ATI Leadership Proctored Exam (31 Latest Versions, 2022) /
Leadership ATI Proctored Exam / ATI Proctored Leadership
Exam |Real + Practice Exam, Verified Q & A|Prioritization &
ABCs
1. A nurse receives report on four patients. Which patient
should be seen first?
• A. Post-op appendectomy with pain 6/10
• B. Client with pneumonia and oxygen saturation 89%
• C. Client scheduled for discharge today
• D. Client requesting PRN anxiety medication
Answer: B
Rationale: Airway and oxygenation take priority according to the
ABC (Airway, Breathing, Circulation) principle. An O2 saturation of
89% indicates hypoxemia, which is life-threatening and requires
immediate intervention.
2. A nurse is assessing a client who has been prescribed a
beta-blocker. Which finding should the nurse report to the
provider immediately?
• A. Heart rate of 58 bpm
• B. Blood pressure of 110/70 mmHg
• C. Heart rate of 45 bpm
• D. Mild fatigue
Answer: C
Rationale: Beta-blockers can cause bradycardia. A heart rate
,below 50-55 bpm may indicate excessive drug effect and requires
immediate notification of the provider to prevent complications.
3. Which finding is most concerning?
• A. Temperature 37.5°C (99.5°F)
• B. Heart rate 88/min
• C. Respiratory rate 8/min
• D. Blood pressure 120/80 mmHg
Answer: C
Rationale: A respiratory rate of 8/min indicates respiratory
depression, which is life-threatening. This requires immediate
intervention as it affects oxygenation and ventilation.
4. A client who is febrile is admitted for treatment of
pneumonia. In accordance with the care pathway, antibiotic
therapy is prescribed. Which situation requires the nurse to
complete a variance report?
• A. Antibiotic therapy was initiated 2 hr after implementation
of the care pathway
• B. Blood culture was obtained after antibiotic therapy had
been initiated
• C. A penicillin allergy required an alternative antibiotic to be
prescribed
• D. The route of antibiotic therapy was changed from IV to PO
Answer: B
Rationale: A variance report should be initiated whenever an
error is made involving a client, even if no injury occurred.
Obtaining a blood culture after antibiotics have been started will
,yield inaccurate results and represents a deviation from the
standard care pathway.
5. A nurse suspects a client is having a stroke. What is the first
action?
• A. Call the family
• B. Check blood glucose
• C. Activate rapid response
• D. Document findings
Answer: C
Rationale: Stroke is a time-sensitive neurological emergency.
Activating the rapid response team or stroke team immediately
allows for prompt assessment and treatment, which is critical for
outcomes.
6. Which patient requires immediate intervention?
• A. Stable diabetic client
• B. Post-op client with mild pain
• C. Client with new confusion
• D. Client awaiting routine medication
Answer: C
Rationale: Acute neurological change (new confusion) is an
emergency that requires immediate assessment. This could
indicate a stroke, infection, metabolic disturbance, or other
serious condition.
7. A nurse is caring for a client who has meningitis. Which
finding should the nurse report to the provider immediately?
, • A. Decreased level of consciousness
• B. A generalized rash over trunk
• C. Increased temperature
• D. Report of photophobia
Answer: A
Rationale: Decreased level of consciousness indicates
neurological deterioration and possible increased intracranial
pressure (ICP), which requires immediate medical intervention.
8. What is the first action after receiving a critical lab result?
• A. Document the result
• B. Notify the provider
• C. Repeat the lab
• D. Ignore if patient is asymptomatic
Answer: B
Rationale: Critical lab results require immediate notification of
the provider so that timely interventions can be implemented.
Documentation should occur after notification.
9. A nurse is caring for a client who is receiving continuous
enteral feeding via a nasogastric tube. Which finding requires
immediate intervention?
• A. Gastric residual volume of 150 mL
• B. Formula temperature at room temperature
• C. Head of bed elevation at 30 degrees
• D. Gastric residual volume of 400 mL
Answer: D
Rationale: A gastric residual volume greater than 250-300 mL
Leadership ATI Proctored Exam / ATI Proctored Leadership
Exam |Real + Practice Exam, Verified Q & A|Prioritization &
ABCs
1. A nurse receives report on four patients. Which patient
should be seen first?
• A. Post-op appendectomy with pain 6/10
• B. Client with pneumonia and oxygen saturation 89%
• C. Client scheduled for discharge today
• D. Client requesting PRN anxiety medication
Answer: B
Rationale: Airway and oxygenation take priority according to the
ABC (Airway, Breathing, Circulation) principle. An O2 saturation of
89% indicates hypoxemia, which is life-threatening and requires
immediate intervention.
2. A nurse is assessing a client who has been prescribed a
beta-blocker. Which finding should the nurse report to the
provider immediately?
• A. Heart rate of 58 bpm
• B. Blood pressure of 110/70 mmHg
• C. Heart rate of 45 bpm
• D. Mild fatigue
Answer: C
Rationale: Beta-blockers can cause bradycardia. A heart rate
,below 50-55 bpm may indicate excessive drug effect and requires
immediate notification of the provider to prevent complications.
3. Which finding is most concerning?
• A. Temperature 37.5°C (99.5°F)
• B. Heart rate 88/min
• C. Respiratory rate 8/min
• D. Blood pressure 120/80 mmHg
Answer: C
Rationale: A respiratory rate of 8/min indicates respiratory
depression, which is life-threatening. This requires immediate
intervention as it affects oxygenation and ventilation.
4. A client who is febrile is admitted for treatment of
pneumonia. In accordance with the care pathway, antibiotic
therapy is prescribed. Which situation requires the nurse to
complete a variance report?
• A. Antibiotic therapy was initiated 2 hr after implementation
of the care pathway
• B. Blood culture was obtained after antibiotic therapy had
been initiated
• C. A penicillin allergy required an alternative antibiotic to be
prescribed
• D. The route of antibiotic therapy was changed from IV to PO
Answer: B
Rationale: A variance report should be initiated whenever an
error is made involving a client, even if no injury occurred.
Obtaining a blood culture after antibiotics have been started will
,yield inaccurate results and represents a deviation from the
standard care pathway.
5. A nurse suspects a client is having a stroke. What is the first
action?
• A. Call the family
• B. Check blood glucose
• C. Activate rapid response
• D. Document findings
Answer: C
Rationale: Stroke is a time-sensitive neurological emergency.
Activating the rapid response team or stroke team immediately
allows for prompt assessment and treatment, which is critical for
outcomes.
6. Which patient requires immediate intervention?
• A. Stable diabetic client
• B. Post-op client with mild pain
• C. Client with new confusion
• D. Client awaiting routine medication
Answer: C
Rationale: Acute neurological change (new confusion) is an
emergency that requires immediate assessment. This could
indicate a stroke, infection, metabolic disturbance, or other
serious condition.
7. A nurse is caring for a client who has meningitis. Which
finding should the nurse report to the provider immediately?
, • A. Decreased level of consciousness
• B. A generalized rash over trunk
• C. Increased temperature
• D. Report of photophobia
Answer: A
Rationale: Decreased level of consciousness indicates
neurological deterioration and possible increased intracranial
pressure (ICP), which requires immediate medical intervention.
8. What is the first action after receiving a critical lab result?
• A. Document the result
• B. Notify the provider
• C. Repeat the lab
• D. Ignore if patient is asymptomatic
Answer: B
Rationale: Critical lab results require immediate notification of
the provider so that timely interventions can be implemented.
Documentation should occur after notification.
9. A nurse is caring for a client who is receiving continuous
enteral feeding via a nasogastric tube. Which finding requires
immediate intervention?
• A. Gastric residual volume of 150 mL
• B. Formula temperature at room temperature
• C. Head of bed elevation at 30 degrees
• D. Gastric residual volume of 400 mL
Answer: D
Rationale: A gastric residual volume greater than 250-300 mL
