ATI LEADERSHIP PROCTORED EXAM 2026 –
REVISION GUIDE (LATEST)
QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the
wound care procedure. Which of the following findings indicate wound healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the centre of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients' wound (damaged capillaries)
Rationale: Leadership 7.0 pg 329:
- Stages of Wound Healing
- Inflammatory stage - beginning stage, also usually suggests infection
- Begins with the injury and lasts 3 to 6 days
- Effects to the wound: controlling bleeding with vasoconstriction and retraction of
blood vessels, and with clot formation. Delivering oxygen, WBCs, nutrients to the
area via the blood supply. Hemostasis occurs along with fibrin formation.
Macrophages engulf microorganisms and cellular debris (phagocytosis).
- Proliferative stage
- Lasts the next 3 to 24 days
- Effects to the wound: replacing lost tissue with connective or granulated tissue or
collagen. Contracting the wound’s edges. Resurfacing of new epithelial cells. Healthy
granulation tissue does not bleed easily. Dark granulation tissue can be a sign of
infection, ischemia, or poor perfusion. In the final phase of the proliferative stage of
wound healing, epithelial cells resurface the injury.
- Maturation or remodelling stage
- Occurs after day 21 and involves the strengthening of the collagen scar and
restoration of a more normal appearance. It can take more than 1 year to complete,
depending on the extent of the original wound. When scar tissues are forming.
- Appearance:
- Note the color of open wounds.
- Red: healthy regeneration of tissue.
- Yellow: the presence of purulent drainage and slough
- Black: the presence of eschar that hinders healing and requires removal.
2. A nurse received change of shift report at 0700 for four clients. Which of the following actions should the
nurse perform first?
a. Obtain a breakfast tray for a client who received a morning dose of insulin aspart. -
(fast-acting insulin...usually takes effect after 15 minutes)
b. Administer pain medication to a client who has rheumatoid arthritis and received the last
dose at 0400.
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours
1
,3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should
the nurse assign to the newly licensed nurse?
2
, a. A client who has multiple sclerosis and ataxia - (normal finding for someone that has multiple
sclerosis = most stable - showed up on online practice tests)
b. A client who has a brain tumor and is admitted for chemotherapy ← dead
c. A client who has guillain-barre syndrome and a tracheostomy -unstable
d. A client who sustained a concussion and is being monitored for complication -unstable
4. A nurse is providing teaching to a client about advance directives. Which of the following statements by the
client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co-sign it”
b. “I will wait until I have a serious health problems to sign my advance directives”
c. “My doctor will need to provide approval for the decisions outlines in my living will
d. “My durable power of attorney for health care is part of my advance directives”-durable power
of will and living will are components of advance directives.
Rationale: Leadership 7.0 page 38
5. A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of
the following quality control tasks should the nurse assign to be completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse
care for first?
a. A client who is 4 hr post-operative following a hernia repair and has pitting edema of the right
leg
b. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea
c. A client who has pneumonia and requires a tracheostomy dressing change
d. A client who has a new colostomy and requires discharge teaching
7. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working
on the night shift. Which of the following actions should the nurse manager take first?
a. Acknowledge the conflict and encourage the nurses to focus on working as a team.
b. Gather information regarding the situation
c. Encourage the nurses to resolve the conflict autonomously
d. Meet with a committee from each shift to discuss issues related to the conflict
8. A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an
industrial setting. Which of the following actions should the nurse take first?
a. Don personal protective equipment - protect yourself first
b. Irrigate the exposed area with water
c. Remove the client’s clothing
d. Report the incident to OSHA
9. A newly licensed nurse realizes that she administered metoprolol 25 mg PO to the wrong client. Which of
the following actions should the nurse perform first?
a. Complete an incident report
3
, b. Measure the client’s vital signs
c. Inform the nurse manager
d. Call the provider
10. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report
to the provider immediately?
4
REVISION GUIDE (LATEST)
QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the
wound care procedure. Which of the following findings indicate wound healing.
a. Erythema on the skin surrounding a client's wound
b. Deep red color on the centre of the clients wound
c. Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients' wound (damaged capillaries)
Rationale: Leadership 7.0 pg 329:
- Stages of Wound Healing
- Inflammatory stage - beginning stage, also usually suggests infection
- Begins with the injury and lasts 3 to 6 days
- Effects to the wound: controlling bleeding with vasoconstriction and retraction of
blood vessels, and with clot formation. Delivering oxygen, WBCs, nutrients to the
area via the blood supply. Hemostasis occurs along with fibrin formation.
Macrophages engulf microorganisms and cellular debris (phagocytosis).
- Proliferative stage
- Lasts the next 3 to 24 days
- Effects to the wound: replacing lost tissue with connective or granulated tissue or
collagen. Contracting the wound’s edges. Resurfacing of new epithelial cells. Healthy
granulation tissue does not bleed easily. Dark granulation tissue can be a sign of
infection, ischemia, or poor perfusion. In the final phase of the proliferative stage of
wound healing, epithelial cells resurface the injury.
- Maturation or remodelling stage
- Occurs after day 21 and involves the strengthening of the collagen scar and
restoration of a more normal appearance. It can take more than 1 year to complete,
depending on the extent of the original wound. When scar tissues are forming.
- Appearance:
- Note the color of open wounds.
- Red: healthy regeneration of tissue.
- Yellow: the presence of purulent drainage and slough
- Black: the presence of eschar that hinders healing and requires removal.
2. A nurse received change of shift report at 0700 for four clients. Which of the following actions should the
nurse perform first?
a. Obtain a breakfast tray for a client who received a morning dose of insulin aspart. -
(fast-acting insulin...usually takes effect after 15 minutes)
b. Administer pain medication to a client who has rheumatoid arthritis and received the last
dose at 0400.
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours
1
,3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should
the nurse assign to the newly licensed nurse?
2
, a. A client who has multiple sclerosis and ataxia - (normal finding for someone that has multiple
sclerosis = most stable - showed up on online practice tests)
b. A client who has a brain tumor and is admitted for chemotherapy ← dead
c. A client who has guillain-barre syndrome and a tracheostomy -unstable
d. A client who sustained a concussion and is being monitored for complication -unstable
4. A nurse is providing teaching to a client about advance directives. Which of the following statements by the
client indicates an understanding of the teaching?
a. “Once I sign my living will, a family member must co-sign it”
b. “I will wait until I have a serious health problems to sign my advance directives”
c. “My doctor will need to provide approval for the decisions outlines in my living will
d. “My durable power of attorney for health care is part of my advance directives”-durable power
of will and living will are components of advance directives.
Rationale: Leadership 7.0 page 38
5. A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of
the following quality control tasks should the nurse assign to be completed first?
a. Identify the industry standards for infant safety
b. Evaluate the selected infant safety system
c. Choose an infant safety system
d. Establish measurement criteria for infant safety systems
6. A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse
care for first?
a. A client who is 4 hr post-operative following a hernia repair and has pitting edema of the right
leg
b. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea
c. A client who has pneumonia and requires a tracheostomy dressing change
d. A client who has a new colostomy and requires discharge teaching
7. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working
on the night shift. Which of the following actions should the nurse manager take first?
a. Acknowledge the conflict and encourage the nurses to focus on working as a team.
b. Gather information regarding the situation
c. Encourage the nurses to resolve the conflict autonomously
d. Meet with a committee from each shift to discuss issues related to the conflict
8. A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an
industrial setting. Which of the following actions should the nurse take first?
a. Don personal protective equipment - protect yourself first
b. Irrigate the exposed area with water
c. Remove the client’s clothing
d. Report the incident to OSHA
9. A newly licensed nurse realizes that she administered metoprolol 25 mg PO to the wrong client. Which of
the following actions should the nurse perform first?
a. Complete an incident report
3
, b. Measure the client’s vital signs
c. Inform the nurse manager
d. Call the provider
10. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report
to the provider immediately?
4
