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ATI RN Leadership Proctored Exam NGN 2025-2026:
A Complete Study Guide with 70 Questions and
Verified Answers for First-Attempt Success.
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-
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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
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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.
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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-Log out the computer so that the client‟s son is
unable to view his mother‟s information.
A nurse is preparing a client for cardiac catheterization. Just before the
procedure, the client asks the nurse about the risks of the procedure.
Which of the following actions should the nurse take? - ANSWER-
Notify the provider about the client‟s concerns.
A nurse is prioritizing care after receiving change-of-shift report on four
clients. Which of the following clients should the nurse assess first? -
ANSWER-A client who reports indigestion and pain in her jaw
ATI RN Leadership Proctored Exam NGN 2025-2026:
A Complete Study Guide with 70 Questions and
Verified Answers for First-Attempt Success.
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-
,2|Page
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
,3|Page
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.
, 4|Page
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-Log out the computer so that the client‟s son is
unable to view his mother‟s information.
A nurse is preparing a client for cardiac catheterization. Just before the
procedure, the client asks the nurse about the risks of the procedure.
Which of the following actions should the nurse take? - ANSWER-
Notify the provider about the client‟s concerns.
A nurse is prioritizing care after receiving change-of-shift report on four
clients. Which of the following clients should the nurse assess first? -
ANSWER-A client who reports indigestion and pain in her jaw
