Proctored Exam
ATI RN Leadership Proctored Exam Retake
(2026) | NGN Leadership Nursing Questions &
Answers, 100% Verified Graded A+
The nurse is providing care to a client receiving high doses of chemotherapy. Which situation will cause the nurse
to intervene for this client?
A.
Co-workers walk into the room with a 2′ × 3′ get well card.
B.
A neighbor stops by with a box of chocolate candy.
C.
A clergy member places a book of prayers at the client's bedside.
D.
The florist delivers an arrangement of fresh flowers. - Correct Answer :D
P 1
, • ATI RN Leadership 09/06/2026
Proctored Exam
Rationale: A common side effect of chemotherapy is the inability to fight infection secondary to neutropenia.
Fresh fruits and fresh flowers are sources of infection that must be avoided for these clients. The remaining
options pose a low risk for infection.
The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and alert. Which
nursing actions are correct? (Select all that apply.)
A.
Place the client in a high Fowler position.
B.
Explain that placement of the tube is painless.
C.
Measure the tube from the tip of the nose to the umbilicus.
D.
Instruct the client to swallow after the tube has passed the pharynx.
E.
Assist the client in extending the neck back so the tube may enter the larynx. - Correct Answer :A, D
Rationale: (A and D) are the correct steps to follow during nasogastric intubation. Placement of an NG tube can
be uncomfortable and can induce gagging. The tube should be measured from the tip of the nose to behind the
ear and then from behind the ear to the xiphoid process (C). The neck should only be extended back prior to the
tube passing the pharynx and then the client should be instructed to position the neck forward (E).
A 20-year-old female client with a noticeable body odor has refused to shower for the last 3 days. She states, "I
have been told that it is harmful to bathe during my period." Which action should the nurse take first?
A.
Accept and document the client's wish to refrain from bathing.
B.
Offer to give the client a bed bath, avoiding the perineal area.
C.
Obtain written brochures about menstruation to give to the client.
D.
P 2
, • ATI RN Leadership 09/06/2026
Proctored Exam
Teach the importance of personal hygiene during menstruation with the client. - Correct Answer :D
Rationale: Because a shower is most beneficial for the client in terms of hygiene, the client should receive
teaching first, respecting any personal beliefs such as cultural or spiritual values. After client teaching, the client
may still choose option A or B. Brochures reinforce the teaching.
The spouse is at the bedside of the client who just died. The hospice nurse states to the spouse, "I know your
children want to come over and say goodbye before we call the funeral home. Just let me know when you are
ready for me to prepare the body." What steps will the nurse include in the postmortem care? (Select all that
apply.)
A.
Remove the existing Foley catheter.
B.
Wash the genitalia only.
C.
Close the client's eyes.
D.
Remove soiled padding under the client.
E.
Place a dressing over the abdominal scar. - Correct Answer :A, C, D
Rationale: Postmortem care includes making the client ready for the family to view prior to the client's transfer
to the mortuary. The nurse need to make sure the client's body is completely washed, and all dressings and all
tubes, i.e. Foley, NG, IV, are removed. As the client may excrete contents from the bowel and the bladder during
the dying process, remove all soiled pads and bedding from under the client and replace with fresh items. Make
sure the client's eyes are closed.
A hospitalized client has had difficulty falling asleep for two nights, and is becoming irritable and restless. Which
action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care as safety allows.
B.
Instruct the UAP not to wake the client under any circumstances during the night.
P 3
, • ATI RN Leadership 09/06/2026
Proctored Exam
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to 8 hours.
D.
Encourage the client to avoid pain medication during the day, which might increase daytime napping. - Correct
Answer :A
Rationale: Including habitual rituals that do not interfere with the client's care or safety may allow the client to
go to sleep faster and increase the quality of care. Options B, C, and D decrease the client's standard of care and
compromise safety.
Which instruction is most important for the nurse to include when teaching a client with limited mobility
strategies to prevent venous thrombosis?
A.
Perform cough and deep breathing exercises hourly.
B.
Turn from side to side in bed at least every 2 hours.
C.
Dorsiflex and plantarflex the feet 10 times each hour.
D.
Drink approximately 4 ounces of water every hour. - Correct Answer :C
Rationale: To reduce the risk of venous thrombosis, the nurse should instruct the client in measures that
promote venous return, such as dorsiflexion and plantar flexion. Options A, B, and D are helpful to prevent other
complications of immobility but are less effective in preventing venous thrombus formation than option C.
For the client with a sodium level of 128 mEq/L, which meal selections should the nurse suggest to the client?
(Select all that apply.)
A.
Bacon, egg, and cheese biscuit
B.
Chinese chicken and vegetables, with rice and soy sauce
C.
P 4