ATI PN LEADERSHIP PROCTORED EXAM
2019 (UPDATED) Questions And
Answers/A GRADE
VERSION 1
1. A nurse is assigned the following four clients for the current
shift. Which of the following clients should the nurse assess
first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate
of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool
specimen collected
2. A nurse is caring for a client who fell and is reporting pain in the
left hip with external rotation of the left leg. The nurse has been
unable to reach the provider despite several attempts over the past
30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client’s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it’s been hard for
her, especially after losing her hair. And it has been difficult to pay
for all the treatments. Which of the following actions is
appropriate client advocacy?
A. The nurse investigates potential resources to help the client
purchase wig
B. The nurse explains to the mother that most clients with cancer
lose their hair
C. The nurse informs the next shift nurse regarding the
mother’s concerns.
D. The nurse suggests counseling for the client’s body image issues
4. Which of the following items must be discarded in a biohazard
waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
,ATI PN LEADERSHIP PROCTORED EXAM
2019 (UPDATED) Questions And
Answers/A GRADE
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal delivery
D. An empty IV bag removed from a client who has HIV
5. A nurse tells the unit manager, “I am tired of all the changes on
the unit. If things don’t get better, I’m going to quit. “Which of the
following responses appropriate?
A. “So you are upset about all the changes on the Unit”
B. “I think you have a right to be upset, I am tired of the changes too”
C. “Just stick with it a little longer. Things will get better soon
D. “ You should file complaints with hospital administrator
6. According to the HIPAA regulations, which of the following is
a violation of client confidentiality?
A. Telephone the pharmacy with a prescription for the spouse to pick up
B. Providing a copy of the record to the transporting paramedic
C. Reporting a client’s disposition to the referring provider
D. Informing housekeeping staff that the client is in dialysis unit
7. A Nurse preceptor is evaluating a newly licensed nurse’s
competency in assisting with a sterile procedure. Which of
the following actions indicates the nurse is maintaining sterile
technique? (Select all that apply.)
A. Open the sterile pack by first unfolding the flap farthest from
her body
B. Rests the cap of a solution container upside down on the sterile field
C. Removes the outside packaging of a sterile instrument before
dropping into the sterile field
D. Holds a bottle of a sterile solution 15 cm (6 inches) above the
sterile field
E. Places sterile items within 1.25 cm (0.5 inch) border around the
edge of the sterile field
8. A nurse is providing care for 4 post-opt clients. The nurse
should first assess the client
A. Whose pulse has been steadily increasing during the past shift
B. Who is reporting a pain level of 8 on a scale of 0 to 10.
C. Whose urine output averaged 32 ml/hr for the past 24 hr
,ATI PN LEADERSHIP PROCTORED EXAM
2019 (UPDATED) Questions And
Answers/A GRADE
D. Who is reporting nausea after the prescribed antiemetic
was administered
, ATI PN LEADERSHIP PROCTORED EXAM
2019 (UPDATED) Questions And
Answers/A GRADE
9. A nurse is preparing to transcribe a client’s med prescription in the
medical record. Which of the following should the nurse recognize
as containing the essential components of a medication order?
A. NPH insulin 10 Units before and at bedtime
B. Haloperidol (Hadol) 1mg per mouth
C. Multivit every morning by mouth
D. Aspirin 650 mg by mouth every 4hr
10.A nurse is assisting with orientation of a newly licensed nurse.
The newly licensed nurse is having trouble focusing and has
difficulty completing care for his assigned clients. Which of the
following interventions is appropriate?
A. Recommend that he takes time to plan at the beginning of shift
B. Advise him to complete less time-consuming tasks first
C. Ask other staff members to take over some of his staffs
D. Offer to provide care for his clients while he takes a break
11.A nurse in an urgent care clinic is admitting a client who has
been exposed to a liquid chemical in an industrial setting, which
of the following actions should the nurse take first?
A. Remove the client’s clothing
B. Irrigate the exposed area with water
C. Report the incident to OSHA Don personal protective equipment.
12.A facility provides annual staff education regarding ethical
practice. A charge nurse recognizes a need for further education
when which of the following behaviors is observed?
A. A nurse refuses to actively participate during an elective
abortion procedure scheduled for her client.
B. A nurse gives prescribed opioids to a client who has a terminal
illness and respirations of 8/min
C. A nurse explains to a client’s family that a DNR order
includes withholding comfort measures
D. A nurse informs a confused client who wants to go home that he
is going to stay at the facility until he is better
13.A nurse is an ambulatory care setting is orienting a newly licensed
nurse who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of tele health?
2019 (UPDATED) Questions And
Answers/A GRADE
VERSION 1
1. A nurse is assigned the following four clients for the current
shift. Which of the following clients should the nurse assess
first?
A. A client who has a hip fracture and is in Buck’s traction
B. A client who has aspiration pneumonia and a respiratory rate
of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool
specimen collected
2. A nurse is caring for a client who fell and is reporting pain in the
left hip with external rotation of the left leg. The nurse has been
unable to reach the provider despite several attempts over the past
30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client’s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it’s been hard for
her, especially after losing her hair. And it has been difficult to pay
for all the treatments. Which of the following actions is
appropriate client advocacy?
A. The nurse investigates potential resources to help the client
purchase wig
B. The nurse explains to the mother that most clients with cancer
lose their hair
C. The nurse informs the next shift nurse regarding the
mother’s concerns.
D. The nurse suggests counseling for the client’s body image issues
4. Which of the following items must be discarded in a biohazard
waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
,ATI PN LEADERSHIP PROCTORED EXAM
2019 (UPDATED) Questions And
Answers/A GRADE
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal delivery
D. An empty IV bag removed from a client who has HIV
5. A nurse tells the unit manager, “I am tired of all the changes on
the unit. If things don’t get better, I’m going to quit. “Which of the
following responses appropriate?
A. “So you are upset about all the changes on the Unit”
B. “I think you have a right to be upset, I am tired of the changes too”
C. “Just stick with it a little longer. Things will get better soon
D. “ You should file complaints with hospital administrator
6. According to the HIPAA regulations, which of the following is
a violation of client confidentiality?
A. Telephone the pharmacy with a prescription for the spouse to pick up
B. Providing a copy of the record to the transporting paramedic
C. Reporting a client’s disposition to the referring provider
D. Informing housekeeping staff that the client is in dialysis unit
7. A Nurse preceptor is evaluating a newly licensed nurse’s
competency in assisting with a sterile procedure. Which of
the following actions indicates the nurse is maintaining sterile
technique? (Select all that apply.)
A. Open the sterile pack by first unfolding the flap farthest from
her body
B. Rests the cap of a solution container upside down on the sterile field
C. Removes the outside packaging of a sterile instrument before
dropping into the sterile field
D. Holds a bottle of a sterile solution 15 cm (6 inches) above the
sterile field
E. Places sterile items within 1.25 cm (0.5 inch) border around the
edge of the sterile field
8. A nurse is providing care for 4 post-opt clients. The nurse
should first assess the client
A. Whose pulse has been steadily increasing during the past shift
B. Who is reporting a pain level of 8 on a scale of 0 to 10.
C. Whose urine output averaged 32 ml/hr for the past 24 hr
,ATI PN LEADERSHIP PROCTORED EXAM
2019 (UPDATED) Questions And
Answers/A GRADE
D. Who is reporting nausea after the prescribed antiemetic
was administered
, ATI PN LEADERSHIP PROCTORED EXAM
2019 (UPDATED) Questions And
Answers/A GRADE
9. A nurse is preparing to transcribe a client’s med prescription in the
medical record. Which of the following should the nurse recognize
as containing the essential components of a medication order?
A. NPH insulin 10 Units before and at bedtime
B. Haloperidol (Hadol) 1mg per mouth
C. Multivit every morning by mouth
D. Aspirin 650 mg by mouth every 4hr
10.A nurse is assisting with orientation of a newly licensed nurse.
The newly licensed nurse is having trouble focusing and has
difficulty completing care for his assigned clients. Which of the
following interventions is appropriate?
A. Recommend that he takes time to plan at the beginning of shift
B. Advise him to complete less time-consuming tasks first
C. Ask other staff members to take over some of his staffs
D. Offer to provide care for his clients while he takes a break
11.A nurse in an urgent care clinic is admitting a client who has
been exposed to a liquid chemical in an industrial setting, which
of the following actions should the nurse take first?
A. Remove the client’s clothing
B. Irrigate the exposed area with water
C. Report the incident to OSHA Don personal protective equipment.
12.A facility provides annual staff education regarding ethical
practice. A charge nurse recognizes a need for further education
when which of the following behaviors is observed?
A. A nurse refuses to actively participate during an elective
abortion procedure scheduled for her client.
B. A nurse gives prescribed opioids to a client who has a terminal
illness and respirations of 8/min
C. A nurse explains to a client’s family that a DNR order
includes withholding comfort measures
D. A nurse informs a confused client who wants to go home that he
is going to stay at the facility until he is better
13.A nurse is an ambulatory care setting is orienting a newly licensed
nurse who is preparing to return a call to a client. The nurse should
explain that which of the following is an objective of tele health?
