ATI RN Leadership Proctored Exam with
NGN Questions and Answers | 2026 RN
ATI Leadership Proctored Exam with
NGN Questions and Answers
This comprehensive 200-question study guide is specifically designed for the ATI RN
Leadership Proctored Exam, covering critical topics like prioritization, delegation,
legal/ethical nursing, and conflict resolution. Each question includes detailed
italicized rationales based on the latest ATI and NCLEX standards to ensure you
master the "management of care" category. Perfect for nursing students seeking
a Level 2 or 3 score, this ready-to-upload resource provides the high-yield practice
needed for exam success.
ATI RN Leadership Proctored Exam – 50
Practice Questions
Question 1
A nurse manager notices a staff member frequently arriving late. What is the best initial action?
A. Document the behavior in the personnel file
B. Issue a formal reprimand
C. Speak privately with the staff member
D. Ignore it
Answer: C
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: Private discussion allows for clarification and counseling before formal action.
Question 2
Which task can an RN delegate to an LPN?
A. Initial patient assessment
B. Administering IV push medications
C. Reinforcing teaching on a new diet
D. Developing the plan of care
Answer: C
Rationale: LPNs can reinforce patient teaching but cannot perform assessments or plan care
independently.
Question 3
Which action demonstrates effective communication during a shift report?
A. Reading notes verbatim without questions
B. Highlighting critical patient changes and interventions
C. Using vague descriptions for patient conditions
D. Avoiding questions from the incoming nurse
Answer: B
Rationale: Effective communication focuses on essential patient information to ensure continuity
of care.
Question 4
Which leadership style involves shared decision-making and collaboration?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: B
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: Democratic leaders involve staff in decisions and encourage collaboration.
Question 5
A patient’s condition deteriorates rapidly. Which staff member should the RN assign first?
A. New LPN
B. Experienced CNA
C. Experienced RN
D. Student nurse
Answer: C
Rationale: The RN has the skills to assess, prioritize, and implement interventions for unstable
patients.
Question 6
Which action demonstrates proper conflict resolution?
A. Ignoring the conflict
B. Mediating a discussion between involved parties
C. Assigning blame
D. Escalating immediately to administration
Answer: B
Rationale: Mediating encourages resolution while maintaining professional relationships.
Question 7
Which patient should be seen first in a multiple-patient assignment?
A. Post-op patient with mild pain
B. Patient with a new oxygen requirement
C. Patient ready for discharge
D. Stable patient requesting assistance
Answer: B
, 2026 UPDATED QUESTIONS DOWNLOAD
Rationale: Prioritize patients with acute changes in condition.
Question 8
Which intervention is most appropriate when delegating tasks?
A. Assigning tasks based on staff availability only
B. Providing clear instructions and expectations
C. Allowing staff to decide all task priorities
D. Avoiding follow-up
Answer: B
Rationale: Clear instructions and expectations ensure tasks are completed safely and effectively.
Question 9
A nurse manager notices increased medication errors on a unit. Which is the best first action?
A. Suspend all staff immediately
B. Conduct a root cause analysis
C. Implement new policies without staff input
D. Ignore the errors
Answer: B
Rationale: Root cause analysis identifies underlying issues and prevents future errors.
Question 10
Which strategy supports staff morale during a stressful period?
A. Increasing mandatory overtime
B. Providing recognition and support
C. Ignoring complaints
D. Criticizing performance publicly
Answer: B
Rationale: Recognition and support improve morale and productivity.