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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, 1. ) NGN-Style Scenario: A charge nurse observes a newly licensed nurse applying an aquathermia
pad (K-pad) to a client’s right lower leg for heat therapy. The charge nurse wants to verify that the
new nurse knows safe and proper use of the device.
Which combination of actions by the newly licensed nurse best indicates correct application of the
aquathermia pad? (Select all that apply.)
1. Asks the client to report if the aquathermia pad gets too warm
2. Checks the client’s leg 30 minutes after applying the pad
3. Shows the client how to adjust the temperature on the K-pad
4. Ensures the client’s call light is within reach
5. Decreases the temperature by 2.8° C (5° F) if the client's skin becomes discolored
A. 1 and 2
B. 1 and 4
C. 2, 3, and 5
D. 1, 2, and 5
Answer: B (1 and 4)
Explanation: The nurse should instruct the client to report any excessive warmth or burning to prevent
injury, and ensure the call light is in reach. Teaching the client to change settings independently, waiting 30
minutes before any check, or simply lowering the temperature for discoloration are not the priority or safest
actions.
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2) NGN-Style Scenario: The charge nurse is orienting a newly licensed nurse to the facility’s electronic
medical record (EMR) security policies. The nurse must demonstrate understanding of protecting
confidential information.
Which statement by the newly licensed nurse indicates correct understanding of EMR policies?
A. “I will make sure the monitor is turned off when I leave the computer terminal.”
B. “I can share my password with the nursing students assigned to my unit.”
C. “I will let a client make changes directly to their medical record if requested.”
D. “After I finish with the printout of my assignment, I’ll put it in the shredder receptacle.”
Answer: D
Explanation: Disposing of confidential client information by shredding is mandatory to maintain privacy.
The nurse should log off (not just turn off the monitor) and never share a password. Changes to the medical
record require a formal process.
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3) NGN-Style Scenario: A client who speaks only Spanish is scheduled for hip arthroplasty. The client’s
adult child speaks English and is present in the room. The nurse must ensure effective communication and
teaching before surgery.
Which combination of actions is most appropriate to facilitate accurate client education? (Select all that
apply.)
, 1. Ask the adult child to serve as interpreter for the provider’s teaching
2. Use a Spanish/English medical dictionary to clarify basic terms
3. Enlist the help of a bilingual assistive personnel (AP) assigned to the client
4. Speak noticeably louder to the client to ensure understanding
5. Request a hospital-approved Spanish interpreter for formal teaching
A. 1, 2, and 3
B. 2 and 4
C. 2, 3, and 5
D. 1, 4, and 5
Answer: C (2, 3, and 5)
Explanation: Ideally, use a qualified interpreter for essential education. The bilingual AP may assist with
basic communication, and a Spanish/English dictionary can help clarify key terms. Relying on the client’s
child or speaking more loudly does not ensure accurate or unbiased translation.
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4) NGN-Style Scenario: After a local disaster, the nurse manager must assign triage classes to RNs and
LPNs for incoming clients. Triage levels are:
• Class I (Red Tag) – Immediate, life-threatening injuries requiring immediate attention
• Class II (Yellow Tag) – Urgent, can wait 30 min to 2 hr for treatment
• Class III (Green Tag) – Minor injuries, nonurgent
• Class IV (Black Tag) – Expectant or deceased
Which assignment is most appropriate for the nurse manager to make?
A. RNs transport class IV (black tag) clients
B. LPNs provide care to class III (green tag) clients
C. LPNs initiate care for class I (red tag) clients
D. LPNs facilitate care for class II (yellow tag) clients
Answer: B
Explanation: Class III (green tag) clients have minor, stable injuries suitable for LPN management. Class I
(red) or Class II (yellow) injuries require more complex assessments and interventions typically performed
by RNs. Transporting black-tag clients is generally assigned to those not involved in direct, high-level care.
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5) NGN-Style Scenario: An explosion at a local chemical plant sends multiple casualties to the emergency
department. The nurse must identify the priority action when these clients arrive.
What is the priority nursing intervention for these chemical-exposure clients?
A. Call for additional support staff to handle increased volume
B. Isolate the clients and irrigate with water
C. Provide a designated area for family members to wait
D. Obtain medical histories of each client immediately
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
───────────────────────────────────────────────────────
─
, 1. ) NGN-Style Scenario: A charge nurse observes a newly licensed nurse applying an aquathermia
pad (K-pad) to a client’s right lower leg for heat therapy. The charge nurse wants to verify that the
new nurse knows safe and proper use of the device.
Which combination of actions by the newly licensed nurse best indicates correct application of the
aquathermia pad? (Select all that apply.)
1. Asks the client to report if the aquathermia pad gets too warm
2. Checks the client’s leg 30 minutes after applying the pad
3. Shows the client how to adjust the temperature on the K-pad
4. Ensures the client’s call light is within reach
5. Decreases the temperature by 2.8° C (5° F) if the client's skin becomes discolored
A. 1 and 2
B. 1 and 4
C. 2, 3, and 5
D. 1, 2, and 5
Answer: B (1 and 4)
Explanation: The nurse should instruct the client to report any excessive warmth or burning to prevent
injury, and ensure the call light is in reach. Teaching the client to change settings independently, waiting 30
minutes before any check, or simply lowering the temperature for discoloration are not the priority or safest
actions.
───────────────────────────────────────────────────────
─
2) NGN-Style Scenario: The charge nurse is orienting a newly licensed nurse to the facility’s electronic
medical record (EMR) security policies. The nurse must demonstrate understanding of protecting
confidential information.
Which statement by the newly licensed nurse indicates correct understanding of EMR policies?
A. “I will make sure the monitor is turned off when I leave the computer terminal.”
B. “I can share my password with the nursing students assigned to my unit.”
C. “I will let a client make changes directly to their medical record if requested.”
D. “After I finish with the printout of my assignment, I’ll put it in the shredder receptacle.”
Answer: D
Explanation: Disposing of confidential client information by shredding is mandatory to maintain privacy.
The nurse should log off (not just turn off the monitor) and never share a password. Changes to the medical
record require a formal process.
───────────────────────────────────────────────────────
─
3) NGN-Style Scenario: A client who speaks only Spanish is scheduled for hip arthroplasty. The client’s
adult child speaks English and is present in the room. The nurse must ensure effective communication and
teaching before surgery.
Which combination of actions is most appropriate to facilitate accurate client education? (Select all that
apply.)
, 1. Ask the adult child to serve as interpreter for the provider’s teaching
2. Use a Spanish/English medical dictionary to clarify basic terms
3. Enlist the help of a bilingual assistive personnel (AP) assigned to the client
4. Speak noticeably louder to the client to ensure understanding
5. Request a hospital-approved Spanish interpreter for formal teaching
A. 1, 2, and 3
B. 2 and 4
C. 2, 3, and 5
D. 1, 4, and 5
Answer: C (2, 3, and 5)
Explanation: Ideally, use a qualified interpreter for essential education. The bilingual AP may assist with
basic communication, and a Spanish/English dictionary can help clarify key terms. Relying on the client’s
child or speaking more loudly does not ensure accurate or unbiased translation.
───────────────────────────────────────────────────────
─
4) NGN-Style Scenario: After a local disaster, the nurse manager must assign triage classes to RNs and
LPNs for incoming clients. Triage levels are:
• Class I (Red Tag) – Immediate, life-threatening injuries requiring immediate attention
• Class II (Yellow Tag) – Urgent, can wait 30 min to 2 hr for treatment
• Class III (Green Tag) – Minor injuries, nonurgent
• Class IV (Black Tag) – Expectant or deceased
Which assignment is most appropriate for the nurse manager to make?
A. RNs transport class IV (black tag) clients
B. LPNs provide care to class III (green tag) clients
C. LPNs initiate care for class I (red tag) clients
D. LPNs facilitate care for class II (yellow tag) clients
Answer: B
Explanation: Class III (green tag) clients have minor, stable injuries suitable for LPN management. Class I
(red) or Class II (yellow) injuries require more complex assessments and interventions typically performed
by RNs. Transporting black-tag clients is generally assigned to those not involved in direct, high-level care.
───────────────────────────────────────────────────────
─
5) NGN-Style Scenario: An explosion at a local chemical plant sends multiple casualties to the emergency
department. The nurse must identify the priority action when these clients arrive.
What is the priority nursing intervention for these chemical-exposure clients?
A. Call for additional support staff to handle increased volume
B. Isolate the clients and irrigate with water
C. Provide a designated area for family members to wait
D. Obtain medical histories of each client immediately
Answer: B
