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ATI LEADERSHIP PROCTORED EXAM –
LATEST 2026/2027 UPDATE WITH 3
DIFFERENT
VERSIONS
1. A nurse manager is reviewing guidelines for informed consent with
the nursing staff. Which of the following statements by a staff nurse
indicates that the teaching was effective?
a. "A family member can interpret to obtain informed consent from a
client who is deaf."
b."Consent can be given by a durable power of attorney."
c. "Guardian consent is required for an emancipated minor."
d. "The nurse can answer any questions the client has about the
procedure." - ✔✔✔ANSWER-b. "Consent can be given by a durable
power of attorney."
2. A nurse is caring for four clients. For which of the following
clients should the nurse collaborate with the facility ethics
committee?
a. A middle adult client who leaves the facility against medical advice
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b.An older adult client who has advanced directives on file
c. A young adult client who is participating in a medical research
study
d. An adolescent client whose parents refuse a blood transfusion for
religious reasons - ✔✔✔ANSWER-d. An adolescent client whose
parents refuse a blood transfusion for religious reasons
3. A nurse in an ambulatory care setting is orienting a newly licensed
nurse who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of telehealth?
a. Assessing client needs
b.Developing client treatment protocols
c. Providing medication reconciliation
d. Establishing communication between providers (Community
Health pg. 75) - ✔✔✔ANSWER-d. Establishing communication
between providers (Community Health pg. 75)
4. A nurse is providing discharge teaching to a client who has a new
diagnosis of diabetes. The client expresses concern about the cost of
blood-glucose monitoring supplies. Which of the following actions
should the nurse take?
a. Refer the client to the social services department.
b.Provide the client with a week's worth of supplies from the hospital
(still needs help paying after)
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c. Ask the provider about the possibility of less frequent monitoring (pt
needs to monitor often) d. Recommend the client reuse the testing
lancets (breaks the safety C infection protocol) -
✔✔✔ANSWER-a. Refer the client to the social services department.
5. A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?
a. A nurse on the previous shift wrote an incident report about a
medication error.
b.Two staff members have called to say they will be absent.
c. Transport assistance is unavailable to take a client to
occupational therapy.
d. The emergency department nurse is waiting to give report on a
new admission. - ✔✔✔ANSWER-d. The emergency department nurse
is waiting to give report on a new admission.
6. A nurse who is precepting a newly licensed nurse is discussing the
client assignment for the shift. Which of the following actions should
the nurse preceptor take first to demonstrate appropriate time
management?
a. Complete required tasks.
b.Review the client's new laboratory values.
c. Determine client care goals (set/plan goals)
d. Document assessment data. - ✔✔✔ANSWER-c. Determine client
care goals (set/plan goals)
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7. A charge nurse is reviewing information about HIPAA with a
group of staff nurses. Which of the following statements by a staff
nurse indicates understanding?
a. "Clients who participate in research studies forfeit their HIPAA right
to privacy."
b."HIPAA allows facility-specific coding of client health care
information to ensure privacy."
c. "HIPAA prohibits the uploading of photographs of client's
providers to social media sites."
d. "HIPAA allows clients to request a review of their own medical
records." - ✔✔✔ANSWER-d. "HIPAA allows clients to request a
review of their own medical records."
8. A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical nurse?
a. Pick up the meal trays after lunch.
b.Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
d.Determine adequacy of ventilator settings - ✔✔✔ANSWER-b.
Administer a nasogastric tube feeding
9. A client is brought to the emergency department following a motor-
vehicle crash. Drug use is suspected in the crash, and a voided urine
specimen is ordered. The client repeatedly refuse s to provide the
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ATI LEADERSHIP PROCTORED EXAM –
LATEST 2026/2027 UPDATE WITH 3
DIFFERENT
VERSIONS
1. A nurse manager is reviewing guidelines for informed consent with
the nursing staff. Which of the following statements by a staff nurse
indicates that the teaching was effective?
a. "A family member can interpret to obtain informed consent from a
client who is deaf."
b."Consent can be given by a durable power of attorney."
c. "Guardian consent is required for an emancipated minor."
d. "The nurse can answer any questions the client has about the
procedure." - ✔✔✔ANSWER-b. "Consent can be given by a durable
power of attorney."
2. A nurse is caring for four clients. For which of the following
clients should the nurse collaborate with the facility ethics
committee?
a. A middle adult client who leaves the facility against medical advice
Page | 1
, 2
b.An older adult client who has advanced directives on file
c. A young adult client who is participating in a medical research
study
d. An adolescent client whose parents refuse a blood transfusion for
religious reasons - ✔✔✔ANSWER-d. An adolescent client whose
parents refuse a blood transfusion for religious reasons
3. A nurse in an ambulatory care setting is orienting a newly licensed
nurse who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of telehealth?
a. Assessing client needs
b.Developing client treatment protocols
c. Providing medication reconciliation
d. Establishing communication between providers (Community
Health pg. 75) - ✔✔✔ANSWER-d. Establishing communication
between providers (Community Health pg. 75)
4. A nurse is providing discharge teaching to a client who has a new
diagnosis of diabetes. The client expresses concern about the cost of
blood-glucose monitoring supplies. Which of the following actions
should the nurse take?
a. Refer the client to the social services department.
b.Provide the client with a week's worth of supplies from the hospital
(still needs help paying after)
Page | 2
, 3
c. Ask the provider about the possibility of less frequent monitoring (pt
needs to monitor often) d. Recommend the client reuse the testing
lancets (breaks the safety C infection protocol) -
✔✔✔ANSWER-a. Refer the client to the social services department.
5. A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?
a. A nurse on the previous shift wrote an incident report about a
medication error.
b.Two staff members have called to say they will be absent.
c. Transport assistance is unavailable to take a client to
occupational therapy.
d. The emergency department nurse is waiting to give report on a
new admission. - ✔✔✔ANSWER-d. The emergency department nurse
is waiting to give report on a new admission.
6. A nurse who is precepting a newly licensed nurse is discussing the
client assignment for the shift. Which of the following actions should
the nurse preceptor take first to demonstrate appropriate time
management?
a. Complete required tasks.
b.Review the client's new laboratory values.
c. Determine client care goals (set/plan goals)
d. Document assessment data. - ✔✔✔ANSWER-c. Determine client
care goals (set/plan goals)
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, 4
7. A charge nurse is reviewing information about HIPAA with a
group of staff nurses. Which of the following statements by a staff
nurse indicates understanding?
a. "Clients who participate in research studies forfeit their HIPAA right
to privacy."
b."HIPAA allows facility-specific coding of client health care
information to ensure privacy."
c. "HIPAA prohibits the uploading of photographs of client's
providers to social media sites."
d. "HIPAA allows clients to request a review of their own medical
records." - ✔✔✔ANSWER-d. "HIPAA allows clients to request a
review of their own medical records."
8. A nurse is making shift assignments in a hospital. Which of the
following tasks is appropriate to assign to a licensed practical nurse?
a. Pick up the meal trays after lunch.
b.Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
d.Determine adequacy of ventilator settings - ✔✔✔ANSWER-b.
Administer a nasogastric tube feeding
9. A client is brought to the emergency department following a motor-
vehicle crash. Drug use is suspected in the crash, and a voided urine
specimen is ordered. The client repeatedly refuse s to provide the
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