ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM (2026/2027) | QUESTIONS
WITH ANSWERS
ATI Practical Nursing Leadership and Management Proctored Examination | Core Domains:
Leadership & Management Principles for LPN/LVN, Delegation & Supervision within Scope of Practice,
Ethical & Legal Issues in Practical Nursing, Quality Improvement & Patient Safety, Conflict Resolution
& Team Communication, Resource Management & Prioritization of Care, and Professional Role
Development & Career Management | Practical Nursing Leadership Competency Focus | Proctored
Predictor Exam Format
Exam Structure
The ATI PN Leadership Management Proctored Exam for the 2026/2027 academic cycle is a 60-question,
multiple-choice question (MCQ) examination.
Introduction
This ATI PN Leadership Management Proctored Exam guide for the 2026/2027 cycle prepares
practical/vocational nursing students for the high-stakes, proctored assessment of leadership and
management principles. The content evaluates knowledge of effective delegation to unlicensed assistive
personnel (UAP), ethical decision-making within the LPN/LVN scope, conflict management, and the
nurse's role in promoting quality and safety in patient care delivery.
Answer Format
All correct answers and leadership principles must be presented in bold and green, followed by detailed
rationales that apply delegation guidelines specific to LPN/LVN practice, analyze ethical dilemmas using
nursing ethical frameworks, explain steps in the quality improvement process, resolve team conflict using
professional communication, and prioritize care and resources in practical nursing scenarios.
Questions (60 Total)
1. Which task can an LPN safely delegate to unlicensed assistive personnel (UAP)?
A. Assessing a new postoperative wound
B. Assisting a stable client with ambulation
C. Evaluating pain response to medication
D. Teaching discharge instructions
Rationale: UAPs may perform routine, non-assessment tasks under RN or LPN supervision.
Ambulating a stable client requires no clinical judgment. Assessment, evaluation, and teaching are
beyond UAP scope and require licensed personnel per NCSBN and state board guidelines.
2. An LPN observes a colleague taking opioids from the automated dispensing cabinet. What is the ethical
duty?
A. Confront the colleague directly
,B. Report the incident to the supervisor per facility policy
C. Ignore it to avoid conflict
D. Post about it on social media
Rationale: The Nurse Practice Act and facility policy require reporting medication diversion. It
protects patients and upholds professional integrity. Reporting through the chain of command fulfills
legal and ethical obligations while allowing due process.
3. In the PDSA (Plan-Do-Study-Act) quality improvement model, what occurs during the “Study” phase?
A. Implement the change on a small scale
B. Analyze data to determine if the change led to improvement
C. Develop a plan for implementation
D. Standardize the successful change
Rationale: PDSA is a cyclical QI model: Plan (identify problem and solution), Do (test on small scale),
Study (measure outcomes and analyze data), Act (adopt, adapt, or abandon). The “Study” phase
evaluates whether the intervention achieved the desired outcome.
4. Two nurses are in conflict over shift assignments. The charge nurse should first:
A. Assign shifts without discussion
B. Facilitate a private conversation to understand each perspective
C. Escalate to the director immediately
D. Side with the more senior nurse
Rationale: Effective conflict resolution begins with active listening and empathy. A private, respectful
dialogue allows both parties to express concerns and collaborate on solutions. Escalation is reserved for
unresolved or disruptive conflicts.
5. Which action demonstrates advocacy for a patient?
A. Following orders without question
B. Speaking with the provider about a medication dose that seems too high
C. Documenting only what is convenient
D. Avoiding difficult conversations with families
, Rationale: Advocacy involves protecting patient safety and rights. Questioning a potentially unsafe
order aligns with the LPN’s duty to report concerns and ensure safe care—per the National Federation
of Licensed Practical Nurses (NFLPN) Code of Ethics.
6. An LPN delegates vital signs to a UAP. The UAP reports a BP of 180/100 mm Hg. What should the LPN
do next?
A. Tell the UAP to recheck in 1 hour
B. Assess the patient and determine appropriate interventions
C. Delegate to another UAP for recheck
D. Wait for the RN to round
Rationale: The LPN retains accountability for delegated tasks. An elevated BP requires LPN
assessment to determine cause (e.g., pain, anxiety, hypertension crisis) and initiate interventions (e.g.,
notify RN/provider, monitor).
7. Which principle of time management should an LPN prioritize when planning care?
A. Complete all charting at the end of the shift
B. Cluster care activities to minimize interruptions and maximize efficiency
C. Respond to every call light immediately
D. Focus only on urgent tasks
Rationale: Clustering care (e.g., performing hygiene, vitals, and meds together) reduces fatigue,
improves time management, and enhances patient rest. While urgent needs take precedence, proactive
planning prevents constant reactivity.
8. A patient requests that their diagnosis not be shared with family members. The LPN should:
A. Share the information to promote family support
B. Respect the patient’s right to privacy under HIPAA
C. Tell the family anyway if they seem concerned
D. Ignore the request to ensure transparency
Rationale: HIPAA protects patient confidentiality. Information may only be shared with family if the
patient consents or if the patient is unable to consent and sharing is in their best interest (with
limitations). Respecting autonomy builds trust.
9. During a code, the team leader notices an LPN is not following ACLS protocols. The best action is to:
A. Yell at the LPN to correct behavior
WITH ANSWERS
ATI Practical Nursing Leadership and Management Proctored Examination | Core Domains:
Leadership & Management Principles for LPN/LVN, Delegation & Supervision within Scope of Practice,
Ethical & Legal Issues in Practical Nursing, Quality Improvement & Patient Safety, Conflict Resolution
& Team Communication, Resource Management & Prioritization of Care, and Professional Role
Development & Career Management | Practical Nursing Leadership Competency Focus | Proctored
Predictor Exam Format
Exam Structure
The ATI PN Leadership Management Proctored Exam for the 2026/2027 academic cycle is a 60-question,
multiple-choice question (MCQ) examination.
Introduction
This ATI PN Leadership Management Proctored Exam guide for the 2026/2027 cycle prepares
practical/vocational nursing students for the high-stakes, proctored assessment of leadership and
management principles. The content evaluates knowledge of effective delegation to unlicensed assistive
personnel (UAP), ethical decision-making within the LPN/LVN scope, conflict management, and the
nurse's role in promoting quality and safety in patient care delivery.
Answer Format
All correct answers and leadership principles must be presented in bold and green, followed by detailed
rationales that apply delegation guidelines specific to LPN/LVN practice, analyze ethical dilemmas using
nursing ethical frameworks, explain steps in the quality improvement process, resolve team conflict using
professional communication, and prioritize care and resources in practical nursing scenarios.
Questions (60 Total)
1. Which task can an LPN safely delegate to unlicensed assistive personnel (UAP)?
A. Assessing a new postoperative wound
B. Assisting a stable client with ambulation
C. Evaluating pain response to medication
D. Teaching discharge instructions
Rationale: UAPs may perform routine, non-assessment tasks under RN or LPN supervision.
Ambulating a stable client requires no clinical judgment. Assessment, evaluation, and teaching are
beyond UAP scope and require licensed personnel per NCSBN and state board guidelines.
2. An LPN observes a colleague taking opioids from the automated dispensing cabinet. What is the ethical
duty?
A. Confront the colleague directly
,B. Report the incident to the supervisor per facility policy
C. Ignore it to avoid conflict
D. Post about it on social media
Rationale: The Nurse Practice Act and facility policy require reporting medication diversion. It
protects patients and upholds professional integrity. Reporting through the chain of command fulfills
legal and ethical obligations while allowing due process.
3. In the PDSA (Plan-Do-Study-Act) quality improvement model, what occurs during the “Study” phase?
A. Implement the change on a small scale
B. Analyze data to determine if the change led to improvement
C. Develop a plan for implementation
D. Standardize the successful change
Rationale: PDSA is a cyclical QI model: Plan (identify problem and solution), Do (test on small scale),
Study (measure outcomes and analyze data), Act (adopt, adapt, or abandon). The “Study” phase
evaluates whether the intervention achieved the desired outcome.
4. Two nurses are in conflict over shift assignments. The charge nurse should first:
A. Assign shifts without discussion
B. Facilitate a private conversation to understand each perspective
C. Escalate to the director immediately
D. Side with the more senior nurse
Rationale: Effective conflict resolution begins with active listening and empathy. A private, respectful
dialogue allows both parties to express concerns and collaborate on solutions. Escalation is reserved for
unresolved or disruptive conflicts.
5. Which action demonstrates advocacy for a patient?
A. Following orders without question
B. Speaking with the provider about a medication dose that seems too high
C. Documenting only what is convenient
D. Avoiding difficult conversations with families
, Rationale: Advocacy involves protecting patient safety and rights. Questioning a potentially unsafe
order aligns with the LPN’s duty to report concerns and ensure safe care—per the National Federation
of Licensed Practical Nurses (NFLPN) Code of Ethics.
6. An LPN delegates vital signs to a UAP. The UAP reports a BP of 180/100 mm Hg. What should the LPN
do next?
A. Tell the UAP to recheck in 1 hour
B. Assess the patient and determine appropriate interventions
C. Delegate to another UAP for recheck
D. Wait for the RN to round
Rationale: The LPN retains accountability for delegated tasks. An elevated BP requires LPN
assessment to determine cause (e.g., pain, anxiety, hypertension crisis) and initiate interventions (e.g.,
notify RN/provider, monitor).
7. Which principle of time management should an LPN prioritize when planning care?
A. Complete all charting at the end of the shift
B. Cluster care activities to minimize interruptions and maximize efficiency
C. Respond to every call light immediately
D. Focus only on urgent tasks
Rationale: Clustering care (e.g., performing hygiene, vitals, and meds together) reduces fatigue,
improves time management, and enhances patient rest. While urgent needs take precedence, proactive
planning prevents constant reactivity.
8. A patient requests that their diagnosis not be shared with family members. The LPN should:
A. Share the information to promote family support
B. Respect the patient’s right to privacy under HIPAA
C. Tell the family anyway if they seem concerned
D. Ignore the request to ensure transparency
Rationale: HIPAA protects patient confidentiality. Information may only be shared with family if the
patient consents or if the patient is unable to consent and sharing is in their best interest (with
limitations). Respecting autonomy builds trust.
9. During a code, the team leader notices an LPN is not following ACLS protocols. The best action is to:
A. Yell at the LPN to correct behavior
