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)
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.
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
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
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)
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.
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
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
