2026 UPDATED QUESTIONS DOWNLOAD
ATI RN Leadership Proctored Exam with
NGN Questions and Answers | 2026/2026
RN ATI Leadership Proctored Exam with
NGN Questions and Answers
This comprehensive 150-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.
1. A nurse is delegating tasks to an Assistive Personnel (AP). Which task is
appropriate?
A. Performing a central line dressing change.
B. Monitoring a client's condition after a dose of IV morphine.
C. Providing post-mortem care to a deceased client.
D. Teaching a client how to perform a finger-stick glucose test.
• Answer: C
• Rationale: Post-mortem care is a routine, non-invasive task. Sterile procedures
(A), assessment/monitoring (B), and teaching (D) must be performed by the RN.
2. A nurse is caring for a client who is scheduled for surgery. The client says, "I
don't understand what the surgeon is going to do." Which action should the
nurse take?
A. Explain the procedure to the client in detail.
B. Notify the surgeon that the client needs further explanation.
,2026 UPDATED QUESTIONS DOWNLOAD
C. Tell the client it is a common procedure and not to worry.
D. Ask the client to sign the consent form anyway.
• Answer: B
• Rationale: The nurse's role is to witness the signature and advocate for the client.
The legal responsibility to explain the risks, benefits, and procedure lies solely
with the provider.
3. Which of the following is an example of "Vertical Violence"?
A. Two staff nurses arguing about a patient assignment.
B. A nurse manager belittling a newly licensed nurse in front of others.
C. An AP refusing to take vital signs for an LPN.
D. A physician yelling at a pharmacist.
• Answer: B
• Rationale: Vertical violence (or bullying) occurs between individuals of different
power levels (e.g., manager to subordinate).
4. A nurse is using the "ABC" framework to prioritize care. Which client should be
seen first?
A. A client with a fractured tibia reporting 8/10 pain.
B. A client with COPD who has an oxygen saturation of 91%.
C. A client with heart failure who has new onset of pink, frothy sputum.
D. A client who is 1 day post-op and needs a dressing change.
• Answer: C
• Rationale: Pink, frothy sputum is a classic sign of pulmonary edema, which
severely compromises the "Airway" and "Breathing" priority.
5. A nurse manager is using a "Laissez-faire" leadership style. Which behavior is
expected?
A. Making all decisions for the unit independently.
B. Encouraging staff input on every policy change.
C. Providing little to no direction to the staff.
D. Focusing on long-term goals and inspiring the team.
• Answer: C
• Rationale: Laissez-faire leadership is "hands-off," allowing the group to make
their own decisions with minimal leader involvement.
,2026 UPDATED QUESTIONS DOWNLOAD
6. A nurse is delegating to an LPN. Which client assignment is appropriate?
A. A client who is being admitted with chest pain.
B. A client with a new diagnosis of Type 1 Diabetes requiring teaching.
C. A stable client who is 2 days post-appendectomy.
D. A client who is receiving a blood transfusion.
• Answer: C
• Rationale: LPNs should be assigned stable clients with predictable outcomes.
New admissions, complex teaching, and blood transfusions require the RN.
7. A nurse is caring for a client who has a living will and is now unconscious. The
family wants to proceed with a procedure the living will forbids. What is the
nurse's role?
A. Follow the family’s wishes.
B. Notify the ethics committee.
C. Honor the instructions in the client’s living will.
D. Ask the provider to decide.
• Answer: C
• Rationale: A living will is a legal document that expresses the client’s wishes
when they can no longer speak for themselves; it must be honored.
8. Which "Right of Delegation" is being used when the nurse provides clear,
concise instructions for a task?
A. Right Task
B. Right Direction/Communication
C. Right Supervision
D. Right Person
• Answer: B
• Rationale: Right Direction/Communication involves giving specific instructions,
including the data to collect and when to report back.
9. A nurse manager is dealing with a nurse who is chronically late. Which conflict
resolution strategy involves both parties giving up something of value?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
, 2026 UPDATED QUESTIONS DOWNLOAD
• Answer: C
• Rationale: Compromising is a "lose-lose" or "give-and-take" strategy where both
sides sacrifice part of their goal to reach a solution.
10. A nurse is triage officer at a disaster scene. A client has a sucking chest
wound and stable vitals. Which color tag should the nurse apply?
A. Green
B. Yellow
C. Red
D. Black
• Answer: C
• Rationale: Red tags (Immediate) are for life-threatening injuries that have a high
probability of survival if treated immediately.
11. A nurse is preparing an in-service about "Informed Consent." Which of the
following clients can legally sign a consent form?
A. A 16-year-old who is married.
B. A client who just received a dose of high-potency sedative.
C. A client with advanced dementia.
D. A 12-year-old scheduled for an appendectomy.
• Answer: A
• Rationale: Married minors or "emancipated minors" are legally allowed to sign
their own consent forms. Sedated or cognitively impaired clients cannot.
12. A nurse is caring for a client who wants to leave the hospital "Against Medical
Advice" (AMA). What is the nurse's first action?
A. Call security to prevent the client from leaving.
B. Notify the provider.
C. Explain the risks of leaving without treatment.
D. Ask the client to sign the AMA form.
• Answer: C
• Rationale: The nurse must first ensure the client understands the risks of leaving.
If they still wish to leave, the provider is notified and the form is signed.
13. A charge nurse is evaluating a new nurse’s ability to delegate. Which action
by the new nurse requires intervention?
ATI RN Leadership Proctored Exam with
NGN Questions and Answers | 2026/2026
RN ATI Leadership Proctored Exam with
NGN Questions and Answers
This comprehensive 150-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.
1. A nurse is delegating tasks to an Assistive Personnel (AP). Which task is
appropriate?
A. Performing a central line dressing change.
B. Monitoring a client's condition after a dose of IV morphine.
C. Providing post-mortem care to a deceased client.
D. Teaching a client how to perform a finger-stick glucose test.
• Answer: C
• Rationale: Post-mortem care is a routine, non-invasive task. Sterile procedures
(A), assessment/monitoring (B), and teaching (D) must be performed by the RN.
2. A nurse is caring for a client who is scheduled for surgery. The client says, "I
don't understand what the surgeon is going to do." Which action should the
nurse take?
A. Explain the procedure to the client in detail.
B. Notify the surgeon that the client needs further explanation.
,2026 UPDATED QUESTIONS DOWNLOAD
C. Tell the client it is a common procedure and not to worry.
D. Ask the client to sign the consent form anyway.
• Answer: B
• Rationale: The nurse's role is to witness the signature and advocate for the client.
The legal responsibility to explain the risks, benefits, and procedure lies solely
with the provider.
3. Which of the following is an example of "Vertical Violence"?
A. Two staff nurses arguing about a patient assignment.
B. A nurse manager belittling a newly licensed nurse in front of others.
C. An AP refusing to take vital signs for an LPN.
D. A physician yelling at a pharmacist.
• Answer: B
• Rationale: Vertical violence (or bullying) occurs between individuals of different
power levels (e.g., manager to subordinate).
4. A nurse is using the "ABC" framework to prioritize care. Which client should be
seen first?
A. A client with a fractured tibia reporting 8/10 pain.
B. A client with COPD who has an oxygen saturation of 91%.
C. A client with heart failure who has new onset of pink, frothy sputum.
D. A client who is 1 day post-op and needs a dressing change.
• Answer: C
• Rationale: Pink, frothy sputum is a classic sign of pulmonary edema, which
severely compromises the "Airway" and "Breathing" priority.
5. A nurse manager is using a "Laissez-faire" leadership style. Which behavior is
expected?
A. Making all decisions for the unit independently.
B. Encouraging staff input on every policy change.
C. Providing little to no direction to the staff.
D. Focusing on long-term goals and inspiring the team.
• Answer: C
• Rationale: Laissez-faire leadership is "hands-off," allowing the group to make
their own decisions with minimal leader involvement.
,2026 UPDATED QUESTIONS DOWNLOAD
6. A nurse is delegating to an LPN. Which client assignment is appropriate?
A. A client who is being admitted with chest pain.
B. A client with a new diagnosis of Type 1 Diabetes requiring teaching.
C. A stable client who is 2 days post-appendectomy.
D. A client who is receiving a blood transfusion.
• Answer: C
• Rationale: LPNs should be assigned stable clients with predictable outcomes.
New admissions, complex teaching, and blood transfusions require the RN.
7. A nurse is caring for a client who has a living will and is now unconscious. The
family wants to proceed with a procedure the living will forbids. What is the
nurse's role?
A. Follow the family’s wishes.
B. Notify the ethics committee.
C. Honor the instructions in the client’s living will.
D. Ask the provider to decide.
• Answer: C
• Rationale: A living will is a legal document that expresses the client’s wishes
when they can no longer speak for themselves; it must be honored.
8. Which "Right of Delegation" is being used when the nurse provides clear,
concise instructions for a task?
A. Right Task
B. Right Direction/Communication
C. Right Supervision
D. Right Person
• Answer: B
• Rationale: Right Direction/Communication involves giving specific instructions,
including the data to collect and when to report back.
9. A nurse manager is dealing with a nurse who is chronically late. Which conflict
resolution strategy involves both parties giving up something of value?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
, 2026 UPDATED QUESTIONS DOWNLOAD
• Answer: C
• Rationale: Compromising is a "lose-lose" or "give-and-take" strategy where both
sides sacrifice part of their goal to reach a solution.
10. A nurse is triage officer at a disaster scene. A client has a sucking chest
wound and stable vitals. Which color tag should the nurse apply?
A. Green
B. Yellow
C. Red
D. Black
• Answer: C
• Rationale: Red tags (Immediate) are for life-threatening injuries that have a high
probability of survival if treated immediately.
11. A nurse is preparing an in-service about "Informed Consent." Which of the
following clients can legally sign a consent form?
A. A 16-year-old who is married.
B. A client who just received a dose of high-potency sedative.
C. A client with advanced dementia.
D. A 12-year-old scheduled for an appendectomy.
• Answer: A
• Rationale: Married minors or "emancipated minors" are legally allowed to sign
their own consent forms. Sedated or cognitively impaired clients cannot.
12. A nurse is caring for a client who wants to leave the hospital "Against Medical
Advice" (AMA). What is the nurse's first action?
A. Call security to prevent the client from leaving.
B. Notify the provider.
C. Explain the risks of leaving without treatment.
D. Ask the client to sign the AMA form.
• Answer: C
• Rationale: The nurse must first ensure the client understands the risks of leaving.
If they still wish to leave, the provider is notified and the form is signed.
13. A charge nurse is evaluating a new nurse’s ability to delegate. Which action
by the new nurse requires intervention?
