2025/2026 ATI PN
LEADERSHIP MANAGEMENT
PROCTORED EXAM WITH
NGN QUESTIONS
Removes the outside packaging of a sterile instrument before dropping into the sterile
Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field
A nurse is providing care for 4 post-opt clients. The nurse should first assess the client: - ANSWER:
Who is reporting a pain level of 8 on a scale of 0 to 10.
A nurse is preparing a client who speaks limited English for surgery. Which of the following is the
most appropriate nursing action in obtaining informed consent from this client? Select one: -
ANSWER: Seek the assistance of a nurse on the floor who is fluent in the client's language
A nurse is performing initial teaching with a client who will be receiving electroconvulsive therapy
(ECT). Which statement by the client indicates a need for further teaching? - ANSWER: My Dilantin
dose will be increased several days before the procedure
A daughter of a client with a terminal illness pulls a nurse to the side and says,
"Although my mother's living will states she is not to be resuscitated, the family wants everything
done to save her if she has a cardiac arrest." How should the nurse respond? - ANSWER: "The living
will documents your mother's wishes and must be followed."
The post anesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-
surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital
, signs. What is the rationale for this nursing action? - ANSWER: This is done to compare and monitor
for vital sign variation during transport
The nurse is caring for a patient who will undergo a removal of a lung lobe.
Which level of care will the patient require immediately post procedure? - ANSWER: Acute care-
intensive care unit
The nurse is caring for a group of patients. Which patient will the nurse see first? - ANSWER: A
patient who had cataract surgery is coughing.
The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct
the patient to perform the exercises? - ANSWER: 1. Turning
2. Breathing
3. Coughing
4. Leg exercises
A. 4, 1, 2, 3
ANS: A
The sequence of exercises is leg exercises, turning, breathing, and
A nurse should recognize that an incident report is required when: - ANSWER: A client refuses to
attend physical therapy.
Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved
during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality
indicator. Which of the following data sources will be helpful in determine the reason why clients
are not receiving adequate pain management after surgery? - ANSWER: Pain assessment policy
A nurse manager is preparing to institute a new system for scheduling staff.
Several nurses have verbalized their concern over the possible changes that will occur. Which of
the following is an appropriate method to facilitate the adoption of the new scheduling system? -
LEADERSHIP MANAGEMENT
PROCTORED EXAM WITH
NGN QUESTIONS
Removes the outside packaging of a sterile instrument before dropping into the sterile
Holds a bottle of a sterile solution 15 cm (6 inches) above the sterile field
A nurse is providing care for 4 post-opt clients. The nurse should first assess the client: - ANSWER:
Who is reporting a pain level of 8 on a scale of 0 to 10.
A nurse is preparing a client who speaks limited English for surgery. Which of the following is the
most appropriate nursing action in obtaining informed consent from this client? Select one: -
ANSWER: Seek the assistance of a nurse on the floor who is fluent in the client's language
A nurse is performing initial teaching with a client who will be receiving electroconvulsive therapy
(ECT). Which statement by the client indicates a need for further teaching? - ANSWER: My Dilantin
dose will be increased several days before the procedure
A daughter of a client with a terminal illness pulls a nurse to the side and says,
"Although my mother's living will states she is not to be resuscitated, the family wants everything
done to save her if she has a cardiac arrest." How should the nurse respond? - ANSWER: "The living
will documents your mother's wishes and must be followed."
The post anesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-
surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital
, signs. What is the rationale for this nursing action? - ANSWER: This is done to compare and monitor
for vital sign variation during transport
The nurse is caring for a patient who will undergo a removal of a lung lobe.
Which level of care will the patient require immediately post procedure? - ANSWER: Acute care-
intensive care unit
The nurse is caring for a group of patients. Which patient will the nurse see first? - ANSWER: A
patient who had cataract surgery is coughing.
The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct
the patient to perform the exercises? - ANSWER: 1. Turning
2. Breathing
3. Coughing
4. Leg exercises
A. 4, 1, 2, 3
ANS: A
The sequence of exercises is leg exercises, turning, breathing, and
A nurse should recognize that an incident report is required when: - ANSWER: A client refuses to
attend physical therapy.
Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved
during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality
indicator. Which of the following data sources will be helpful in determine the reason why clients
are not receiving adequate pain management after surgery? - ANSWER: Pain assessment policy
A nurse manager is preparing to institute a new system for scheduling staff.
Several nurses have verbalized their concern over the possible changes that will occur. Which of
the following is an appropriate method to facilitate the adoption of the new scheduling system? -
