ATI RN LEADERSHIP PROCTORED EXAM 2026:
ULTIMATE HIGH-YIELD STUDY GUIDE, NGN
PRACTICE QUESTIONS & PROVEN
STRATEGIES TO PASS ON THE FIRST TRY
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 refuses to provide the specimen. Which of the following is the
appropriate action by the nurse? - ---ANSWER ----B* Document the client‟s
refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - ---ANSWER ----Administer a
nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting
with a sterile procedure. Which of the following actions indicates the newly
licensed nurse is maintaining sterile technique? (SATA) - ---ANSWER ----b. Opens
the sterile pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto
the sterile field
A nurse enters a client‟s room and identifies that the client is receiving too much
IV fluid because the IV pump is not working properly. Which of the following
actions should the nurse take first? - ---ANSWER ----Auscultate the client‟s lungs.
,A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks
should the nurse assign to the LPN? - ---ANSWER ----Reinforcing teaching with a
client who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis.
After donning a sterile gown and gloves, which of the following actions by the
newly licensed nurse demonstrates correct aseptic technique? - ---ANSWER ----
The nurse holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? - ---ANSWER ----Recheck vital signs that are outside
the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to
an assistive personnel? - ---ANSWER ----Obtaining a stool sample from a client
who has renal failure
A nurse is triaging a group of clients following a disaster. Which of the following
clients should the nurse recommend for treatment first? - ---ANSWER ----A client
who has two open chest wounds with a left tracheal deviation
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? - ---ANSWER ----"Consent can be given by a durable
power of attorney."
,A nurse is caring for four clients. For which of the following clients should the
nurse collaborate with the facility ethics committee? - ---ANSWER ----An
adolescent client whose parents refuse a blood transfusion for religious reasons
A nurse in an ambulatory care setting is orient 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? - ---ANSWER ----Establishing
communication between providers
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? - ---
ANSWER ----Refer the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first? - ---ANSWER ----The emergency
department nurse is waiting to give report on a new admission.
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? - ---ANSWER
----Determine client care goals (set/plan goals)
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? - ---
ANSWER ----"HIPAA allows clients to request a review of their own medical
records."
A nurse is caring for a client who has a tumor. The provider recommends surgery.
The client refuses, but the client‟s partner wants the surgery performed. Which of
, the following is the deciding factor in determining if the surgery will be done? - ---
ANSWER ----Whether the client understands the risk of refusing the procedure
A charge nurse is planning the care of four newborns. An assistive personnel and
licensed practical nurse are available for staffing. Which of the following tasks
should the nurse assign to a licensed practical nurse? - ---ANSWER ----Administer
a hepatitis B vaccine.
During a staff meeting a unit manager reviews the results for documenting client
education and finds that they are below the benchmark. Which of the following
strategies should the nurse manager implement first? - ---ANSWER ----Determine
factors that interfere with the documentation of client education.
A nurse is explaining ethics and values to a newly licensed nurse. The nurse
should explain that preventing client injury by removing a fall hazard
demonstrates which of the following ethical principles? - ---ANSWER ----
Nonmaleficence
A nurse is caring for a group of clients. Which of the following clients should the
nurse plan to assess first? - ---ANSWER ----A client who has a nasogastric tube
and has crackles in the lungs (ABC-- airway)
A charge nurse is planning to evacuate clients on the unit because there is a fire
on another floor. Which of the following clients should the nurse evacuate first? -
---ANSWER ----A client who is receiving IV chemotherapy and is ambulatory
A nurse enters the room of a client who is unconscious and finds that the client‟s
son is reading her electronic medical records from a monitor located at the
bedside. Which of the following actions should the nurse take first? - ---ANSWER
ULTIMATE HIGH-YIELD STUDY GUIDE, NGN
PRACTICE QUESTIONS & PROVEN
STRATEGIES TO PASS ON THE FIRST TRY
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 refuses to provide the specimen. Which of the following is the
appropriate action by the nurse? - ---ANSWER ----B* Document the client‟s
refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - ---ANSWER ----Administer a
nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting
with a sterile procedure. Which of the following actions indicates the newly
licensed nurse is maintaining sterile technique? (SATA) - ---ANSWER ----b. Opens
the sterile pack by first unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto
the sterile field
A nurse enters a client‟s room and identifies that the client is receiving too much
IV fluid because the IV pump is not working properly. Which of the following
actions should the nurse take first? - ---ANSWER ----Auscultate the client‟s lungs.
,A nurse is planning care for a group of clients and can delegate care to a licensed
practical nurse (LPN) and an assistive personnel. Which of the following tasks
should the nurse assign to the LPN? - ---ANSWER ----Reinforcing teaching with a
client who is learning to self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis.
After donning a sterile gown and gloves, which of the following actions by the
newly licensed nurse demonstrates correct aseptic technique? - ---ANSWER ----
The nurse holds her hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an
assistive personnel (AP). Which of the following actions should the nurse take to
evaluate the delegated task? - ---ANSWER ----Recheck vital signs that are outside
the expected reference range.
A nurse is caring for four clients. Which of the following tasks can be delegated to
an assistive personnel? - ---ANSWER ----Obtaining a stool sample from a client
who has renal failure
A nurse is triaging a group of clients following a disaster. Which of the following
clients should the nurse recommend for treatment first? - ---ANSWER ----A client
who has two open chest wounds with a left tracheal deviation
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? - ---ANSWER ----"Consent can be given by a durable
power of attorney."
,A nurse is caring for four clients. For which of the following clients should the
nurse collaborate with the facility ethics committee? - ---ANSWER ----An
adolescent client whose parents refuse a blood transfusion for religious reasons
A nurse in an ambulatory care setting is orient 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? - ---ANSWER ----Establishing
communication between providers
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? - ---
ANSWER ----Refer the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first? - ---ANSWER ----The emergency
department nurse is waiting to give report on a new admission.
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? - ---ANSWER
----Determine client care goals (set/plan goals)
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? - ---
ANSWER ----"HIPAA allows clients to request a review of their own medical
records."
A nurse is caring for a client who has a tumor. The provider recommends surgery.
The client refuses, but the client‟s partner wants the surgery performed. Which of
, the following is the deciding factor in determining if the surgery will be done? - ---
ANSWER ----Whether the client understands the risk of refusing the procedure
A charge nurse is planning the care of four newborns. An assistive personnel and
licensed practical nurse are available for staffing. Which of the following tasks
should the nurse assign to a licensed practical nurse? - ---ANSWER ----Administer
a hepatitis B vaccine.
During a staff meeting a unit manager reviews the results for documenting client
education and finds that they are below the benchmark. Which of the following
strategies should the nurse manager implement first? - ---ANSWER ----Determine
factors that interfere with the documentation of client education.
A nurse is explaining ethics and values to a newly licensed nurse. The nurse
should explain that preventing client injury by removing a fall hazard
demonstrates which of the following ethical principles? - ---ANSWER ----
Nonmaleficence
A nurse is caring for a group of clients. Which of the following clients should the
nurse plan to assess first? - ---ANSWER ----A client who has a nasogastric tube
and has crackles in the lungs (ABC-- airway)
A charge nurse is planning to evacuate clients on the unit because there is a fire
on another floor. Which of the following clients should the nurse evacuate first? -
---ANSWER ----A client who is receiving IV chemotherapy and is ambulatory
A nurse enters the room of a client who is unconscious and finds that the client‟s
son is reading her electronic medical records from a monitor located at the
bedside. Which of the following actions should the nurse take first? - ---ANSWER
