2023 latest ATI Leadership
Proctored Exam – Questions with
Rationalized Answers
### Questions 1-10
**Question 1**
A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of
a change in the wound care procedure. Which of the following findings indicate
wound healing?
,A. Erythema on the skin surrounding a client's wound
**B. Deep red color on the center of the client's wound**
C. Inflammation noted on the tissue edges of a client's wound
D. Increase in serosanguineous exudate from the client's wound
**Answer: B**
**Rationale:** Deep red tissue in the wound center indicates healthy granulation
tissue formation during the proliferative stage. Red tissue represents healthy
regeneration of tissue. Erythema, inflammation, and increased exudate suggest
infection or poor healing. Dark granulation tissue can be a sign of infection,
ischemia, or poor perfusion .
---
**Question 2**
A nurse received change-of-shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
**A. Obtain a breakfast tray for a client who received a morning dose of insulin
aspart**
B. Administer pain medication to a client who has rheumatoid arthritis and
received the last dose at 0400
,C. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
D. Replace a client's enteral nutrition feeding solution that has been hanging for
24 hours
**Answer: A**
**Rationale:** Insulin aspart is fast-acting insulin that takes effect within 15
minutes. The client needs breakfast immediately to prevent hypoglycemia. This is
the priority safety concern. The other tasks can be delegated or completed after
ensuring the client receives food .
---
**Question 3**
A nurse is orienting a newly licensed nurse on the neurological unit. Which of the
following clients should the nurse assign to the newly licensed nurse?
**A. A client who has multiple sclerosis and ataxia**
B. A client who has brain tumor and is admitted for chemotherapy
C. A client who has Guillain-Barre syndrome and a tracheostomy
D. A client who sustained a concussion and is being monitored for complications
**Answer: A**
, **Rationale:** Ataxia is an expected finding for someone with multiple sclerosis.
This client is the most stable, making them appropriate for assignment to a newly
licensed nurse. The other clients have higher acuity or require more complex
monitoring .
---
**Question 4**
A nurse is providing teaching to a client about advance directives. Which of the
following statements by the client indicates an understanding of the teaching?
A. "Once I sign my living will, a family member must co-sign it"
B. "I will wait until I have a serious health problem to sign my advance directives"
C. "My doctor will need to provide approval for the decisions outlined in my living
will"
**D. "My durable power of attorney for health care is part of my advance
directives"**
**Answer: D**
**Rationale:** Durable power of attorney for health care and living wills are both
components of advance directives. Clients can complete advance directives at any
time, regardless of health status, and do not require provider approval .
Proctored Exam – Questions with
Rationalized Answers
### Questions 1-10
**Question 1**
A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of
a change in the wound care procedure. Which of the following findings indicate
wound healing?
,A. Erythema on the skin surrounding a client's wound
**B. Deep red color on the center of the client's wound**
C. Inflammation noted on the tissue edges of a client's wound
D. Increase in serosanguineous exudate from the client's wound
**Answer: B**
**Rationale:** Deep red tissue in the wound center indicates healthy granulation
tissue formation during the proliferative stage. Red tissue represents healthy
regeneration of tissue. Erythema, inflammation, and increased exudate suggest
infection or poor healing. Dark granulation tissue can be a sign of infection,
ischemia, or poor perfusion .
---
**Question 2**
A nurse received change-of-shift report at 0700 for four clients. Which of the
following actions should the nurse perform first?
**A. Obtain a breakfast tray for a client who received a morning dose of insulin
aspart**
B. Administer pain medication to a client who has rheumatoid arthritis and
received the last dose at 0400
,C. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
D. Replace a client's enteral nutrition feeding solution that has been hanging for
24 hours
**Answer: A**
**Rationale:** Insulin aspart is fast-acting insulin that takes effect within 15
minutes. The client needs breakfast immediately to prevent hypoglycemia. This is
the priority safety concern. The other tasks can be delegated or completed after
ensuring the client receives food .
---
**Question 3**
A nurse is orienting a newly licensed nurse on the neurological unit. Which of the
following clients should the nurse assign to the newly licensed nurse?
**A. A client who has multiple sclerosis and ataxia**
B. A client who has brain tumor and is admitted for chemotherapy
C. A client who has Guillain-Barre syndrome and a tracheostomy
D. A client who sustained a concussion and is being monitored for complications
**Answer: A**
, **Rationale:** Ataxia is an expected finding for someone with multiple sclerosis.
This client is the most stable, making them appropriate for assignment to a newly
licensed nurse. The other clients have higher acuity or require more complex
monitoring .
---
**Question 4**
A nurse is providing teaching to a client about advance directives. Which of the
following statements by the client indicates an understanding of the teaching?
A. "Once I sign my living will, a family member must co-sign it"
B. "I will wait until I have a serious health problem to sign my advance directives"
C. "My doctor will need to provide approval for the decisions outlined in my living
will"
**D. "My durable power of attorney for health care is part of my advance
directives"**
**Answer: D**
**Rationale:** Durable power of attorney for health care and living wills are both
components of advance directives. Clients can complete advance directives at any
time, regardless of health status, and do not require provider approval .
