CURRENTLY TESTING ACTUAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS OF 2024 NGN LEADERSHIP ATI RN PROCTORED
EXAM
A client who was involved in a MVA is admitted through the ED. He has an IV of 0.9% NS at 100 mL/hr, BP 92/58, and c/o
weakness, fatigue, and abd pain. On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited
560 mL of green emesis with flecks of "coffee grounds." The nurse delegates client care to the CNA. Which activity should
the RN keep?
A. Taking and recording VS every 15 min
B. Recording accurate I&O
C. Obtain a baseline wt to guide therapy
D. Increase the IV rate to 250 mL/hr if the BP drops to 85/50 - ANSWER-Answer: D
A client recovering from CHF is being d/c this aftenoon. The client needs teching to be reinforced. Who should complete
this task?
A. LPN/LVN
B. CNA/NA
C. Unit secretary
D. Second-year nursing student working as a nurse tech on the unit. - ANSWER-Ans. A
A nurse is caring for several clients. Which client could be assinged to a CNA/NA?
A. client with recent head injury
B. client there for a removal of an ovarian cyst post-lap
C. client with stable angina
D. client with sepsis - ANSWER-Ans. C
The RN who is the team leader gives assignments to all the team members. How should the nurse base this decision?
,A. The number of staff willing to work
B. The age and desires of the team members
C. The RN needing to take orders and write client outcomes
D. The condition and needs of ea client - ANSWER-Ans. D
Amn RN is setting up the day's assignments. A newly licensed RN has beeen floated to the unit. What should the RN
consider when making the assignment for the nrewly licensed nurse?
A. The nurse's age
B. The nurse's knowledge of the institution's stardards of practice
C. The nurse's nursing degree
D. The nurse's level of skill - ANSWER-Ans. D
What two legal responsiblilities should the RN take into consideration when delegating to others?
A. Knowing the job requirements and evaluating the outcomes
B. Assessing how much supervisory time is necessary and assessing competence of ea staff member
C. Writing job descriptions and communicating them to all staff members
D. Making sure the supervisor and employee strencths are matched and giving adequate supervision - ANSWER-Ans. B
An RN arrives at work and the nurse manager tells her that the ICU needs more help. The RN is the most experienced
nurse on this unit. The RN tells the nurse manager she has never worked in the ICU and shares her concerns regarding
the lack of familiarity with the technical equiment and protocols of the ICU. The nurse manager states she understands
the RN's concern but is to go to the ICU. How should the RN respond to thee situation.
A. Refuse to go to the ICU.
B. Go to the ICU and tell the charge nurse that she is ill and needs to go home.
C. Go to the ICU and inform the charge nurse of the tasks she is able to perform and those tasks with which she feels she
needs assistance.
D. Call the nurse manager's supervisor and report her for unsafe delegation. - ANSWER-Ans. C
An RN has delegated the care of a fresh postop client to an LPN. The LPN notifies the RN that client's VS have elevated
and the lcient is dyspneic and c/o pain. What should the nurse do next?
A. No further action is necessary as the LPN is experienced.
B. Request that the LPN offer the client a narcotic analgesic that had been ordered for the postop period.
C. Place a call to the attending surgeon and report that the client is having pain
, D. Assess the client and analyze the preop and periop data before calling the surgeon. - ANSWER-Ans. D
Delegation is defined as:
A. Reassigning the responsibility of performing a job from one person to another.
B. Explaining how you want a job done.
C. Telling ohter people what to do.
D. Developing ways to classify people into job categories to learn wha tthey are capable of doing. - ANSWER-Ans. A
An RN who has been a nurse for 10 years is precepting a novice RN. The novice is having difficulty prioritizing client care.
What should the RN tell the novice about the principles of prioritizing care?
A. The nursing process
B. Virchow's triad
C. Client requests
D. Maslow's hierachy of needs - ANSWER-Ans. D
An RN who worked in L&D for 15 years with a total RN staff. The nurse is presently an associate nurse manager of a busy
postpartum unit and has RNs and CNAs. What should the nurse consider when makin g assignments to members of this
team?
A. length of service
B. Scope of practice
C. Ability to perform the task
D. Job title - ANSWER-Ans. C
As a charge nurse, which of the following pts should be assinged to a nurse who was sent to a neurological unit from a
general med-surg unit?
A. pt who has a stable cervical fx and halo traction
B. pt who has Guillain-Barre syndrome who is having respiratory difficulties
C. Pt who has c. amyotrophic lateral scleroiss
D. pt dx with myasthenia gravis and is having medications adjusted. - ANSWER-Ans.. A
A nurse is caring for a pt who has dementia and urinary incontinence. Which nursing action is appropriate to delegate to
a CNA?
A. teaching the pt to use the call bell when needing the bed pan
DETAILED ANSWERS OF 2024 NGN LEADERSHIP ATI RN PROCTORED
EXAM
A client who was involved in a MVA is admitted through the ED. He has an IV of 0.9% NS at 100 mL/hr, BP 92/58, and c/o
weakness, fatigue, and abd pain. On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited
560 mL of green emesis with flecks of "coffee grounds." The nurse delegates client care to the CNA. Which activity should
the RN keep?
A. Taking and recording VS every 15 min
B. Recording accurate I&O
C. Obtain a baseline wt to guide therapy
D. Increase the IV rate to 250 mL/hr if the BP drops to 85/50 - ANSWER-Answer: D
A client recovering from CHF is being d/c this aftenoon. The client needs teching to be reinforced. Who should complete
this task?
A. LPN/LVN
B. CNA/NA
C. Unit secretary
D. Second-year nursing student working as a nurse tech on the unit. - ANSWER-Ans. A
A nurse is caring for several clients. Which client could be assinged to a CNA/NA?
A. client with recent head injury
B. client there for a removal of an ovarian cyst post-lap
C. client with stable angina
D. client with sepsis - ANSWER-Ans. C
The RN who is the team leader gives assignments to all the team members. How should the nurse base this decision?
,A. The number of staff willing to work
B. The age and desires of the team members
C. The RN needing to take orders and write client outcomes
D. The condition and needs of ea client - ANSWER-Ans. D
Amn RN is setting up the day's assignments. A newly licensed RN has beeen floated to the unit. What should the RN
consider when making the assignment for the nrewly licensed nurse?
A. The nurse's age
B. The nurse's knowledge of the institution's stardards of practice
C. The nurse's nursing degree
D. The nurse's level of skill - ANSWER-Ans. D
What two legal responsiblilities should the RN take into consideration when delegating to others?
A. Knowing the job requirements and evaluating the outcomes
B. Assessing how much supervisory time is necessary and assessing competence of ea staff member
C. Writing job descriptions and communicating them to all staff members
D. Making sure the supervisor and employee strencths are matched and giving adequate supervision - ANSWER-Ans. B
An RN arrives at work and the nurse manager tells her that the ICU needs more help. The RN is the most experienced
nurse on this unit. The RN tells the nurse manager she has never worked in the ICU and shares her concerns regarding
the lack of familiarity with the technical equiment and protocols of the ICU. The nurse manager states she understands
the RN's concern but is to go to the ICU. How should the RN respond to thee situation.
A. Refuse to go to the ICU.
B. Go to the ICU and tell the charge nurse that she is ill and needs to go home.
C. Go to the ICU and inform the charge nurse of the tasks she is able to perform and those tasks with which she feels she
needs assistance.
D. Call the nurse manager's supervisor and report her for unsafe delegation. - ANSWER-Ans. C
An RN has delegated the care of a fresh postop client to an LPN. The LPN notifies the RN that client's VS have elevated
and the lcient is dyspneic and c/o pain. What should the nurse do next?
A. No further action is necessary as the LPN is experienced.
B. Request that the LPN offer the client a narcotic analgesic that had been ordered for the postop period.
C. Place a call to the attending surgeon and report that the client is having pain
, D. Assess the client and analyze the preop and periop data before calling the surgeon. - ANSWER-Ans. D
Delegation is defined as:
A. Reassigning the responsibility of performing a job from one person to another.
B. Explaining how you want a job done.
C. Telling ohter people what to do.
D. Developing ways to classify people into job categories to learn wha tthey are capable of doing. - ANSWER-Ans. A
An RN who has been a nurse for 10 years is precepting a novice RN. The novice is having difficulty prioritizing client care.
What should the RN tell the novice about the principles of prioritizing care?
A. The nursing process
B. Virchow's triad
C. Client requests
D. Maslow's hierachy of needs - ANSWER-Ans. D
An RN who worked in L&D for 15 years with a total RN staff. The nurse is presently an associate nurse manager of a busy
postpartum unit and has RNs and CNAs. What should the nurse consider when makin g assignments to members of this
team?
A. length of service
B. Scope of practice
C. Ability to perform the task
D. Job title - ANSWER-Ans. C
As a charge nurse, which of the following pts should be assinged to a nurse who was sent to a neurological unit from a
general med-surg unit?
A. pt who has a stable cervical fx and halo traction
B. pt who has Guillain-Barre syndrome who is having respiratory difficulties
C. Pt who has c. amyotrophic lateral scleroiss
D. pt dx with myasthenia gravis and is having medications adjusted. - ANSWER-Ans.. A
A nurse is caring for a pt who has dementia and urinary incontinence. Which nursing action is appropriate to delegate to
a CNA?
A. teaching the pt to use the call bell when needing the bed pan
