2023 ATI RN LEADERSHIP PROCTORED
EXAM VERSION (1,2,3,4,5,6) QUESTIONS
AND VERIFIED ANSWERS / A+ GRADE
(VERIFIED EXAM'S)(latest)
## 📌 **Key Topics Covered on the ATI RN Leadership Exam**
| **Topic Area** | **Specific Content** |
| :--- | :--- |
| **Prioritization & Triage** | ABCs (Airway, Breathing, Circulation), Maslow's Hierarchy, disaster triage
(emergent/delayed/minor/expectant) |
| **Delegation & Scope of Practice** | Five Rights of Delegation, RN vs. LPN vs. AP tasks, NCSBN
decision-making model |
| **Legal & Ethical Issues** | Informed consent (provider responsibility), advance directives, HIPAA
confidentiality, client advocacy, chain of command |
| **Conflict Resolution** | Competing, collaborating, compromising, smoothing, avoiding; stages of
conflict (latent, emergent, confrontation, manifest) |
| **Ethical Principles** | Beneficence, nonmaleficence, autonomy, justice, fidelity, veracity,
utilitarianism |
| **Disaster Management** | Triage categories (Class I-IV), bioterrorism preparedness, PPE availability
|
| **Staff Development** | Orientation, competency assessment, time management strategies, teaching
methods |
| **Medication Orders** | Essential components (name, dose, route, frequency), telephone orders
(read-back requirement) |
,| **Infection Control** | Airborne (N95, negative pressure), Droplet (mask), Contact (gown + gloves),
C.diff (bleach cleaning) |
## 📝 **Sample Questions from Versions 1-6**
### Version 1
**Q1. A nurse is assigned the following four clients. Which client should the nurse assess first?**
- A) Client with hip fracture in Buck's traction
- B) Client with aspiration pneumonia and respiratory rate of 28/min
- C) Client with diabetes mellitus and stage 2 pressure ulcer
- D) Client with C. diff infection needing a stool specimen
**Correct Answer: B**
**Rationale:** Using the ABCs (Airway, Breathing, Circulation), a respiratory rate of 28/min indicates
tachypnea and potential respiratory compromise. This client should be assessed first.
**Q2. A nurse cannot reach the provider after 30 minutes for a client with a possible hip fracture. What
action should the nurse take?**
- A) Notify the nursing supervisor
- B) Contact the physical therapist
- C) Apply a warm compress
- D) Reposition the client for comfort
**Correct Answer: A**
, **Rationale:** When a provider cannot be reached for an urgent situation, the nurse should follow the
chain of command and notify the nursing supervisor.
**Q3. The mother of a client with breast cancer expresses financial and emotional concerns. Which
action is appropriate client advocacy?**
- A) Investigate resources to help purchase a wig
- B) Explain that most cancer clients lose their hair
- C) Inform the next shift nurse of the concerns
- D) Suggest counseling for body image issues
**Correct Answer: A**
**Rationale:** Client advocacy involves acting on behalf of the client to ensure their needs are met.
Investigating resources demonstrates active advocacy.
**Q4. Which item must be discarded in biohazard waste?**
- A) Urinary catheter drainage bag
- B) Bed sheet from pneumonia client
- C) Perineal pad from postpartum client
- D) Empty IV bag from HIV client
**Correct Answer: A**
**Rationale:** Urinary catheter drainage bags are contaminated with body fluids and must be disposed
of in biohazard waste.
EXAM VERSION (1,2,3,4,5,6) QUESTIONS
AND VERIFIED ANSWERS / A+ GRADE
(VERIFIED EXAM'S)(latest)
## 📌 **Key Topics Covered on the ATI RN Leadership Exam**
| **Topic Area** | **Specific Content** |
| :--- | :--- |
| **Prioritization & Triage** | ABCs (Airway, Breathing, Circulation), Maslow's Hierarchy, disaster triage
(emergent/delayed/minor/expectant) |
| **Delegation & Scope of Practice** | Five Rights of Delegation, RN vs. LPN vs. AP tasks, NCSBN
decision-making model |
| **Legal & Ethical Issues** | Informed consent (provider responsibility), advance directives, HIPAA
confidentiality, client advocacy, chain of command |
| **Conflict Resolution** | Competing, collaborating, compromising, smoothing, avoiding; stages of
conflict (latent, emergent, confrontation, manifest) |
| **Ethical Principles** | Beneficence, nonmaleficence, autonomy, justice, fidelity, veracity,
utilitarianism |
| **Disaster Management** | Triage categories (Class I-IV), bioterrorism preparedness, PPE availability
|
| **Staff Development** | Orientation, competency assessment, time management strategies, teaching
methods |
| **Medication Orders** | Essential components (name, dose, route, frequency), telephone orders
(read-back requirement) |
,| **Infection Control** | Airborne (N95, negative pressure), Droplet (mask), Contact (gown + gloves),
C.diff (bleach cleaning) |
## 📝 **Sample Questions from Versions 1-6**
### Version 1
**Q1. A nurse is assigned the following four clients. Which client should the nurse assess first?**
- A) Client with hip fracture in Buck's traction
- B) Client with aspiration pneumonia and respiratory rate of 28/min
- C) Client with diabetes mellitus and stage 2 pressure ulcer
- D) Client with C. diff infection needing a stool specimen
**Correct Answer: B**
**Rationale:** Using the ABCs (Airway, Breathing, Circulation), a respiratory rate of 28/min indicates
tachypnea and potential respiratory compromise. This client should be assessed first.
**Q2. A nurse cannot reach the provider after 30 minutes for a client with a possible hip fracture. What
action should the nurse take?**
- A) Notify the nursing supervisor
- B) Contact the physical therapist
- C) Apply a warm compress
- D) Reposition the client for comfort
**Correct Answer: A**
, **Rationale:** When a provider cannot be reached for an urgent situation, the nurse should follow the
chain of command and notify the nursing supervisor.
**Q3. The mother of a client with breast cancer expresses financial and emotional concerns. Which
action is appropriate client advocacy?**
- A) Investigate resources to help purchase a wig
- B) Explain that most cancer clients lose their hair
- C) Inform the next shift nurse of the concerns
- D) Suggest counseling for body image issues
**Correct Answer: A**
**Rationale:** Client advocacy involves acting on behalf of the client to ensure their needs are met.
Investigating resources demonstrates active advocacy.
**Q4. Which item must be discarded in biohazard waste?**
- A) Urinary catheter drainage bag
- B) Bed sheet from pneumonia client
- C) Perineal pad from postpartum client
- D) Empty IV bag from HIV client
**Correct Answer: A**
**Rationale:** Urinary catheter drainage bags are contaminated with body fluids and must be disposed
of in biohazard waste.
