A
TI RN LEADERSHIP PROCTORED
EXAM RETAKE
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
/ / / /
70/Leadership/nursing/questions/
multiple-choice/format/(A,/B,/C,/D)/with/correct/answers
structured/rationales./
incorporate/Next/Generation/NCLEX/(NGN)-style./
Some/questions/feature/brief/“scenario”/elements/and/rationale
s/
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/1/(NGN/–/Postoperative/Hemorrhage/Indicators)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
Scenario:/A/client,/6/hours/postoperative/from/abdominal/surgery/(Day/1,/1715),/was/restin
g/comfortably/with/a/pain/level/of/4/(0–
10/scale)/and/moderate/serosanguineous/drainage./Later/(Day/1,/2030),/the/client/becom
es/restless,/short/of/breath,/and/reports/severe/abdominal/pain/(8/10)/with/an/abdominal/dr
essing/saturated/in/bright/red/blood./Vital/signs/reflect/potential/instability.
Question:/Which/combination/of/new/findings/most/likely/indicates/hemorrhage/requiring/i
mmediate/provider/notification?
A./Slight/pain/increase,/stable/heart/rate,/unchanged/respiratory/rate,/elevated/temperatur
e,/normal/O2/saturation,/pink-tinged/drainage.//
B./Decreased/blood/pressure,/increased/respiratory/rate,/pain/8/10,/large/amount/of/bright/
red/drainage,/decreased/oxygen/saturation,/increased/heart/rate.//
C./Moderate/serosanguineous/drainage,/heat/at/incision/site,/stable/respiratory/rate,/stabl
e/blood/pressure,/pain/5/10,/normal/O2/saturation.//
D./Unchanged/blood/pressure,/no/new/drainage,/decreased/pain,/shortness/of/breath/reso
lved,/normal/heart/rate,/mild/nausea.
Correct/Answer:/B//
,Rationale:/Sudden/changes/of/tachycardia,/tachypnea,/hypotension,/severe/pain/(8/10),/l
arge/amounts/of/bright/red/blood,/and/decreased/O2/saturation/collectively/indicate/the/po
ssibility/of/hemorrhage./Immediate/provider/notification/and/intervention/are/crucial.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/2/(NGN/–/Infection/Control:/Contact/Precautions)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
Scenario:/A/client/is/hospitalized/with/active/herpes/simplex/lesions./The/charge/nurse/is/re
viewing/appropriate/precautions/to/include/in/the/plan/of/care.
Question:/Which/intervention/is/appropriate/for/this/client?
A./Admit/the/client/to/a/private/room/with/negative-pressure/airflow.//
B./Wear/a/gown/and/gloves/when/providing/direct/care.//
C./Have/the/client/wear/a/surgical/mask/at/all/times/during/transport.//
D./Wear/a/face/mask/and/eye/protection/while/in/the/client’s/room.
Correct/Answer:/B//
Rationale:/Herpes/simplex/infections/require/contact/precautions./Gown/and/gloves/are/m
andatory/to/prevent/spread./Negative-
pressure/airflow/is/used/for/airborne/infections/(e.g.,/tuberculosis)./Masks/are/not/required/
for/transport/unless/there/is/risk/of/droplet/or/airborne/spread.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/3/(NGN/–/Confidentiality/and/Client/Rights)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
, Scenario:/A/client’s/partner/asks/the/nurse/for/laboratory/test/results/after/a/medical/proced
ure./The/client/has/not/given/any/formal/authorization/to/share/private/information.
Question:/Which/action/by/the/nurse/best/maintains/client/confidentiality?
A./Provide/the/partner/with/the/results/since/they/accompanied/the/client/to/the/hospital.//
B./Ask/the/assistive/personnel/(AP)/to/refer/to/clients/by/room/number/in/public/areas.//
C./Explain/to/the/nursing/student/that/verbal/permission/must/be/obtained/before/using/a/cli
ent’s/name/in/assignments.//
D./Inform/the/partner/that/the/client’s/laboratory/test/results/cannot/be/disclosed/without/the
/client’s/permission.
Correct/Answer:/D//
Rationale:/Client/confidentiality/mandates/no/private/health/information/be/shared/without
/the/client’s/consent./Telling/the/partner/results/without/permission/violates/HIPAA/guidelin
es.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/4/(NGN/–/Conflict/Resolution:/Smoothing/Approach)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
Scenario:/A/nurse/manager/assigns/client/care/to/a/staff/nurse/who/expresses/strong/disag
reement./The/manager/uses/a/specific/strategy/to/defuse/tension.
Question:/Which/statement/by/the/nurse/manager/exemplifies/the/smoothing/conflict/resol
ution/strategy?
A./“Would/you/accept/this/assignment/if/we/reassign/the/total-care/client/elsewhere?”//
B./“Tell/me/what/changes/we/can/make/so/you’ll/feel/more/comfortable.”//
TI RN LEADERSHIP PROCTORED
EXAM RETAKE
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
/ / / /
70/Leadership/nursing/questions/
multiple-choice/format/(A,/B,/C,/D)/with/correct/answers
structured/rationales./
incorporate/Next/Generation/NCLEX/(NGN)-style./
Some/questions/feature/brief/“scenario”/elements/and/rationale
s/
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/1/(NGN/–/Postoperative/Hemorrhage/Indicators)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
Scenario:/A/client,/6/hours/postoperative/from/abdominal/surgery/(Day/1,/1715),/was/restin
g/comfortably/with/a/pain/level/of/4/(0–
10/scale)/and/moderate/serosanguineous/drainage./Later/(Day/1,/2030),/the/client/becom
es/restless,/short/of/breath,/and/reports/severe/abdominal/pain/(8/10)/with/an/abdominal/dr
essing/saturated/in/bright/red/blood./Vital/signs/reflect/potential/instability.
Question:/Which/combination/of/new/findings/most/likely/indicates/hemorrhage/requiring/i
mmediate/provider/notification?
A./Slight/pain/increase,/stable/heart/rate,/unchanged/respiratory/rate,/elevated/temperatur
e,/normal/O2/saturation,/pink-tinged/drainage.//
B./Decreased/blood/pressure,/increased/respiratory/rate,/pain/8/10,/large/amount/of/bright/
red/drainage,/decreased/oxygen/saturation,/increased/heart/rate.//
C./Moderate/serosanguineous/drainage,/heat/at/incision/site,/stable/respiratory/rate,/stabl
e/blood/pressure,/pain/5/10,/normal/O2/saturation.//
D./Unchanged/blood/pressure,/no/new/drainage,/decreased/pain,/shortness/of/breath/reso
lved,/normal/heart/rate,/mild/nausea.
Correct/Answer:/B//
,Rationale:/Sudden/changes/of/tachycardia,/tachypnea,/hypotension,/severe/pain/(8/10),/l
arge/amounts/of/bright/red/blood,/and/decreased/O2/saturation/collectively/indicate/the/po
ssibility/of/hemorrhage./Immediate/provider/notification/and/intervention/are/crucial.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/2/(NGN/–/Infection/Control:/Contact/Precautions)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
Scenario:/A/client/is/hospitalized/with/active/herpes/simplex/lesions./The/charge/nurse/is/re
viewing/appropriate/precautions/to/include/in/the/plan/of/care.
Question:/Which/intervention/is/appropriate/for/this/client?
A./Admit/the/client/to/a/private/room/with/negative-pressure/airflow.//
B./Wear/a/gown/and/gloves/when/providing/direct/care.//
C./Have/the/client/wear/a/surgical/mask/at/all/times/during/transport.//
D./Wear/a/face/mask/and/eye/protection/while/in/the/client’s/room.
Correct/Answer:/B//
Rationale:/Herpes/simplex/infections/require/contact/precautions./Gown/and/gloves/are/m
andatory/to/prevent/spread./Negative-
pressure/airflow/is/used/for/airborne/infections/(e.g.,/tuberculosis)./Masks/are/not/required/
for/transport/unless/there/is/risk/of/droplet/or/airborne/spread.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/3/(NGN/–/Confidentiality/and/Client/Rights)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
, Scenario:/A/client’s/partner/asks/the/nurse/for/laboratory/test/results/after/a/medical/proced
ure./The/client/has/not/given/any/formal/authorization/to/share/private/information.
Question:/Which/action/by/the/nurse/best/maintains/client/confidentiality?
A./Provide/the/partner/with/the/results/since/they/accompanied/the/client/to/the/hospital.//
B./Ask/the/assistive/personnel/(AP)/to/refer/to/clients/by/room/number/in/public/areas.//
C./Explain/to/the/nursing/student/that/verbal/permission/must/be/obtained/before/using/a/cli
ent’s/name/in/assignments.//
D./Inform/the/partner/that/the/client’s/laboratory/test/results/cannot/be/disclosed/without/the
/client’s/permission.
Correct/Answer:/D//
Rationale:/Client/confidentiality/mandates/no/private/health/information/be/shared/without
/the/client’s/consent./Telling/the/partner/results/without/permission/violates/HIPAA/guidelin
es.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
QUESTION/4/(NGN/–/Conflict/Resolution:/Smoothing/Approach)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━
Scenario:/A/nurse/manager/assigns/client/care/to/a/staff/nurse/who/expresses/strong/disag
reement./The/manager/uses/a/specific/strategy/to/defuse/tension.
Question:/Which/statement/by/the/nurse/manager/exemplifies/the/smoothing/conflict/resol
ution/strategy?
A./“Would/you/accept/this/assignment/if/we/reassign/the/total-care/client/elsewhere?”//
B./“Tell/me/what/changes/we/can/make/so/you’ll/feel/more/comfortable.”//
