NGN ATI LEADERSHIP PROCTORED (2026) – 100
QUESTIONS & ANSWERS
1. A nurse manager is implementing a change in documentation procedures. What is the
FIRST step in managing resistance?
Answer: Assess staff readiness and identify sources of resistance.
2. A charge nurse observes a new nurse failing to scan medications. What action should the
charge nurse take?
Answer: Address the behavior immediately and reinforce policy on medication-scanning.
3. A nurse delegates vital signs to an AP. Which task must the nurse NOT delegate?
Answer: Interpretation of the vital signs.
4. Which client is appropriate to assign to an LPN?
Answer: A stable client requiring wound dressing changes.
5. A nurse suspects a coworker is diverting opioids. What is the priority action?
Answer: Report suspicions to the nurse manager immediately.
6. Which action demonstrates effective advocacy?
Answer: Supporting a client's request to refuse treatment.
7. Which situation requires completion of an incident report?
Answer: A client falls while transferring to the bathroom.
8. A nurse receives a new order that seems incorrect. What should the nurse do first?
Answer: Clarify the order with the provider.
9. A new nurse is overwhelmed and expressing burnout. What should the charge nurse do?
Answer: Offer support and help prioritize tasks.
10. A nurse receives four calls from providers. Which should be returned FIRST?
Answer: A call regarding a client with chest pain.
, 11. A nurse manager is preparing annual performance evaluations. What should be included
first?
Answer: Objective data related to job performance.
12. Which task is appropriate to delegate to an AP?
Answer: Assisting a client with toileting.
13. A client threatens to leave AMA. What should the nurse do?
Answer: Explain the risks and notify the provider.
14. A nurse observes a coworker falsifying documentation. Ethical duty?
Answer: Report the behavior according to facility policy.
15. Which action represents evidence-based practice?
Answer: Using research-supported protocols during care.
16. A nurse manager is scheduling staff. What action promotes fairness?
Answer: Create schedules using transparent staffing policies.
17. A nurse floating from another unit is assigned unfamiliar clients. Appropriate action?
Answer: Assign stable clients within their scope.
18. What is the priority during a fire?
Answer: Rescue clients in immediate danger.
19. A nurse suspects elder abuse. Priority action?
Answer: Ensure client safety and notify the provider.
20. Which client should the RN assess first?
Answer: A postoperative client with decreased urine output.
21. A nurse manager wants to improve team communication. Which strategy is best?
Answer: Implement structured handoff communication (SBAR).
22. Which client can an LPN care for?
Answer: A client receiving routine enteral feeding.
QUESTIONS & ANSWERS
1. A nurse manager is implementing a change in documentation procedures. What is the
FIRST step in managing resistance?
Answer: Assess staff readiness and identify sources of resistance.
2. A charge nurse observes a new nurse failing to scan medications. What action should the
charge nurse take?
Answer: Address the behavior immediately and reinforce policy on medication-scanning.
3. A nurse delegates vital signs to an AP. Which task must the nurse NOT delegate?
Answer: Interpretation of the vital signs.
4. Which client is appropriate to assign to an LPN?
Answer: A stable client requiring wound dressing changes.
5. A nurse suspects a coworker is diverting opioids. What is the priority action?
Answer: Report suspicions to the nurse manager immediately.
6. Which action demonstrates effective advocacy?
Answer: Supporting a client's request to refuse treatment.
7. Which situation requires completion of an incident report?
Answer: A client falls while transferring to the bathroom.
8. A nurse receives a new order that seems incorrect. What should the nurse do first?
Answer: Clarify the order with the provider.
9. A new nurse is overwhelmed and expressing burnout. What should the charge nurse do?
Answer: Offer support and help prioritize tasks.
10. A nurse receives four calls from providers. Which should be returned FIRST?
Answer: A call regarding a client with chest pain.
, 11. A nurse manager is preparing annual performance evaluations. What should be included
first?
Answer: Objective data related to job performance.
12. Which task is appropriate to delegate to an AP?
Answer: Assisting a client with toileting.
13. A client threatens to leave AMA. What should the nurse do?
Answer: Explain the risks and notify the provider.
14. A nurse observes a coworker falsifying documentation. Ethical duty?
Answer: Report the behavior according to facility policy.
15. Which action represents evidence-based practice?
Answer: Using research-supported protocols during care.
16. A nurse manager is scheduling staff. What action promotes fairness?
Answer: Create schedules using transparent staffing policies.
17. A nurse floating from another unit is assigned unfamiliar clients. Appropriate action?
Answer: Assign stable clients within their scope.
18. What is the priority during a fire?
Answer: Rescue clients in immediate danger.
19. A nurse suspects elder abuse. Priority action?
Answer: Ensure client safety and notify the provider.
20. Which client should the RN assess first?
Answer: A postoperative client with decreased urine output.
21. A nurse manager wants to improve team communication. Which strategy is best?
Answer: Implement structured handoff communication (SBAR).
22. Which client can an LPN care for?
Answer: A client receiving routine enteral feeding.
