2026 UPDATED ATI PN LEADERSHIP
MANAGEMENT PROCTORED EXAM WITH
NGN QUESTIONS
EXAM OVERVIEW
This comprehensive study guide is designed for Practical Nursing (PN) students preparing for
the ATI PN Leadership Management Proctored Exam with Next Generation NCLEX (NGN)
questions for the 2024/2025 testing cycle. The exam covers essential leadership concepts,
management principles, delegation, prioritization, legal/ethical issues, and patient safety .
EXAM QUESTIONS AND ANSWERS
Q1
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the
nurse trying to achieve? (Select all that apply.)
A. Increase blood loss
B. Reduce blood loss
C. Increase cardiac arrests
D. Reduce cardiac arrests
E. Reduce surgical site infection
Answer: B, D, E
Rationale: Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia. Prevention of hypothermia (core temperature < 36°C) helps to
reduce complications such as shivering, cardiac arrest, blood loss, surgical site infection (SSI),
pressure ulcers, and mortality .
Q2
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take
to decrease wound infections? (Select all that apply.)
A. Maintain normoglycemia
, B. Increase blood glucose levels
C. Skip hand hygiene to save time
D. Use sterile technique for wound care
E. Perform hand hygiene before and after contact with the patient
Answer: A, E
Rationale: Maintaining normoglycemia (normal blood glucose levels) reduces infection risk in
postoperative patients. Hand hygiene before and after patient contact is the single most important
measure to prevent cross-contamination and healthcare-associated infections .
Q3
A nurse is assigned the following four clients for the current shift. Which client should the nurse
assess first?
A. A client who has a hip fracture and is in Buck's traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus with a stage II pressure ulcer on his foot
D. A client who has a C. diff infection and needs a stool specimen collected
Answer: B
Rationale: According to the ABCs (Airway, Breathing, Circulation), the client with aspiration
pneumonia and a respiratory rate of 28/min has a potential airway/breathing compromise that
requires immediate assessment. Tachypnea may indicate respiratory distress or hypoxia, which
takes priority over pain management, infection control, or chronic wound care .
Q4
The nurse is participating in a "time-out." In which activities will the nurse be involved? (Select
all that apply.)
A. Verify the correct site
B. Verify the correct patient
C. Verify the correct time of day
D. Verify the correct procedure
E. Verify the surgeon's credentials
Answer: A, B, D
Rationale: The Universal Protocol requires a "time-out" immediately before starting a procedure
to verify: correct patient identity, correct procedure, and correct site/side. This is a safety
measure to prevent wrong-site, wrong-procedure, and wrong-person surgery .
MANAGEMENT PROCTORED EXAM WITH
NGN QUESTIONS
EXAM OVERVIEW
This comprehensive study guide is designed for Practical Nursing (PN) students preparing for
the ATI PN Leadership Management Proctored Exam with Next Generation NCLEX (NGN)
questions for the 2024/2025 testing cycle. The exam covers essential leadership concepts,
management principles, delegation, prioritization, legal/ethical issues, and patient safety .
EXAM QUESTIONS AND ANSWERS
Q1
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the
nurse trying to achieve? (Select all that apply.)
A. Increase blood loss
B. Reduce blood loss
C. Increase cardiac arrests
D. Reduce cardiac arrests
E. Reduce surgical site infection
Answer: B, D, E
Rationale: Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia. Prevention of hypothermia (core temperature < 36°C) helps to
reduce complications such as shivering, cardiac arrest, blood loss, surgical site infection (SSI),
pressure ulcers, and mortality .
Q2
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take
to decrease wound infections? (Select all that apply.)
A. Maintain normoglycemia
, B. Increase blood glucose levels
C. Skip hand hygiene to save time
D. Use sterile technique for wound care
E. Perform hand hygiene before and after contact with the patient
Answer: A, E
Rationale: Maintaining normoglycemia (normal blood glucose levels) reduces infection risk in
postoperative patients. Hand hygiene before and after patient contact is the single most important
measure to prevent cross-contamination and healthcare-associated infections .
Q3
A nurse is assigned the following four clients for the current shift. Which client should the nurse
assess first?
A. A client who has a hip fracture and is in Buck's traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus with a stage II pressure ulcer on his foot
D. A client who has a C. diff infection and needs a stool specimen collected
Answer: B
Rationale: According to the ABCs (Airway, Breathing, Circulation), the client with aspiration
pneumonia and a respiratory rate of 28/min has a potential airway/breathing compromise that
requires immediate assessment. Tachypnea may indicate respiratory distress or hypoxia, which
takes priority over pain management, infection control, or chronic wound care .
Q4
The nurse is participating in a "time-out." In which activities will the nurse be involved? (Select
all that apply.)
A. Verify the correct site
B. Verify the correct patient
C. Verify the correct time of day
D. Verify the correct procedure
E. Verify the surgeon's credentials
Answer: A, B, D
Rationale: The Universal Protocol requires a "time-out" immediately before starting a procedure
to verify: correct patient identity, correct procedure, and correct site/side. This is a safety
measure to prevent wrong-site, wrong-procedure, and wrong-person surgery .
