2023 ATI PN
LEADERSHIP
PROCTORED EXAM
(3 SET EXAMS)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Each Exam has 70 LEADERSHIP nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales
https://www.stuvia.com/user/LUCIDWISE
,Table of Contents
ATI PN Leadership Proctored Exam Sample V1, V2, V3 ............ 2
ATI PN Leadership Proctored Exam V1 .................................... 8
ATI PN Leadership Proctored Exam V2 .................................. 39
ATI PN Leadership Proctored Exam V3 ...................................73
ATI PN Leadership Proctored Exam Sample V1, V2, V3
ATI PN Leadership Exam Sample V1
### Question 1: Postoperative Client Assessment (NGN, Select All That Apply)
A client is 6 hours postoperative following abdominal surgery. Review the findings
below and identify 6 that require immediate follow-up by the provider.
Day 1,1715 - Resting, easily awakened, alert ×3; moderate serosanguineous drainage;
dressings intact; pain 4/10; normoactive bowel sounds; tolerating sips; urinary output 320
mL/4 hr
Day 1, 2030 - Restless, short of breath; pain 8/10; large bright red bleeding on dressing;
Vital signs (assess now): BP 88/54 mmHg, HR 122 bpm, RR 28/min, SpO₂ 88% on room air
Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
https://www.stuvia.com/user/LUCIDWISE
,E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
Rationale:
Restlessness, increased pain, hypotension (low BP), tachycardia (high HR), tachypnea
(high RR), decreased oxygen saturation, significant bleeding, and reduced urine output
are signs of hemorrhage or shock and require urgent medical evaluation. Bowel sounds
and preserved orientation are less urgent here.
---
### Question 2: Infection Control for Herpes Simplex Lesions
A charge nurse reviews a plan of care for a client with active herpes simplex lesions.
Which intervention is appropriate?
A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when caring for the client.
C. Have the client wear a mask during transport.
D. Wear a face mask and eye protection when caring for the client.
Answer: B
Rationale:
https://www.stuvia.com/user/LUCIDWISE
, Herpes simplex requires contact precautions, including gloves and gowns, to prevent
transmission. Negative-pressure rooms and masks are unnecessary; airborne and
droplet precautions do not apply.
---
### Question 3: Maintaining Client Confidentiality
Which action should the nurse take to maintain client confidentiality?
A. Tell a client’s partner that laboratory tests cannot be released without permission.
B. Ask assistive personnel to refer to clients by room numbers in public areas.
C. Explain to a nursing student that verbal permission is needed before using client
names in assignments.
D. Share client information after removing personal identifiers.
Answer: A
Rationale:
Only authorized individuals can receive medical information. Informing a client’s
partner of confidentiality rules upholds HIPAA. Options B and C are good practices but
A directly addresses confidentiality. D still risks identification if details correlate.
---
### Question 4: Conflict Resolution — Smoothing Strategy
A charge nurse manages conflict about client care assignments. Which statement
exemplifies smoothing?
A. "Would you accept a different assignment balancing care levels?"
B. "Tell me what changes will help you feel comfortable."
C. "I didn’t mean to overwhelm you. Let’s review assignments together."
https://www.stuvia.com/user/LUCIDWISE
LEADERSHIP
PROCTORED EXAM
(3 SET EXAMS)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Each Exam has 70 LEADERSHIP nursing
questions
➢ multiple-choice format (A, B, C, D) with
correct answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and
rationales
https://www.stuvia.com/user/LUCIDWISE
,Table of Contents
ATI PN Leadership Proctored Exam Sample V1, V2, V3 ............ 2
ATI PN Leadership Proctored Exam V1 .................................... 8
ATI PN Leadership Proctored Exam V2 .................................. 39
ATI PN Leadership Proctored Exam V3 ...................................73
ATI PN Leadership Proctored Exam Sample V1, V2, V3
ATI PN Leadership Exam Sample V1
### Question 1: Postoperative Client Assessment (NGN, Select All That Apply)
A client is 6 hours postoperative following abdominal surgery. Review the findings
below and identify 6 that require immediate follow-up by the provider.
Day 1,1715 - Resting, easily awakened, alert ×3; moderate serosanguineous drainage;
dressings intact; pain 4/10; normoactive bowel sounds; tolerating sips; urinary output 320
mL/4 hr
Day 1, 2030 - Restless, short of breath; pain 8/10; large bright red bleeding on dressing;
Vital signs (assess now): BP 88/54 mmHg, HR 122 bpm, RR 28/min, SpO₂ 88% on room air
Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
https://www.stuvia.com/user/LUCIDWISE
,E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
Rationale:
Restlessness, increased pain, hypotension (low BP), tachycardia (high HR), tachypnea
(high RR), decreased oxygen saturation, significant bleeding, and reduced urine output
are signs of hemorrhage or shock and require urgent medical evaluation. Bowel sounds
and preserved orientation are less urgent here.
---
### Question 2: Infection Control for Herpes Simplex Lesions
A charge nurse reviews a plan of care for a client with active herpes simplex lesions.
Which intervention is appropriate?
A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when caring for the client.
C. Have the client wear a mask during transport.
D. Wear a face mask and eye protection when caring for the client.
Answer: B
Rationale:
https://www.stuvia.com/user/LUCIDWISE
, Herpes simplex requires contact precautions, including gloves and gowns, to prevent
transmission. Negative-pressure rooms and masks are unnecessary; airborne and
droplet precautions do not apply.
---
### Question 3: Maintaining Client Confidentiality
Which action should the nurse take to maintain client confidentiality?
A. Tell a client’s partner that laboratory tests cannot be released without permission.
B. Ask assistive personnel to refer to clients by room numbers in public areas.
C. Explain to a nursing student that verbal permission is needed before using client
names in assignments.
D. Share client information after removing personal identifiers.
Answer: A
Rationale:
Only authorized individuals can receive medical information. Informing a client’s
partner of confidentiality rules upholds HIPAA. Options B and C are good practices but
A directly addresses confidentiality. D still risks identification if details correlate.
---
### Question 4: Conflict Resolution — Smoothing Strategy
A charge nurse manages conflict about client care assignments. Which statement
exemplifies smoothing?
A. "Would you accept a different assignment balancing care levels?"
B. "Tell me what changes will help you feel comfortable."
C. "I didn’t mean to overwhelm you. Let’s review assignments together."
https://www.stuvia.com/user/LUCIDWISE
