ATI Leadership Proctored Exam | NGN-
Style Questions & Answers| Actual Qs &
Ans to Pass the Exam
A charge nurse is working on a medical-surgical unit.
Exhibits
For which of the following nurses' actions should the charge nurse recognize
the need to intervene for breach of confidentiality?( Select all that apply.)
Nurse 1 - The nurse disclosed identifiable information about a client's involvement in
a motor vehicle crash to another client. Sharing such specific details violates HIPAA
regulations, even if the other client heard about the event in the news.
Nurse 2 - Leaving a computer with an active login accessible to others is a security
risk. Allowing another provider to use a computer under the nurse’s login
compromises protected health information.
Nurse 4 - Using the client’s roommate as an interpreter exposes private medical
information to someone who is not authorized. Interpreters should be neutral, trained
professionals to protect confidentiality and accuracy.
A nurse is teaching a newly licensed nurse about implementing droplet
precautions for a client who has influenza. Which of the following statements
by the newly licensed nurse indicates an understanding of the teaching?
I will wear a surgical mask within 3 feet of the client."
Rationale:
Droplet precautions require a surgical mask when within 3 feet of a client to prevent
transmission of pathogens spread by respiratory droplets, such as influenza.
A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse care for first?
A client who is 4 hr postoperative following a hernia repair and has pitting edema of
the right leg
Rationale:
A client who is 4 hr postoperative with pitting edema of the right leg should be seen
first. This finding could indicate a deep vein thrombosis (DVT), a potentially life-
threatening complication due to the risk of pulmonary embolism. This requires
immediate assessment and intervention.
A nurse is preparing discharge planning for a client who has a newly placed
tracheostomy tube. The nurse should assess the client's need for which of the
, following supplies to manage the tracheostomy at home? (Select all that
apply.)
Obturator
Oxygen tank
A nurse initiates a referral to an occupational therapist for a client who has
rheumatoid arthritis. Which of the following assessment findings supports the
need for this referral?
The client requires assistance with completing oral hygiene.
Rationale:
Requiring assistance with completing oral hygiene indicates difficulty with fine motor
skills and daily living tasks—core areas of focus for occupational therapists. They
help clients adapt and regain independence in performing self-care activities.
A nurse manager is discussing responsibilities of the nurse manager role with
a group of newly licensed nurses. Which of the following responsibilities
should the nurse include? (Select all that apply.)
Monitor overall functions of the unit.
Make decisions on the unit.
Ensure goals of the facility are being met.
Reward and discipline staff as necessary
A facility provides annual staff education regarding ethical practice. A charge
nurse recognizes a need for further education when which of the following
behaviors is observed?
A nurse explains to a client's family that a DNR order includes withholding comfort
measures.
Rationale:
Incorrectly stating that a DNR (Do Not Resuscitate) order includes withholding
comfort measures indicates a misunderstanding of ethical and legal standards. DNR
orders mean no resuscitation in the event of cardiac or respiratory arrest, but do not
mean withholding comfort or palliative care. This response shows a need for further
ethical education.
A nurse is using the internet to research information regarding hospital-
acquired infections. Which of the following criteria should the nurse use to
evaluate the website's credibility?
The website provides contact information for the author.
Rationale:
Style Questions & Answers| Actual Qs &
Ans to Pass the Exam
A charge nurse is working on a medical-surgical unit.
Exhibits
For which of the following nurses' actions should the charge nurse recognize
the need to intervene for breach of confidentiality?( Select all that apply.)
Nurse 1 - The nurse disclosed identifiable information about a client's involvement in
a motor vehicle crash to another client. Sharing such specific details violates HIPAA
regulations, even if the other client heard about the event in the news.
Nurse 2 - Leaving a computer with an active login accessible to others is a security
risk. Allowing another provider to use a computer under the nurse’s login
compromises protected health information.
Nurse 4 - Using the client’s roommate as an interpreter exposes private medical
information to someone who is not authorized. Interpreters should be neutral, trained
professionals to protect confidentiality and accuracy.
A nurse is teaching a newly licensed nurse about implementing droplet
precautions for a client who has influenza. Which of the following statements
by the newly licensed nurse indicates an understanding of the teaching?
I will wear a surgical mask within 3 feet of the client."
Rationale:
Droplet precautions require a surgical mask when within 3 feet of a client to prevent
transmission of pathogens spread by respiratory droplets, such as influenza.
A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse care for first?
A client who is 4 hr postoperative following a hernia repair and has pitting edema of
the right leg
Rationale:
A client who is 4 hr postoperative with pitting edema of the right leg should be seen
first. This finding could indicate a deep vein thrombosis (DVT), a potentially life-
threatening complication due to the risk of pulmonary embolism. This requires
immediate assessment and intervention.
A nurse is preparing discharge planning for a client who has a newly placed
tracheostomy tube. The nurse should assess the client's need for which of the
, following supplies to manage the tracheostomy at home? (Select all that
apply.)
Obturator
Oxygen tank
A nurse initiates a referral to an occupational therapist for a client who has
rheumatoid arthritis. Which of the following assessment findings supports the
need for this referral?
The client requires assistance with completing oral hygiene.
Rationale:
Requiring assistance with completing oral hygiene indicates difficulty with fine motor
skills and daily living tasks—core areas of focus for occupational therapists. They
help clients adapt and regain independence in performing self-care activities.
A nurse manager is discussing responsibilities of the nurse manager role with
a group of newly licensed nurses. Which of the following responsibilities
should the nurse include? (Select all that apply.)
Monitor overall functions of the unit.
Make decisions on the unit.
Ensure goals of the facility are being met.
Reward and discipline staff as necessary
A facility provides annual staff education regarding ethical practice. A charge
nurse recognizes a need for further education when which of the following
behaviors is observed?
A nurse explains to a client's family that a DNR order includes withholding comfort
measures.
Rationale:
Incorrectly stating that a DNR (Do Not Resuscitate) order includes withholding
comfort measures indicates a misunderstanding of ethical and legal standards. DNR
orders mean no resuscitation in the event of cardiac or respiratory arrest, but do not
mean withholding comfort or palliative care. This response shows a need for further
ethical education.
A nurse is using the internet to research information regarding hospital-
acquired infections. Which of the following criteria should the nurse use to
evaluate the website's credibility?
The website provides contact information for the author.
Rationale:
