ATI RN LEADERSHIP PROCTORED EXAM, LEADERSHIP ATI RN PROCTORED LATEST
EXAM SETS |630 ACTUAL EXAM QUESTIONS WITH VERIFIED ANSWERS 2025-
2026 |A+ RATED
Question 1
A client is brought to the emergency department following a motor-vehicle crash. Drug use is
suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to
provide the specimen. Which of the following is the appropriate action by the nurse?
A) Obtain a catheterized specimen based on the police request.
B) Document the client’s refusal in the chart.
C) Inform the client that refusal is an admission of guilt.
D) Request that the family persuade the client to provide the sample.
E) Wait until the client is asleep to collect a sample using a bag.
Correct Answer: B) Document the client’s refusal in the chart.
Rationale: The ethical principle of autonomy and the legal right of a competent adult to
refuse treatment apply here. Even if a crime is suspected, a nurse cannot force a medical
procedure or specimen collection without a specific court order or warrant. The nurse's
duty is to inform the client of the reasons for the test and the consequences of refusal, and
then document the refusal in the medical record.
Question 2
A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse (LPN)?
A) Completing an admission assessment for a client with a history of heart failure.
B) Administering a nasogastric (NG) tube feeding.
C) Developing a plan of care for a client with a new diagnosis of diabetes.
D) Providing initial discharge teaching for a client following a total hip arthroplasty.
E) Administering an intravenous push (IVP) medication for pain.
Correct Answer: B) Administer a nasogastric tube feeding.
Rationale: The scope of practice for an LPN includes performing routine tasks for stable
clients, such as administering enteral feedings. Initial assessments, developing the plan of
care, and providing initial education are the responsibilities of the Registered Nurse (RN)
because they require advanced clinical judgment. In many jurisdictions, IVP medications
are also restricted to RN practice.
Question 3
A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile
procedure. Which of the following actions indicates the newly licensed nurse is maintaining
sterile technique?
A) The nurse reaches across the sterile field to pick up a gauze pad.
B) The nurse opens the sterile pack by first unfolding the top flap away from her body.
, 2
C) The nurse places a sterile instrument on the 1-inch border of the sterile drape.
D) The nurse removes the outside packaging of a sterile instrument before dropping it onto the
sterile field.
E) Both B and D.
Correct Answer: E) Both B and D.
Rationale: Surgical asepsis requires specific maneuvers to prevent contamination. Opening
the first flap away from the body prevents the nurse from reaching over the sterile field
later. Removing the non-sterile outer packaging and dropping the sterile item onto the field
(from at least 6 inches) is the correct way to add items. Reaching over the field or placing
items on the 1-inch border contaminates the field.
Question 4
A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because
the IV pump is not working properly. Which of the following actions should the nurse take first?
A) Auscultate the client’s lungs.
B) Stop the IV infusion and notify the provider.
C) Complete an incident report regarding the pump malfunction.
D) Check the client’s most recent electrolyte levels.
E) Label the pump as broken and remove it from the room.
Correct Answer: A) Auscultate the client’s lungs.
Rationale: The nursing process dictates that assessment is the priority action. When a client
receives excessive fluid, they are at risk for fluid volume overload and pulmonary edema.
Auscultating the lungs for crackles allows the nurse to determine the immediate
physiological impact on the client before taking further corrective or reporting actions.
Question 5
A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to
the LPN?
A) Performing the initial admission assessment on a client with pneumonia.
B) Reinforcing teaching with a client who is learning to self-administer insulin.
C) Evaluating the effectiveness of a PRN pain medication given to a client.
D) Assisting a client with a bed bath and oral hygiene.
E) Emptying a urinary drainage bag and recording the output.
Correct Answer: B) Reinforcing teaching with a client who is learning to self-administer
insulin.
Rationale: Initial teaching must be performed by the RN, but the LPN is qualified to
reinforce that teaching. Tasks like bathing and emptying drainage bags are appropriate for
, 3
an AP. Admission assessments and evaluation of medication effectiveness require the
higher-level assessment skills of the RN.
Question 6
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning
a sterile gown and gloves, which of the following actions by the newly licensed nurse
demonstrates correct aseptic technique?
A) The nurse adjusts her surgical mask with her sterile gloved hand.
B) The nurse holds her hands above her waist and below her shoulders.
C) The nurse folds her arms across her chest with hands under her axilla.
D) The nurse reaches down to pick up a sterile item that fell below the waist.
E) The nurse turns her back to the sterile field to grab a towel.
Correct Answer: B) The nurse holds her hands above her waist and below her shoulders.
Rationale: In surgical asepsis, any object held below the waist or above the chest is
considered contaminated. To maintain sterility, the nurse must keep her gloved hands in
her line of vision and above the waist. Touching the mask, putting hands under the arms, or
reaching below the waist all break the sterile field.
Question 7
A nurse who is caring for a group of clients delegates collection of vital signs to an assistive
personnel (AP). Which of the following actions should the nurse take to evaluate the delegated
task?
A) Ask the AP if they had any trouble using the blood pressure cuff.
B) Compare the readings to the client's previous vital signs in the chart.
C) Recheck vital signs that are outside the expected reference range.
D) Trust that the AP would have reported any issues immediately.
E) Document that the task was completed by the AP.
Correct Answer: C) Recheck vital signs that are outside the expected reference range.
Rationale: The RN retains accountability for the client even when a task is delegated. Part
of the "Right Supervision and Evaluation" step in delegation is validating abnormal data.
If the AP reports an abnormal finding, the nurse must personally assess the client to
determine if clinical intervention is required.
Question 8
A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive
personnel (AP)?
A) Assessing the skin of a client who has a new reddened area on the sacrum.
B) Obtaining a stool sample from a client who has renal failure.
C) Providing a status update to the family of a client in surgery.
, 4
D) Teaching a client how to use a peak flow meter.
E) Monitoring a client’s response to a blood transfusion.
Correct Answer: B) Obtaining a stool sample from a client who has renal failure.
Rationale: Obtaining specimens is a non-invasive, routine task that does not require clinical
judgment, making it appropriate for an AP. Assessing skin, teaching, communicating with
families about clinical status, and monitoring for transfusion reactions are the professional
responsibilities of the nurse.
Question 9
A nurse is triaging a group of clients following a disaster. Which of the following clients should
the nurse recommend for treatment first?
A) A client who has a 2-cm laceration on the forehead.
B) A client who has a closed fracture of the right humerus.
C) A client who has two open chest wounds with a left tracheal deviation.
D) A client who has no pulse and is not breathing.
E) A client who is crying hysterically but has no visible injuries.
Correct Answer: C) A client who has two open chest wounds with a left tracheal deviation.
Rationale: In disaster triage, the "Red Tag" (Immediate) category is for life-threatening
injuries that are treatable with immediate intervention. Tracheal deviation and open chest
wounds indicate a tension pneumothorax, which is an airway/breathing emergency. A client
with no pulse is "Black Tagged" (Expectant), and minor fractures or lacerations are
"Green" or "Yellow."
Question 10
A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of
the following statements by a staff nurse indicates that the teaching was effective?
A) "I should explain the surgical procedure to the client before they sign."
B) "The provider is responsible for ensuring the client understands the risks."
C) "Consent can be given by a durable power of attorney if the client is incapacitated."
D) "Once the form is signed, the client cannot change their mind."
E) Both B and C.
Correct Answer: E) Both B and C.
Rationale: The provider performing the procedure is legally responsible for explaining the
risks, benefits, and alternatives (Informed Consent). The nurse’s role is to witness the
signature and ensure the client is competent. If the client is incapacitated, a legal surrogate
(Durable Power of Attorney for Healthcare) can provide consent.
Question 11
A nurse is caring for four clients. For which of the following clients should the nurse collaborate
EXAM SETS |630 ACTUAL EXAM QUESTIONS WITH VERIFIED ANSWERS 2025-
2026 |A+ RATED
Question 1
A client is brought to the emergency department following a motor-vehicle crash. Drug use is
suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to
provide the specimen. Which of the following is the appropriate action by the nurse?
A) Obtain a catheterized specimen based on the police request.
B) Document the client’s refusal in the chart.
C) Inform the client that refusal is an admission of guilt.
D) Request that the family persuade the client to provide the sample.
E) Wait until the client is asleep to collect a sample using a bag.
Correct Answer: B) Document the client’s refusal in the chart.
Rationale: The ethical principle of autonomy and the legal right of a competent adult to
refuse treatment apply here. Even if a crime is suspected, a nurse cannot force a medical
procedure or specimen collection without a specific court order or warrant. The nurse's
duty is to inform the client of the reasons for the test and the consequences of refusal, and
then document the refusal in the medical record.
Question 2
A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse (LPN)?
A) Completing an admission assessment for a client with a history of heart failure.
B) Administering a nasogastric (NG) tube feeding.
C) Developing a plan of care for a client with a new diagnosis of diabetes.
D) Providing initial discharge teaching for a client following a total hip arthroplasty.
E) Administering an intravenous push (IVP) medication for pain.
Correct Answer: B) Administer a nasogastric tube feeding.
Rationale: The scope of practice for an LPN includes performing routine tasks for stable
clients, such as administering enteral feedings. Initial assessments, developing the plan of
care, and providing initial education are the responsibilities of the Registered Nurse (RN)
because they require advanced clinical judgment. In many jurisdictions, IVP medications
are also restricted to RN practice.
Question 3
A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile
procedure. Which of the following actions indicates the newly licensed nurse is maintaining
sterile technique?
A) The nurse reaches across the sterile field to pick up a gauze pad.
B) The nurse opens the sterile pack by first unfolding the top flap away from her body.
, 2
C) The nurse places a sterile instrument on the 1-inch border of the sterile drape.
D) The nurse removes the outside packaging of a sterile instrument before dropping it onto the
sterile field.
E) Both B and D.
Correct Answer: E) Both B and D.
Rationale: Surgical asepsis requires specific maneuvers to prevent contamination. Opening
the first flap away from the body prevents the nurse from reaching over the sterile field
later. Removing the non-sterile outer packaging and dropping the sterile item onto the field
(from at least 6 inches) is the correct way to add items. Reaching over the field or placing
items on the 1-inch border contaminates the field.
Question 4
A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because
the IV pump is not working properly. Which of the following actions should the nurse take first?
A) Auscultate the client’s lungs.
B) Stop the IV infusion and notify the provider.
C) Complete an incident report regarding the pump malfunction.
D) Check the client’s most recent electrolyte levels.
E) Label the pump as broken and remove it from the room.
Correct Answer: A) Auscultate the client’s lungs.
Rationale: The nursing process dictates that assessment is the priority action. When a client
receives excessive fluid, they are at risk for fluid volume overload and pulmonary edema.
Auscultating the lungs for crackles allows the nurse to determine the immediate
physiological impact on the client before taking further corrective or reporting actions.
Question 5
A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to
the LPN?
A) Performing the initial admission assessment on a client with pneumonia.
B) Reinforcing teaching with a client who is learning to self-administer insulin.
C) Evaluating the effectiveness of a PRN pain medication given to a client.
D) Assisting a client with a bed bath and oral hygiene.
E) Emptying a urinary drainage bag and recording the output.
Correct Answer: B) Reinforcing teaching with a client who is learning to self-administer
insulin.
Rationale: Initial teaching must be performed by the RN, but the LPN is qualified to
reinforce that teaching. Tasks like bathing and emptying drainage bags are appropriate for
, 3
an AP. Admission assessments and evaluation of medication effectiveness require the
higher-level assessment skills of the RN.
Question 6
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning
a sterile gown and gloves, which of the following actions by the newly licensed nurse
demonstrates correct aseptic technique?
A) The nurse adjusts her surgical mask with her sterile gloved hand.
B) The nurse holds her hands above her waist and below her shoulders.
C) The nurse folds her arms across her chest with hands under her axilla.
D) The nurse reaches down to pick up a sterile item that fell below the waist.
E) The nurse turns her back to the sterile field to grab a towel.
Correct Answer: B) The nurse holds her hands above her waist and below her shoulders.
Rationale: In surgical asepsis, any object held below the waist or above the chest is
considered contaminated. To maintain sterility, the nurse must keep her gloved hands in
her line of vision and above the waist. Touching the mask, putting hands under the arms, or
reaching below the waist all break the sterile field.
Question 7
A nurse who is caring for a group of clients delegates collection of vital signs to an assistive
personnel (AP). Which of the following actions should the nurse take to evaluate the delegated
task?
A) Ask the AP if they had any trouble using the blood pressure cuff.
B) Compare the readings to the client's previous vital signs in the chart.
C) Recheck vital signs that are outside the expected reference range.
D) Trust that the AP would have reported any issues immediately.
E) Document that the task was completed by the AP.
Correct Answer: C) Recheck vital signs that are outside the expected reference range.
Rationale: The RN retains accountability for the client even when a task is delegated. Part
of the "Right Supervision and Evaluation" step in delegation is validating abnormal data.
If the AP reports an abnormal finding, the nurse must personally assess the client to
determine if clinical intervention is required.
Question 8
A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive
personnel (AP)?
A) Assessing the skin of a client who has a new reddened area on the sacrum.
B) Obtaining a stool sample from a client who has renal failure.
C) Providing a status update to the family of a client in surgery.
, 4
D) Teaching a client how to use a peak flow meter.
E) Monitoring a client’s response to a blood transfusion.
Correct Answer: B) Obtaining a stool sample from a client who has renal failure.
Rationale: Obtaining specimens is a non-invasive, routine task that does not require clinical
judgment, making it appropriate for an AP. Assessing skin, teaching, communicating with
families about clinical status, and monitoring for transfusion reactions are the professional
responsibilities of the nurse.
Question 9
A nurse is triaging a group of clients following a disaster. Which of the following clients should
the nurse recommend for treatment first?
A) A client who has a 2-cm laceration on the forehead.
B) A client who has a closed fracture of the right humerus.
C) A client who has two open chest wounds with a left tracheal deviation.
D) A client who has no pulse and is not breathing.
E) A client who is crying hysterically but has no visible injuries.
Correct Answer: C) A client who has two open chest wounds with a left tracheal deviation.
Rationale: In disaster triage, the "Red Tag" (Immediate) category is for life-threatening
injuries that are treatable with immediate intervention. Tracheal deviation and open chest
wounds indicate a tension pneumothorax, which is an airway/breathing emergency. A client
with no pulse is "Black Tagged" (Expectant), and minor fractures or lacerations are
"Green" or "Yellow."
Question 10
A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of
the following statements by a staff nurse indicates that the teaching was effective?
A) "I should explain the surgical procedure to the client before they sign."
B) "The provider is responsible for ensuring the client understands the risks."
C) "Consent can be given by a durable power of attorney if the client is incapacitated."
D) "Once the form is signed, the client cannot change their mind."
E) Both B and C.
Correct Answer: E) Both B and C.
Rationale: The provider performing the procedure is legally responsible for explaining the
risks, benefits, and alternatives (Informed Consent). The nurse’s role is to witness the
signature and ensure the client is competent. If the client is incapacitated, a legal surrogate
(Durable Power of Attorney for Healthcare) can provide consent.
Question 11
A nurse is caring for four clients. For which of the following clients should the nurse collaborate
