ATI RN Leadership (Latest 2025 Version) Proctored Exam with NGN 70 Questions and Expert-Approved Answers
| Actual Detailed RN ATI Leadership Exam with NGN!
Candidate Full Name:
Candidate ID Number:
Exam Date:
Start Time:
EXAM INFORMATION
Total Questions: 70 (including NGN items)
Time Limit: 3 hours (180 minutes)
Passing Score: As determined by ATI
INSTRUCTIONS
• Read each question carefully.
• Some questions require selecting all that apply.
• NGN items include bow-tie, drag-drop, matrix, and highlight.
• Once you answer a question, you CANNOT go back.
• Select the BEST answer for each question.
·’ TIMER: 3:00:00
●
DO NOT TURN THIS PAGE UNTIL
INSTRUCTED TO DO SO.
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
,ATI RN Leadership (Latest 2025 Version) Proctored Exam with NGN 70 Questions and Expert-Approved Answers
| Actual Detailed RN ATI Leadership Exam with NGN!
Question 1 out of 70
⏱️ Time left: 2:59:48
NGN Style – Highlight (Select all that apply)
A nurse manager is reviewing medication safety on a medical unit. Which practices
would require immediate correction? (Select all that apply)
A. A nurse prepares two patients’ IV antibiotics at the same time on the same work
surface.
B. A nurse scans the patient’s wristband and the medication barcode before
administering.
C. A nurse administers an insulin injection without a second nurse double-checking the
dose.
D. A nurse leaves a vial of fentanyl unlocked in a medication cart for 10 minutes while
answering a call light.
E. A nurse verbally verifies the patient’s name and birthdate but does not check the
wristband.
Correct Answer: A, C, D, E
Rationale:
A – Preparing multiple patients’ meds simultaneously increases risk of wrong-patient
error.
C – High-alert medications like insulin require independent double-check in many
facilities.
D – Unlocked controlled substances violate security policies.
E – Wristband verification is required; verbal only is insufficient.
B is correct practice (barcode scanning).
Question 2 out of 70
⏱️ Time left: 2:57:32 Standalone –
Delegation
A charge nurse on a postoperative unit is assigning tasks. Which task should be
delegated to an experienced UAP (unlicensed assistive personnel)?
A. Measuring and documenting intake and output for a patient on strict I&O
B. Assessing a patient’s pain level using a 0-10 scale
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
,ATI RN Leadership (Latest 2025 Version) Proctored Exam with NGN 70 Questions and Expert-Approved Answers
| Actual Detailed RN ATI Leadership Exam with NGN!
C. Reinforcing teaching about incentive spirometry
D. Removing a peripheral IV catheter that is no longer needed
Correct Answer: A
Rationale: UAP can measure and document I&O on stable patients. Pain assessment (B)
and patient teaching (C) require licensed nursing judgment. IV removal (D) is generally
an LPN/RN skill.
Question 3 out of 70
⏱️ Time left: 2:55:10 NGN
– Bow-tie
Case: A patient develops ventilator-associated pneumonia (VAP) after 5 days in the ICU.
The center of the bow-tie is “VAP.”
Left side (Causes): Select two causes.
A. Head of bed maintained at 30 degrees
B. Oral care performed every 12 hours instead of every 2-4 hours
C. Closed suction system used consistently
D. Endotracheal tube cuff pressure not checked for 24 hours
Correct Answer: B and D
Rationale: Inadequate oral care (B) allows bacterial colonization. Uncuffed or
under-inflated cuff (D) allows aspiration. A and C are preventive, not causes.
Right side (Actions to prevent recurrence): Select two actions.
E. Implement a VAP prevention bundle (HOB elevation, oral care q2h, cuff pressure
monitoring)
F. Blame the night shift for poor compliance
G. Increase sedation to reduce patient movement
H. Discontinue all ventilator weaning trials
Correct Answer: E
Rationale: E is evidence-based. Blame (F) does not fix systems; increased sedation (G)
may worsen VAP risk; stopping weaning (H) prolongs ventilation.
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
, ATI RN Leadership (Latest 2025 Version) Proctored Exam with NGN 70 Questions and Expert-Approved Answers
| Actual Detailed RN ATI Leadership Exam with NGN!
Question 4 out of 70
⏱️ Time left: 2:53:05
Standalone – Informed Consent
A patient is scheduled for a cardiac catheterization. The patient says, “The doctor rushed
through the explanation, and I’m not sure what the risks are.” What should the nurse do
first?
A. Explain the risks and benefits to the patient.
B. Ask the patient to sign the consent form anyway.
C. Notify the provider that the patient needs further explanation.
D. Document that the patient is confused and cancel the procedure.
Correct Answer: C
Rationale: The provider is legally responsible for obtaining informed consent. The nurse
should not allow the patient to sign without understanding and must contact the
provider for clarification.
Question 5 out of 70
⏱️ Time left: 2:51:00
NGN – Matrix (Matching)
A nurse manager is analyzing staff responses to a patient complaint. Match each
response to the appropriate customer service principle.
Response Principle
“I understand why you would be upset.” 1. Acknowledge feelings
“Let me find out what happened and call you back within 2. Take ownership and follow
an hour.” up
“That’s not my fault; it was the night shift.” 3. Avoid blaming others
“What can I do to make this right for you?” 4. Offer a solution
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
| Actual Detailed RN ATI Leadership Exam with NGN!
Candidate Full Name:
Candidate ID Number:
Exam Date:
Start Time:
EXAM INFORMATION
Total Questions: 70 (including NGN items)
Time Limit: 3 hours (180 minutes)
Passing Score: As determined by ATI
INSTRUCTIONS
• Read each question carefully.
• Some questions require selecting all that apply.
• NGN items include bow-tie, drag-drop, matrix, and highlight.
• Once you answer a question, you CANNOT go back.
• Select the BEST answer for each question.
·’ TIMER: 3:00:00
●
DO NOT TURN THIS PAGE UNTIL
INSTRUCTED TO DO SO.
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
,ATI RN Leadership (Latest 2025 Version) Proctored Exam with NGN 70 Questions and Expert-Approved Answers
| Actual Detailed RN ATI Leadership Exam with NGN!
Question 1 out of 70
⏱️ Time left: 2:59:48
NGN Style – Highlight (Select all that apply)
A nurse manager is reviewing medication safety on a medical unit. Which practices
would require immediate correction? (Select all that apply)
A. A nurse prepares two patients’ IV antibiotics at the same time on the same work
surface.
B. A nurse scans the patient’s wristband and the medication barcode before
administering.
C. A nurse administers an insulin injection without a second nurse double-checking the
dose.
D. A nurse leaves a vial of fentanyl unlocked in a medication cart for 10 minutes while
answering a call light.
E. A nurse verbally verifies the patient’s name and birthdate but does not check the
wristband.
Correct Answer: A, C, D, E
Rationale:
A – Preparing multiple patients’ meds simultaneously increases risk of wrong-patient
error.
C – High-alert medications like insulin require independent double-check in many
facilities.
D – Unlocked controlled substances violate security policies.
E – Wristband verification is required; verbal only is insufficient.
B is correct practice (barcode scanning).
Question 2 out of 70
⏱️ Time left: 2:57:32 Standalone –
Delegation
A charge nurse on a postoperative unit is assigning tasks. Which task should be
delegated to an experienced UAP (unlicensed assistive personnel)?
A. Measuring and documenting intake and output for a patient on strict I&O
B. Assessing a patient’s pain level using a 0-10 scale
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
,ATI RN Leadership (Latest 2025 Version) Proctored Exam with NGN 70 Questions and Expert-Approved Answers
| Actual Detailed RN ATI Leadership Exam with NGN!
C. Reinforcing teaching about incentive spirometry
D. Removing a peripheral IV catheter that is no longer needed
Correct Answer: A
Rationale: UAP can measure and document I&O on stable patients. Pain assessment (B)
and patient teaching (C) require licensed nursing judgment. IV removal (D) is generally
an LPN/RN skill.
Question 3 out of 70
⏱️ Time left: 2:55:10 NGN
– Bow-tie
Case: A patient develops ventilator-associated pneumonia (VAP) after 5 days in the ICU.
The center of the bow-tie is “VAP.”
Left side (Causes): Select two causes.
A. Head of bed maintained at 30 degrees
B. Oral care performed every 12 hours instead of every 2-4 hours
C. Closed suction system used consistently
D. Endotracheal tube cuff pressure not checked for 24 hours
Correct Answer: B and D
Rationale: Inadequate oral care (B) allows bacterial colonization. Uncuffed or
under-inflated cuff (D) allows aspiration. A and C are preventive, not causes.
Right side (Actions to prevent recurrence): Select two actions.
E. Implement a VAP prevention bundle (HOB elevation, oral care q2h, cuff pressure
monitoring)
F. Blame the night shift for poor compliance
G. Increase sedation to reduce patient movement
H. Discontinue all ventilator weaning trials
Correct Answer: E
Rationale: E is evidence-based. Blame (F) does not fix systems; increased sedation (G)
may worsen VAP risk; stopping weaning (H) prolongs ventilation.
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
, ATI RN Leadership (Latest 2025 Version) Proctored Exam with NGN 70 Questions and Expert-Approved Answers
| Actual Detailed RN ATI Leadership Exam with NGN!
Question 4 out of 70
⏱️ Time left: 2:53:05
Standalone – Informed Consent
A patient is scheduled for a cardiac catheterization. The patient says, “The doctor rushed
through the explanation, and I’m not sure what the risks are.” What should the nurse do
first?
A. Explain the risks and benefits to the patient.
B. Ask the patient to sign the consent form anyway.
C. Notify the provider that the patient needs further explanation.
D. Document that the patient is confused and cancel the procedure.
Correct Answer: C
Rationale: The provider is legally responsible for obtaining informed consent. The nurse
should not allow the patient to sign without understanding and must contact the
provider for clarification.
Question 5 out of 70
⏱️ Time left: 2:51:00
NGN – Matrix (Matching)
A nurse manager is analyzing staff responses to a patient complaint. Match each
response to the appropriate customer service principle.
Response Principle
“I understand why you would be upset.” 1. Acknowledge feelings
“Let me find out what happened and call you back within 2. Take ownership and follow
an hour.” up
“That’s not my fault; it was the night shift.” 3. Avoid blaming others
“What can I do to make this right for you?” 4. Offer a solution
Full screen mode is in effect during your proctored testing.
Please Note: Attempting to exit out of full screen mode or pressing the escape button will result in an
alert message sent to the proctor and may result in the termination of your assessment
