1|Page
ATI Leadership RN Version 4 Proctored NGN 2025 – Real
Exam Questions, Updated Study Guide, and Next
Generation NCLEX Leadership Review
Get ready for the ATI Leadership RN Version 4 Proctored NGN Exam 2025 with this updated nursing
study guide. Includes real ATI-style leadership practice questions, NGN case studies, management
concepts, and expert tips to help you master decision-making and pass confidently.
• ATI Leadership RN Version 4 Proctored NGN 2025
• ATI Leadership NGN Version 4 practice test
• ATI Leadership RN proctored exam answers 2025
•
1. A nurse is reviewing the electronic medical record on clients following the implementation of a
quality improvement plan to reduce health care associated infections on a medical surgical unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Exhibit 2:
Client 2 Diagnosis: Pneumonia
Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE. - ANSWER-Clients 2, 3, 5
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24. A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following
actions by the newlylicensed nurse should the nurse identify as an indication of effective time
management?
o Skips lunch to catch up on client documentation.
o Reviews a client's medical record before performing a prescribed dressing change.
o Obtains client intake and output instead of delegating the task to assistive personnel.
o Documents medications administered throughout the shift at the end of the day. - ANSWER-Reviews a
client's medical record before performing a prescribed dressing change.
25. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following
statements by the newly licensed nurse indicates an understanding of the teaching?
o I should tie the restraints using a square knot.
o I need to tie the restraint to the part of the bed frame that moves.
o I will remove a client's restraints every 4 hours.
o A provider can write a prescription for restraints "as needed." - ANSWER-I will remove a client's
restraints every 4 hours.
26. A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the
following actions by the newly licensed nurse demonstrates an understanding of safe handling
techniques?
• Sterile supplies are opened prior to removing the old dressing.
• Gauze is used to clean the wound from the outside to the center.
• The soiled dressing is placed on a nearby table.
• Clean gloves are discarded after removing the old dressing. - ANSWER-Clean gloves are discarded after
removing the old dressing.
27. A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following
information should the nurse include?
o Verify the spelling of the medication with the provider.
o Request that the provider call prescriptions in to the pharmacy.
o Transcribe prescriptions received via a voicemail recording.
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o Use standard abbreviations when obtaining a telephone prescription. - ANSWER-Verify the spelling of
the medication with the provider.
28. A nurse is caring for a client who requests a copy of their medical records immediately. Which of the
following responses should the nurse make?
o I will make a copy of your medical records right away.
o What are you planning on doing with your medical record?
o The facility is unable to release your records.
o You must submit a written request before you can receive a copy. - ANSWER-You must submit a written
request before you can receive a copy.
29. A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge
nurse should identify that which of the following actions by the staff nurse indicates an understanding of
the procedure?
o Includes the client's account of the fall in the incident report.
o Lists names of witnesses to the fall in the nurses' notes.
o Documents in the client's record that an incident report was filed.
o Sends the incident report to the ethics committee. - ANSWER-Includes the client's account of the fall in
the incident report.
30. A nurse administrator is using benchmarking as control criteria while reviewing current policies and
procedures. Which of the following actions should the nurse take?
o Compare practices within the facility against other high-performing facilities.
o Determine how current practice will affect future performance within the facility.
o Establish work initiatives to promote a positive environment.
o Use root cause analysis to identify gaps in meeting standards. - ANSWER-Compare practices within the
facility against other high-performing facilities.
31. A nurse is attending an interprofessional team conference for a client who experienced a stroke. For
which of the following findings should the team request a prescription for a referral to the occupational
therapist?
o The client has extreme difficulty swallowing.
ATI Leadership RN Version 4 Proctored NGN 2025 – Real
Exam Questions, Updated Study Guide, and Next
Generation NCLEX Leadership Review
Get ready for the ATI Leadership RN Version 4 Proctored NGN Exam 2025 with this updated nursing
study guide. Includes real ATI-style leadership practice questions, NGN case studies, management
concepts, and expert tips to help you master decision-making and pass confidently.
• ATI Leadership RN Version 4 Proctored NGN 2025
• ATI Leadership NGN Version 4 practice test
• ATI Leadership RN proctored exam answers 2025
•
1. A nurse is reviewing the electronic medical record on clients following the implementation of a
quality improvement plan to reduce health care associated infections on a medical surgical unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Exhibit 2:
Client 2 Diagnosis: Pneumonia
Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE. - ANSWER-Clients 2, 3, 5
,2|Page
24. A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following
actions by the newlylicensed nurse should the nurse identify as an indication of effective time
management?
o Skips lunch to catch up on client documentation.
o Reviews a client's medical record before performing a prescribed dressing change.
o Obtains client intake and output instead of delegating the task to assistive personnel.
o Documents medications administered throughout the shift at the end of the day. - ANSWER-Reviews a
client's medical record before performing a prescribed dressing change.
25. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following
statements by the newly licensed nurse indicates an understanding of the teaching?
o I should tie the restraints using a square knot.
o I need to tie the restraint to the part of the bed frame that moves.
o I will remove a client's restraints every 4 hours.
o A provider can write a prescription for restraints "as needed." - ANSWER-I will remove a client's
restraints every 4 hours.
26. A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the
following actions by the newly licensed nurse demonstrates an understanding of safe handling
techniques?
• Sterile supplies are opened prior to removing the old dressing.
• Gauze is used to clean the wound from the outside to the center.
• The soiled dressing is placed on a nearby table.
• Clean gloves are discarded after removing the old dressing. - ANSWER-Clean gloves are discarded after
removing the old dressing.
27. A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following
information should the nurse include?
o Verify the spelling of the medication with the provider.
o Request that the provider call prescriptions in to the pharmacy.
o Transcribe prescriptions received via a voicemail recording.
, 3|Page
o Use standard abbreviations when obtaining a telephone prescription. - ANSWER-Verify the spelling of
the medication with the provider.
28. A nurse is caring for a client who requests a copy of their medical records immediately. Which of the
following responses should the nurse make?
o I will make a copy of your medical records right away.
o What are you planning on doing with your medical record?
o The facility is unable to release your records.
o You must submit a written request before you can receive a copy. - ANSWER-You must submit a written
request before you can receive a copy.
29. A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge
nurse should identify that which of the following actions by the staff nurse indicates an understanding of
the procedure?
o Includes the client's account of the fall in the incident report.
o Lists names of witnesses to the fall in the nurses' notes.
o Documents in the client's record that an incident report was filed.
o Sends the incident report to the ethics committee. - ANSWER-Includes the client's account of the fall in
the incident report.
30. A nurse administrator is using benchmarking as control criteria while reviewing current policies and
procedures. Which of the following actions should the nurse take?
o Compare practices within the facility against other high-performing facilities.
o Determine how current practice will affect future performance within the facility.
o Establish work initiatives to promote a positive environment.
o Use root cause analysis to identify gaps in meeting standards. - ANSWER-Compare practices within the
facility against other high-performing facilities.
31. A nurse is attending an interprofessional team conference for a client who experienced a stroke. For
which of the following findings should the team request a prescription for a referral to the occupational
therapist?
o The client has extreme difficulty swallowing.
