ATI LEADERSHIP
PROCTORED EXAM
(VERSION 1, 2, 3 EXAMS)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Each Exam has 70 LEADERSHIP nursing questions
➢ multiple-choice format (A, B, C, D) with correct
answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and rationales
consistent with entry-level practical nursing standards.
,Table of Contents
ATI Leadership Proctored Exam Sample V1, V2, V3 .......................... 2
ATI Leadership Proctored Exam V1 ................................................. 10
ATI Leadership Proctored Exam V2 ................................................. 45
ATI Leadership Proctored Exam V3 ................................................. 88
ATI Leadership Proctored Exam Sample V1, V2, V3
ATI Leadership Proctored Exam Sample V1
### Question 1: Postoperative Client Assessment (NGN, Select All That
Apply)
A client is 6 hours postoperative following abdominal surgery. Review the
findings below and identify 6 that require immediate follow-up by the
provider.
| Time | Findings |
|------------|-------------------------------------------|
| Day 1, 1715 | Resting, easily awakened, alert ×3; moderate
serosanguineous drainage; dressings intact; pain 4/10; normoactive bowel
sounds; tolerating sips; urinary output 320 mL/4 hr |
| Day 1, 2030 | Restless, short of breath; pain 8/10; large bright red
bleeding on dressing; Vital signs (assess now): BP 88/54 mmHg, HR 122
bpm, RR 28/min, SpO₂ 88% on room air |
,Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
Rationale:
Restlessness, increased pain, hypotension (low BP), tachycardia (high HR),
tachypnea (high RR), decreased oxygen saturation, significant bleeding, and
reduced urine output are signs of hemorrhage or shock and require urgent
medical evaluation. Bowel sounds and preserved orientation are less urgent
here.
---
### Question 2: Infection Control for Herpes Simplex Lesions
A charge nurse reviews a plan of care for a client with active herpes simplex
lesions. Which intervention is appropriate?
A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when caring for the client.
,C. Have the client wear a mask during transport.
D. Wear a face mask and eye protection when caring for the client.
Answer: B
Rationale:
Herpes simplex requires contact precautions, including gloves and gowns, to
prevent transmission. Negative-pressure rooms and masks are unnecessary;
airborne and droplet precautions do not apply.
---
### Question 3: Maintaining Client Confidentiality
Which action should the nurse take to maintain client confidentiality?
A. Tell a client’s partner that laboratory tests cannot be released without
permission.
B. Ask assistive personnel to refer to clients by room numbers in public
areas.
C. Explain to a nursing student that verbal permission is needed before using
client names in assignments.
D. Share client information after removing personal identifiers.
Answer: A
Rationale:
Only authorized individuals can receive medical information. Informing a
client’s partner of confidentiality rules upholds HIPAA. Options B and C are
,good practices but A directly addresses confidentiality. D still risks
identification if details correlate.
---
### Question 4: Conflict Resolution — Smoothing Strategy
A charge nurse manages conflict about client care assignments. Which
statement exemplifies smoothing?
A. "Would you accept a different assignment balancing care levels?"
B. "Tell me what changes will help you feel comfortable."
C. "I didn’t mean to overwhelm you. Let’s review assignments together."
D. "You always do great work. I believe you can handle this well."
Answer: D
Rationale:
Smoothing focuses on reducing conflict by emphasizing agreements and
positive feelings. Compliments reduce emotional tension but do not address
conflict substance directly.
ATI Leadership Proctored Exam Sample V2
### 1. (NGN Style)
A nurse reviews electronic medical records after a quality improvement
initiative aimed at reducing healthcare-associated infections on a medical-
surgical unit. Five clients have the following diagnoses:
,- Client 1: Cerebrovascular accident
- Client 2: Community-acquired pneumonia
- Client 3: Postoperative wound infection
- Client 4: Urinary tract infection (UTI)
- Client 5: Fractured hip without infection
Which 3 findings indicate the quality improvement plan is effective?
A) Clients 2, 3, and 5
B) Clients 1, 4, and 5
C) Clients 1, 2, and 4
D) Clients 3, 4, and 5
Answer: A) Clients 2, 3, and 5
Rationale: Improvement or absence of infection-related complications
signals effectiveness. Clients 2 (pneumonia), 3 (wound infection), and 5
(fractured hip without infection complications) show better outcomes
reflecting fewer infections or better management, indicating the plan’s
success.
---
### 2.
A nurse manager identifies that an employee is suspected of being
impaired while on duty. What is the priority action the nurse manager
should take?
,A) Schedule a meeting with the employee within 24 hours.
B) Remove the employee immediately from the work environment.
C) Develop a substance dependency recovery plan with the employee.
D) Arrange transportation home for the employee.
Answer: B) Remove the employee immediately from the work environment.
Rationale: The immediate priority is to protect client safety by removing
the impaired employee from the clinical setting before other interventions,
such as meetings or referrals.
---
### 3. (NGN Style, Mental Health Case)
A charge nurse on a mental health unit receives shift report and must
prioritize client assessments. Which client should be assessed first?
A) Client reporting hallucinations and delusions
B) Client exhibiting anxiety and restlessness
C) Client with depression and suicidal ideation
D) Client demonstrating positive coping skills
Answer: A) Client reporting hallucinations and delusions
Rationale: Active psychosis with hallucinations and delusions poses a
potential immediate threat to client safety and others; therefore, this client
requires the nurse’s first assessment.
, ATI Leadership Proctored Exam Sample V3
### 1. NCLEX (NGN Style)
A nurse is instructing an assistive personnel (AP) about care for a client with
a Do-Not-Resuscitate (DNR) order. Which statement by the AP indicates
understanding?
A. "If I cannot detect the client’s pulse, I will have another AP verify it."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect the client’s
pulse."
D. "I will call the nurse to come to the room if I cannot detect the client’s
pulse."
Answer: D. "I will call the nurse to come to the room if I cannot detect the
client’s pulse."
Rationale: The AP should notify the nurse for further assessment. CPR is
not indicated for clients with a DNR order, and the nurse is responsible for
clinical decision-making in such situations.
---
### 2. Which task can the nurse safely assign to an assistive personnel
(AP)?
A. Perform chest compressions on a client in cardiac arrest.
B. Change a sterile dressing on a client’s leg wound.
C. Check the residual volume of a client’s gastrostomy tube.
D. Instruct the client on the use of a blood glucose machine.
,Answer: A. Perform chest compressions on a client in cardiac arrest
Rationale: Basic CPR, including chest compressions, is within the scope of
practice for APs. More complex assessments and procedures must be
performed by licensed nurses.
---
### 3. A nurse is caring for a client who is experiencing adverse effects
after receiving a new medication. Which communication tool should the
nurse use to manage this complication?
A. Critical pathway
B. Incident reporting
C. SBAR framework
D. Root cause analysis
Answer: C. SBAR framework
Rationale: The SBAR (Situation-Background-Assessment-Recommendation)
framework facilitates clear and focused communication concerning the
client’s current condition and needs. This promotes timely clinical decision-
making and appropriate escalation of care.
, ATI Leadership Proctored Exam V1
### Question 1: Postoperative Client Assessment (NGN, Select All That
Apply)
A client is 6 hours postoperative following abdominal surgery. Review the
findings below and identify 6 that require immediate follow-up by the
provider.
| Time | Findings |
|------------|-------------------------------------------|
| Day 1, 1715 | Resting, easily awakened, alert ×3; moderate
serosanguineous drainage; dressings intact; pain 4/10; normoactive bowel
sounds; tolerating sips; urinary output 320 mL/4 hr |
| Day 1, 2030 | Restless, short of breath; pain 8/10; large bright red
bleeding on dressing; Vital signs (assess now): BP 88/54 mmHg, HR 122
bpm, RR 28/min, SpO₂ 88% on room air |
Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
PROCTORED EXAM
(VERSION 1, 2, 3 EXAMS)
(NGN-STYLE QUESTIONS & CASE “SCENARIO”)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
➢ Passing Score Guarantee
➢ Each Exam has 70 LEADERSHIP nursing questions
➢ multiple-choice format (A, B, C, D) with correct
answers
➢ structured rationales.
➢ incorporate Next Generation NCLEX (NGN)-style.
➢ Some questions feature brief “scenario” elements and rationales
consistent with entry-level practical nursing standards.
,Table of Contents
ATI Leadership Proctored Exam Sample V1, V2, V3 .......................... 2
ATI Leadership Proctored Exam V1 ................................................. 10
ATI Leadership Proctored Exam V2 ................................................. 45
ATI Leadership Proctored Exam V3 ................................................. 88
ATI Leadership Proctored Exam Sample V1, V2, V3
ATI Leadership Proctored Exam Sample V1
### Question 1: Postoperative Client Assessment (NGN, Select All That
Apply)
A client is 6 hours postoperative following abdominal surgery. Review the
findings below and identify 6 that require immediate follow-up by the
provider.
| Time | Findings |
|------------|-------------------------------------------|
| Day 1, 1715 | Resting, easily awakened, alert ×3; moderate
serosanguineous drainage; dressings intact; pain 4/10; normoactive bowel
sounds; tolerating sips; urinary output 320 mL/4 hr |
| Day 1, 2030 | Restless, short of breath; pain 8/10; large bright red
bleeding on dressing; Vital signs (assess now): BP 88/54 mmHg, HR 122
bpm, RR 28/min, SpO₂ 88% on room air |
,Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
Rationale:
Restlessness, increased pain, hypotension (low BP), tachycardia (high HR),
tachypnea (high RR), decreased oxygen saturation, significant bleeding, and
reduced urine output are signs of hemorrhage or shock and require urgent
medical evaluation. Bowel sounds and preserved orientation are less urgent
here.
---
### Question 2: Infection Control for Herpes Simplex Lesions
A charge nurse reviews a plan of care for a client with active herpes simplex
lesions. Which intervention is appropriate?
A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when caring for the client.
,C. Have the client wear a mask during transport.
D. Wear a face mask and eye protection when caring for the client.
Answer: B
Rationale:
Herpes simplex requires contact precautions, including gloves and gowns, to
prevent transmission. Negative-pressure rooms and masks are unnecessary;
airborne and droplet precautions do not apply.
---
### Question 3: Maintaining Client Confidentiality
Which action should the nurse take to maintain client confidentiality?
A. Tell a client’s partner that laboratory tests cannot be released without
permission.
B. Ask assistive personnel to refer to clients by room numbers in public
areas.
C. Explain to a nursing student that verbal permission is needed before using
client names in assignments.
D. Share client information after removing personal identifiers.
Answer: A
Rationale:
Only authorized individuals can receive medical information. Informing a
client’s partner of confidentiality rules upholds HIPAA. Options B and C are
,good practices but A directly addresses confidentiality. D still risks
identification if details correlate.
---
### Question 4: Conflict Resolution — Smoothing Strategy
A charge nurse manages conflict about client care assignments. Which
statement exemplifies smoothing?
A. "Would you accept a different assignment balancing care levels?"
B. "Tell me what changes will help you feel comfortable."
C. "I didn’t mean to overwhelm you. Let’s review assignments together."
D. "You always do great work. I believe you can handle this well."
Answer: D
Rationale:
Smoothing focuses on reducing conflict by emphasizing agreements and
positive feelings. Compliments reduce emotional tension but do not address
conflict substance directly.
ATI Leadership Proctored Exam Sample V2
### 1. (NGN Style)
A nurse reviews electronic medical records after a quality improvement
initiative aimed at reducing healthcare-associated infections on a medical-
surgical unit. Five clients have the following diagnoses:
,- Client 1: Cerebrovascular accident
- Client 2: Community-acquired pneumonia
- Client 3: Postoperative wound infection
- Client 4: Urinary tract infection (UTI)
- Client 5: Fractured hip without infection
Which 3 findings indicate the quality improvement plan is effective?
A) Clients 2, 3, and 5
B) Clients 1, 4, and 5
C) Clients 1, 2, and 4
D) Clients 3, 4, and 5
Answer: A) Clients 2, 3, and 5
Rationale: Improvement or absence of infection-related complications
signals effectiveness. Clients 2 (pneumonia), 3 (wound infection), and 5
(fractured hip without infection complications) show better outcomes
reflecting fewer infections or better management, indicating the plan’s
success.
---
### 2.
A nurse manager identifies that an employee is suspected of being
impaired while on duty. What is the priority action the nurse manager
should take?
,A) Schedule a meeting with the employee within 24 hours.
B) Remove the employee immediately from the work environment.
C) Develop a substance dependency recovery plan with the employee.
D) Arrange transportation home for the employee.
Answer: B) Remove the employee immediately from the work environment.
Rationale: The immediate priority is to protect client safety by removing
the impaired employee from the clinical setting before other interventions,
such as meetings or referrals.
---
### 3. (NGN Style, Mental Health Case)
A charge nurse on a mental health unit receives shift report and must
prioritize client assessments. Which client should be assessed first?
A) Client reporting hallucinations and delusions
B) Client exhibiting anxiety and restlessness
C) Client with depression and suicidal ideation
D) Client demonstrating positive coping skills
Answer: A) Client reporting hallucinations and delusions
Rationale: Active psychosis with hallucinations and delusions poses a
potential immediate threat to client safety and others; therefore, this client
requires the nurse’s first assessment.
, ATI Leadership Proctored Exam Sample V3
### 1. NCLEX (NGN Style)
A nurse is instructing an assistive personnel (AP) about care for a client with
a Do-Not-Resuscitate (DNR) order. Which statement by the AP indicates
understanding?
A. "If I cannot detect the client’s pulse, I will have another AP verify it."
B. "If the client does not have a pulse, I will call for the rapid response team
immediately."
C. "I will initiate CPR until the nurse arrives if I cannot detect the client’s
pulse."
D. "I will call the nurse to come to the room if I cannot detect the client’s
pulse."
Answer: D. "I will call the nurse to come to the room if I cannot detect the
client’s pulse."
Rationale: The AP should notify the nurse for further assessment. CPR is
not indicated for clients with a DNR order, and the nurse is responsible for
clinical decision-making in such situations.
---
### 2. Which task can the nurse safely assign to an assistive personnel
(AP)?
A. Perform chest compressions on a client in cardiac arrest.
B. Change a sterile dressing on a client’s leg wound.
C. Check the residual volume of a client’s gastrostomy tube.
D. Instruct the client on the use of a blood glucose machine.
,Answer: A. Perform chest compressions on a client in cardiac arrest
Rationale: Basic CPR, including chest compressions, is within the scope of
practice for APs. More complex assessments and procedures must be
performed by licensed nurses.
---
### 3. A nurse is caring for a client who is experiencing adverse effects
after receiving a new medication. Which communication tool should the
nurse use to manage this complication?
A. Critical pathway
B. Incident reporting
C. SBAR framework
D. Root cause analysis
Answer: C. SBAR framework
Rationale: The SBAR (Situation-Background-Assessment-Recommendation)
framework facilitates clear and focused communication concerning the
client’s current condition and needs. This promotes timely clinical decision-
making and appropriate escalation of care.
, ATI Leadership Proctored Exam V1
### Question 1: Postoperative Client Assessment (NGN, Select All That
Apply)
A client is 6 hours postoperative following abdominal surgery. Review the
findings below and identify 6 that require immediate follow-up by the
provider.
| Time | Findings |
|------------|-------------------------------------------|
| Day 1, 1715 | Resting, easily awakened, alert ×3; moderate
serosanguineous drainage; dressings intact; pain 4/10; normoactive bowel
sounds; tolerating sips; urinary output 320 mL/4 hr |
| Day 1, 2030 | Restless, short of breath; pain 8/10; large bright red
bleeding on dressing; Vital signs (assess now): BP 88/54 mmHg, HR 122
bpm, RR 28/min, SpO₂ 88% on room air |
Which 6 findings require immediate provider notification?
A. Blood pressure
B. Bowel sounds
C. Pain level
D. Respiratory rate
E. Urinary output
F. Heart rate
G. Orientation status
H. Oxygen saturation
Answer: A, C, D, E, F, H
