RN ATI LEADERSHIP PROCTORED
EXAM RETAKE 2023 WITH NGN
EXAM
Q1. A nurse is caring for four clients. Which of the following
clients should the nurse assess first?
A. A client who had abdominal surgery 6 hours ago and has had a
heart rate of 120/min for the last 2 hours.
B. A client who is scheduled for discharge and is waiting for
transportation.
C. A client who is 2 days post-operative and reports incisional pain
of 4/10.
D. A client who is receiving IV antibiotics and has a saline lock that
is due to be flushed.
A1. A. A sustained tachycardia (120/min for 2 hours) post-
abdominal surgery is a red flag for hypovolemic shock,
hemorrhage, or sepsis. The ABCs (Airway, Breathing, Circulation)
and unstable vital signs always take priority.
Q2. A nurse is caring for four clients. Which of the following tasks
can the nurse delegate to an assistive personnel (AP)?
A. Obtaining a stool sample from a client who has renal failure.
B. Monitoring a client's response to pain medication.
C. Reinforcing teaching about a low-sodium diet.
D. Assessing a client's lung sounds.
,A2. A. Obtaining a stool specimen is a collection task requiring no
clinical judgment, which falls within the AP's scope. APs perform
tasks, not assessments or evaluations.
Q3. A nurse is planning care for a group of clients and can
delegate care to an LPN and an AP. Which task should the nurse
assign to the LPN?
A. Reinforcing teaching with a client who is learning to self-
administer insulin.
B. Ambulating a client scheduled for discharge.
C. Administering morphine IV bolus to a post-op client.
D. Admitting a new client who has chronic back pain.
A3. A. LPNs can reinforce teaching initiated by the RN. They
cannot initiate teaching, perform initial assessments, or administer
IV push medications in most jurisdictions.
Q4. A nurse is reviewing a client's medication administration
record and finds warfarin has not been given for 2 days. What is
the first action?
A. Check the client's INR.
B. Administer the missed dose immediately.
C. Notify the provider.
D. Document the missed dose.
A4. A. Assessment comes before intervention. Warfarin requires
knowledge of the current INR to prevent bleeding (if too high) or
clotting (if too low) before administering a dose.
Q5. A nurse discovers a small fire in a client's trash can. After
removing the client, what is the next step?
A. Pull the pin on the extinguisher.
, B. Aim at the base of the fire.
C. Squeeze the handle.
D. Sweep side to side.
A5. A. The correct order is the PASS acronym: Pull the pin, Aim at
the base, Squeeze the handle, Sweep. However, remember RACE:
Rescue, Alarm, Contain, Extinguish.
Q6. A charge nurse is reviewing performance of a newly licensed
nurse. Which action requires intervention?
A. Delegating vital signs on a stable client to an AP.
B. Asking the AP to report the client's pain level.
C. Instructing the AP to assess the client's breath sounds.
D. Requesting the AP to obtain a fingerstick glucose.
A6. C. Assessment (breath sounds) requires clinical judgment and
interpretation and is the RN's legal responsibility. APs can collect
data (e.g., "The client is coughing") but cannot "assess."
Q7. A nurse manager is reviewing disaster drill procedures. Which
color tag indicates a client who has a minor injury and can wait for
treatment?
A. Red.
B. Yellow.
C. Green.
D. Black.
A7. C. Green tags are for "walking wounded" or minor injuries
(delayed treatment). Red is immediate (life-threatening), Yellow is
urgent, Black is deceased/expectant.
Q8. A nurse is delegating client care tasks. Which assignment is
appropriate for an AP?
EXAM RETAKE 2023 WITH NGN
EXAM
Q1. A nurse is caring for four clients. Which of the following
clients should the nurse assess first?
A. A client who had abdominal surgery 6 hours ago and has had a
heart rate of 120/min for the last 2 hours.
B. A client who is scheduled for discharge and is waiting for
transportation.
C. A client who is 2 days post-operative and reports incisional pain
of 4/10.
D. A client who is receiving IV antibiotics and has a saline lock that
is due to be flushed.
A1. A. A sustained tachycardia (120/min for 2 hours) post-
abdominal surgery is a red flag for hypovolemic shock,
hemorrhage, or sepsis. The ABCs (Airway, Breathing, Circulation)
and unstable vital signs always take priority.
Q2. A nurse is caring for four clients. Which of the following tasks
can the nurse delegate to an assistive personnel (AP)?
A. Obtaining a stool sample from a client who has renal failure.
B. Monitoring a client's response to pain medication.
C. Reinforcing teaching about a low-sodium diet.
D. Assessing a client's lung sounds.
,A2. A. Obtaining a stool specimen is a collection task requiring no
clinical judgment, which falls within the AP's scope. APs perform
tasks, not assessments or evaluations.
Q3. A nurse is planning care for a group of clients and can
delegate care to an LPN and an AP. Which task should the nurse
assign to the LPN?
A. Reinforcing teaching with a client who is learning to self-
administer insulin.
B. Ambulating a client scheduled for discharge.
C. Administering morphine IV bolus to a post-op client.
D. Admitting a new client who has chronic back pain.
A3. A. LPNs can reinforce teaching initiated by the RN. They
cannot initiate teaching, perform initial assessments, or administer
IV push medications in most jurisdictions.
Q4. A nurse is reviewing a client's medication administration
record and finds warfarin has not been given for 2 days. What is
the first action?
A. Check the client's INR.
B. Administer the missed dose immediately.
C. Notify the provider.
D. Document the missed dose.
A4. A. Assessment comes before intervention. Warfarin requires
knowledge of the current INR to prevent bleeding (if too high) or
clotting (if too low) before administering a dose.
Q5. A nurse discovers a small fire in a client's trash can. After
removing the client, what is the next step?
A. Pull the pin on the extinguisher.
, B. Aim at the base of the fire.
C. Squeeze the handle.
D. Sweep side to side.
A5. A. The correct order is the PASS acronym: Pull the pin, Aim at
the base, Squeeze the handle, Sweep. However, remember RACE:
Rescue, Alarm, Contain, Extinguish.
Q6. A charge nurse is reviewing performance of a newly licensed
nurse. Which action requires intervention?
A. Delegating vital signs on a stable client to an AP.
B. Asking the AP to report the client's pain level.
C. Instructing the AP to assess the client's breath sounds.
D. Requesting the AP to obtain a fingerstick glucose.
A6. C. Assessment (breath sounds) requires clinical judgment and
interpretation and is the RN's legal responsibility. APs can collect
data (e.g., "The client is coughing") but cannot "assess."
Q7. A nurse manager is reviewing disaster drill procedures. Which
color tag indicates a client who has a minor injury and can wait for
treatment?
A. Red.
B. Yellow.
C. Green.
D. Black.
A7. C. Green tags are for "walking wounded" or minor injuries
(delayed treatment). Red is immediate (life-threatening), Yellow is
urgent, Black is deceased/expectant.
Q8. A nurse is delegating client care tasks. Which assignment is
appropriate for an AP?
