ATI LEADERSHIP PROCTORED EXAMS 2024VERSION 1 2 & 3 A+
GRADED
ATI Leadership Proctored Exam
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should
thenurserecommend for an interdisciplinary care conference?
A iclient iw hoiisiati35iweeksiof igestation iand ihas ia ibiophysicaliprofileiofi6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells
thenurse she can no longer handle caring for the client. Which of the following actions should the
nurse take?
Contact ithe icase imanager ito idiscussidischarge ioptions
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of
asthma.The parent states she is unable to afford the nebulizer prescribed for the child. Which of the
followingreferrals should the nurse recommend?
Social iworker
4. A nurseis supervising assistive personnel who’s feedinga client with dysphagia. Which of
thefi ollowing actions bythe AP shouldthe nurse identify as correct technique?
Instructing ithe iclient ito iplaceitheirichin itoichestiw hile iswallowing
5. A nurseis providinganin-serviceabout client rights for a group of nurses. Which of the
followingsi tatements shouldthe nurse include in the in-service?
“A inurseican idisclose iinformation ito ia ifamily imember iw ith ithe iclient’sipermission.”
6. A nurseis preparingto discharge a client who requires home oxygen. The equipment company
hasni ot yet delivered the oxygen tank. Which of the following action shouldthe nurse take?
Contact isocial iservicesiaboutitheidelivery iofitheio xygen iequipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse
that she hasreconsidered becauseshe is worried about the pain. Which of the following response
bythe nurse is appropriate?
Iiunderstand,iandiit’sinotitooilateitoichange iyour imind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel
positionhiminbed with excessive force. Whichof thefollowing actions should the nurse take?
Contact ithe inurse imanager
9. A nurseis assessingaclient who has meningitis. Which of the followingfindingshouldthe
nurseri eport to the provider immediately?
Decreased ilevel iof iconsciousness
10. A nurseis caringfor a client who wanders throughthe halls yellingobscenities at staff other
clientsand visitors. Which action should the nurse take?
A) Administer sedatives
B) Keepthe client in her room with the door closed
C) Contact ifamily imembersitoicome isitiw ith ithe iclient
D) Placethe client in a wheelchair witha lap tray
11. A nurseis assisting with the orientation of a newly licensed nurse. The newly licensed nurse is
havingtrouble focusing and had difficulty completing care for his assigned client. Which of the
following intervention is appropriate?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2024VERSION 1 2 & 3 A+
GRADED
Recommend ithat ihe itake itime ito iplan iat ithe ibeginningiofihisishift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage
bonecancer toan experienced AP. Which of the followingassessment should the nurse make
beforedelegatingcare?
Has idata ibeen icollectediabout ispecificiclientineeds irelated ito iturning?
13. A nurseis participating in the development of a disaster management plan for a hospital. The
nurseshould recognize that which of the following resources is the highest priority to have
available in response to a bioterrorism event?
A isufficientisupplyiofipersonal iprotective iequipment .
14. A nursemanger observes anassistive personnel incorrectlytransferring a client tothe
bedsideci ommode. Which of the following actions shouldthe nurse take first?
Help ithe iAP itransfer ithe ipatient
15. Anursemanager is leading discussion about ethical dilemmas. Which of the following
situationsshouldthe nurse manager include as anexample of an ethical dilemma?
A) a nurse witnesses another nurseadminister incorrect medication
B) a visitor experiences minor burns at afacilityafter receiving….
C) a iparent iw ants ia i14-year-old iadolescentitoireceiveiradiation itreatmentiagainstihisiw ill
D) aclient receives operation onthe wrongside of thebody
16. Anursea caringfor aclient who request information about the prevalence of Tay-Sachs
disease.Which of thefollowingresources shouldthe nurse useto obtain this information?
An ievidence-based inursingijournal
17. A nurseis orienting a newlylicensed nurseabout client confidentiality. Which of the
followingstatement bythe newlylicensed nurse indicates an understanding of the teaching?
Iishould iencrypt ipersonalihealth iinformation iw hen isendingiemail.
18. A nurse in the emergency department is assessing a client who is unconscious following a motor-
vehiclecrash. Theclient requires immediate surgery. Which of the followingactions shouldthe
nursetake?
Transport ithe iclientitoithe io peratingiroomiw ithout iverifyingiinformed iconsent.
19. A nurseenters a clients roomto witness aninformed consent for a gastroscopy. The client states
hedoes not understand the procedure. Which of the following actions should the nurse take?
Inform ithe iprovider it hatitheiclientirequiresiclarification iaboutitheiprocedure
20. Acasemanager is preparinga discharge plan for a client followingcoronary artery bypass
graphingsi urgery. Which of the following client issues should the nurseaddress first?
Inadequate ifood isupply
21. A nurseina clinic is reviewing laboratoryreports for a group of clients. Which of the
followingdiseases should the nurse report to the state health department?
Pertussis
22. A nurseis preparingtocomplete anincident report regardinga medication error. Which of
thefollowingactions should the nurseplan to take SATA.
A. Placea copyof the completedreport in the client’s medical record
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2024VERSION 1 2 & 3 A+
GRADED
B. Makea copy of theincident report for personal record keeping
C. Include ithe itime it he imedication ierrorioccurrediinitheireport
D. identifyitheimedication iname iand it he idose iadministereditoitheiclientiin ithe ireport
E. Obtainand order fromthe client’s provider tocomplete the report
23. Acharge nurse onan obstetrical unit is preparingthe shift assignment. Which of thefollowing
clientsshouldbe assigned toan RN who has floated froma medical-surgical unit?
A iprimigravida iclient iw ho iis i1iday ipostoperativeifollowingia iCesarean isection iand ihas ia
P
iiii
24. A nurse in the emergency department is preparing to carefor a client who arrived via ambulance.
Theclient is disoriented and has a cardiac arrhythmia. Which of the following actions should the
nurse take?
Proceediwith itreatment iwithout iobtainingiwritteniconsent
25. A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a
licensedpractical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN?
Reinforcingidietaryiteaching iw ith ia ic lientiw ho ihas iheart idisease
26. A nurseworking on a medical-surgical unit is managing careof four clients. The nurse
shouldschedulean interdisciplinary conference for which of the followingclients?
A iclient iw hoiisireceivingiheparin iand ihas ian iaPTT iof i34iseconds
27. A nurse entersthehallway anddiscovers a visitor lookingat a clients medical information on
thecomputer. Which of the following actions shouldthe nurse take first?
Close ithe idocumentation iprogram ion ithe icomputer
28. A nurse is assessing an older adult client who was brought to the emergency department by his
adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the
following actions shouldthe nurse take?
Ask ithe iclient’s ison ito igo ito ithe iw aitingiarea.
29. A nurseis caringfor a client who is unconscious and whose partner is their healthcaresurrogate.
Thepi artner wishes to discontinue the client’s feeding tube, but another family member tells the
nurses they want the client to continue receiving treatment. Which of the following responses
should the nurse make?
As ithe ihealthcare isurrogate ithe iclient’sipartner ican imake ithe idecision
30. A nurse is caring for a client who reports acutepain but refuses IM medication. The nurse
distractsitheclient and quicklyadministers the injection. This illustrates which of the following?
Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary
teamimembers should beconsulted in regardto this client’s care? (select all that apply.)
Nutritional itherapist
iMental ihealth
icounseloriC aseimanager
32. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
followingstatements bythe newlylicensed nurseindicates understanding of isolation guidelines?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2024VERSION 1 2 & 3 A+
GRADED
“Iiwillihaveiaiclientiw hoiision iairborne iprecautions iweariaimask iwhen iout iof iher iroom.”
33. Nurses onaninpatient careunit are workingto helpreduce unit costs. Which of thefollowing
isappropriate to include in the cost-containment plan?
Use iclean iglovesiratherit han isterileigloves ifor icolostomy icare.
34. A nurse is caringfor a client who has cancer. The client’s adult child asks the nursefor
informationabout theclient’s treatment plan. Which of the followingresponses shouldthenurse
make?
Iicannotiprovideit hisiinformation ito iyou iwithout iyour imother’siconsent
35. A nurseinthe emergency department is performing triage for a group of clients who wereina
trainci rash. Which of the following clients should the nursetag as emergent?
A) Aclient who has a deep partialthickness burn on the lower extremities
B) Aclient who has an open fractureof the femur
iC
i i i i i) ii i A iclient iw ho ihas
D) Aclient who has a peri fatal ecchymosis
36. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client
refuses,but the client’s partner wants the surgery performed. Which of the following is the deciding
factor indetermining if the surgery will be done?
Whether ithe iclientiunderstandsitheirisk iofirefusingitheiprocedure
37. A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following
actionsshouldthe nurse take?
Reportitheiinfection ito ithe ilocal ihealth idepartment
38. A nursemanager is receivingreport and is facedwiththe following situations that
requiresintervention. Which of the followingshould the nurse manager address first?
a. A nurse on theprevious shift wrote anincident report about a medication error.
b. Twostaff members have called to say theywill be absent.
c. Transport assistance is unavailabletotake a client to occupational therapy.
d. The iemergency idepartmentinurseiisiw aiting ito igive ireportio n ia inew iadmission.
39. A charge nurse notices that two staff nurses are not taking meal breaks during their regular 8-hr
shifts.Which of the following actions should the nurse take first?
Determine ithe ireasonsithe inursesiare inot itaking ischeduled ibreaks.
40. A nurse is receiving a verbal prescription fromthe provider for a client who is havingincrease
pain.The nurse shouldtranscribe which ofthe following prescription in the client’s medical records?
It isn’t thetwo with the 4oand not the onethat says 10.0 mgIt’slike
“Morphine sulfate 10 mg IV q 4 hr for pain”
41. Anurseworkinginthe emergencydepartment is assessing several clients. Which of the
followingci lients is the highest priority?
A iclientiw ho ireportsishortness iof ibreath iand ileftineck iand ishoulder ipain
42. A nurse is caring for a client who has a prescription for transcutaneous electrical nerve
stimulation(TENS). Which of the following members of the interdisciplinary team should the nurse
contact forassistance?
Physical it herapist
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
GRADED
ATI Leadership Proctored Exam
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should
thenurserecommend for an interdisciplinary care conference?
A iclient iw hoiisiati35iweeksiof igestation iand ihas ia ibiophysicaliprofileiofi6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells
thenurse she can no longer handle caring for the client. Which of the following actions should the
nurse take?
Contact ithe icase imanager ito idiscussidischarge ioptions
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of
asthma.The parent states she is unable to afford the nebulizer prescribed for the child. Which of the
followingreferrals should the nurse recommend?
Social iworker
4. A nurseis supervising assistive personnel who’s feedinga client with dysphagia. Which of
thefi ollowing actions bythe AP shouldthe nurse identify as correct technique?
Instructing ithe iclient ito iplaceitheirichin itoichestiw hile iswallowing
5. A nurseis providinganin-serviceabout client rights for a group of nurses. Which of the
followingsi tatements shouldthe nurse include in the in-service?
“A inurseican idisclose iinformation ito ia ifamily imember iw ith ithe iclient’sipermission.”
6. A nurseis preparingto discharge a client who requires home oxygen. The equipment company
hasni ot yet delivered the oxygen tank. Which of the following action shouldthe nurse take?
Contact isocial iservicesiaboutitheidelivery iofitheio xygen iequipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse
that she hasreconsidered becauseshe is worried about the pain. Which of the following response
bythe nurse is appropriate?
Iiunderstand,iandiit’sinotitooilateitoichange iyour imind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel
positionhiminbed with excessive force. Whichof thefollowing actions should the nurse take?
Contact ithe inurse imanager
9. A nurseis assessingaclient who has meningitis. Which of the followingfindingshouldthe
nurseri eport to the provider immediately?
Decreased ilevel iof iconsciousness
10. A nurseis caringfor a client who wanders throughthe halls yellingobscenities at staff other
clientsand visitors. Which action should the nurse take?
A) Administer sedatives
B) Keepthe client in her room with the door closed
C) Contact ifamily imembersitoicome isitiw ith ithe iclient
D) Placethe client in a wheelchair witha lap tray
11. A nurseis assisting with the orientation of a newly licensed nurse. The newly licensed nurse is
havingtrouble focusing and had difficulty completing care for his assigned client. Which of the
following intervention is appropriate?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2024VERSION 1 2 & 3 A+
GRADED
Recommend ithat ihe itake itime ito iplan iat ithe ibeginningiofihisishift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage
bonecancer toan experienced AP. Which of the followingassessment should the nurse make
beforedelegatingcare?
Has idata ibeen icollectediabout ispecificiclientineeds irelated ito iturning?
13. A nurseis participating in the development of a disaster management plan for a hospital. The
nurseshould recognize that which of the following resources is the highest priority to have
available in response to a bioterrorism event?
A isufficientisupplyiofipersonal iprotective iequipment .
14. A nursemanger observes anassistive personnel incorrectlytransferring a client tothe
bedsideci ommode. Which of the following actions shouldthe nurse take first?
Help ithe iAP itransfer ithe ipatient
15. Anursemanager is leading discussion about ethical dilemmas. Which of the following
situationsshouldthe nurse manager include as anexample of an ethical dilemma?
A) a nurse witnesses another nurseadminister incorrect medication
B) a visitor experiences minor burns at afacilityafter receiving….
C) a iparent iw ants ia i14-year-old iadolescentitoireceiveiradiation itreatmentiagainstihisiw ill
D) aclient receives operation onthe wrongside of thebody
16. Anursea caringfor aclient who request information about the prevalence of Tay-Sachs
disease.Which of thefollowingresources shouldthe nurse useto obtain this information?
An ievidence-based inursingijournal
17. A nurseis orienting a newlylicensed nurseabout client confidentiality. Which of the
followingstatement bythe newlylicensed nurse indicates an understanding of the teaching?
Iishould iencrypt ipersonalihealth iinformation iw hen isendingiemail.
18. A nurse in the emergency department is assessing a client who is unconscious following a motor-
vehiclecrash. Theclient requires immediate surgery. Which of the followingactions shouldthe
nursetake?
Transport ithe iclientitoithe io peratingiroomiw ithout iverifyingiinformed iconsent.
19. A nurseenters a clients roomto witness aninformed consent for a gastroscopy. The client states
hedoes not understand the procedure. Which of the following actions should the nurse take?
Inform ithe iprovider it hatitheiclientirequiresiclarification iaboutitheiprocedure
20. Acasemanager is preparinga discharge plan for a client followingcoronary artery bypass
graphingsi urgery. Which of the following client issues should the nurseaddress first?
Inadequate ifood isupply
21. A nurseina clinic is reviewing laboratoryreports for a group of clients. Which of the
followingdiseases should the nurse report to the state health department?
Pertussis
22. A nurseis preparingtocomplete anincident report regardinga medication error. Which of
thefollowingactions should the nurseplan to take SATA.
A. Placea copyof the completedreport in the client’s medical record
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2024VERSION 1 2 & 3 A+
GRADED
B. Makea copy of theincident report for personal record keeping
C. Include ithe itime it he imedication ierrorioccurrediinitheireport
D. identifyitheimedication iname iand it he idose iadministereditoitheiclientiin ithe ireport
E. Obtainand order fromthe client’s provider tocomplete the report
23. Acharge nurse onan obstetrical unit is preparingthe shift assignment. Which of thefollowing
clientsshouldbe assigned toan RN who has floated froma medical-surgical unit?
A iprimigravida iclient iw ho iis i1iday ipostoperativeifollowingia iCesarean isection iand ihas ia
P
iiii
24. A nurse in the emergency department is preparing to carefor a client who arrived via ambulance.
Theclient is disoriented and has a cardiac arrhythmia. Which of the following actions should the
nurse take?
Proceediwith itreatment iwithout iobtainingiwritteniconsent
25. A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a
licensedpractical nurse (LPN) and an assistive personnel. Which of the following tasks should
the nurse assign to the LPN?
Reinforcingidietaryiteaching iw ith ia ic lientiw ho ihas iheart idisease
26. A nurseworking on a medical-surgical unit is managing careof four clients. The nurse
shouldschedulean interdisciplinary conference for which of the followingclients?
A iclient iw hoiisireceivingiheparin iand ihas ian iaPTT iof i34iseconds
27. A nurse entersthehallway anddiscovers a visitor lookingat a clients medical information on
thecomputer. Which of the following actions shouldthe nurse take first?
Close ithe idocumentation iprogram ion ithe icomputer
28. A nurse is assessing an older adult client who was brought to the emergency department by his
adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the
following actions shouldthe nurse take?
Ask ithe iclient’s ison ito igo ito ithe iw aitingiarea.
29. A nurseis caringfor a client who is unconscious and whose partner is their healthcaresurrogate.
Thepi artner wishes to discontinue the client’s feeding tube, but another family member tells the
nurses they want the client to continue receiving treatment. Which of the following responses
should the nurse make?
As ithe ihealthcare isurrogate ithe iclient’sipartner ican imake ithe idecision
30. A nurse is caring for a client who reports acutepain but refuses IM medication. The nurse
distractsitheclient and quicklyadministers the injection. This illustrates which of the following?
Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary
teamimembers should beconsulted in regardto this client’s care? (select all that apply.)
Nutritional itherapist
iMental ihealth
icounseloriC aseimanager
32. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the
followingstatements bythe newlylicensed nurseindicates understanding of isolation guidelines?
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
,ATI LEADERSHIP PROCTORED EXAMS 2024VERSION 1 2 & 3 A+
GRADED
“Iiwillihaveiaiclientiw hoiision iairborne iprecautions iweariaimask iwhen iout iof iher iroom.”
33. Nurses onaninpatient careunit are workingto helpreduce unit costs. Which of thefollowing
isappropriate to include in the cost-containment plan?
Use iclean iglovesiratherit han isterileigloves ifor icolostomy icare.
34. A nurse is caringfor a client who has cancer. The client’s adult child asks the nursefor
informationabout theclient’s treatment plan. Which of the followingresponses shouldthenurse
make?
Iicannotiprovideit hisiinformation ito iyou iwithout iyour imother’siconsent
35. A nurseinthe emergency department is performing triage for a group of clients who wereina
trainci rash. Which of the following clients should the nursetag as emergent?
A) Aclient who has a deep partialthickness burn on the lower extremities
B) Aclient who has an open fractureof the femur
iC
i i i i i) ii i A iclient iw ho ihas
D) Aclient who has a peri fatal ecchymosis
36. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client
refuses,but the client’s partner wants the surgery performed. Which of the following is the deciding
factor indetermining if the surgery will be done?
Whether ithe iclientiunderstandsitheirisk iofirefusingitheiprocedure
37. A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following
actionsshouldthe nurse take?
Reportitheiinfection ito ithe ilocal ihealth idepartment
38. A nursemanager is receivingreport and is facedwiththe following situations that
requiresintervention. Which of the followingshould the nurse manager address first?
a. A nurse on theprevious shift wrote anincident report about a medication error.
b. Twostaff members have called to say theywill be absent.
c. Transport assistance is unavailabletotake a client to occupational therapy.
d. The iemergency idepartmentinurseiisiw aiting ito igive ireportio n ia inew iadmission.
39. A charge nurse notices that two staff nurses are not taking meal breaks during their regular 8-hr
shifts.Which of the following actions should the nurse take first?
Determine ithe ireasonsithe inursesiare inot itaking ischeduled ibreaks.
40. A nurse is receiving a verbal prescription fromthe provider for a client who is havingincrease
pain.The nurse shouldtranscribe which ofthe following prescription in the client’s medical records?
It isn’t thetwo with the 4oand not the onethat says 10.0 mgIt’slike
“Morphine sulfate 10 mg IV q 4 hr for pain”
41. Anurseworkinginthe emergencydepartment is assessing several clients. Which of the
followingci lients is the highest priority?
A iclientiw ho ireportsishortness iof ibreath iand ileftineck iand ishoulder ipain
42. A nurse is caring for a client who has a prescription for transcutaneous electrical nerve
stimulation(TENS). Which of the following members of the interdisciplinary team should the nurse
contact forassistance?
Physical it herapist
ATI LEADERSHIP PROCTORED EXAM 2023 VERSION 1 2 3
