ATI RN Leadership Proctored Exam 2026
Questions with Correct Answers
A client is brought to the emergency department following a motor-
vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The cli
ent repeatedly refuses to provide the specimen. Which of the following is the appropriate actio
n by the nurse? - CORRECT ANSWER -B* Document the client‟s refusal in the chart.
A nurse is makingRshift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse? - CORRECT ANSWER -Administer a nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a sterile p
rocedure. Which of the following actions indicates the newly licensed nurse is maintaining steril
e technique? (SATA) - CORRECT ANSWER -
b. Opens the sterile pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile fiel
d
A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid becaus
e the IV pump is not working properly. Which of the following actions should the nurse take first
? - CORRECT ANSWER -Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LP
N? - CORRECT ANSWER -Reinforcing teaching with a client who is learning to self-
administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a
sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrat
es correct aseptic technique? - CORRECT ANSWER -The nurse holds her hands above her waist.
, A nurse who is caring for a group of clients delegates collection of vital signs to an assistive pers
onnel (AP). Which of the following actions should the nurse take to evaluate the delegated task?
- CORRECT ANSWER -Recheck vital signs that are outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive pe
rsonnel? - CORRECT ANSWER -Obtaining a stool sample from a client who has renal failure
A nurse is triaging a group of clients following a disaster. Which of the following clients should th
e nurse recommend for treatment first? - CORRECT ANSWER -
A client who has two open chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of t
he following statements by a staff nurse indicates that the teaching was effective? -
CORRECT ANSWER -"Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse collaborate
with the facility ethics committee? - CORRECT ANSWER -
An adolescent client whose parents refuse a blood transfusion for religious reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to return
a call to a client. The nurse should explain that which of the following is an objective of teleheal
th? - CORRECT ANSWER -Establishing communication between providers
A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The clie
nt expresses concern about the cost of blood-
glucose monitoring supplies. Which of the following actions should the nurse take? -
CORRECT ANSWER -Refer the client to the social services department
A charge nurse is receiving change-of-
shift report. Which of the following situations should the charge nurse address first? -
Questions with Correct Answers
A client is brought to the emergency department following a motor-
vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The cli
ent repeatedly refuses to provide the specimen. Which of the following is the appropriate actio
n by the nurse? - CORRECT ANSWER -B* Document the client‟s refusal in the chart.
A nurse is makingRshift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse? - CORRECT ANSWER -Administer a nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a sterile p
rocedure. Which of the following actions indicates the newly licensed nurse is maintaining steril
e technique? (SATA) - CORRECT ANSWER -
b. Opens the sterile pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile fiel
d
A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid becaus
e the IV pump is not working properly. Which of the following actions should the nurse take first
? - CORRECT ANSWER -Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LP
N? - CORRECT ANSWER -Reinforcing teaching with a client who is learning to self-
administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a
sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrat
es correct aseptic technique? - CORRECT ANSWER -The nurse holds her hands above her waist.
, A nurse who is caring for a group of clients delegates collection of vital signs to an assistive pers
onnel (AP). Which of the following actions should the nurse take to evaluate the delegated task?
- CORRECT ANSWER -Recheck vital signs that are outside the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive pe
rsonnel? - CORRECT ANSWER -Obtaining a stool sample from a client who has renal failure
A nurse is triaging a group of clients following a disaster. Which of the following clients should th
e nurse recommend for treatment first? - CORRECT ANSWER -
A client who has two open chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of t
he following statements by a staff nurse indicates that the teaching was effective? -
CORRECT ANSWER -"Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse collaborate
with the facility ethics committee? - CORRECT ANSWER -
An adolescent client whose parents refuse a blood transfusion for religious reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to return
a call to a client. The nurse should explain that which of the following is an objective of teleheal
th? - CORRECT ANSWER -Establishing communication between providers
A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The clie
nt expresses concern about the cost of blood-
glucose monitoring supplies. Which of the following actions should the nurse take? -
CORRECT ANSWER -Refer the client to the social services department
A charge nurse is receiving change-of-
shift report. Which of the following situations should the charge nurse address first? -
