2026 ATI Leadership Proctored Exam –
Questions with Rationalized Answers
1. NCLEX (NGN Style)
题目：A nurse is instructing an assistive personnel (AP) about care for a client
with a Do Not-Resuscitate (DNR) order. Which statement by the AP shows correct
understanding?
A. "If I cannot detect the client's pulse, I will have another staff member check."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect a pulse"
D. "I will call the nurse to come to the room if I cannot detect the client's pulse."
答案：D. "I will call the nurse to come to the room if I cannot detect the client's
pulse."
解析：协助人员（AP）在发现异常时应通知护士，由护士进行进一步评估。
对于有DNR医嘱的患者，无需启动心肺复苏（CPR），护士负责此类情境下的
临床决策。
2. （题目：Which task can the nurse safely assign to an assistive personnel?）
选项（还原合理选项）：
A. Perform chest compressions on a client in cardiac arrest
B. Perform a comprehensive pain assessment on a post-op client
C. Administer IV pain medication to a client
D. Assess a client's respiratory status after a bronchoscopy
答案：A. Perform chest compressions on a client in cardiac arrest
, 解析：基础心肺复苏（含胸外按压）属于协助人员的执业范围；更复杂的评
估和侵入性操作必须由执业护士完成。
3. 题目：A nurse is caring for a client who is experiencing a serious complication
after receiving a new medication. Which communication tool should the nurse
use to manage this complication?
A. Critical pathway
B. Incident reporting
C. SBAR framework
D. Root cause analysis
答案：C. SBAR framework
解析：SBAR（Situation-Background-Assessment-Recommendation，情境-背景-
评估-
建议）框架能帮助护士清晰、聚焦地传递患者的当前状况与需求，促进及时
的临床干预和合理的护理升级。
4. （题目：A nurse notices a peer is not following facility pain assessment
protocols. What action should she take?）
选项：
B. Post an educational article on pain assessment on the bulletin board
C. Document this finding on an incident report.
D. Report the issue to the nurse manager.
答案：D. Report the issue to the nurse manager
解析：护士长负责确保科室护理人员遵循相关护理政策与标准，将问题上报
护士长能从管理层面纠正偏差，明确责任。
Questions with Rationalized Answers
1. NCLEX (NGN Style)
题目：A nurse is instructing an assistive personnel (AP) about care for a client
with a Do Not-Resuscitate (DNR) order. Which statement by the AP shows correct
understanding?
A. "If I cannot detect the client's pulse, I will have another staff member check."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect a pulse"
D. "I will call the nurse to come to the room if I cannot detect the client's pulse."
答案：D. "I will call the nurse to come to the room if I cannot detect the client's
pulse."
解析：协助人员（AP）在发现异常时应通知护士，由护士进行进一步评估。
对于有DNR医嘱的患者，无需启动心肺复苏（CPR），护士负责此类情境下的
临床决策。
2. （题目：Which task can the nurse safely assign to an assistive personnel?）
选项（还原合理选项）：
A. Perform chest compressions on a client in cardiac arrest
B. Perform a comprehensive pain assessment on a post-op client
C. Administer IV pain medication to a client
D. Assess a client's respiratory status after a bronchoscopy
答案：A. Perform chest compressions on a client in cardiac arrest
, 解析：基础心肺复苏（含胸外按压）属于协助人员的执业范围；更复杂的评
估和侵入性操作必须由执业护士完成。
3. 题目：A nurse is caring for a client who is experiencing a serious complication
after receiving a new medication. Which communication tool should the nurse
use to manage this complication?
A. Critical pathway
B. Incident reporting
C. SBAR framework
D. Root cause analysis
答案：C. SBAR framework
解析：SBAR（Situation-Background-Assessment-Recommendation，情境-背景-
评估-
建议）框架能帮助护士清晰、聚焦地传递患者的当前状况与需求，促进及时
的临床干预和合理的护理升级。
4. （题目：A nurse notices a peer is not following facility pain assessment
protocols. What action should she take?）
选项：
B. Post an educational article on pain assessment on the bulletin board
C. Document this finding on an incident report.
D. Report the issue to the nurse manager.
答案：D. Report the issue to the nurse manager
解析：护士长负责确保科室护理人员遵循相关护理政策与标准，将问题上报
护士长能从管理层面纠正偏差，明确责任。
