ATI LEADERSHIP PRACTICE EXAM 2025/2026 NEWEST ACTUAL EXAM
WITH COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED A+
A charge nurse in an ED is making assignments for an AP during a shift w/
unexpected staff absences. Which of the following assignments should the charge
give to a float AP from the med surg unit?
A. escorting pts from the ED to other areas of the facility for tests
B. sitting at the reception desk answering telephones & directing pts
C. restocking the exam rooms after each pt is discharged
D. shadowing an AP who is regularly assigned to the ED
A. escorting pts from the ED to other areas of the facility for tests
Rationales...
Pts in the ED often require transport to other departments. Typically, transporting
stable pts is a task that may be delegated to an AP, & escorting pts is likely a
normal part of the AP's regular routine
A nurse is planning care for several pts. Which of the following pts should the
nurse refer to a case manager?
A. a pt who has neurological deficits following a stroke
B. a married female pt who has delivered a full-term newborn
C. a pt who is postop following a cholecystectomy
D. a child who has a fracture of the dominant arm
A. a pt who has neurological deficits following a stroke
Rationales...
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The nurse should refer this pt to the cast manager for care. A pt who had a stroke
will likely require long-term tx. A pt who has ongoing needs for care / rehab
should receive care that is directed by a case manager due to the complexity &
cost of the pt's needs
B. if no complications / social concerns exist, the delivery of a full-term newborn
does not require case management
C. as long as no complications occur, this procedure does not require a case
management approach
D. a child who has a fractured arm does not require a case management approach
unless there is evidence that some other pathology precipitated the fracture
A nurse is caring for a post op pt who has an Hgb of 8.0 g/dL. The nurse delegates
the admin of a unit of packed RBCs to a nurse floating from a psychiatric unit who
is unfamiliar w/ blood admin. Which of the following actions should the float
nurse take?
A. call the provider to clarify the prescription for administering the unit of packed
RBCs
B. hang the unit of blood if the charge nurse agrees to be a resource
C. question the nurse regarding this prescription due to the pt's reported Hgb level
D. decline to hand the blood
D. decline to hand the blood
Rationales..
The nurse has a legal duty to decline tasks that cannot be performed safely &
competently. A float nurse from a psychiatric unit would not be familiar w/ the
current policy regarding blood admin, & this nurse has limited experience w/ this
procedure. The tasks should be assigned to another nurse
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A. the nurse does not need to call the provided to clarify the prescription, which is
appropriate for a pt w/ this Hgb level
B. the nurse should accept tasks that can be preformed safely & competently
C. the pt's Hgb is below the expected range & transfusions are appropriate
A nurse is providing teaching to a pt about organ donation. Which of the following
statements by the pt indicates an understanding of the teaching?
A. people age 18 & over have the right to decide to make an organ donation
B. I have to make organ donation a provision in my will
C. once I decide to donate, I cannot change that decision
D. a family member has to serve as a witness for me to be an organ donor
A. people age 18 & over have the right to decide to make an organ donation
Rationales...
Under the Uniform Anatomical Gift Act, individuals must be at least 18 yrs or older
to make an anatomical gift
B. under the UAGA, organ donation can be a provision in a will or done by signing
a form designated by the state (on a driver's license). It must be in writing w/ a
signature
C. under the UAGA an individual can revoke consent for organ donation by either
destroying the card / revoking the gift orally in the presence of two witnesses
D. under the UAGA, nurses may serve as witnesses for individuals who wish to
donate organs
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A group of providers is participating in a cardiopulmonary resuscitation effort for a
pt who is in cardiac arrest. Which of the following types of leadership is required
for this group to function efficiently?
A. transformational
B. participative
C. autocratic
D. laissez-faire
C. autocratic
Rationales...
Autocratic leadership is most effective in an emergency situation. An autocratic
leader will direct & issues commands that are necessary for successful
cardiopulmonary resuscitation
A. transformational leadership is not appropriate for an emergency situation gives
group members responsibilities that will enhance their professional development.
In cardiopulmonary resuscitation, one person must organize the group's actions &
guide the resuscitation efforts
B. participative leadership, also called "democratic leadership", it not appropriate
for an emergency situation. A participative leader serves as a resource person &
facilitator & is non-directive. In cardiopulmonary resuscitation, one person must
organize the group's actions.
D. Laissez-faire leadership is not appropriate for an emergency situation. A laissez-
faire leader demonstrates a non-directive approach. In cardiopulmonary
resuscitation, one person must organize the group's actions & guide the
resuscitation efforts
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