2023 ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM 2025/2026 UPDATE
COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS|GRADED A+|GET IT
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Question 1
A nurse is using a forced-air warmer for a surgical patient preoperatively. Which of the following
goals is the nurse attempting to achieve with this intervention? (Select all that apply.)
A) Increase the patient's blood pressure
B) Reduce surgical blood loss
C) Decrease the risk of pressure ulcers
D) Reduce the incidence of cardiac arrest
E) Reduce the risk of surgical site infections (SSI)
Correct Answer: B, D, E) Reduce blood loss; Reduce cardiac arrests; Reduce surgical site
infection.
Rationale: Evidence-based practice suggests that pre-warming for a minimum of 30 minutes
significantly reduces the occurrence of perioperative hypothermia (core temperature <
36°C). Maintaining normothermia helps reduce complications such as shivering, cardiac
arrest, increased blood loss due to impaired coagulation, surgical site infections, and overall
mortality.
Question 2
A nurse is caring for a postoperative patient with a surgical incision. Which actions should the
nurse take to decrease the risk of wound infections? (Select all that apply.)
A) Maintain normoglycemia
B) Keep the room temperature below 65°F
C) Administer prophylactic antibiotics 4 hours after the first incision
D) Encourage a low-protein diet to reduce metabolic waste
E) Perform hand hygiene before and after contact with the patient
Correct Answer: A, E) Maintain normoglycemia; Perform hand hygiene before and after
contact with the patient.
Rationale: Hyperglycemia impairs white blood cell function and wound healing; therefore,
maintaining normal blood glucose levels is a primary defense against infection. Hand
hygiene remains the most effective way to prevent the spread of microorganisms between
the nurse and the surgical site.
Question 3
A nurse is assigned the following four clients for the shift. Which of the following clients should
the nurse assess first?
A) A client who is scheduled for an elective appendectomy in 4 hours
B) A client who is being discharged to a long-term care facility this morning
C) A client who had a hip replacement 2 days ago and reports a pain level of 4 on a 0 to 10 scale
D) A client who has a C. diff infection and needs a stool specimen collected
E) A client who has a new onset of confusion and an oxygen saturation of 88%
Correct Answer: E) A client who has a new onset of confusion and an oxygen saturation of
, 2
88%
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with low
oxygen saturation and neurological changes (confusion) is the highest priority. Confusion is
an early sign of hypoxia. The stool collection and discharge are lower priorities than acute
respiratory distress.
Question 4
The nurse is participating in a surgical "time-out" before a procedure begins. In which activities
will the nurse be involved during this process? (Select all that apply.)
A) Verify the correct site
B) Verify the correct patient
C) Verify the correct procedure
D) Verify the correct insurance provider
E) Verify the surgeon's board certification
Correct Answer: A, B, C) Verify the correct site; Verify the correct patient; Verify the correct
procedure.
Rationale: A "time-out" is a critical safety pause mandated by the Joint Commission. It
must be performed immediately before starting the procedure to ensure the team has the
right patient, is performing the right surgery, and is operating on the correct side/site of the
body.
Question 5
A nurse is caring for a client who fell and reports pain in the left hip. The nurse observes external
rotation of the left leg. The nurse has been unable to reach the provider despite several attempts
over the past 30 minutes. Which action should the nurse take next?
A) Wait another 30 minutes and try the provider again
B) Administer high-dose pain medication without an order
C) Notify the nursing supervisor about the inability to reach the provider
D) Attempt to manually straighten the client's leg
E) Tell the client to walk to the bathroom to check for weight-bearing ability
Correct Answer: C) Notify the nursing supervisor about the issues
Rationale: When a nurse identifies a critical change in a client's status (potential hip
fracture) and cannot reach the responsible provider, the nurse must follow the chain of
command. The nursing supervisor can assist in escalating the concern to ensure the patient
receives timely care and medical orders.
Question 6
The mother of a client with breast cancer expresses concern about the client's hair loss and the
high cost of treatments. Which action by the nurse represents appropriate client advocacy?
A) Telling the mother that hair loss is a minor issue compared to cancer
B) Investigating potential community resources to help the client purchase a wig
, 3
C) Advising the client to stop treatments to save money
D) Giving the family money from the nurse's personal bank account
E) Suggesting the client wear a hat and ignore the financial stress
Correct Answer: B) The nurse investigates potential resources to help the client purchase a
wig
Rationale: Advocacy involves identifying the client's needs and assisting them in accessing
resources to improve their quality of life. By finding resources for a wig, the nurse supports
the client's self-esteem and psychosocial well-being while addressing the family's financial
concerns.
Question 7
Which of the following items must be discarded in a biohazard waste receptacle?
A) An empty IV bag removed from a client who has HIV
B) A used paper food tray from a client with Hepatitis C
C) A blood-soaked gauze pad from a wound dressing change
D) The plastic wrapper from a sterile syringe
E) A client's used facial tissues after a sneeze
Correct Answer: C) A blood-soaked gauze pad from a wound dressing change
Rationale: Biohazard waste (red bags) is reserved for items that are saturated with blood or
body fluids that may drip or release infectious material. Empty IV bags and wrappers are
considered general waste unless they are visibly contaminated with blood.
Question 8
A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better,
I'm going to quit." Which response by the manager demonstrates the communication technique
of restating?
A) "Why are you always so negative about changes?"
B) "I think you should take a vacation to clear your head."
C) "So you are feeling upset about all the changes on the unit."
D) "Everyone else seems to be handling it just fine."
E) "You can't quit because we are short-staffed."
Correct Answer: C) So you are feeling upset about all the changes on the unit
Rationale: Restating is a therapeutic communication technique where the nurse or manager
repeats the main idea of what the client or staff member said. This validates that the person
was heard and encourages further expression of feelings.
Question 9
According to HIPAA regulations, which of the following is a violation of client confidentiality?
A) Discussing a client's condition with the attending physician in a private area
B) Giving a change-of-shift report at the client's bedside with the client's permission
C) Informing a housekeeping staff member that a specific client is in the dialysis unit
COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS|GRADED A+|GET IT
100% ACCURATE!!
Question 1
A nurse is using a forced-air warmer for a surgical patient preoperatively. Which of the following
goals is the nurse attempting to achieve with this intervention? (Select all that apply.)
A) Increase the patient's blood pressure
B) Reduce surgical blood loss
C) Decrease the risk of pressure ulcers
D) Reduce the incidence of cardiac arrest
E) Reduce the risk of surgical site infections (SSI)
Correct Answer: B, D, E) Reduce blood loss; Reduce cardiac arrests; Reduce surgical site
infection.
Rationale: Evidence-based practice suggests that pre-warming for a minimum of 30 minutes
significantly reduces the occurrence of perioperative hypothermia (core temperature <
36°C). Maintaining normothermia helps reduce complications such as shivering, cardiac
arrest, increased blood loss due to impaired coagulation, surgical site infections, and overall
mortality.
Question 2
A nurse is caring for a postoperative patient with a surgical incision. Which actions should the
nurse take to decrease the risk of wound infections? (Select all that apply.)
A) Maintain normoglycemia
B) Keep the room temperature below 65°F
C) Administer prophylactic antibiotics 4 hours after the first incision
D) Encourage a low-protein diet to reduce metabolic waste
E) Perform hand hygiene before and after contact with the patient
Correct Answer: A, E) Maintain normoglycemia; Perform hand hygiene before and after
contact with the patient.
Rationale: Hyperglycemia impairs white blood cell function and wound healing; therefore,
maintaining normal blood glucose levels is a primary defense against infection. Hand
hygiene remains the most effective way to prevent the spread of microorganisms between
the nurse and the surgical site.
Question 3
A nurse is assigned the following four clients for the shift. Which of the following clients should
the nurse assess first?
A) A client who is scheduled for an elective appendectomy in 4 hours
B) A client who is being discharged to a long-term care facility this morning
C) A client who had a hip replacement 2 days ago and reports a pain level of 4 on a 0 to 10 scale
D) A client who has a C. diff infection and needs a stool specimen collected
E) A client who has a new onset of confusion and an oxygen saturation of 88%
Correct Answer: E) A client who has a new onset of confusion and an oxygen saturation of
, 2
88%
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with low
oxygen saturation and neurological changes (confusion) is the highest priority. Confusion is
an early sign of hypoxia. The stool collection and discharge are lower priorities than acute
respiratory distress.
Question 4
The nurse is participating in a surgical "time-out" before a procedure begins. In which activities
will the nurse be involved during this process? (Select all that apply.)
A) Verify the correct site
B) Verify the correct patient
C) Verify the correct procedure
D) Verify the correct insurance provider
E) Verify the surgeon's board certification
Correct Answer: A, B, C) Verify the correct site; Verify the correct patient; Verify the correct
procedure.
Rationale: A "time-out" is a critical safety pause mandated by the Joint Commission. It
must be performed immediately before starting the procedure to ensure the team has the
right patient, is performing the right surgery, and is operating on the correct side/site of the
body.
Question 5
A nurse is caring for a client who fell and reports pain in the left hip. The nurse observes external
rotation of the left leg. The nurse has been unable to reach the provider despite several attempts
over the past 30 minutes. Which action should the nurse take next?
A) Wait another 30 minutes and try the provider again
B) Administer high-dose pain medication without an order
C) Notify the nursing supervisor about the inability to reach the provider
D) Attempt to manually straighten the client's leg
E) Tell the client to walk to the bathroom to check for weight-bearing ability
Correct Answer: C) Notify the nursing supervisor about the issues
Rationale: When a nurse identifies a critical change in a client's status (potential hip
fracture) and cannot reach the responsible provider, the nurse must follow the chain of
command. The nursing supervisor can assist in escalating the concern to ensure the patient
receives timely care and medical orders.
Question 6
The mother of a client with breast cancer expresses concern about the client's hair loss and the
high cost of treatments. Which action by the nurse represents appropriate client advocacy?
A) Telling the mother that hair loss is a minor issue compared to cancer
B) Investigating potential community resources to help the client purchase a wig
, 3
C) Advising the client to stop treatments to save money
D) Giving the family money from the nurse's personal bank account
E) Suggesting the client wear a hat and ignore the financial stress
Correct Answer: B) The nurse investigates potential resources to help the client purchase a
wig
Rationale: Advocacy involves identifying the client's needs and assisting them in accessing
resources to improve their quality of life. By finding resources for a wig, the nurse supports
the client's self-esteem and psychosocial well-being while addressing the family's financial
concerns.
Question 7
Which of the following items must be discarded in a biohazard waste receptacle?
A) An empty IV bag removed from a client who has HIV
B) A used paper food tray from a client with Hepatitis C
C) A blood-soaked gauze pad from a wound dressing change
D) The plastic wrapper from a sterile syringe
E) A client's used facial tissues after a sneeze
Correct Answer: C) A blood-soaked gauze pad from a wound dressing change
Rationale: Biohazard waste (red bags) is reserved for items that are saturated with blood or
body fluids that may drip or release infectious material. Empty IV bags and wrappers are
considered general waste unless they are visibly contaminated with blood.
Question 8
A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't get better,
I'm going to quit." Which response by the manager demonstrates the communication technique
of restating?
A) "Why are you always so negative about changes?"
B) "I think you should take a vacation to clear your head."
C) "So you are feeling upset about all the changes on the unit."
D) "Everyone else seems to be handling it just fine."
E) "You can't quit because we are short-staffed."
Correct Answer: C) So you are feeling upset about all the changes on the unit
Rationale: Restating is a therapeutic communication technique where the nurse or manager
repeats the main idea of what the client or staff member said. This validates that the person
was heard and encourages further expression of feelings.
Question 9
According to HIPAA regulations, which of the following is a violation of client confidentiality?
A) Discussing a client's condition with the attending physician in a private area
B) Giving a change-of-shift report at the client's bedside with the client's permission
C) Informing a housekeeping staff member that a specific client is in the dialysis unit
