ATI RN LEADERSHIP PRACTICE QUESTIONS –
VERIFIED Q&A | PROCTORED EXAM | NGN EDITION
2026
1. A charge nurse has 6 clients and 2 staff (one LPN, one UAP). Which client is
most appropriate to assign to the LPN?
A. Client 1-hour post‑cardiac catheterization with groin bleeding
B. Client with stable diabetes needing morning insulin
C. New admission with chest pain and diaphoresis
D. Client on a heparin drip who needs PTT drawn
Correct answer: B
Rationale: LPNs can administer insulin to stable clients. The other options require RN
assessment or critical intervention.
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
A. Feeding a client with dysphagia
B. Obtaining a clean‑catch urine specimen
C. Assessing a postoperative incision
D. Teaching a client how to use an incentive spirometer
Correct answer: B
Rationale: Clean‑catch urine collection is within UAP scope. Feeding dysphagia clients
requires assessment; assessment and teaching are RN responsibilities.
, 3. A nurse manager is implementing a quality improvement project. Which step
should the nurse take first?
A. Collect data
B. Identify the problem
C. Implement an intervention
D. Evaluate outcomes
Correct answer: B
Rationale: The first step in quality improvement is identifying the problem or area for
improvement.
4. A client refuses a blood transfusion due to religious beliefs. The provider says
the transfusion is necessary. What should the nurse do?
A. Administer the transfusion as ordered
B. Notify the ethics committee
C. Respect the client’s refusal and document
D. Ask the family to convince the client
Correct answer: C
Rationale: Competent adults have the right to refuse treatment, even if life‑threatening.
The nurse must respect the refusal and document.
VERIFIED Q&A | PROCTORED EXAM | NGN EDITION
2026
1. A charge nurse has 6 clients and 2 staff (one LPN, one UAP). Which client is
most appropriate to assign to the LPN?
A. Client 1-hour post‑cardiac catheterization with groin bleeding
B. Client with stable diabetes needing morning insulin
C. New admission with chest pain and diaphoresis
D. Client on a heparin drip who needs PTT drawn
Correct answer: B
Rationale: LPNs can administer insulin to stable clients. The other options require RN
assessment or critical intervention.
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
A. Feeding a client with dysphagia
B. Obtaining a clean‑catch urine specimen
C. Assessing a postoperative incision
D. Teaching a client how to use an incentive spirometer
Correct answer: B
Rationale: Clean‑catch urine collection is within UAP scope. Feeding dysphagia clients
requires assessment; assessment and teaching are RN responsibilities.
, 3. A nurse manager is implementing a quality improvement project. Which step
should the nurse take first?
A. Collect data
B. Identify the problem
C. Implement an intervention
D. Evaluate outcomes
Correct answer: B
Rationale: The first step in quality improvement is identifying the problem or area for
improvement.
4. A client refuses a blood transfusion due to religious beliefs. The provider says
the transfusion is necessary. What should the nurse do?
A. Administer the transfusion as ordered
B. Notify the ethics committee
C. Respect the client’s refusal and document
D. Ask the family to convince the client
Correct answer: C
Rationale: Competent adults have the right to refuse treatment, even if life‑threatening.
The nurse must respect the refusal and document.
