NGN ATI RN LEADERSHIP PROCTORED NEWEST 2026
EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED A+
A nurse is working with an AP who appears to be under the influence of alcohol during the
night shift. Which of the following is the priority action the nurse should take?
a. Confront the AP regarding alcohol use and remove him from the client care
b. Ask the nursing supervisor to obverse the AP and validate the nurse's suspicions
c. Document observations made about the AP's behavior in a factual manner -
...ANSWER...b. Ask the nursing supervisor to observe the AP and validate the nurse's
suspicions
A nurse is reviewing lab results for a client who is at 12 weeks gestation. Which of the
following findings should the nurse report to the provider?
a. Hgb 12 g/dL
b. WBC 15,000/mm3
c. Fasting blood glucose 80 mg/dL
d. Serum creatinine 0.4 mg/dL - ...ANSWER...d. Serum creatinine 0.4 mg/dL
A nurse is providing discharge teaching about home safety with an older adult client and his
family. Which of the following statements should the nurse include in the teaching?
a. you should set the water heater temp to 125 degrees F
b. you should grasp the cord when unplugging it
c. you should use a gas stove for cooking
d. you should install a handrail on at least one side of the stairs - ...ANSWER...d. you
should install a handrail on at least one side of the stairs
A charge nurse is observing a group of new RNs. Which of the following observations
should the charge nurse report to the nurse manager as a violation of HIPAA?
a. assigning a client who requested a private room to a semi private due to unavailability
b. placing a client who is confused in restraints
c. talking about clients with other nurses in the cafe -
...ANSWER...c. talking about clients with other nurses in the cafe
A charge nurse on a ped unit is delegating tasks to an AP who is pregnant and reports that
she is unsure of her immune status. Which of the following clients should the charge nurse
assign to the AP?
a. A 9 yr old child who has fifths disease
b. A 4 yr old child who has varicella
,c. A 6 yr old child who has rubella
d. A 2 yr old child who has impetigo contagiosa (impetigo) -
...ANSWER...d. A 2 yr old child who has impetigo contagiosa
this is a safe assignment. if the ap practices universal precautions, there is no risk for
contracting impetigo.
A charge nurse receives a call from his nursing supervisor about an explosion at a local
factory and an urgent need for facility beds for newly admitted clients. Which of the
following clients should the nurse recommend for discharge?
a. A 60 yr old client who has type 2 diabetes mellitus admitted 48 hr ago with uncontrolled
glucose levels
b. A 58 yr old client who is 12 hr post-op following a total knee arthoplasty
c. A 80 yr old client admitted 24 hr ago for vomiting and diarrhea
d. A 44 yr old client who has asthma and was admitted for carpal tunnel surgery -
...ANSWER...d. A 44 yr old client who has asthma and was admitted for carpal tunnel
surgery
A nurse is discussing with a newly licensed nurse about how to obtain informed consent
from a client who is to undergo an epidural procedure. Which of the following ethical
principles should the nurse include in the teaching?
a. Benedicence
b. Autonomy
c. Paternalism - ...ANSWER...b. Autonomy
Informed consent is based on the ethical principle of autonomy, which is the right to self-
determination, independence, and freedom of choice.
Based on the principle that actions should be taken with the intent to do good. It is associated
with nonmaleficence, which is the requirement that health care providers do no harm to their
clients. - ...ANSWER...beneficence
the right to self determination, independence, and freedom of choice -
...ANSWER...Autonomy
a principle that is based on the assumption that one person can assume responsibility for
making the decisions for another person - ...ANSWER...paternalism
A nurse is caring for a client who is a local public official. A local newspaper reporter
repeatedly phones the unit seeking info and states, "it is the public's right to know that health
status of elected officials." Which of the following actions should the nurse take?
a. Acknowledge that the person is a client on the unit but give no specific details
b. Refer any calls directly to the client's room so that the client and the family can decide
what to tell the press
c. Refer media inquires to the nursing supervisor
, d. Hang up on callers from the news media because the nurse is not required to speak to
them - ...ANSWER...Refer the media inquires to the nursing supervisor
A nurse is caring for four clients who are scheduled for diagnostic tests. For which of the
following tests should the nurse obtain written consent from the client?
a. Cerebral arteriogram
b. MRI
c. CT scan - ...ANSWER...a. Cerebral arteriogram (because it is an
invasive procedure)
A nurse is completing an incident report after administering an incorrect dose of med to a
patient, even though the client experienced no ill effects from the error. Which of the
following should the nurse recognize as the purpose for completing the incident report?
a. Alerts facility administration of a possible litigation situation
b. Tracks employee performance for possible disciplinary action
c. Provides detailed report of the occurrence for the family
d. Identifies situations that contribute to the occurrence of med erros -
...ANSWER...d. Identifies situations that contribute to the occurrence of med errors
A nurse is caring for a pt who received a sedative-hypnotic med at bedtime. The pt gets out of
bed and falls, sustaining a laceration that requires suturing. Which of the following statements
should be included as part of the nurse's documentation in the chart?
a. Client found sitting on the floor with 3 cm laceration above left eyebrow. Oriented to
name only. Provider notified
b. Client found sitting on the floor with blood running down face. Side rails had not been
raised by the AP when the client was placed in bed - ...ANSWER...a. Client found sitting on
the floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider notified
A nurse discovers that the wrong med was given to a confused client who answered to the
name the nurse stated when entering the room. The provider is notified and states that the
med the client received will cause any harm. Which of the following actions should the nurse
take?
a. Complete an incident report documenting the occurrence
b. Make a note in the client's medical record that an incident report was completed -
...ANSWER...a. complete an incident report documenting the occurrence
A nurse is delegating a client care task to an AP. Which of the following directions should the
nurse give the AP?
a. This client needs to ambulate using a walker three times today
b. Please record strict I & O for this client - ...ANSWER...a. This client needs to ambulate
using a walker three times today
A nurse manager is participating in a root cause analysis following a sentinel event on her
EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED A+
A nurse is working with an AP who appears to be under the influence of alcohol during the
night shift. Which of the following is the priority action the nurse should take?
a. Confront the AP regarding alcohol use and remove him from the client care
b. Ask the nursing supervisor to obverse the AP and validate the nurse's suspicions
c. Document observations made about the AP's behavior in a factual manner -
...ANSWER...b. Ask the nursing supervisor to observe the AP and validate the nurse's
suspicions
A nurse is reviewing lab results for a client who is at 12 weeks gestation. Which of the
following findings should the nurse report to the provider?
a. Hgb 12 g/dL
b. WBC 15,000/mm3
c. Fasting blood glucose 80 mg/dL
d. Serum creatinine 0.4 mg/dL - ...ANSWER...d. Serum creatinine 0.4 mg/dL
A nurse is providing discharge teaching about home safety with an older adult client and his
family. Which of the following statements should the nurse include in the teaching?
a. you should set the water heater temp to 125 degrees F
b. you should grasp the cord when unplugging it
c. you should use a gas stove for cooking
d. you should install a handrail on at least one side of the stairs - ...ANSWER...d. you
should install a handrail on at least one side of the stairs
A charge nurse is observing a group of new RNs. Which of the following observations
should the charge nurse report to the nurse manager as a violation of HIPAA?
a. assigning a client who requested a private room to a semi private due to unavailability
b. placing a client who is confused in restraints
c. talking about clients with other nurses in the cafe -
...ANSWER...c. talking about clients with other nurses in the cafe
A charge nurse on a ped unit is delegating tasks to an AP who is pregnant and reports that
she is unsure of her immune status. Which of the following clients should the charge nurse
assign to the AP?
a. A 9 yr old child who has fifths disease
b. A 4 yr old child who has varicella
,c. A 6 yr old child who has rubella
d. A 2 yr old child who has impetigo contagiosa (impetigo) -
...ANSWER...d. A 2 yr old child who has impetigo contagiosa
this is a safe assignment. if the ap practices universal precautions, there is no risk for
contracting impetigo.
A charge nurse receives a call from his nursing supervisor about an explosion at a local
factory and an urgent need for facility beds for newly admitted clients. Which of the
following clients should the nurse recommend for discharge?
a. A 60 yr old client who has type 2 diabetes mellitus admitted 48 hr ago with uncontrolled
glucose levels
b. A 58 yr old client who is 12 hr post-op following a total knee arthoplasty
c. A 80 yr old client admitted 24 hr ago for vomiting and diarrhea
d. A 44 yr old client who has asthma and was admitted for carpal tunnel surgery -
...ANSWER...d. A 44 yr old client who has asthma and was admitted for carpal tunnel
surgery
A nurse is discussing with a newly licensed nurse about how to obtain informed consent
from a client who is to undergo an epidural procedure. Which of the following ethical
principles should the nurse include in the teaching?
a. Benedicence
b. Autonomy
c. Paternalism - ...ANSWER...b. Autonomy
Informed consent is based on the ethical principle of autonomy, which is the right to self-
determination, independence, and freedom of choice.
Based on the principle that actions should be taken with the intent to do good. It is associated
with nonmaleficence, which is the requirement that health care providers do no harm to their
clients. - ...ANSWER...beneficence
the right to self determination, independence, and freedom of choice -
...ANSWER...Autonomy
a principle that is based on the assumption that one person can assume responsibility for
making the decisions for another person - ...ANSWER...paternalism
A nurse is caring for a client who is a local public official. A local newspaper reporter
repeatedly phones the unit seeking info and states, "it is the public's right to know that health
status of elected officials." Which of the following actions should the nurse take?
a. Acknowledge that the person is a client on the unit but give no specific details
b. Refer any calls directly to the client's room so that the client and the family can decide
what to tell the press
c. Refer media inquires to the nursing supervisor
, d. Hang up on callers from the news media because the nurse is not required to speak to
them - ...ANSWER...Refer the media inquires to the nursing supervisor
A nurse is caring for four clients who are scheduled for diagnostic tests. For which of the
following tests should the nurse obtain written consent from the client?
a. Cerebral arteriogram
b. MRI
c. CT scan - ...ANSWER...a. Cerebral arteriogram (because it is an
invasive procedure)
A nurse is completing an incident report after administering an incorrect dose of med to a
patient, even though the client experienced no ill effects from the error. Which of the
following should the nurse recognize as the purpose for completing the incident report?
a. Alerts facility administration of a possible litigation situation
b. Tracks employee performance for possible disciplinary action
c. Provides detailed report of the occurrence for the family
d. Identifies situations that contribute to the occurrence of med erros -
...ANSWER...d. Identifies situations that contribute to the occurrence of med errors
A nurse is caring for a pt who received a sedative-hypnotic med at bedtime. The pt gets out of
bed and falls, sustaining a laceration that requires suturing. Which of the following statements
should be included as part of the nurse's documentation in the chart?
a. Client found sitting on the floor with 3 cm laceration above left eyebrow. Oriented to
name only. Provider notified
b. Client found sitting on the floor with blood running down face. Side rails had not been
raised by the AP when the client was placed in bed - ...ANSWER...a. Client found sitting on
the floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider notified
A nurse discovers that the wrong med was given to a confused client who answered to the
name the nurse stated when entering the room. The provider is notified and states that the
med the client received will cause any harm. Which of the following actions should the nurse
take?
a. Complete an incident report documenting the occurrence
b. Make a note in the client's medical record that an incident report was completed -
...ANSWER...a. complete an incident report documenting the occurrence
A nurse is delegating a client care task to an AP. Which of the following directions should the
nurse give the AP?
a. This client needs to ambulate using a walker three times today
b. Please record strict I & O for this client - ...ANSWER...a. This client needs to ambulate
using a walker three times today
A nurse manager is participating in a root cause analysis following a sentinel event on her
