ATI LEADERSHIP
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ 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
consistent with entry-level practical nursing standards.
### 1. (NGN Style)
https://www.stuvia.com/user/LUCIDWISE
,A nurse reviews electronic medical records after a quality improvement initiative aimed
at reducing healthcare-associated infections on a medical-surgical unit. Five clients
have the following diagnoses:
- Client 1: Cerebrovascular accident
- Client 2: Community-acquired pneumonia
- Client 3: Postoperative wound infection
- Client 4: Urinary tract infection (UTI)
- Client 5: Fractured hip without infection
Which 3 findings indicate the quality improvement plan is effective?
A) Clients 2, 3, and 5
B) Clients 1, 4, and 5
C) Clients 1, 2, and 4
D) Clients 3, 4, and 5
Answer: A) Clients 2, 3, and 5
Rationale: Improvement or absence of infection-related complications signals
effectiveness. Clients 2 (pneumonia), 3 (wound infection), and 5 (fractured hip without
infection complications) show better outcomes reflecting fewer infections or better
management, indicating the plan’s success.
---
### 2.
A nurse manager identifies that an employee is suspected of being impaired while on
duty. What is the priority action the nurse manager should take?
A) Schedule a meeting with the employee within 24 hours.
B) Remove the employee immediately from the work environment.
C) Develop a substance dependency recovery plan with the employee.
D) Arrange transportation home for the employee.
https://www.stuvia.com/user/LUCIDWISE
,Answer: B) Remove the employee immediately from the work environment.
Rationale: The immediate priority is to protect client safety by removing the impaired
employee from the clinical setting before other interventions, such as meetings or
referrals.
---
### 3. (NGN Style, Mental Health Case)
A charge nurse on a mental health unit receives shift report and must prioritize client
assessments. Which client should be assessed first?
A) Client reporting hallucinations and delusions
B) Client exhibiting anxiety and restlessness
C) Client with depression and suicidal ideation
D) Client demonstrating positive coping skills
Answer: A) Client reporting hallucinations and delusions
Rationale: Active psychosis with hallucinations and delusions poses a potential
immediate threat to client safety and others; therefore, this client requires the nurse’s
first assessment.
---
### 4.
An infectious disease nurse must report certain communicable diseases to the health
department. Which 4 of these clients' diagnoses require reporting?
A) Lyme disease
B) Acute Hepatitis C
C) Clostridium difficile
https://www.stuvia.com/user/LUCIDWISE
, D) Salmonellosis
E) Streptococcal pharyngitis
F) Pertussis
Answer: A) Lyme disease, B) Acute Hepatitis C, D) Salmonellosis, F) Pertussis
Rationale: Lyme disease, Hepatitis C, Salmonellosis, and Pertussis are diseases of public
health importance requiring mandatory reporting. Clostridium difficile and
streptococcal pharyngitis are generally not reportable.
---
### 5.
A nurse case manager arranges community referrals for a client with chronic illness.
Which 3 resources are appropriate?
A) Adult day care
B) Hospice care
C) Legal assistance
D) Respite care
E) Social worker
Answer: B) Hospice care, D) Respite care, E) Social worker
Rationale: Hospice and respite provide direct client/family support; social workers assist
with coordination. Adult day care and legal assistance may be helpful but are less
immediately relevant.
---
### 6.
During client assessment, a nurse notices that the IV pump's electrical cord is frayed.
What is the nurse’s priority action?
A) Report the issue to facility engineering.
B) Check the inspection sticker’s expiration date.
https://www.stuvia.com/user/LUCIDWISE
PROCTORED EXAM
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ 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
consistent with entry-level practical nursing standards.
### 1. (NGN Style)
https://www.stuvia.com/user/LUCIDWISE
,A nurse reviews electronic medical records after a quality improvement initiative aimed
at reducing healthcare-associated infections on a medical-surgical unit. Five clients
have the following diagnoses:
- Client 1: Cerebrovascular accident
- Client 2: Community-acquired pneumonia
- Client 3: Postoperative wound infection
- Client 4: Urinary tract infection (UTI)
- Client 5: Fractured hip without infection
Which 3 findings indicate the quality improvement plan is effective?
A) Clients 2, 3, and 5
B) Clients 1, 4, and 5
C) Clients 1, 2, and 4
D) Clients 3, 4, and 5
Answer: A) Clients 2, 3, and 5
Rationale: Improvement or absence of infection-related complications signals
effectiveness. Clients 2 (pneumonia), 3 (wound infection), and 5 (fractured hip without
infection complications) show better outcomes reflecting fewer infections or better
management, indicating the plan’s success.
---
### 2.
A nurse manager identifies that an employee is suspected of being impaired while on
duty. What is the priority action the nurse manager should take?
A) Schedule a meeting with the employee within 24 hours.
B) Remove the employee immediately from the work environment.
C) Develop a substance dependency recovery plan with the employee.
D) Arrange transportation home for the employee.
https://www.stuvia.com/user/LUCIDWISE
,Answer: B) Remove the employee immediately from the work environment.
Rationale: The immediate priority is to protect client safety by removing the impaired
employee from the clinical setting before other interventions, such as meetings or
referrals.
---
### 3. (NGN Style, Mental Health Case)
A charge nurse on a mental health unit receives shift report and must prioritize client
assessments. Which client should be assessed first?
A) Client reporting hallucinations and delusions
B) Client exhibiting anxiety and restlessness
C) Client with depression and suicidal ideation
D) Client demonstrating positive coping skills
Answer: A) Client reporting hallucinations and delusions
Rationale: Active psychosis with hallucinations and delusions poses a potential
immediate threat to client safety and others; therefore, this client requires the nurse’s
first assessment.
---
### 4.
An infectious disease nurse must report certain communicable diseases to the health
department. Which 4 of these clients' diagnoses require reporting?
A) Lyme disease
B) Acute Hepatitis C
C) Clostridium difficile
https://www.stuvia.com/user/LUCIDWISE
, D) Salmonellosis
E) Streptococcal pharyngitis
F) Pertussis
Answer: A) Lyme disease, B) Acute Hepatitis C, D) Salmonellosis, F) Pertussis
Rationale: Lyme disease, Hepatitis C, Salmonellosis, and Pertussis are diseases of public
health importance requiring mandatory reporting. Clostridium difficile and
streptococcal pharyngitis are generally not reportable.
---
### 5.
A nurse case manager arranges community referrals for a client with chronic illness.
Which 3 resources are appropriate?
A) Adult day care
B) Hospice care
C) Legal assistance
D) Respite care
E) Social worker
Answer: B) Hospice care, D) Respite care, E) Social worker
Rationale: Hospice and respite provide direct client/family support; social workers assist
with coordination. Adult day care and legal assistance may be helpful but are less
immediately relevant.
---
### 6.
During client assessment, a nurse notices that the IV pump's electrical cord is frayed.
What is the nurse’s priority action?
A) Report the issue to facility engineering.
B) Check the inspection sticker’s expiration date.
https://www.stuvia.com/user/LUCIDWISE
