ATI RN LEADERSHIP PROCTORED EXAM 2026
VERSION 1 2 3 QUESTIONS WITH ANSWERS
ALREADY GRADED A+
, ATI Leadership Proctored Exam
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the
nurse recommend for an interdisciplinary care conference?
A iclient iwho iis iat i35 iweeks iof igestation iand ihas ia ibiophysical iprofile iof i6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells the
nurse she can no longer handle caring for the client. Which of the following actions should the nurse
take?
Contact ithe icase imanager ito idiscuss idischarge ioptions
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma.
The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following
referrals should the nurse recommend?
Social iworker
4. A nurse is supervising assistive personnel who’s feeding a client with dysphagia. Which of the
following actions by the AP should the nurse identify as correct technique?
Instructing ithe iclient ito iplace itheir ichin ito ichest iwhile iswallowing
5. A nurse is providing an in-service about client rights for a group of nurses. Which of the following
statements should the nurse include in the in-service?
“A inurse ican idisclose iinformation ito ia ifamily imember iwith ithe iclient’s ipermission.”
6. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has
not yet delivered the oxygen tank. Which of the following action should the nurse take?
Contact isocial iservices iabout ithe idelivery iof ithe ioxygen iequipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse
that she has reconsidered because she is worried about the pain. Which of the following response by
the nurse is appropriate?
I iunderstand, iand iit’s inot itoo ilate ito ichange iyour imind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel
position him in bed with excessive force. Which of the following actions should the nurse take?
Contact ithe inurse imanager
9. A nurse is assessing a client who has meningitis. Which of the following finding should the nurse
report to the provider immediately?
Decreased ilevel iof iconsciousness
10. A nurse is caring for a client who wanders through the halls yelling obscenities at staff other clients
and visitors. Which action should the nurse take?
A) Administer sedatives
B) Keep the client in her room with the door closed
C) Contact ifamily imembers ito icome isit iwith ithe iclient
D) Place the client in a wheelchair with a lap tray
11. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having
trouble focusing and had difficulty completing care for his assigned client. Which of the following
intervention is appropriate?
2
, Recommend ithat ihe itake itime ito iplan iat ithe ibeginning iof ihis ishift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage
bone cancer to an experienced AP. Which of the following assessment should the nurse make before
delegating care?
Has idata ibeen icollected iabout ispecific iclient ineeds irelated ito iturning?
13. A nurse is participating in the development of a disaster management plan for a hospital. The nurse
should recognize that which of the following resources is the highest priority to have available in
response to a bioterrorism event?
A isufficient isupply iof ipersonal iprotective iequipment .
14. A nurse manger observes an assistive personnel incorrectly transferring a client to the bedside
commode. Which of the following actions should the nurse take first?
Help ithe iAP itransfer ithe ipatient
15. A nurse manager is leading discussion about ethical dilemmas. Which of the following situations
should the nurse manager include as an example of an ethical dilemma?
A) a nurse witnesses another nurse administer incorrect medication
B) a visitor experiences minor burns at a facility after receiving….
C) a iparent iwants ia i14-year-old iadolescent ito ireceive iradiation itreatment iagainst ihis iwill
D) a client receives operation on the wrong side of the body
16. A nurse is delegating care for a group of clients. Which of the following clients should the nurse
assign to a licensed practical nurse?
A) a client who is scheduled for an endoscopy later today and requires enema
B) a iclient iwho ihas ia imyocardial iinfarction iand iwill ibe itransferring ito ia iunit ifrom ithe iPCC
C) a newly admitted client who has diabetes mellitus and requires initial teaching on self-
administration of insulin
3
, D) a newly admitted client who has sickle cell anemia requires a development of an initial plan
of care
17. A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax.
Which of the following actions should the nurse take?
Prepare ito iadminister iantibiotics ito ithe iclient.
18. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change of shift report?
The itime ithe iclient ireceived ihis ilast idose iof ipain imedication
19. A nurse on a medical surgical unit is evaluating an assistive personnel use of infection control
precaution. Which of the following actions by the assistive personnel indicates correct use of
precaution?
AP iremoves iher igloves ibefore ileaving ithe iroom iof ia iclient iwho ihas iMRSA
20. A nurse on a med surg unit is caring for a client who asks about advance directives and states that he
wants to appoint a health care proxy. Which of the following responses should the nurse make?
“A ihealth icare iproxy ican imake idecisions ifor iyou iwhen iyou iare iunable ito ido iso.”
21. A nurse is teaching newly licensed nurse about client confidentiality. The nurse should include that
which of the following examples represents a violation of client confidentiality?
Informing ihousekeeping istaff ithat ithe iclient iis iin ithe idialysis iunit.
22. A nurse is providing change-of-shift report for an oncoming nurse. Which of the following
information should the nurse include in the report?
“The iclient iis icurrently iin ithe iradiology idepartment ifor ia ichest ix-ray.”
23. A nurse is preparing a teaching session with a client who speaks a different language than the nurse.
Which of the following interventions should the nurse plan to take?
Provide ian iinterpreter iwhen iobtaining iconsent ifrom ithe iclient
24. A charge nurse witnessed an assistive personnel failing to follow facility protocol when discarding
contaminated linens. Which of the following actions should the nurse take first?
Discuss ithe iissue iwith ithe iAP
25. A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of
the following client is the highest priority?
A iclient iwho ihas iperipheral ivascular idisease iand ihas ian iabsent ipedal ipulse iin ithe irightifoot.
26. A nurse a caring for a client who request information about the prevalence of Tay-Sachs disease.
Which of the following resources should the nurse use to obtain this information?
An ievidence-based inursing ijournal
27. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following
statement by the newly licensed nurse indicates an understanding of the teaching?
I ishould iencrypt ipersonal ihealth iinformation iwhen isending iemail.
28. A nurse in the emergency department is assessing a client who is unconscious following a motor-
vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse
take?
Transport ithe iclient ito ithe ioperating iroom iwithout iverifying iinformed iconsent.
29. A nurse enters a clients room to witness an informed consent for a gastroscopy. The client states he
does not understand the procedure. Which of the following actions should the nurse take?
Inform ithe iprovider ithat ithe iclient irequires iclarification iabout ithe iprocedure
4
VERSION 1 2 3 QUESTIONS WITH ANSWERS
ALREADY GRADED A+
, ATI Leadership Proctored Exam
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the
nurse recommend for an interdisciplinary care conference?
A iclient iwho iis iat i35 iweeks iof igestation iand ihas ia ibiophysical iprofile iof i6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells the
nurse she can no longer handle caring for the client. Which of the following actions should the nurse
take?
Contact ithe icase imanager ito idiscuss idischarge ioptions
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma.
The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following
referrals should the nurse recommend?
Social iworker
4. A nurse is supervising assistive personnel who’s feeding a client with dysphagia. Which of the
following actions by the AP should the nurse identify as correct technique?
Instructing ithe iclient ito iplace itheir ichin ito ichest iwhile iswallowing
5. A nurse is providing an in-service about client rights for a group of nurses. Which of the following
statements should the nurse include in the in-service?
“A inurse ican idisclose iinformation ito ia ifamily imember iwith ithe iclient’s ipermission.”
6. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has
not yet delivered the oxygen tank. Which of the following action should the nurse take?
Contact isocial iservices iabout ithe idelivery iof ithe ioxygen iequipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse
that she has reconsidered because she is worried about the pain. Which of the following response by
the nurse is appropriate?
I iunderstand, iand iit’s inot itoo ilate ito ichange iyour imind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel
position him in bed with excessive force. Which of the following actions should the nurse take?
Contact ithe inurse imanager
9. A nurse is assessing a client who has meningitis. Which of the following finding should the nurse
report to the provider immediately?
Decreased ilevel iof iconsciousness
10. A nurse is caring for a client who wanders through the halls yelling obscenities at staff other clients
and visitors. Which action should the nurse take?
A) Administer sedatives
B) Keep the client in her room with the door closed
C) Contact ifamily imembers ito icome isit iwith ithe iclient
D) Place the client in a wheelchair with a lap tray
11. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having
trouble focusing and had difficulty completing care for his assigned client. Which of the following
intervention is appropriate?
2
, Recommend ithat ihe itake itime ito iplan iat ithe ibeginning iof ihis ishift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage
bone cancer to an experienced AP. Which of the following assessment should the nurse make before
delegating care?
Has idata ibeen icollected iabout ispecific iclient ineeds irelated ito iturning?
13. A nurse is participating in the development of a disaster management plan for a hospital. The nurse
should recognize that which of the following resources is the highest priority to have available in
response to a bioterrorism event?
A isufficient isupply iof ipersonal iprotective iequipment .
14. A nurse manger observes an assistive personnel incorrectly transferring a client to the bedside
commode. Which of the following actions should the nurse take first?
Help ithe iAP itransfer ithe ipatient
15. A nurse manager is leading discussion about ethical dilemmas. Which of the following situations
should the nurse manager include as an example of an ethical dilemma?
A) a nurse witnesses another nurse administer incorrect medication
B) a visitor experiences minor burns at a facility after receiving….
C) a iparent iwants ia i14-year-old iadolescent ito ireceive iradiation itreatment iagainst ihis iwill
D) a client receives operation on the wrong side of the body
16. A nurse is delegating care for a group of clients. Which of the following clients should the nurse
assign to a licensed practical nurse?
A) a client who is scheduled for an endoscopy later today and requires enema
B) a iclient iwho ihas ia imyocardial iinfarction iand iwill ibe itransferring ito ia iunit ifrom ithe iPCC
C) a newly admitted client who has diabetes mellitus and requires initial teaching on self-
administration of insulin
3
, D) a newly admitted client who has sickle cell anemia requires a development of an initial plan
of care
17. A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax.
Which of the following actions should the nurse take?
Prepare ito iadminister iantibiotics ito ithe iclient.
18. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change of shift report?
The itime ithe iclient ireceived ihis ilast idose iof ipain imedication
19. A nurse on a medical surgical unit is evaluating an assistive personnel use of infection control
precaution. Which of the following actions by the assistive personnel indicates correct use of
precaution?
AP iremoves iher igloves ibefore ileaving ithe iroom iof ia iclient iwho ihas iMRSA
20. A nurse on a med surg unit is caring for a client who asks about advance directives and states that he
wants to appoint a health care proxy. Which of the following responses should the nurse make?
“A ihealth icare iproxy ican imake idecisions ifor iyou iwhen iyou iare iunable ito ido iso.”
21. A nurse is teaching newly licensed nurse about client confidentiality. The nurse should include that
which of the following examples represents a violation of client confidentiality?
Informing ihousekeeping istaff ithat ithe iclient iis iin ithe idialysis iunit.
22. A nurse is providing change-of-shift report for an oncoming nurse. Which of the following
information should the nurse include in the report?
“The iclient iis icurrently iin ithe iradiology idepartment ifor ia ichest ix-ray.”
23. A nurse is preparing a teaching session with a client who speaks a different language than the nurse.
Which of the following interventions should the nurse plan to take?
Provide ian iinterpreter iwhen iobtaining iconsent ifrom ithe iclient
24. A charge nurse witnessed an assistive personnel failing to follow facility protocol when discarding
contaminated linens. Which of the following actions should the nurse take first?
Discuss ithe iissue iwith ithe iAP
25. A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of
the following client is the highest priority?
A iclient iwho ihas iperipheral ivascular idisease iand ihas ian iabsent ipedal ipulse iin ithe irightifoot.
26. A nurse a caring for a client who request information about the prevalence of Tay-Sachs disease.
Which of the following resources should the nurse use to obtain this information?
An ievidence-based inursing ijournal
27. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following
statement by the newly licensed nurse indicates an understanding of the teaching?
I ishould iencrypt ipersonal ihealth iinformation iwhen isending iemail.
28. A nurse in the emergency department is assessing a client who is unconscious following a motor-
vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse
take?
Transport ithe iclient ito ithe ioperating iroom iwithout iverifying iinformed iconsent.
29. A nurse enters a clients room to witness an informed consent for a gastroscopy. The client states he
does not understand the procedure. Which of the following actions should the nurse take?
Inform ithe iprovider ithat ithe iclient irequires iclarification iabout ithe iprocedure
4
