ATI LEADERSHIP PROCTORED EXAMS 2023 VERSION 1 2 & 3 A+
GRADED
ATI Leadership Proctored Exam
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should
thenurserecommend for an interdisciplinary care conference?
Aiclientiwhoiisiati35iweeksiofigestationiandihas ia ibiophysicaliprofileiofi6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells
thenurse she can no longer handle caring for the client. Which of the following actions should the
nurse take?
Contact ithe icaseimanageritoidiscussidischargeioptions
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of
asthma.The parent states she is unable to afford the nebulizer prescribed for the child. Which of the
followingreferrals should the nurse recommend?
Socialiworker
4. A nurseis supervising assistive personnel who’s feedinga client with dysphagia. Which
of theifollowing actions bythe AP shouldthe nurse identify as correct technique?
Instructingithe iclientito iplaceitheirichinitoichestiwhileiswallowing
5. A nurseis providinganin-serviceabout client rights for a group of nurses. Which of
the followingistatements shouldthe nurse include in the in-service?
“Ainurseicanidisclose iinformationitoiaifamilyimemberiwithitheiclient’sipermission.”
6. A nurseis preparingto discharge a client who requires home oxygen. The equipment
company hasinot yet delivered the oxygen tank. Which of the following action shouldthe
nurse take?
Contact isocialiservicesiaboutitheidelivery iofitheioxygeniequipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the
nurse that she hasreconsidered becauseshe is worried about the pain. Which of the following
response bythe nurse is appropriate?
Iiunderstand,iandiit’sinotitooilateitoichange iyourimind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive
personnel positionhiminbed with excessive force. Whichof thefollowing actions should the
nurse take?
Contactitheinurseimanager
9. A nurseis assessingaclient who has meningitis. Which of the
followingfindingshouldthe nurseireport to the provider immediately?
Decreasedilevelioficonsciousness
10. A nurseis caringfor a client who wanders throughthe halls yellingobscenities at staff
other clientsand visitors. Which action should the nurse take?
A) Administer sedatives
B) Keepthe client in her room with the door closed
C) Contact ifamilyimembersitoicomeisitiwithithe iclient
D) Placethe client in a wheelchair witha lap tray
11. A nurseis assisting with the orientation of a newly licensed nurse. The newly licensed nurse is
havingtrouble focusing and had difficulty completing care for his assigned client. Which of
the following intervention is appropriate?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2023 VERSION 1 2 & 3 A+
GRADED
Recommendithatiheitakeitime ito iplaniat ithe ibeginningiofihisishift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-
stage bonecancer toan experienced AP. Which of the followingassessment should the nurse
make beforedelegatingcare?
Hasidataibeenicollectediaboutispecificiclientineedsirelated ito iturning?
13. A nurseis participating in the development of a disaster management plan for a hospital.
The nurseshould recognize that which of the following resources is the highest priority to
have available in response to a bioterrorism event?
Aisufficientisupplyiofipersonaliprotective iequipment .
14. A nursemanger observes anassistive personnel incorrectlytransferring a client
tothe bedsideicommode. Which of the following actions shouldthe nurse take
HelpitheiAPitransferitheipatient
first?
15. Anursemanager is leading discussion about ethical dilemmas. Which of the
following situationsshouldthe nurse manager include as anexample of an ethical
dilemma?
A) a nurse witnesses another nurseadminister incorrect medication
B) a visitor experiences minor burns at afacilityafter receiving….
C) aiparentiwantsiai14-year-oldiadolescentitoireceiveiradiationitreatmentiagainstihisiwill
D) aclient receives operation onthe wrongside of thebody
16. Anursea caringfor aclient who request information about the prevalence of Tay-Sachs
disease.Which of thefollowingresources shouldthe nurse useto obtain this
Anievidence-basedinursingijournal
information?
17. A nurseis orienting a newlylicensed nurseabout client confidentiality. Which of the
followingstatement bythe newlylicensed nurse indicates an understanding of the
teaching?
Iishouldiencrypt ipersonalihealthiinformationiwhenisendingiemail.
18. A nurse in the emergency department is assessing a client who is unconscious following a
motor- vehiclecrash. Theclient requires immediate surgery. Which of the followingactions
shouldthe nursetake?
Transportitheiclientitoitheioperatingiroomiwithout iverifyingiinformediconsent.
19. A nurseenters a clients roomto witness aninformed consent for a gastroscopy. The client
states hedoes not understand the procedure. Which of the following actions should the
nurse take?
Informitheiprovider ithatitheiclientirequiresiclarificationiaboutitheiprocedure
20. Acasemanager is preparinga discharge plan for a client followingcoronary artery
bypass graphingisurgery. Which of the following client issues should the nurseaddress
Inadequate ifoodisupply
first?
21. A nurseina clinic is reviewing laboratoryreports for a group of clients. Which of
the followingdiseases should the nurse report to the state health department?
Pertussis
22. A nurseis preparingtocomplete anincident report regardinga medication error. Which
of thefollowingactions should the nurseplan to take SATA.
A. Placea copyof the completedreport in the client’s medical record
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2023 VERSION 1 2 & 3 A+
GRADED
B. Makea copy of theincident report for personal record keeping
C. Includeitheitimeitheimedicationierrorioccurrediinitheireport
D. identifyitheimedication iname iand ithe idoseiadministereditoitheiclientiinitheireport
E. Obtainand order fromthe client’s provider tocomplete the report
23. Acharge nurse onan obstetrical unit is preparingthe shift assignment. Which of
thefollowing clientsshouldbe assigned toan RN who has floated froma medical-surgical
Aiprimigravidaiclient iwhoiis i1iday ipostoperativeifollowingiaiCesareanisectioniandihasia
iPi i i
unit?
24. A nurse in the emergency department is preparing to carefor a client who arrived via
ambulance. Theclient is disoriented and has a cardiac arrhythmia. Which of the following
actions should the nurse take?
Proceediwithitreatmentiwithoutiobtainingiwritteniconsent
25. A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a
licensedpractical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN?
Reinforcingidietaryiteachingiwithiaiclientiwhoihasiheartidisease
26. A nurseworking on a medical-surgical unit is managing careof four clients. The
nurse shouldschedulean interdisciplinary conference for which of the
followingclients?
AiclientiwhoiisireceivingihepariniandihasianiaPTTiofi34iseconds
27. A nurse entersthehallway anddiscovers a visitor lookingat a clients medical information
on thecomputer. Which of the following actions shouldthe nurse take first?
Closeitheidocumentationiprogramionitheicomputer
28. A nurse is assessing an older adult client who was brought to the emergency department by his
adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the
following actions shouldthe nurse take?
Askitheiclient’sisonitoigoitoitheiwaitingiarea.
29. A nurseis caringfor a client who is unconscious and whose partner is their
healthcaresurrogate. Theipartner wishes to discontinue the client’s feeding tube, but another
family member tells the nurses they want the client to continue receiving treatment. Which of
the following responses should the nurse make?
Asithe ihealthcareisurrogateitheiclient’sipartner icanimakeitheidecision
30. A nurse is caring for a client who reports acutepain but refuses IM medication. The nurse
distractsitheclient andquicklyadministers the injection. This illustrates which of the
following?
Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary
teamimembers shouldbeconsulted in regardto this client’s care? (select all that apply.)
Nutritional itherapist
iMentalihealth
icounseloriCaseimanager
32. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
followingstatements bythe newlylicensed nurseindicates understanding of isolation guidelines?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2023 VERSION 1 2 & 3 A+
GRADED
“Iiwillihaveiaiclientiwhoiisioniairborneiprecautions iweariaimaskiwhenioutiofiheriroom.”
33. Nurses onaninpatient careunit are workingto helpreduce unit costs. Which of
thefollowing isappropriate to include in the cost-containment plan?
Useicleaniglovesiratherithanisterileiglovesiforicolostomyicare.
34. A nurse is caringfor a client who has cancer. The client’s adult child asks the nursefor
informationabout theclient’s treatment plan. Which of the followingresponses
shouldthenurse make?
Iicannotiprovideithisiinformation ito iyouiwithoutiyourimother’siconsent
35. A nurseinthe emergency department is performing triage for a group of clients who
wereina trainicrash. Which of the following clients should the nursetag as emergent?
A) Aclient who has a deep partialthickness burn on the lower extremities
B) Aclient who has an open fractureof the femur
iCi i i i i) ii iAiclientiwhoihas
D) Aclient who has a peri fatal ecchymosis
36. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client
refuses,but the client’s partner wants the surgery performed. Which of the following is the deciding
factor indetermining if the surgery will be done?
Whetheritheiclientiunderstandsitheiriskiofirefusingitheiprocedure
37. A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following
actionsshouldthe nurse take?
Reportitheiinfectionitoitheilocalihealthidepartment
38. A nursemanager is receivingreport and is facedwiththe following situations that
requiresintervention. Which of the followingshould the nurse manager address
first?
a. A nurse on theprevious shift wrote anincident report about a medication error.
b. Twostaff members have called to say theywill be absent.
c. Transport assistance is unavailabletotake a client to occupational therapy.
d. Theiemergencyidepartmentinurseiisiwaiting ito igive ireportioniainew iadmission.
39. A charge nurse notices that two staff nurses are not taking meal breaks during their regular 8-hr
shifts.Which of the following actions should the nurse take first?
Determineitheireasonsitheinursesiare inotitakingischeduledibreaks.
40. A nurse is receiving a verbal prescription fromthe provider for a client who is havingincrease
pain.The nurse shouldtranscribe which ofthe following prescription in the client’s medical
records?
It isn’t thetwo with the 4oand not the onethat says 10.0 mgIt’slike
“Morphine sulfate 10 mg IV q 4 hr for pain”
41. Anurseworkinginthe emergencydepartment is assessing several clients. Which of
the followingiclients is the highest priority?
Aiclientiwhoireportsishortnessiofibreathiandileftineckiandishoulderipain
42. A nurse is caring for a client who has a prescription for transcutaneous electrical nerve
stimulation(TENS). Which of the following members of the interdisciplinary team should the
nurse contact forassistance?
Physicalitherapist
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
GRADED
ATI Leadership Proctored Exam
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should
thenurserecommend for an interdisciplinary care conference?
Aiclientiwhoiisiati35iweeksiofigestationiandihas ia ibiophysicaliprofileiofi6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells
thenurse she can no longer handle caring for the client. Which of the following actions should the
nurse take?
Contact ithe icaseimanageritoidiscussidischargeioptions
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of
asthma.The parent states she is unable to afford the nebulizer prescribed for the child. Which of the
followingreferrals should the nurse recommend?
Socialiworker
4. A nurseis supervising assistive personnel who’s feedinga client with dysphagia. Which
of theifollowing actions bythe AP shouldthe nurse identify as correct technique?
Instructingithe iclientito iplaceitheirichinitoichestiwhileiswallowing
5. A nurseis providinganin-serviceabout client rights for a group of nurses. Which of
the followingistatements shouldthe nurse include in the in-service?
“Ainurseicanidisclose iinformationitoiaifamilyimemberiwithitheiclient’sipermission.”
6. A nurseis preparingto discharge a client who requires home oxygen. The equipment
company hasinot yet delivered the oxygen tank. Which of the following action shouldthe
nurse take?
Contact isocialiservicesiaboutitheidelivery iofitheioxygeniequipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the
nurse that she hasreconsidered becauseshe is worried about the pain. Which of the following
response bythe nurse is appropriate?
Iiunderstand,iandiit’sinotitooilateitoichange iyourimind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive
personnel positionhiminbed with excessive force. Whichof thefollowing actions should the
nurse take?
Contactitheinurseimanager
9. A nurseis assessingaclient who has meningitis. Which of the
followingfindingshouldthe nurseireport to the provider immediately?
Decreasedilevelioficonsciousness
10. A nurseis caringfor a client who wanders throughthe halls yellingobscenities at staff
other clientsand visitors. Which action should the nurse take?
A) Administer sedatives
B) Keepthe client in her room with the door closed
C) Contact ifamilyimembersitoicomeisitiwithithe iclient
D) Placethe client in a wheelchair witha lap tray
11. A nurseis assisting with the orientation of a newly licensed nurse. The newly licensed nurse is
havingtrouble focusing and had difficulty completing care for his assigned client. Which of
the following intervention is appropriate?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2023 VERSION 1 2 & 3 A+
GRADED
Recommendithatiheitakeitime ito iplaniat ithe ibeginningiofihisishift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-
stage bonecancer toan experienced AP. Which of the followingassessment should the nurse
make beforedelegatingcare?
Hasidataibeenicollectediaboutispecificiclientineedsirelated ito iturning?
13. A nurseis participating in the development of a disaster management plan for a hospital.
The nurseshould recognize that which of the following resources is the highest priority to
have available in response to a bioterrorism event?
Aisufficientisupplyiofipersonaliprotective iequipment .
14. A nursemanger observes anassistive personnel incorrectlytransferring a client
tothe bedsideicommode. Which of the following actions shouldthe nurse take
HelpitheiAPitransferitheipatient
first?
15. Anursemanager is leading discussion about ethical dilemmas. Which of the
following situationsshouldthe nurse manager include as anexample of an ethical
dilemma?
A) a nurse witnesses another nurseadminister incorrect medication
B) a visitor experiences minor burns at afacilityafter receiving….
C) aiparentiwantsiai14-year-oldiadolescentitoireceiveiradiationitreatmentiagainstihisiwill
D) aclient receives operation onthe wrongside of thebody
16. Anursea caringfor aclient who request information about the prevalence of Tay-Sachs
disease.Which of thefollowingresources shouldthe nurse useto obtain this
Anievidence-basedinursingijournal
information?
17. A nurseis orienting a newlylicensed nurseabout client confidentiality. Which of the
followingstatement bythe newlylicensed nurse indicates an understanding of the
teaching?
Iishouldiencrypt ipersonalihealthiinformationiwhenisendingiemail.
18. A nurse in the emergency department is assessing a client who is unconscious following a
motor- vehiclecrash. Theclient requires immediate surgery. Which of the followingactions
shouldthe nursetake?
Transportitheiclientitoitheioperatingiroomiwithout iverifyingiinformediconsent.
19. A nurseenters a clients roomto witness aninformed consent for a gastroscopy. The client
states hedoes not understand the procedure. Which of the following actions should the
nurse take?
Informitheiprovider ithatitheiclientirequiresiclarificationiaboutitheiprocedure
20. Acasemanager is preparinga discharge plan for a client followingcoronary artery
bypass graphingisurgery. Which of the following client issues should the nurseaddress
Inadequate ifoodisupply
first?
21. A nurseina clinic is reviewing laboratoryreports for a group of clients. Which of
the followingdiseases should the nurse report to the state health department?
Pertussis
22. A nurseis preparingtocomplete anincident report regardinga medication error. Which
of thefollowingactions should the nurseplan to take SATA.
A. Placea copyof the completedreport in the client’s medical record
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2023 VERSION 1 2 & 3 A+
GRADED
B. Makea copy of theincident report for personal record keeping
C. Includeitheitimeitheimedicationierrorioccurrediinitheireport
D. identifyitheimedication iname iand ithe idoseiadministereditoitheiclientiinitheireport
E. Obtainand order fromthe client’s provider tocomplete the report
23. Acharge nurse onan obstetrical unit is preparingthe shift assignment. Which of
thefollowing clientsshouldbe assigned toan RN who has floated froma medical-surgical
Aiprimigravidaiclient iwhoiis i1iday ipostoperativeifollowingiaiCesareanisectioniandihasia
iPi i i
unit?
24. A nurse in the emergency department is preparing to carefor a client who arrived via
ambulance. Theclient is disoriented and has a cardiac arrhythmia. Which of the following
actions should the nurse take?
Proceediwithitreatmentiwithoutiobtainingiwritteniconsent
25. A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a
licensedpractical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN?
Reinforcingidietaryiteachingiwithiaiclientiwhoihasiheartidisease
26. A nurseworking on a medical-surgical unit is managing careof four clients. The
nurse shouldschedulean interdisciplinary conference for which of the
followingclients?
AiclientiwhoiisireceivingihepariniandihasianiaPTTiofi34iseconds
27. A nurse entersthehallway anddiscovers a visitor lookingat a clients medical information
on thecomputer. Which of the following actions shouldthe nurse take first?
Closeitheidocumentationiprogramionitheicomputer
28. A nurse is assessing an older adult client who was brought to the emergency department by his
adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the
following actions shouldthe nurse take?
Askitheiclient’sisonitoigoitoitheiwaitingiarea.
29. A nurseis caringfor a client who is unconscious and whose partner is their
healthcaresurrogate. Theipartner wishes to discontinue the client’s feeding tube, but another
family member tells the nurses they want the client to continue receiving treatment. Which of
the following responses should the nurse make?
Asithe ihealthcareisurrogateitheiclient’sipartner icanimakeitheidecision
30. A nurse is caring for a client who reports acutepain but refuses IM medication. The nurse
distractsitheclient andquicklyadministers the injection. This illustrates which of the
following?
Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary
teamimembers shouldbeconsulted in regardto this client’s care? (select all that apply.)
Nutritional itherapist
iMentalihealth
icounseloriCaseimanager
32. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
followingstatements bythe newlylicensed nurseindicates understanding of isolation guidelines?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2023 VERSION 1 2 & 3 A+
GRADED
“Iiwillihaveiaiclientiwhoiisioniairborneiprecautions iweariaimaskiwhenioutiofiheriroom.”
33. Nurses onaninpatient careunit are workingto helpreduce unit costs. Which of
thefollowing isappropriate to include in the cost-containment plan?
Useicleaniglovesiratherithanisterileiglovesiforicolostomyicare.
34. A nurse is caringfor a client who has cancer. The client’s adult child asks the nursefor
informationabout theclient’s treatment plan. Which of the followingresponses
shouldthenurse make?
Iicannotiprovideithisiinformation ito iyouiwithoutiyourimother’siconsent
35. A nurseinthe emergency department is performing triage for a group of clients who
wereina trainicrash. Which of the following clients should the nursetag as emergent?
A) Aclient who has a deep partialthickness burn on the lower extremities
B) Aclient who has an open fractureof the femur
iCi i i i i) ii iAiclientiwhoihas
D) Aclient who has a peri fatal ecchymosis
36. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client
refuses,but the client’s partner wants the surgery performed. Which of the following is the deciding
factor indetermining if the surgery will be done?
Whetheritheiclientiunderstandsitheiriskiofirefusingitheiprocedure
37. A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following
actionsshouldthe nurse take?
Reportitheiinfectionitoitheilocalihealthidepartment
38. A nursemanager is receivingreport and is facedwiththe following situations that
requiresintervention. Which of the followingshould the nurse manager address
first?
a. A nurse on theprevious shift wrote anincident report about a medication error.
b. Twostaff members have called to say theywill be absent.
c. Transport assistance is unavailabletotake a client to occupational therapy.
d. Theiemergencyidepartmentinurseiisiwaiting ito igive ireportioniainew iadmission.
39. A charge nurse notices that two staff nurses are not taking meal breaks during their regular 8-hr
shifts.Which of the following actions should the nurse take first?
Determineitheireasonsitheinursesiare inotitakingischeduledibreaks.
40. A nurse is receiving a verbal prescription fromthe provider for a client who is havingincrease
pain.The nurse shouldtranscribe which ofthe following prescription in the client’s medical
records?
It isn’t thetwo with the 4oand not the onethat says 10.0 mgIt’slike
“Morphine sulfate 10 mg IV q 4 hr for pain”
41. Anurseworkinginthe emergencydepartment is assessing several clients. Which of
the followingiclients is the highest priority?
Aiclientiwhoireportsishortnessiofibreathiandileftineckiandishoulderipain
42. A nurse is caring for a client who has a prescription for transcutaneous electrical nerve
stimulation(TENS). Which of the following members of the interdisciplinary team should the
nurse contact forassistance?
Physicalitherapist
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
