ATI RN Leadership Proctored 2026 Retake 3

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Sample questions from ATI RN Leadership Proctored 2026 Retake 3

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift, the charge nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client admitted with cellulitis who has a temperature of 38.1 C (100.6 F) and is due for an antibiotic
   • B.A client 4 hr after thyroidectomy who reports tingling around the mouth and has a positive Chvostek sign
   • C.A client with chronic heart failure who has an oxygen saturation of 93% on the prescribed 2 L/min by nasal cannula
   • D.A client with diabetes mellitus whose premeal blood glucose is 248 mg/dL and who is asking for lunch

   Rationale: Perioral tingling and a positive Chvostek sign after thyroidectomy suggest hypocalcemia, which can progress to laryngospasm and airway obstruction. The nurse should assess this client immediately and notify the provider. The other findings require follow-up, but they do not indicate the same immediate threat to airway and breathing.

2. 2.Refer to the client's chart. Which actions should the nurse take in response to the client's current condition? Select all that apply.

   • A.Notify the provider promptly about the change in condition.
   • B.Administer a prescribed broad-spectrum antibiotic after obtaining ordered cultures, without delaying treatment unnecessarily.
   • C.Initiate the facility's sepsis response protocol per policy.
   • D.Wait for the next scheduled vital-sign assessment before taking action.
   • E.Obtain a repeat lactate level as prescribed or directed by the protocol.

   Rationale: The client's worsening hypotension, tachycardia, fever, and elevated lactate indicate possible sepsis with impaired perfusion, so prompt provider notification and the facility sepsis response are appropriate. A repeat lactate helps evaluate perfusion and response to treatment. Waiting for routine vital signs delays urgent care; obtaining ordered cultures before antibiotics is appropriate when it does not create a treatment delay.

3. 3.A client scheduled for an elective procedure tells the nurse, "I do not understand what the surgeon plans to do." The consent form is unsigned. Which action should the nurse take?

   • A.Notify the surgeon that the client needs more information before signing.
   • B.Witness the signature after reassuring the client that the procedure is routine.
   • C.Explain the surgical procedure in detail so the client can sign the form.
   • D.Ask the client's family to explain the procedure and witness the signature.

   Rationale: The surgeon performing the procedure is responsible for explaining its risks, benefits, and alternatives and answering procedure-specific questions. The nurse should pause the consent process and notify the surgeon when the client indicates a lack of understanding. A family member cannot replace the surgeon's explanation, and the nurse should not provide the procedural explanation or pressure the client to sign.

4. 4.During a home visit, a parent asks the nurse to administer a scheduled oral medication to a 6-year-old child. Which action is appropriate for the nurse to delegate to an assistive personnel who is trained for the task and permitted by agency policy?

   • A.Teach the parent how to measure the medication dose.
   • B.Assess the child's response to the medication.
   • C.Administer the medication and document the child's response.
   • D.Report the child's current temperature and oral intake to the nurse.

   Answer and rationale are in the full material.

5. 5.A client's potassium is 6.1 mEq/L (reference range 3.5-5.0 mEq/L), and the monitor shows peaked T waves. The provider has not responded to the nurse's first call. What should the nurse do next?

   • A.Request that the unit clerk send the laboratory result to the provider.
   • B.Ask the next-shift nurse to contact the provider again.
   • C.Activate the chain of command and continue efforts to obtain immediate treatment.
   • D.Document the call and wait for the provider to return the call.

   Answer and rationale are in the full material.