ATI Leadership Proctored Exam – Questions with Rationalized Answers
, Question 1 (NCLEX NGN Style)
Scenario: 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 indicates
understanding?
• Options:
A. "If I cannot detect the client's pulse, I will have another AP verify it."
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 the client's
pulse."
D. "I will call the nurse to come to the room if I cannot detect the client's
pulse."
Answer: D. "I will call the nurse to come to the room if I cannot detect the
client's pulse."
Rationale: The AP should notify the nurse for further assessment. CPR is not
indicated for clients with a DNR order, and the nurse is responsible for clinical
decision-making in such situations.
Question 2
Scenario: Which task can the nurse safely assign to an assistive personnel (AP)?
• Options:
A. Perform chest compressions on a client in cardiac arrest.
B. Change a sterile dressing on a client's leg wound.
C. Check the residual volume of a client's gastrostomy tube.
D. Instruct the client on the use of a blood glucose machine.
Answer: A. Perform chest compressions on a client in cardiac arrest
Rationale: Basic CPR, including chest compressions, is within the scope of practice
for APs. More complex assessments and procedures must be performed by
licensed nurses.
, Question 1 (NCLEX NGN Style)
Scenario: 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 indicates
understanding?
• Options:
A. "If I cannot detect the client's pulse, I will have another AP verify it."
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 the client's
pulse."
D. "I will call the nurse to come to the room if I cannot detect the client's
pulse."
Answer: D. "I will call the nurse to come to the room if I cannot detect the
client's pulse."
Rationale: The AP should notify the nurse for further assessment. CPR is not
indicated for clients with a DNR order, and the nurse is responsible for clinical
decision-making in such situations.
Question 2
Scenario: Which task can the nurse safely assign to an assistive personnel (AP)?
• Options:
A. Perform chest compressions on a client in cardiac arrest.
B. Change a sterile dressing on a client's leg wound.
C. Check the residual volume of a client's gastrostomy tube.
D. Instruct the client on the use of a blood glucose machine.
Answer: A. Perform chest compressions on a client in cardiac arrest
Rationale: Basic CPR, including chest compressions, is within the scope of practice
for APs. More complex assessments and procedures must be performed by
licensed nurses.
