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.
, 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.
| Time | Findings |
| | |
| 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
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:
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?
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.
, 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.
| Time | Findings |
| | |
| 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
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:
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?
