ATI LEADERSHIP PROCTORED EXAM 2026 NGN
QUESTIONS FORMAT ACTUAL COMPLETE 70
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!.
A nurse is planning to develop a standard for removal of indwelling
urinary catheters from clients following colon resection. Which of the
following resources should the nurse use?
A) Critical pathway
B) Maslow's hierarchy of needs
C) Surgical record
D) Provider's prescription
Correct Answer: A
Rationale
A critical pathway (also known as a clinical pathway or care map) is an
interdisciplinary plan that outlines the expected course of care for
clients with a specific diagnosis or procedure. Critical pathways
provide evidence-based standards for care, including timelines for
interventions such as catheter removal. Using a critical pathway
ensures consistency in care delivery, promotes efficient use of
resources, and improves client outcomes. Option B, Maslow's
hierarchy of needs, is a psychological theory that prioritizes human
needs but does not provide specific clinical standards for catheter
removal. Option C, the surgical record, documents the procedure
performed but does not provide guidance on postoperative care
,standards. Option D, the provider's prescription, is specific to an
individual client and does not establish a unit-wide standard.
A nurse is preparing a client for a cardiac catheterization. Just before
the procedure, the client asks the nurse about the risks of the
procedure. Which of the following actions should the nurse take?
A) Check to see if the medical record indicates the provider explained
the procedure to the client
B) Explain the risks of the procedure to the client
C) Convey the client's request to the nurse who witnessed the consent
D) Notify the provider about the client's concerns
Correct Answer: D
Rationale
The nurse should notify the provider about the client's concerns
regarding the risks of the procedure. The provider is responsible for
obtaining informed consent and explaining the risks, benefits, and
alternatives of the procedure. If the client has questions or concerns
about the procedure, the nurse should communicate these to the
provider so that the provider can provide further clarification. Option
A is incorrect because the nurse should not simply check the medical
record; the client's immediate concern requires direct communication
with the provider. Option B is incorrect because explaining the risks of
the procedure is outside the nurse's scope of practice and is the
provider's responsibility. Option C is incorrect because the nurse who
witnessed the consent is not responsible for explaining risks.
,A nurse is triaging a group of clients as they arrive simultaneously in
the emergency department following a nearby bus crash. Which of
the following clients should the nurse transfer to the three available
trauma rooms for immediate treatment? Select the 3 clients to
transfer for immediate treatment.
Correct Answer: Clients 4, 5, and 6
Rationale
In a mass casualty event, triage prioritizes clients based on the severity
of their condition using a color-coded tagging system. Clients who
require immediate life-saving interventions are tagged red and should
be transferred to trauma rooms for treatment. The nurse should
identify the clients with the most critical conditions, such as those
with airway compromise, severe hemorrhage, or shock. Clients 4, 5,
and 6 are the most critical and require immediate transfer to trauma
rooms. The nurse should apply the principles of disaster triage, which
prioritize care based on the greatest need for immediate intervention,
not the order of arrival. Clients with minor injuries (green tag) or those
who are unlikely to survive (black tag) should be lower priorities.
A charge nurse on a mental health unit is receiving change-of-shift
report for a group of clients. The charge nurse is working with an RN,
a PN, and assistive personnel (AP) from 0700 to 1900 and is reviewing
client care assignments. Complete the following sentence by using the
lists of options. The charge nurse should first assess __________ due
to __________ and __________.
Correct Answer: The charge nurse should first assess CLIENT 1 due to
HALLUCINATIONS and DELUSIONS
, Rationale
The client who is experiencing hallucinations and delusions poses the
greatest safety risk to themselves and others. Hallucinations (auditory
or visual) and delusions (fixed false beliefs) can lead to behaviors that
threaten client and staff safety. The charge nurse should prioritize
assessment of this client to evaluate the severity of psychotic
symptoms, assess for command hallucinations that may direct harm,
and implement interventions to ensure safety. The other clients may
require attention but do not present the same immediate safety
concerns. Using Maslow's hierarchy of needs and the priority
framework of safety, the client with active psychotic symptoms should
be assessed first.
An infectious disease nurse is reviewing electronic medical records on
a group of clients. Select 4 clients whose diagnosis should be reported
to the health department.
Correct Answer: Clients 1, 2, 4, and 6
Rationale
Certain infectious diseases are reportable to the health department
for public health surveillance and outbreak control. Reportable
diseases include Lyme disease, acute hepatitis C, salmonellosis, and
pertussis. These diseases are tracked to monitor incidence, identify
outbreaks, and implement prevention and control measures.
Clostridium difficile is a healthcare-associated infection but is not
typically reportable to the health department in most states (though
it may be reportable in some jurisdictions). Streptococcal pharyngitis
(strep throat) is not a reportable disease unless associated with an
QUESTIONS FORMAT ACTUAL COMPLETE 70
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!.
A nurse is planning to develop a standard for removal of indwelling
urinary catheters from clients following colon resection. Which of the
following resources should the nurse use?
A) Critical pathway
B) Maslow's hierarchy of needs
C) Surgical record
D) Provider's prescription
Correct Answer: A
Rationale
A critical pathway (also known as a clinical pathway or care map) is an
interdisciplinary plan that outlines the expected course of care for
clients with a specific diagnosis or procedure. Critical pathways
provide evidence-based standards for care, including timelines for
interventions such as catheter removal. Using a critical pathway
ensures consistency in care delivery, promotes efficient use of
resources, and improves client outcomes. Option B, Maslow's
hierarchy of needs, is a psychological theory that prioritizes human
needs but does not provide specific clinical standards for catheter
removal. Option C, the surgical record, documents the procedure
performed but does not provide guidance on postoperative care
,standards. Option D, the provider's prescription, is specific to an
individual client and does not establish a unit-wide standard.
A nurse is preparing a client for a cardiac catheterization. Just before
the procedure, the client asks the nurse about the risks of the
procedure. Which of the following actions should the nurse take?
A) Check to see if the medical record indicates the provider explained
the procedure to the client
B) Explain the risks of the procedure to the client
C) Convey the client's request to the nurse who witnessed the consent
D) Notify the provider about the client's concerns
Correct Answer: D
Rationale
The nurse should notify the provider about the client's concerns
regarding the risks of the procedure. The provider is responsible for
obtaining informed consent and explaining the risks, benefits, and
alternatives of the procedure. If the client has questions or concerns
about the procedure, the nurse should communicate these to the
provider so that the provider can provide further clarification. Option
A is incorrect because the nurse should not simply check the medical
record; the client's immediate concern requires direct communication
with the provider. Option B is incorrect because explaining the risks of
the procedure is outside the nurse's scope of practice and is the
provider's responsibility. Option C is incorrect because the nurse who
witnessed the consent is not responsible for explaining risks.
,A nurse is triaging a group of clients as they arrive simultaneously in
the emergency department following a nearby bus crash. Which of
the following clients should the nurse transfer to the three available
trauma rooms for immediate treatment? Select the 3 clients to
transfer for immediate treatment.
Correct Answer: Clients 4, 5, and 6
Rationale
In a mass casualty event, triage prioritizes clients based on the severity
of their condition using a color-coded tagging system. Clients who
require immediate life-saving interventions are tagged red and should
be transferred to trauma rooms for treatment. The nurse should
identify the clients with the most critical conditions, such as those
with airway compromise, severe hemorrhage, or shock. Clients 4, 5,
and 6 are the most critical and require immediate transfer to trauma
rooms. The nurse should apply the principles of disaster triage, which
prioritize care based on the greatest need for immediate intervention,
not the order of arrival. Clients with minor injuries (green tag) or those
who are unlikely to survive (black tag) should be lower priorities.
A charge nurse on a mental health unit is receiving change-of-shift
report for a group of clients. The charge nurse is working with an RN,
a PN, and assistive personnel (AP) from 0700 to 1900 and is reviewing
client care assignments. Complete the following sentence by using the
lists of options. The charge nurse should first assess __________ due
to __________ and __________.
Correct Answer: The charge nurse should first assess CLIENT 1 due to
HALLUCINATIONS and DELUSIONS
, Rationale
The client who is experiencing hallucinations and delusions poses the
greatest safety risk to themselves and others. Hallucinations (auditory
or visual) and delusions (fixed false beliefs) can lead to behaviors that
threaten client and staff safety. The charge nurse should prioritize
assessment of this client to evaluate the severity of psychotic
symptoms, assess for command hallucinations that may direct harm,
and implement interventions to ensure safety. The other clients may
require attention but do not present the same immediate safety
concerns. Using Maslow's hierarchy of needs and the priority
framework of safety, the client with active psychotic symptoms should
be assessed first.
An infectious disease nurse is reviewing electronic medical records on
a group of clients. Select 4 clients whose diagnosis should be reported
to the health department.
Correct Answer: Clients 1, 2, 4, and 6
Rationale
Certain infectious diseases are reportable to the health department
for public health surveillance and outbreak control. Reportable
diseases include Lyme disease, acute hepatitis C, salmonellosis, and
pertussis. These diseases are tracked to monitor incidence, identify
outbreaks, and implement prevention and control measures.
Clostridium difficile is a healthcare-associated infection but is not
typically reportable to the health department in most states (though
it may be reportable in some jurisdictions). Streptococcal pharyngitis
(strep throat) is not a reportable disease unless associated with an
