before medication administration.
Answer: B
