2026 ATI LEADERSHIP PROCTORED EXAM VERSION [1-8] NGN STYLE QUESTIONS & CASE SCENARIOS | ACTUAL QS & ANS TO PASS THE EXAM

2026 ATI LEADERSHIP PROCTORED EXAM VERSION [1-8] NGN-

STYLE QUESTIONS & CASE SCENARIOS | ACTUAL QS & ANS TO

PASS THE EXAM

THIS EXAM CONTAINS:


 2026 ATI LEADERSHIP PROCTORED EXAM

 VERSION [1-8] NGN STYLE QUESTIONS & CASE SCENARIOS


 ACTUAL QS & ANS TO PASS THE EXAM

 100% GURANTEED PASS

 COMPLETE A+ GUIDE


VERSION 1
1. A nurse manager is preparing to institute a new system for scheduling staff.
Several nurses have verbalized their concern over the possible changes that
will occur. Which of the following is an appropriate method to facilitate the
adoption of the new scheduling system?
A. Identify nurses who accept the change to help influence other staff nurses
B. Provide a brief overview of the new scheduling system immediately
before it implementation

, C. Introduce the new scheduling system by describing how it will save the
institution money
D. Offer to reassign staff who do not support the change to another unit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia.
In accordance with the care pathway, antibiotic therapy is prescribed. Which of
the following situations requires the nurse to complete a variance report with
regard to the care pathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway
B. A blood culture was obtained after antibiotic therapy has been initiated
C. The route of antibiotic therapy on the care pathway was changed from IV to PO
D. An allergy to penicillin required an alternative antibiotic to be prescribed.
3. A nurse should recognize that an incident report is required when
A. A client refuses to attend physical therapy
B. A visitor pinches his finger in the client’s bed frame
C. A client throws a box of tissues at a nurse
D. A nurse gives a med 30 min late

,5. Client satisfactory surveys from a med-surg unit indicate the pain is not being
B B B B B B B B B B B B


adequately relieved during the first 12 hr post-opt. The unit manager decides to
B B B B B B B B B B B B B


identify post-opt pain as a quality indicator. Which of the following data sources
B B B B B B B B B B B B B


will be helpful in determine the reason why clients are not receiving adequate
B B B B B B B B B B B B B


pain management after surgery?
B B B B



A. Prospective chart audit B B


B. Retrospective chart audit B B


C. Postoperative care policy B B


D. Pain assessment policy B B


6. A nurse precepting a newly licenced nurse who is caring for a client who is
B B B B B B B B B B B B B B


confused and has an IV infusion. The newly licensed nurse has placed the client
B B B B B B B B B B B B B B


in wrist restraints to prevent dislodging the IV catheter. Which of the following
B B B B B B B B B B B B B


questions should the precepting nurse ask?
B B B B B B



A. “Did you secure the restraints to the side rails of the bed?”
B B B B B B B B B B B


B. “Are you able to insert two fingers between the restraint and the client’s skin?”
B B B B B B B B B B B B B


C. “Did you tie the restraints using double knot?”
B B B B B B B


D. “Are you removing the client’s restraints every 4 hr?”
B B B B B B B B


7. A nurse is caring for an older adult client who has stage III pressure ulcer. The
B B B B B B B B B B B B B B B


nurse request a consultation with the wound care specialist. Which of the
B B B B B B B B B B B B


following actions by the nurse is appropriate when working with a consultant?
B B B B B B B B B B B B



A. Arrange the consultation for time when the nurse is caring for the client is
B B B B B B B B B B B B B


able to be present for consultation
B B B B B B


B. Provide the consultant with subjective opinions and beliefs about the
B B B B B B B B B


client’s wound care
B B B


C. Request the consultation after several wound care treatment tried
B B B B B B B B


D. Arrange for the wound care nurse specialist to see the client daily to
B B B B B B B B B B B B


provide the recommended treatment
B B B B


8. A client is admitted wit TB and placed in a negative pressure room.
B B B B B B B B B B B B


Which of the following actions is appropriate?
B B B B B B B



A. Notify the local health department of the admission
B B B B B B B


B. Place a sign on the client’s door with the diagnosis
B B B B B B B B B


C. Ensure that admitting staff undergo PPD skin tests
B B B B B B B


D. Determine who had contact with the client in the last 48 hr B B B B B B B B B B B

, 9. A nurse is caring for a client who is unconscious and whose partner is health
B B B B B B B B B B B B B B


care proxy. The partner has spoken with the provider and wishes to discontinue
B B B B B B B B B B B B B


the client’s feeding tube. The provider states the nurse, “I will not discontinue the
B B B B B B B B B B B B B B


client’s treatment. His partner has no right to make decisions regarding the
B B B B B B B B B B B B


client’s care. “Which of the following responses by the nurse is appropriate?
B B B B B B B B B B B B



A. You should consider speaking with the facility’s ethics committee before
B B B B B B B B B


making your decision
B B B


B. You have the right to make decision, even if the partner is the client’s
B B B B B B B B B B B B B


health care proxy
B B B


C. The client has designated his partner as health care proxy in his advance directives
B B B B B B B B B B B B B


D. We’ll need to have the nursing supervisor review the client’s advance directives
B B B B B B B B B B B


10. A nurse is caring for a client who has increased intracranial pressure and is
B B B B B B B B B B B B B


receiving IV corticosteroids. Which of the following info is most important for the
B B B B B B B B B B B B B


nurse to report at shift change?
B B B B B B



A. Gasglow Coma scale score B B B


B. Most recent blood glucose reading
B B B B


C. Lab test scheduled for next shift
B B B B B


D. Reddened area on the coccyx B B B B




24.A Bnurse Bis Bcaring Bfor Ba Bclient Bwho Bis Bscheduled Bfor Bsurgery. BThe Bnurse’s Brole Bin Bregard Bto Binformed Bconsent Bis
Bwhich Bof Bthe Bfollowing?



A. Ensuring Bthe Bcharge Bnurse Bis Bavailable Bto Bwitness Bthe Bclient’s Bsignature Bon Bthe Bconsent Bform
Rationale:The Bnurse Bcaring Bfor Bthe Bclient Bcan Bwitness Bthe Bclient’s Bsignature Bon Bthe Bconsent Bform. BIt Bis Bnot
necessary Bto Bask Bthe Bcharge Bnurse Bto Bserve Bas Bthe Bwitness.
B



B. Explaining Bthe Brisks Binvolved Bwith Bthe Bprocedure
Rationale:The Bsurgeon Bmust Bexplain Bthe Brisks Binvolved Bwith Bthe Bprocedure. BA Bnurse Bwho Battempts Bto Bexplain Bthe
risks Binvolved Bwith Bthe Bprocedure Bfaces Bthe Bpossibility Bof Blegal Baction Bif Bthe Binformation Bis Bincomplete Bor
B

incorrect.
B

Additionally, Bthe Bnurse Bis Binterfering Bwith Bthe Bclient-provider Brelationship.

C. Discussing Balternate Btreatment Boptions
Rationale:Discussing Balternate Btreatment Boptions Bis Bthe Bresponsibility Bof Bthe Bsurgeon. BA Bnurse Bwho
attempts Bto Bdiscuss Balternate Btreatment Boptions Bfaces Bthe Bpossibility Bof Blegal Baction Bif Bthe Binformation Bis
Bincomplete Bor Bincorrect. BAdditionally, Bthe Bnurse Bis Binterfering Bwith Bthe Bclient-provider Brelationship.