ATI LEADERSHIP PROCTORED EXAM 2023 NEWEST ACTUAL EXAM 3
VERSIONS EACH VERSION WITH 70 QUESTIONS WITH DETAILED
VERIFIED ANSWERS / ALREADY GRADED A+
Question 1
A client is brought to the emergency department following a motor-vehicle crash. Drug use is
suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to
provide the specimen. Which of the following is the appropriate action by the nurse?
A) Inform the client that they cannot leave until a specimen is provided.
B) Document the client’s refusal in the chart.
C) Tell the client that a urinary catheter will be inserted if they do not cooperate.
D) Obtain the specimen from the client's commode without their knowledge.
E) Notify security to compel the client to provide the specimen.
Correct Answer: B) Document the client’s refusal in the chart.
Rationale: Competent adult clients have the legal right to refuse treatment, including
diagnostic tests. The nurse's duty is to respect the client's autonomy, document the refusal,
and inform the provider. Attempting to coerce or obtain a specimen without consent would
be a violation of the client's rights.
Question 2
A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse (LPN)?
A) Completing the initial admission assessment for a new client.
B) Developing the plan of care for a client who is postoperative.
C) Administering a nasogastric tube feeding.
D) Giving an IV push diuretic to a client with heart failure.
E) Providing the initial discharge teaching for a client with a new colostomy.
Correct Answer: C) Administer a nasogastric tube feeding.
Rationale: Administering a nasogastric tube feeding is within the scope of practice for an
LPN, as it is a procedure performed on a stable client. Initial assessments, developing care
plans, administering IV push medications, and initial client education are all complex tasks
that are the responsibility of the registered nurse.
,Question 3
A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile
procedure. Which of the following actions indicates the newly licensed nurse is maintaining
sterile technique? (Select all that apply.)
A) Places the sterile field at the level of their hips.
B) Opens the sterile pack by first unfolding the top flap away from her body.
C) Reaches over the sterile field to discard a used sponge.
D) Removes the outside packaging of a sterile instrument before dropping it onto the sterile field.
E) Turns to talk to the client while holding a sterile instrument.
Correct Answer: B) Opens the sterile pack by first unfolding the top flap away from her
body., D) Removes the outside packaging of a sterile instrument before dropping it onto the
sterile field.
Rationale: Opening the top flap away from the body prevents the nurse's arm from passing
over the sterile field. The outside of packaging is considered contaminated, so removing it
before dropping the inner sterile item onto the field is correct technique. A sterile field must
be kept above waist level, one must not reach over a sterile field, and one should never turn
their back on a sterile field.
Question 4
A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because
the IV pump is not working properly. Which of the following actions should the nurse take first?
A) Stop the IV infusion.
B) Auscultate the client’s lungs.
C) Check the client's most recent electrolyte levels.
D) Notify the provider of the malfunction.
E) Place the client in a high-Fowler's position.
Correct Answer: B) Auscultate the client’s lungs.
Rationale: According to the nursing process and the ABC (Airway, Breathing, Circulation)
framework, the nurse should assess the client first. Auscultating the lungs for crackles is a
critical assessment to determine if the client is experiencing fluid volume overload and
pulmonary edema, which affects breathing. While the other actions are also necessary, the
immediate priority is to assess the client's physiological status.
, Question 5
A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to
the LPN?
A) Performing the initial education for a client who is learning to use an incentive spirometer.
B) Assisting a client who is 2 days postoperative with their morning hygiene.
C) Reinforcing teaching with a client who is learning to self-administer insulin.
D) Developing a plan of care for a client who has a pressure injury.
E) Administering a blood transfusion to a client who has anemia.
Correct Answer: C) Reinforcing teaching with a client who is learning to self-administer
insulin.
Rationale: Reinforcing teaching that was initially performed by the registered nurse is
within the scope of practice for an LPN. Assisting with hygiene can be delegated to an AP.
Initial education, developing the plan of care, and administering blood products are
responsibilities of the registered nurse.
Question 6
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning
a sterile gown and gloves, which of the following actions by the newly licensed nurse
demonstrates correct aseptic technique?
A) The nurse keeps her hands held together at her chest level.
B) The nurse grasps the cuff of the gown with her sterile-gloved hand to adjust it.
C) The nurse holds her hands above her waist.
D) The nurse keeps her arms at her sides with her hands pointing down.
E) The nurse turns to get a supply from the counter behind her.
Correct Answer: C) The nurse holds her hands above her waist.
Rationale: In surgical asepsis, sterile objects must be kept in front of the body and above the
waist to be considered sterile. Holding hands below the waist or at the sides would
contaminate them. The back of the gown is not sterile, so turning away from the sterile
field is a break in technique.
VERSIONS EACH VERSION WITH 70 QUESTIONS WITH DETAILED
VERIFIED ANSWERS / ALREADY GRADED A+
Question 1
A client is brought to the emergency department following a motor-vehicle crash. Drug use is
suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to
provide the specimen. Which of the following is the appropriate action by the nurse?
A) Inform the client that they cannot leave until a specimen is provided.
B) Document the client’s refusal in the chart.
C) Tell the client that a urinary catheter will be inserted if they do not cooperate.
D) Obtain the specimen from the client's commode without their knowledge.
E) Notify security to compel the client to provide the specimen.
Correct Answer: B) Document the client’s refusal in the chart.
Rationale: Competent adult clients have the legal right to refuse treatment, including
diagnostic tests. The nurse's duty is to respect the client's autonomy, document the refusal,
and inform the provider. Attempting to coerce or obtain a specimen without consent would
be a violation of the client's rights.
Question 2
A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse (LPN)?
A) Completing the initial admission assessment for a new client.
B) Developing the plan of care for a client who is postoperative.
C) Administering a nasogastric tube feeding.
D) Giving an IV push diuretic to a client with heart failure.
E) Providing the initial discharge teaching for a client with a new colostomy.
Correct Answer: C) Administer a nasogastric tube feeding.
Rationale: Administering a nasogastric tube feeding is within the scope of practice for an
LPN, as it is a procedure performed on a stable client. Initial assessments, developing care
plans, administering IV push medications, and initial client education are all complex tasks
that are the responsibility of the registered nurse.
,Question 3
A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile
procedure. Which of the following actions indicates the newly licensed nurse is maintaining
sterile technique? (Select all that apply.)
A) Places the sterile field at the level of their hips.
B) Opens the sterile pack by first unfolding the top flap away from her body.
C) Reaches over the sterile field to discard a used sponge.
D) Removes the outside packaging of a sterile instrument before dropping it onto the sterile field.
E) Turns to talk to the client while holding a sterile instrument.
Correct Answer: B) Opens the sterile pack by first unfolding the top flap away from her
body., D) Removes the outside packaging of a sterile instrument before dropping it onto the
sterile field.
Rationale: Opening the top flap away from the body prevents the nurse's arm from passing
over the sterile field. The outside of packaging is considered contaminated, so removing it
before dropping the inner sterile item onto the field is correct technique. A sterile field must
be kept above waist level, one must not reach over a sterile field, and one should never turn
their back on a sterile field.
Question 4
A nurse enters a client’s room and identifies that the client is receiving too much IV fluid because
the IV pump is not working properly. Which of the following actions should the nurse take first?
A) Stop the IV infusion.
B) Auscultate the client’s lungs.
C) Check the client's most recent electrolyte levels.
D) Notify the provider of the malfunction.
E) Place the client in a high-Fowler's position.
Correct Answer: B) Auscultate the client’s lungs.
Rationale: According to the nursing process and the ABC (Airway, Breathing, Circulation)
framework, the nurse should assess the client first. Auscultating the lungs for crackles is a
critical assessment to determine if the client is experiencing fluid volume overload and
pulmonary edema, which affects breathing. While the other actions are also necessary, the
immediate priority is to assess the client's physiological status.
, Question 5
A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to
the LPN?
A) Performing the initial education for a client who is learning to use an incentive spirometer.
B) Assisting a client who is 2 days postoperative with their morning hygiene.
C) Reinforcing teaching with a client who is learning to self-administer insulin.
D) Developing a plan of care for a client who has a pressure injury.
E) Administering a blood transfusion to a client who has anemia.
Correct Answer: C) Reinforcing teaching with a client who is learning to self-administer
insulin.
Rationale: Reinforcing teaching that was initially performed by the registered nurse is
within the scope of practice for an LPN. Assisting with hygiene can be delegated to an AP.
Initial education, developing the plan of care, and administering blood products are
responsibilities of the registered nurse.
Question 6
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning
a sterile gown and gloves, which of the following actions by the newly licensed nurse
demonstrates correct aseptic technique?
A) The nurse keeps her hands held together at her chest level.
B) The nurse grasps the cuff of the gown with her sterile-gloved hand to adjust it.
C) The nurse holds her hands above her waist.
D) The nurse keeps her arms at her sides with her hands pointing down.
E) The nurse turns to get a supply from the counter behind her.
Correct Answer: C) The nurse holds her hands above her waist.
Rationale: In surgical asepsis, sterile objects must be kept in front of the body and above the
waist to be considered sterile. Holding hands below the waist or at the sides would
contaminate them. The back of the gown is not sterile, so turning away from the sterile
field is a break in technique.
