ATI RN Leadership Retake Exams 1, 2 & 3 – 2023
Questions with Rationalized Answers!!Pass%
ATI RN Leadership Retake Exam – 2023 (100 Questions)
Question 1
A charge nurse is assigning staff for a medical-surgical unit. Which client should be assigned
to an LPN/LVN?
A) A client with chest tubes and a history of recurrent pneumothorax
B) A client requiring an initial postoperative assessment after a lobectomy
C) A client with a tracheostomy needing routine suctioning every 4 hours
D) A client with unstable angina on a titrated nitroglycerin drip
Answer: C
Rationale: LPNs/LVNs can perform stable, routine tasks such as tracheostomy suctioning.
Options A, B, and D require initial assessments, titration of IV meds, or unstable conditions—
RN scope.
Question 2
A nurse manager is implementing a new electronic health record system. Which leadership
style is most effective during this change?
A) Laissez-faire
B) Autocratic
C) Transformational
D) Passive-avoidant
Answer: C
Rationale: Transformational leadership inspires and motivates staff to embrace change,
provides vision, and supports staff through transitions.
,Question 3
A nurse is caring for four clients. Which should the nurse see first?
A) A client with diabetes mellitus and a blood glucose of 65 mg/dL, alert but sweaty
B) A client 1 day post-op hip replacement with pain rating 6/10
C) A client with pneumonia and O2 saturation 91% on room air
D) A client with heart failure and +2 edema in lower extremities
Answer: A
Rationale: Hypoglycemia (BG 65 with symptoms) is an acute risk for deterioration. Treat first
before it progresses to unconsciousness.
Question 4
An RN delegates ambulation of a stable stroke patient to a CNA. The CNA fails to ambulate
the patient, who then develops a DVT. Who is legally responsible?
A) CNA only
B) RN only
C) Hospital administration
D) RN and CNA
Answer: D
Rationale: RN is responsible for delegation, supervision, and follow-up. CNA is responsible
for performing the delegated task. Both share liability.
Question 5
A nurse is preparing a disaster triage plan. Which color tag is assigned to a client with a
sucking chest wound who is awake, breathing, and has a palpable radial pulse?
A) Black
B) Red
,C) Yellow
D) Green
Answer: B
Rationale: Red tag = immediate threat to life but survivable with prompt intervention (e.g.,
tension pneumothorax, sucking chest wound).
Question 6
A nurse on a unit with high turnover notices increased medication errors. Which initial
action is most appropriate?
A) Report all errors to the state board of nursing
B) Implement a no-blame medication error reporting system
C) Terminate the nurses who made errors
D) Increase patient ratios to reduce workload
Answer: B
Rationale: A just culture/no-blame reporting encourages error disclosure, allowing root
cause analysis without fear of punishment.
Question 7
A client refuses a blood transfusion due to religious beliefs. The nurse should:
A) Give the transfusion and notify the provider later
B) Notify the provider and respect the client’s decision
C) Ask the family to persuade the client
D) Sedate the client and administer the transfusion
Answer: B
Rationale: Respect for autonomy and informed refusal. Document refusal, notify provider,
explore alternatives (e.g., iron, erythropoietin).
Question 8
, A nurse manager is using the PDSA (Plan-Do-Study-Act) model to reduce CAUTIs. In the
“Study” phase, the nurse should:
A) Implement a new catheter insertion checklist
B) Analyze data from the pilot unit
C) Train staff on catheter care
D) Form a multidisciplinary team
Answer: B
Rationale: “Study” = analyze results of the change, compare to predictions, identify learning.
Question 9
Which task can be delegated to an AP (unlicensed assistive personnel)?
A) Reinforcing a teaching plan for a new colostomy
B) Assessing a postoperative incision for redness
C) Feeding a client with dysphagia using chin-tuck maneuver
D) Evaluating effectiveness of pain medication
Answer: C
Rationale: Feeding a stable dysphagia client with a specific safe technique (chin-tuck) can be
delegated if AP is trained and client is stable. Assessment/evaluation/teaching require RN.
Question 10
A nurse is leading a conflict resolution session between two staff nurses. Which statement
reflects assertive communication?
A) “You always interrupt report and it’s unprofessional.”
B) “I feel frustrated when report is interrupted because I lose my train of thought.”
C) “Management will hear about this.”
D) “Why can’t you just wait your turn like everyone else?”
Questions with Rationalized Answers!!Pass%
ATI RN Leadership Retake Exam – 2023 (100 Questions)
Question 1
A charge nurse is assigning staff for a medical-surgical unit. Which client should be assigned
to an LPN/LVN?
A) A client with chest tubes and a history of recurrent pneumothorax
B) A client requiring an initial postoperative assessment after a lobectomy
C) A client with a tracheostomy needing routine suctioning every 4 hours
D) A client with unstable angina on a titrated nitroglycerin drip
Answer: C
Rationale: LPNs/LVNs can perform stable, routine tasks such as tracheostomy suctioning.
Options A, B, and D require initial assessments, titration of IV meds, or unstable conditions—
RN scope.
Question 2
A nurse manager is implementing a new electronic health record system. Which leadership
style is most effective during this change?
A) Laissez-faire
B) Autocratic
C) Transformational
D) Passive-avoidant
Answer: C
Rationale: Transformational leadership inspires and motivates staff to embrace change,
provides vision, and supports staff through transitions.
,Question 3
A nurse is caring for four clients. Which should the nurse see first?
A) A client with diabetes mellitus and a blood glucose of 65 mg/dL, alert but sweaty
B) A client 1 day post-op hip replacement with pain rating 6/10
C) A client with pneumonia and O2 saturation 91% on room air
D) A client with heart failure and +2 edema in lower extremities
Answer: A
Rationale: Hypoglycemia (BG 65 with symptoms) is an acute risk for deterioration. Treat first
before it progresses to unconsciousness.
Question 4
An RN delegates ambulation of a stable stroke patient to a CNA. The CNA fails to ambulate
the patient, who then develops a DVT. Who is legally responsible?
A) CNA only
B) RN only
C) Hospital administration
D) RN and CNA
Answer: D
Rationale: RN is responsible for delegation, supervision, and follow-up. CNA is responsible
for performing the delegated task. Both share liability.
Question 5
A nurse is preparing a disaster triage plan. Which color tag is assigned to a client with a
sucking chest wound who is awake, breathing, and has a palpable radial pulse?
A) Black
B) Red
,C) Yellow
D) Green
Answer: B
Rationale: Red tag = immediate threat to life but survivable with prompt intervention (e.g.,
tension pneumothorax, sucking chest wound).
Question 6
A nurse on a unit with high turnover notices increased medication errors. Which initial
action is most appropriate?
A) Report all errors to the state board of nursing
B) Implement a no-blame medication error reporting system
C) Terminate the nurses who made errors
D) Increase patient ratios to reduce workload
Answer: B
Rationale: A just culture/no-blame reporting encourages error disclosure, allowing root
cause analysis without fear of punishment.
Question 7
A client refuses a blood transfusion due to religious beliefs. The nurse should:
A) Give the transfusion and notify the provider later
B) Notify the provider and respect the client’s decision
C) Ask the family to persuade the client
D) Sedate the client and administer the transfusion
Answer: B
Rationale: Respect for autonomy and informed refusal. Document refusal, notify provider,
explore alternatives (e.g., iron, erythropoietin).
Question 8
, A nurse manager is using the PDSA (Plan-Do-Study-Act) model to reduce CAUTIs. In the
“Study” phase, the nurse should:
A) Implement a new catheter insertion checklist
B) Analyze data from the pilot unit
C) Train staff on catheter care
D) Form a multidisciplinary team
Answer: B
Rationale: “Study” = analyze results of the change, compare to predictions, identify learning.
Question 9
Which task can be delegated to an AP (unlicensed assistive personnel)?
A) Reinforcing a teaching plan for a new colostomy
B) Assessing a postoperative incision for redness
C) Feeding a client with dysphagia using chin-tuck maneuver
D) Evaluating effectiveness of pain medication
Answer: C
Rationale: Feeding a stable dysphagia client with a specific safe technique (chin-tuck) can be
delegated if AP is trained and client is stable. Assessment/evaluation/teaching require RN.
Question 10
A nurse is leading a conflict resolution session between two staff nurses. Which statement
reflects assertive communication?
A) “You always interrupt report and it’s unprofessional.”
B) “I feel frustrated when report is interrupted because I lose my train of thought.”
C) “Management will hear about this.”
D) “Why can’t you just wait your turn like everyone else?”
