ATI PN MANAGEMENT CMS 2026
PROCTORED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Management of Care and Prioritization
Delegation and Supervision
Ethical and Legal Responsibilities
Safety and Infection Control
Quality Improvement and Risk Management
Leadership and Professional Practice
Informed Consent and Client Rights
Emergency Preparedness and Disaster Planning
NGN Case Studies and Clinical Judgment
Introduction
This comprehensive examination assesses the practical nursing student's
mastery of management and leadership concepts essential for entry-level
practice. The assessment evaluates clinical judgment, delegation
principles, prioritization frameworks, legal and ethical responsibilities,
and quality improvement processes required for practical nursing
practice. Questions are formatted to mirror the actual ATI PN Management
CMS Proctored Assessment, including multiple-choice, select-all-that-
apply, and Next Generation NCLEX-style case scenarios. Emphasis is
placed on real-world application, critical thinking, and decision-making in
diverse healthcare settings.
,Question 1
A nurse is using a forced air warmer for a surgical patient
preoperatively. Which goals is the nurse trying to achieve? (Select all
that apply.)
A. Induce shivering
B. Reduce blood loss
C. Induce pressure ulcers
D. Reduce cardiac arrests
E. Reduce surgical site infection
B. Reduce blood loss
D. Reduce cardiac arrests
E. Reduce surgical site infection
RATIONALE: Pre-warming for a minimum of 30 minutes may reduce
the occurrence of hypothermia. Prevention of hypothermia (core
temperature < 36°C) helps to reduce complications such as shivering,
cardiac arrest, blood loss, surgical site infection, pressure ulcers, and
mortality .
Question 2
The nurse is caring for a postoperative patient with an incision. Which
actions will the nurse take to decrease wound infections? (Select all that
apply.)
A. Maintain normoglycemia
B. Use a straight razor to remove hair
C. Provide bath and linen change daily
D. Perform first dressing change 2 days postoperatively
E. Perform hand hygiene before and after contact with the patient
,F. Administer antibiotics within 60 minutes before surgical incision
A. Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient
RATIONALE: Performing hand hygiene before and after contact with
the patient helps to decrease the number of microorganisms and break
the chain of infection. Maintaining blood glucose levels at less than 150
mg/dL has resulted in decreased wound infection. Removing unwanted
hair by clipping instead of shaving decreases the numbers of nicks and
cuts caused by a razor and the potential for the introduction of microbes
.
Question 3
A nurse is assigned the following four clients for the current shift. Which
of the following clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck's traction
B. A client who has aspiration pneumonia and a respiratory rate of
28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen
collected
B. A client who has aspiration pneumonia and a respiratory rate of
28/min
RATIONALE: Using the ABC priority framework, a client with
aspiration pneumonia and an elevated respiratory rate requires
immediate assessment due to potential airway and breathing
compromise .
Question 4
The nurse is participating in a "time-out." In which activities will the
nurse be involved? (Select all that apply.)
, A. Verify the correct site
B. Verify the correct patient
C. Verify the correct procedure
D. Perform "time-out" after surgery
E. Perform the actual marking of the operative site
A. Verify the correct site
B. Verify the correct patient
C. Verify the correct procedure
RATIONALE: A time-out is performed just before starting the
procedure for final verification of the correct patient, procedure, site,
and any implants. The marking and time-out most commonly occur in
the holding area, just before the patient enters the OR .
Question 5
A nurse is caring for a client who fell and is reporting pain in the left hip
with external rotation of the left leg. The nurse has been unable to reach
the provider. Which of the following actions should the nurse take?
A. Apply ice to the affected area
B. Administer pain medication
C. Prepare the client for surgery
D. Continue to monitor the client
A. Apply ice to the affected area
RATIONALE: External rotation of the leg with hip pain after a fall
suggests a hip fracture. The nurse should apply ice to reduce swelling
and pain while continuing to attempt to reach the provider.
Administering pain medication without an order and preparing for
surgery are not within the PN's independent scope .
PROCTORED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Management of Care and Prioritization
Delegation and Supervision
Ethical and Legal Responsibilities
Safety and Infection Control
Quality Improvement and Risk Management
Leadership and Professional Practice
Informed Consent and Client Rights
Emergency Preparedness and Disaster Planning
NGN Case Studies and Clinical Judgment
Introduction
This comprehensive examination assesses the practical nursing student's
mastery of management and leadership concepts essential for entry-level
practice. The assessment evaluates clinical judgment, delegation
principles, prioritization frameworks, legal and ethical responsibilities,
and quality improvement processes required for practical nursing
practice. Questions are formatted to mirror the actual ATI PN Management
CMS Proctored Assessment, including multiple-choice, select-all-that-
apply, and Next Generation NCLEX-style case scenarios. Emphasis is
placed on real-world application, critical thinking, and decision-making in
diverse healthcare settings.
,Question 1
A nurse is using a forced air warmer for a surgical patient
preoperatively. Which goals is the nurse trying to achieve? (Select all
that apply.)
A. Induce shivering
B. Reduce blood loss
C. Induce pressure ulcers
D. Reduce cardiac arrests
E. Reduce surgical site infection
B. Reduce blood loss
D. Reduce cardiac arrests
E. Reduce surgical site infection
RATIONALE: Pre-warming for a minimum of 30 minutes may reduce
the occurrence of hypothermia. Prevention of hypothermia (core
temperature < 36°C) helps to reduce complications such as shivering,
cardiac arrest, blood loss, surgical site infection, pressure ulcers, and
mortality .
Question 2
The nurse is caring for a postoperative patient with an incision. Which
actions will the nurse take to decrease wound infections? (Select all that
apply.)
A. Maintain normoglycemia
B. Use a straight razor to remove hair
C. Provide bath and linen change daily
D. Perform first dressing change 2 days postoperatively
E. Perform hand hygiene before and after contact with the patient
,F. Administer antibiotics within 60 minutes before surgical incision
A. Maintain normoglycemia
E. Perform hand hygiene before and after contact with the patient
RATIONALE: Performing hand hygiene before and after contact with
the patient helps to decrease the number of microorganisms and break
the chain of infection. Maintaining blood glucose levels at less than 150
mg/dL has resulted in decreased wound infection. Removing unwanted
hair by clipping instead of shaving decreases the numbers of nicks and
cuts caused by a razor and the potential for the introduction of microbes
.
Question 3
A nurse is assigned the following four clients for the current shift. Which
of the following clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck's traction
B. A client who has aspiration pneumonia and a respiratory rate of
28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen
collected
B. A client who has aspiration pneumonia and a respiratory rate of
28/min
RATIONALE: Using the ABC priority framework, a client with
aspiration pneumonia and an elevated respiratory rate requires
immediate assessment due to potential airway and breathing
compromise .
Question 4
The nurse is participating in a "time-out." In which activities will the
nurse be involved? (Select all that apply.)
, A. Verify the correct site
B. Verify the correct patient
C. Verify the correct procedure
D. Perform "time-out" after surgery
E. Perform the actual marking of the operative site
A. Verify the correct site
B. Verify the correct patient
C. Verify the correct procedure
RATIONALE: A time-out is performed just before starting the
procedure for final verification of the correct patient, procedure, site,
and any implants. The marking and time-out most commonly occur in
the holding area, just before the patient enters the OR .
Question 5
A nurse is caring for a client who fell and is reporting pain in the left hip
with external rotation of the left leg. The nurse has been unable to reach
the provider. Which of the following actions should the nurse take?
A. Apply ice to the affected area
B. Administer pain medication
C. Prepare the client for surgery
D. Continue to monitor the client
A. Apply ice to the affected area
RATIONALE: External rotation of the leg with hip pain after a fall
suggests a hip fracture. The nurse should apply ice to reduce swelling
and pain while continuing to attempt to reach the provider.
Administering pain medication without an order and preparing for
surgery are not within the PN's independent scope .
