ATI 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 rationales
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QUESTION 1 (NGN – Pain Management Ethics)
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Scenario: A client in the emergency department reports severe back pain, rated 8/10. The provider
prescribes oxycodone. A staff nurse expresses doubt, believing the client may be seeking opioids rather
than truly experiencing pain.
Question: Which charge nurse response best reflects appropriate pain management principles?
A. “It sounds like nonpharmacological measures would be best for this client.”
B. “Let’s withhold the oxycodone until we consult the provider again.”
C. “Contact mental health services to set up a consultation.”
D. “Clients are the experts on their own pain.”
Correct Answer: D
Rationale: The nurse should address pain based on the client’s report, which remains the most reliable
indicator. Assuming drug-seeking behavior without evidence undermines ethical and client-centered care.
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QUESTION 2 (NGN – Conflict Recognition: Intrapersonal)
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Scenario: A staff nurse discusses personal dilemmas with the charge nurse, feeling torn between a
professional leadership opportunity and personal life goals.
Question: Which statement by the staff nurse best exemplifies an intrapersonal conflict?
A. “I feel frustrated because I just readmitted a client who refuses to take their insulin.”
B. “The unit manager seems more concerned about costs than quality of care.”
C. “Every time I request an extra day off, it’s denied, but other nurses seem to get approved.”
D. “I’m not sure if I should apply for the unit manager’s position or start a family this year.”
Correct Answer: D
Rationale: An intrapersonal conflict involves internal struggles with competing desires. Debating between
career advancement and personal family goals reflects an internal values conflict.
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QUESTION 3(NGN – Case Management & Discharge Planning)
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Scenario: A client with a postoperative infection requires daily home IV antibiotics via a PICC line. The case
manager is coordinating discharge services.
Question: What is the case manager’s priority action prior to the client leaving the hospital?
A. Assess the home environment for possible infection reservoirs.
B. Verify the PICC line’s patency.
C. Teach the client about dressing changes and wound care.
D. Ensure home infusion therapy services have been arranged.
Correct Answer: D
Rationale: The case manager must confirm that all necessary resources—especially home infusion
therapy—are in place to ensure continuity of care and to prevent treatment delays.
, ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 4 (NGN – Dementia & Patient Safety)
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Scenario: A client with moderate dementia is admitted to a medical-surgical unit for surgery. They are easily
confused and frequently wander. Vitals are stable.
Question: Which action best promotes this client’s safety?
A. Obtain a prescription for limb restraints.
B. Leave the TV on continuously for background noise.
C. Keep all four side rails raised on the bed.
D. Place the client in a room near the nurses’ station.
Correct Answer: D
Rationale: Placing the client close to the nurses’ station improves observation and quick intervention if
confusion or wandering occurs. Restraints or continuous side rails raise the risk of injury or entrapment.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 5 (NGN – Prioritization: Urinary Retention Risk)
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Scenario: An RN receives handoff from an assistive personnel (AP) who reports various client details. One
client had an indwelling urinary catheter removed 8 hours ago and now says they cannot void.
Question: Which client should the nurse assess first based on the AP’s report?
A. A postoperative client 3 days after abdominal surgery who reports constipation.
B. A client with a hip replacement reporting pain 4/10.
C. A client 8 hours post-catheter removal reporting inability to void.
D. A client scheduled for discharge who is ready to sign paperwork.
Correct Answer: C
Rationale: Inability to void 6–8 hours after catheter removal indicates possible urinary retention, putting the
client at risk for bladder overdistention or infection. This requires immediate assessment.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 6 (NGN – Informed Consent Boundaries)
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Scenario: A hospitalized client with expressive aphasia has an indwelling urinary catheter placed for urinary
retention. The client’s family claims the nurse performed the procedure without written consent.
Question: Which response by the nurse correctly explains informed consent requirements?
A. “Any procedure ordered by the provider automatically covers consent.”
B. “This procedure did not require a written informed consent.”
C. “You’re right, let’s contact the charge nurse to discuss your concern.”
D. “Please sign the informed consent form now to cover the procedure.”
Correct Answer: B
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 rationales
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 1 (NGN – Pain Management Ethics)
,━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Scenario: A client in the emergency department reports severe back pain, rated 8/10. The provider
prescribes oxycodone. A staff nurse expresses doubt, believing the client may be seeking opioids rather
than truly experiencing pain.
Question: Which charge nurse response best reflects appropriate pain management principles?
A. “It sounds like nonpharmacological measures would be best for this client.”
B. “Let’s withhold the oxycodone until we consult the provider again.”
C. “Contact mental health services to set up a consultation.”
D. “Clients are the experts on their own pain.”
Correct Answer: D
Rationale: The nurse should address pain based on the client’s report, which remains the most reliable
indicator. Assuming drug-seeking behavior without evidence undermines ethical and client-centered care.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 2 (NGN – Conflict Recognition: Intrapersonal)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Scenario: A staff nurse discusses personal dilemmas with the charge nurse, feeling torn between a
professional leadership opportunity and personal life goals.
Question: Which statement by the staff nurse best exemplifies an intrapersonal conflict?
A. “I feel frustrated because I just readmitted a client who refuses to take their insulin.”
B. “The unit manager seems more concerned about costs than quality of care.”
C. “Every time I request an extra day off, it’s denied, but other nurses seem to get approved.”
D. “I’m not sure if I should apply for the unit manager’s position or start a family this year.”
Correct Answer: D
Rationale: An intrapersonal conflict involves internal struggles with competing desires. Debating between
career advancement and personal family goals reflects an internal values conflict.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 3(NGN – Case Management & Discharge Planning)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Scenario: A client with a postoperative infection requires daily home IV antibiotics via a PICC line. The case
manager is coordinating discharge services.
Question: What is the case manager’s priority action prior to the client leaving the hospital?
A. Assess the home environment for possible infection reservoirs.
B. Verify the PICC line’s patency.
C. Teach the client about dressing changes and wound care.
D. Ensure home infusion therapy services have been arranged.
Correct Answer: D
Rationale: The case manager must confirm that all necessary resources—especially home infusion
therapy—are in place to ensure continuity of care and to prevent treatment delays.
, ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 4 (NGN – Dementia & Patient Safety)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Scenario: A client with moderate dementia is admitted to a medical-surgical unit for surgery. They are easily
confused and frequently wander. Vitals are stable.
Question: Which action best promotes this client’s safety?
A. Obtain a prescription for limb restraints.
B. Leave the TV on continuously for background noise.
C. Keep all four side rails raised on the bed.
D. Place the client in a room near the nurses’ station.
Correct Answer: D
Rationale: Placing the client close to the nurses’ station improves observation and quick intervention if
confusion or wandering occurs. Restraints or continuous side rails raise the risk of injury or entrapment.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 5 (NGN – Prioritization: Urinary Retention Risk)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Scenario: An RN receives handoff from an assistive personnel (AP) who reports various client details. One
client had an indwelling urinary catheter removed 8 hours ago and now says they cannot void.
Question: Which client should the nurse assess first based on the AP’s report?
A. A postoperative client 3 days after abdominal surgery who reports constipation.
B. A client with a hip replacement reporting pain 4/10.
C. A client 8 hours post-catheter removal reporting inability to void.
D. A client scheduled for discharge who is ready to sign paperwork.
Correct Answer: C
Rationale: Inability to void 6–8 hours after catheter removal indicates possible urinary retention, putting the
client at risk for bladder overdistention or infection. This requires immediate assessment.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
QUESTION 6 (NGN – Informed Consent Boundaries)
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Scenario: A hospitalized client with expressive aphasia has an indwelling urinary catheter placed for urinary
retention. The client’s family claims the nurse performed the procedure without written consent.
Question: Which response by the nurse correctly explains informed consent requirements?
A. “Any procedure ordered by the provider automatically covers consent.”
B. “This procedure did not require a written informed consent.”
C. “You’re right, let’s contact the charge nurse to discuss your concern.”
D. “Please sign the informed consent form now to cover the procedure.”
Correct Answer: B
