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 (Legal/Ethical - DNR)
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Scenario: A nurse is teaching an assistive personnel (AP) about caring for a client who has a do-not-
resuscitate (DNR) order. The AP asks about what to do if they cannot detect the client’s pulse.
Question: Which of the following statements by the AP indicates understanding of the teaching?
A. “I should initiate CPR immediately.”
B. “I will call the client’s family members first.”
C. “I will call for help and begin chest compressions.”
D. “I will call for the client’s nurse to come to the room if I cannot detect the client’s pulse.”
Correct Answer: D. “I will call for the client’s nurse to come to the room if I cannot detect the client’s
pulse.”
Rationale: With a DNR order, the AP should alert the nurse but should not initiate resuscitation measures.
This ensures adherence to the client’s documented wishes.
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QUESTION 2 (Client Confidentiality)
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Scenario: A nurse is caring for several clients on a medical-surgical floor. One client’s partner repeatedly
asks the nurse for details about the client’s lab results.
Question: Which of the following responses by the nurse helps maintain client confidentiality?
A. “I can only give you those lab results if you are the legal guardian.”
B. “I am not legally allowed to share this with you unless the client consents.”
C. “Your partner’s lab values are near normal; please talk to her provider.”
D. “I can disclose any information you want because you are family.”
Correct Answer: B. “I am not legally allowed to share this with you unless the client consents.”
Rationale: Confidentiality laws dictate that protected health information cannot be disclosed without the
client’s explicit permission, even to close family members.
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QUESTION 3 (Leadership & Planning)
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Scenario: A charge nurse is leading a committee to remodel the facility’s discharge policy. The committee
has developed an initial plan that outlines changes in discharge instructions.
Question: Which of the following actions should the charge nurse take next?
A. Revise the plan entirely and return to brainstorming.
B. Determine specific goals and objectives for the revised policy.
,C. Dismiss the committee to begin implementing the policy unilaterally.
D. Send the plan to hospital administration immediately.
Correct Answer: B. Determine specific goals and objectives for the revised policy.
Rationale: After creating an initial plan (the “draft”), a leadership priority is to set clear goals and objectives
before proceeding. This step ensures alignment with best practices and institutional standards.
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QUESTION 4 (Isolation Precautions)
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Scenario: A charge nurse is reviewing the plan of care for a client who has active herpes simplex lesions.
Question: Which of the following interventions should be included in the plan of care?
A. Require the client to wear an N95 mask
B. Wear a gown and gloves when caring for the client
C. Wear a face shield when transporting the client
D. Place the client on airborne precautions
Correct Answer: B. Wear a gown and gloves when caring for the client
Rationale: Herpes simplex typically requires contact precautions when lesions are active, and gown and
gloves are appropriate to prevent direct contact with the lesions.
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QUESTION 5 (Quality Control & Policy Adherence)
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─
Scenario: A nurse at an urgent care clinic notices that the mandated pain assessment is not being
performed for every client, which violates clinic policy.
Question: Which of the following actions should the nurse take to ensure that care is provided according to
policy?
A. Immediately perform disciplinary action on all staff
B. Report this issue to the nurse manager
C. Call the client’s insurance to clarify coverage for pain assessments
D. Document the reason for not performing pain assessments on each client
Correct Answer: B. Report this issue to the nurse manager
Rationale: When observing a pattern of policy noncompliance, the nurse should follow the chain of
command and report the issue to the nurse manager. This helps implement corrective measures to
maintain standards of care.
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QUESTION 6 (Case Management & Discharge Planning)
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Scenario: A client with a postoperative infection requires daily home IV antibiotic therapy via a peripherally
inserted central catheter (PICC) line. The client is scheduled for discharge in 24 hours.
Question: Which of the following actions should the case manager perform prior to the client’s discharge?
A. Provide the client with a list of over-the-counter pain medications
B. Instruct the client to call the outpatient clinic if an appointment is needed
C. Suggest family members learn to administer intramuscular injections
D. Ensure that home infusion therapy has been arranged
Correct Answer: D. Ensure that home infusion therapy has been arranged
Rationale: The case manager’s role is to coordinate needed resources post-discharge. Arranging home
infusion therapy ensures the client can continue prescribed IV antibiotics adequately and safely.
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QUESTION 7 (Delegation & Scope of Practice)
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Scenario: A nurse asks a newly hired assistive personnel (AP) to remove a client’s indwelling urinary
catheter. The AP appears uncertain about the procedure.
Question: Which of the following actions should the nurse take to ensure the AP is qualified to perform this
task?
A. Observe the AP while they perform the skill independently
B. Instruct the AP to watch a facility video about proper catheter removal
C. Review the AP’s skill competency checklist
D. Ask another nurse if the AP has previously removed a catheter
Correct Answer: C. Review the AP’s skill competency checklist
Rationale: The nurse must verify competence before delegating a task. Reviewing the facility’s skill
competency records ensures the AP is trained and authorized to perform catheter removal.
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QUESTION 8 (Quality Improvement - NGN Style Planning)
───────────────────────────────────────────────────────
─
Scenario: A nurse is reviewing facility data showing that nurses on a medical-surgical unit are not
performing hand hygiene after client contact 28% of the time. The nurse is tasked with developing a plan to
increase employee adherence with hand hygiene.
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 (Legal/Ethical - DNR)
,───────────────────────────────────────────────────────
─
Scenario: A nurse is teaching an assistive personnel (AP) about caring for a client who has a do-not-
resuscitate (DNR) order. The AP asks about what to do if they cannot detect the client’s pulse.
Question: Which of the following statements by the AP indicates understanding of the teaching?
A. “I should initiate CPR immediately.”
B. “I will call the client’s family members first.”
C. “I will call for help and begin chest compressions.”
D. “I will call for the client’s nurse to come to the room if I cannot detect the client’s pulse.”
Correct Answer: D. “I will call for the client’s nurse to come to the room if I cannot detect the client’s
pulse.”
Rationale: With a DNR order, the AP should alert the nurse but should not initiate resuscitation measures.
This ensures adherence to the client’s documented wishes.
───────────────────────────────────────────────────────
─
QUESTION 2 (Client Confidentiality)
───────────────────────────────────────────────────────
─
Scenario: A nurse is caring for several clients on a medical-surgical floor. One client’s partner repeatedly
asks the nurse for details about the client’s lab results.
Question: Which of the following responses by the nurse helps maintain client confidentiality?
A. “I can only give you those lab results if you are the legal guardian.”
B. “I am not legally allowed to share this with you unless the client consents.”
C. “Your partner’s lab values are near normal; please talk to her provider.”
D. “I can disclose any information you want because you are family.”
Correct Answer: B. “I am not legally allowed to share this with you unless the client consents.”
Rationale: Confidentiality laws dictate that protected health information cannot be disclosed without the
client’s explicit permission, even to close family members.
───────────────────────────────────────────────────────
─
QUESTION 3 (Leadership & Planning)
───────────────────────────────────────────────────────
─
Scenario: A charge nurse is leading a committee to remodel the facility’s discharge policy. The committee
has developed an initial plan that outlines changes in discharge instructions.
Question: Which of the following actions should the charge nurse take next?
A. Revise the plan entirely and return to brainstorming.
B. Determine specific goals and objectives for the revised policy.
,C. Dismiss the committee to begin implementing the policy unilaterally.
D. Send the plan to hospital administration immediately.
Correct Answer: B. Determine specific goals and objectives for the revised policy.
Rationale: After creating an initial plan (the “draft”), a leadership priority is to set clear goals and objectives
before proceeding. This step ensures alignment with best practices and institutional standards.
───────────────────────────────────────────────────────
─
QUESTION 4 (Isolation Precautions)
───────────────────────────────────────────────────────
─
Scenario: A charge nurse is reviewing the plan of care for a client who has active herpes simplex lesions.
Question: Which of the following interventions should be included in the plan of care?
A. Require the client to wear an N95 mask
B. Wear a gown and gloves when caring for the client
C. Wear a face shield when transporting the client
D. Place the client on airborne precautions
Correct Answer: B. Wear a gown and gloves when caring for the client
Rationale: Herpes simplex typically requires contact precautions when lesions are active, and gown and
gloves are appropriate to prevent direct contact with the lesions.
───────────────────────────────────────────────────────
─
QUESTION 5 (Quality Control & Policy Adherence)
───────────────────────────────────────────────────────
─
Scenario: A nurse at an urgent care clinic notices that the mandated pain assessment is not being
performed for every client, which violates clinic policy.
Question: Which of the following actions should the nurse take to ensure that care is provided according to
policy?
A. Immediately perform disciplinary action on all staff
B. Report this issue to the nurse manager
C. Call the client’s insurance to clarify coverage for pain assessments
D. Document the reason for not performing pain assessments on each client
Correct Answer: B. Report this issue to the nurse manager
Rationale: When observing a pattern of policy noncompliance, the nurse should follow the chain of
command and report the issue to the nurse manager. This helps implement corrective measures to
maintain standards of care.
, ───────────────────────────────────────────────────────
─
QUESTION 6 (Case Management & Discharge Planning)
───────────────────────────────────────────────────────
─
Scenario: A client with a postoperative infection requires daily home IV antibiotic therapy via a peripherally
inserted central catheter (PICC) line. The client is scheduled for discharge in 24 hours.
Question: Which of the following actions should the case manager perform prior to the client’s discharge?
A. Provide the client with a list of over-the-counter pain medications
B. Instruct the client to call the outpatient clinic if an appointment is needed
C. Suggest family members learn to administer intramuscular injections
D. Ensure that home infusion therapy has been arranged
Correct Answer: D. Ensure that home infusion therapy has been arranged
Rationale: The case manager’s role is to coordinate needed resources post-discharge. Arranging home
infusion therapy ensures the client can continue prescribed IV antibiotics adequately and safely.
───────────────────────────────────────────────────────
─
QUESTION 7 (Delegation & Scope of Practice)
───────────────────────────────────────────────────────
─
Scenario: A nurse asks a newly hired assistive personnel (AP) to remove a client’s indwelling urinary
catheter. The AP appears uncertain about the procedure.
Question: Which of the following actions should the nurse take to ensure the AP is qualified to perform this
task?
A. Observe the AP while they perform the skill independently
B. Instruct the AP to watch a facility video about proper catheter removal
C. Review the AP’s skill competency checklist
D. Ask another nurse if the AP has previously removed a catheter
Correct Answer: C. Review the AP’s skill competency checklist
Rationale: The nurse must verify competence before delegating a task. Reviewing the facility’s skill
competency records ensures the AP is trained and authorized to perform catheter removal.
───────────────────────────────────────────────────────
─
QUESTION 8 (Quality Improvement - NGN Style Planning)
───────────────────────────────────────────────────────
─
Scenario: A nurse is reviewing facility data showing that nurses on a medical-surgical unit are not
performing hand hygiene after client contact 28% of the time. The nurse is tasked with developing a plan to
increase employee adherence with hand hygiene.
