2023 ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM WITH NGN – PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
• ETHICAL AND LEGAL PRINCIPLES IN NURSING• PRIORITIZATION AND TIME MANAGEMENT• DELEGATION AND ASSIGNMENT•
CONFLICT RESOLUTION AND LEADERSHIP STYLES• QUALITY IMPROVEMENT AND RESOURCE MANAGEMENT• CLIENT ADVOCACY AND
INFORMED CONSENT• INTERPROFESSIONAL COLLABORATION• INFORMATION TECHNOLOGY AND CONFIDENTIALITY
INTRODUCTION
THIS COMPREHENSIVE PRACTICE ASSESSMENT IS DESIGNED TO PREPARE PRACTICAL NURSING STUDENTS FOR THE ATI
LEADERSHIP AND MANAGEMENT PROCTORED EXAM. THE EVALUATION FOCUSES ON THE ESSENTIAL SKILLS REQUIRED TO
COORDINATE CLIENT CARE, MANAGE RESOURCES EFFICIENTLY, AND ADHERE TO LEGAL AND ETHICAL STANDARDS WITHIN THE
CLINICAL SETTING. THE QUESTIONS ARE STRUCTURED AS MULTIPLE-CHOICE AND SCENARIO-BASED ITEMS, SIMULATING REAL-
WORLD DECISION-MAKING PROCESSES. STUDENTS ARE ASSESSED ON THEIR ABILITY TO PRIORITIZE TASKS, DELEGATE
APPROPRIATELY TO UNLICENSED ASSISTIVE PERSONNEL, AND COLLABORATE WITH THE INTERDISCIPLINARY TEAM. EMPHASIS IS
PLACED ON CRITICAL THINKING AND CLINICAL JUDGMENT NECESSARY FOR SAFE AND EFFECTIVE NURSING LEADERSHIP AT THE PN
LEVEL.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is scheduled for surgery. The client expresses concern about the procedure. Which of the following actions
should the nurse take to advocate for the client?
A. Tell the client that the surgery is necessary for recovery.
B. Explain the risks and benefits of the surgery to the client.
🟢 C. Notify the surgeon that the client has further questions about the procedure.
D. Ask the client’s spouse to help persuade the client to have the surgery.
🔴 RATIONALE: The nurse's role as an advocate is to ensure the client has adequate information to provide informed consent. If the client has
questions, the nurse must notify the provider/surgeon to clarify concerns.
2. A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
A. Measuring a client's wound healing progress.
B. Instructing a client on how to use a walker.
🟢 C. Transporting a stable client to the radiology department.
D. Evaluating a client's pain level following medication administration.
,🔴 RATIONALE: Transporting a stable client is within the scope of practice for an AP. Assessment, teaching, and evaluation require professional
nursing judgment and cannot be delegated.
3. A nurse is assigned to a client who has a prescription for a PCA pump. Which of the following leadership roles is the nurse demonstrating
when checking the pump settings with another nurse?
A. Manager of care.
🟢 B. Safety advocate.
C. Quality improvement coordinator.
D. Case manager.
🔴 RATIONALE: Verifying high-alert medications or equipment like PCA pumps with another nurse is a safety-oriented action intended to prevent
medication errors and ensure client safety.
4. A nurse on a medical-surgical unit is prioritizing care for four clients. Which of the following clients should the nurse see first?
🟢 A. A client who has a chest tube and reports sudden shortness of breath.
B. A client who is scheduled for discharge and needs instructions.
C. A client who is 1 day postoperative and reports a pain level of 4 on a scale of 1 to 10.
D. A client who needs a dressing change for a pressure injury.
🔴 RATIONALE: Using the ABC (Airway, Breathing, Circulation) framework, the client with sudden shortness of breath is the priority and requires
immediate assessment.
5. A nurse is discussing end-of-life care with a client's family. Which of the following legal documents should the nurse explain guides medical
decisions if the client becomes incapacitated?
A. Professional liability insurance.
🟢 B. Living will.
C. Informed consent form.
D. Incident report.
🔴 RATIONALE: A living will is a legal document that expresses a client's wishes regarding health care decisions in the event the client becomes
unable to make those decisions.
6. A nurse is caring for a client who has fallen. After assessing the client, which of the following actions should the nurse take next?
A. Call the provider.
B. Complete an incident report.
, 🟢 C. Notify the nurse manager.
D. Document the fall in the medical record.
🔴 RATIONALE: After ensuring the client is safe and assessed, the nurse should follow the chain of command and notify the nurse manager or
supervisor.
7. A nurse is preparing a shift report. Which of the following information is the priority to include?
A. The client’s routine for morning hygiene.
B. The client’s insurance provider information.
🟢 C. A recent change in the client’s neurological status.
D. A list of the client's home medications.
🔴 RATIONALE: Report should focus on pertinent, objective data regarding changes in status or immediate needs to ensure continuity of safe care.
8. A nurse is participating in a continuous quality improvement (CQI) program. Which of the following is the first step in the CQI process?
A. Implement a plan to correct the problem.
🟢 B. Identify a clinical problem or area for improvement.
C. Analyze data to determine if goals were met.
D. Develop a budget for the improvement project.
🔴 RATIONALE: The first step in the quality improvement process is to identify the problem or the area where performance does not meet
standards.
9. A nurse is caring for a client who refuses a scheduled blood transfusion for religious reasons. Which of the following actions should the nurse
take?
🟢 A. Respect the client's decision and notify the provider.
B. Explain to the client that they may die without the transfusion.
C. Request a consult from a different religious leader.
D. Administer the transfusion while the client is sleeping.
🔴 RATIONALE: Autonomy allows the client to refuse treatment. The nurse must respect this right and inform the healthcare provider.
10. Which of the following leadership styles is characterized by the leader making decisions without consulting the staff?
🟢 A. Autocratic.
B. Democratic.
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
• ETHICAL AND LEGAL PRINCIPLES IN NURSING• PRIORITIZATION AND TIME MANAGEMENT• DELEGATION AND ASSIGNMENT•
CONFLICT RESOLUTION AND LEADERSHIP STYLES• QUALITY IMPROVEMENT AND RESOURCE MANAGEMENT• CLIENT ADVOCACY AND
INFORMED CONSENT• INTERPROFESSIONAL COLLABORATION• INFORMATION TECHNOLOGY AND CONFIDENTIALITY
INTRODUCTION
THIS COMPREHENSIVE PRACTICE ASSESSMENT IS DESIGNED TO PREPARE PRACTICAL NURSING STUDENTS FOR THE ATI
LEADERSHIP AND MANAGEMENT PROCTORED EXAM. THE EVALUATION FOCUSES ON THE ESSENTIAL SKILLS REQUIRED TO
COORDINATE CLIENT CARE, MANAGE RESOURCES EFFICIENTLY, AND ADHERE TO LEGAL AND ETHICAL STANDARDS WITHIN THE
CLINICAL SETTING. THE QUESTIONS ARE STRUCTURED AS MULTIPLE-CHOICE AND SCENARIO-BASED ITEMS, SIMULATING REAL-
WORLD DECISION-MAKING PROCESSES. STUDENTS ARE ASSESSED ON THEIR ABILITY TO PRIORITIZE TASKS, DELEGATE
APPROPRIATELY TO UNLICENSED ASSISTIVE PERSONNEL, AND COLLABORATE WITH THE INTERDISCIPLINARY TEAM. EMPHASIS IS
PLACED ON CRITICAL THINKING AND CLINICAL JUDGMENT NECESSARY FOR SAFE AND EFFECTIVE NURSING LEADERSHIP AT THE PN
LEVEL.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is scheduled for surgery. The client expresses concern about the procedure. Which of the following actions
should the nurse take to advocate for the client?
A. Tell the client that the surgery is necessary for recovery.
B. Explain the risks and benefits of the surgery to the client.
🟢 C. Notify the surgeon that the client has further questions about the procedure.
D. Ask the client’s spouse to help persuade the client to have the surgery.
🔴 RATIONALE: The nurse's role as an advocate is to ensure the client has adequate information to provide informed consent. If the client has
questions, the nurse must notify the provider/surgeon to clarify concerns.
2. A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
A. Measuring a client's wound healing progress.
B. Instructing a client on how to use a walker.
🟢 C. Transporting a stable client to the radiology department.
D. Evaluating a client's pain level following medication administration.
,🔴 RATIONALE: Transporting a stable client is within the scope of practice for an AP. Assessment, teaching, and evaluation require professional
nursing judgment and cannot be delegated.
3. A nurse is assigned to a client who has a prescription for a PCA pump. Which of the following leadership roles is the nurse demonstrating
when checking the pump settings with another nurse?
A. Manager of care.
🟢 B. Safety advocate.
C. Quality improvement coordinator.
D. Case manager.
🔴 RATIONALE: Verifying high-alert medications or equipment like PCA pumps with another nurse is a safety-oriented action intended to prevent
medication errors and ensure client safety.
4. A nurse on a medical-surgical unit is prioritizing care for four clients. Which of the following clients should the nurse see first?
🟢 A. A client who has a chest tube and reports sudden shortness of breath.
B. A client who is scheduled for discharge and needs instructions.
C. A client who is 1 day postoperative and reports a pain level of 4 on a scale of 1 to 10.
D. A client who needs a dressing change for a pressure injury.
🔴 RATIONALE: Using the ABC (Airway, Breathing, Circulation) framework, the client with sudden shortness of breath is the priority and requires
immediate assessment.
5. A nurse is discussing end-of-life care with a client's family. Which of the following legal documents should the nurse explain guides medical
decisions if the client becomes incapacitated?
A. Professional liability insurance.
🟢 B. Living will.
C. Informed consent form.
D. Incident report.
🔴 RATIONALE: A living will is a legal document that expresses a client's wishes regarding health care decisions in the event the client becomes
unable to make those decisions.
6. A nurse is caring for a client who has fallen. After assessing the client, which of the following actions should the nurse take next?
A. Call the provider.
B. Complete an incident report.
, 🟢 C. Notify the nurse manager.
D. Document the fall in the medical record.
🔴 RATIONALE: After ensuring the client is safe and assessed, the nurse should follow the chain of command and notify the nurse manager or
supervisor.
7. A nurse is preparing a shift report. Which of the following information is the priority to include?
A. The client’s routine for morning hygiene.
B. The client’s insurance provider information.
🟢 C. A recent change in the client’s neurological status.
D. A list of the client's home medications.
🔴 RATIONALE: Report should focus on pertinent, objective data regarding changes in status or immediate needs to ensure continuity of safe care.
8. A nurse is participating in a continuous quality improvement (CQI) program. Which of the following is the first step in the CQI process?
A. Implement a plan to correct the problem.
🟢 B. Identify a clinical problem or area for improvement.
C. Analyze data to determine if goals were met.
D. Develop a budget for the improvement project.
🔴 RATIONALE: The first step in the quality improvement process is to identify the problem or the area where performance does not meet
standards.
9. A nurse is caring for a client who refuses a scheduled blood transfusion for religious reasons. Which of the following actions should the nurse
take?
🟢 A. Respect the client's decision and notify the provider.
B. Explain to the client that they may die without the transfusion.
C. Request a consult from a different religious leader.
D. Administer the transfusion while the client is sleeping.
🔴 RATIONALE: Autonomy allows the client to refuse treatment. The nurse must respect this right and inform the healthcare provider.
10. Which of the following leadership styles is characterized by the leader making decisions without consulting the staff?
🟢 A. Autocratic.
B. Democratic.
