ATI RN LEADERSHIP
PROCTORED EXAM
(STUDY GUIDE-
2025/2026)
Exam Elaborations
Questions and Answers
ultimatestudyguide2021@gmail.c
, ATI RN Leadership
Proctored Exam Set (2025/2026)
1. A nurse is working with an assistive personnel (AP) who appears under the influence of alcohol during the
night shift. Which action should the nurse take first?
A. Confront the AP and remove them from client care
B. Ask the nursing supervisor to observe the AP and validate your observations ✅
C. Document the AP’s behavior in a factual and objective manner
D. Report the AP to human resources for policy violation
Rationale: The nurse should follow the chain of command and ensure client safety by having a supervisor
assess the AP. Direct confrontation or HR reporting without validation may be premature. Documentation
should follow evaluation.
2. A 28-year-old client at 12 weeks gestation presents for a routine prenatal visit. The nurse reviews her lab
results: Hgb 12 g/dL, WBC 15,000/mm³, fasting blood glucose 80 mg/dL, and serum creatinine 0.4 mg/dL. The
client reports mild fatigue but is otherwise stable. Which lab finding should the nurse report to the provider
immediately?
A. Hgb 12 g/dL
B. WBC 15,000/mm³
C. Fasting blood glucose 80 mg/dL
D. Serum creatinine 0.4 mg/dL ✅
Rationale: A serum creatinine of 0.4 mg/dL may indicate impaired renal perfusion or dehydration, which can
be concerning in pregnancy due to increased maternal blood volume and kidney workload. Early reporting
ensures timely evaluation to prevent complications such as preeclampsia or fetal compromise. Other labs are
within expected ranges for this gestational age.
3. An 80-year-old client is preparing for discharge home after a minor fall. The nurse provides teaching on
home safety. The client’s adult child asks about reducing fall risks in the bathroom and on the stairs. Which
instruction should the nurse include?
A. Set the water heater temperature to 125°F
B. Grasp the cord when unplugging appliances
C. Use a gas stove for cooking
D. Install a handrail on at least one side of the stairs ✅
Rationale: Installing a handrail reduces fall risk, particularly on stairs, a common site for injuries in older
adults. Water heaters should be set below 120°F to prevent burns, cords should never be grasped while
unplugging, and gas stoves require caution due to fire risk. This guidance promotes safe self-care and
independence.
PROCTORED EXAM
(STUDY GUIDE-
2025/2026)
Exam Elaborations
Questions and Answers
ultimatestudyguide2021@gmail.c
, ATI RN Leadership
Proctored Exam Set (2025/2026)
1. A nurse is working with an assistive personnel (AP) who appears under the influence of alcohol during the
night shift. Which action should the nurse take first?
A. Confront the AP and remove them from client care
B. Ask the nursing supervisor to observe the AP and validate your observations ✅
C. Document the AP’s behavior in a factual and objective manner
D. Report the AP to human resources for policy violation
Rationale: The nurse should follow the chain of command and ensure client safety by having a supervisor
assess the AP. Direct confrontation or HR reporting without validation may be premature. Documentation
should follow evaluation.
2. A 28-year-old client at 12 weeks gestation presents for a routine prenatal visit. The nurse reviews her lab
results: Hgb 12 g/dL, WBC 15,000/mm³, fasting blood glucose 80 mg/dL, and serum creatinine 0.4 mg/dL. The
client reports mild fatigue but is otherwise stable. Which lab finding should the nurse report to the provider
immediately?
A. Hgb 12 g/dL
B. WBC 15,000/mm³
C. Fasting blood glucose 80 mg/dL
D. Serum creatinine 0.4 mg/dL ✅
Rationale: A serum creatinine of 0.4 mg/dL may indicate impaired renal perfusion or dehydration, which can
be concerning in pregnancy due to increased maternal blood volume and kidney workload. Early reporting
ensures timely evaluation to prevent complications such as preeclampsia or fetal compromise. Other labs are
within expected ranges for this gestational age.
3. An 80-year-old client is preparing for discharge home after a minor fall. The nurse provides teaching on
home safety. The client’s adult child asks about reducing fall risks in the bathroom and on the stairs. Which
instruction should the nurse include?
A. Set the water heater temperature to 125°F
B. Grasp the cord when unplugging appliances
C. Use a gas stove for cooking
D. Install a handrail on at least one side of the stairs ✅
Rationale: Installing a handrail reduces fall risk, particularly on stairs, a common site for injuries in older
adults. Water heaters should be set below 120°F to prevent burns, cords should never be grasped while
unplugging, and gas stoves require caution due to fire risk. This guidance promotes safe self-care and
independence.
