ATI RN LEADERSHIP PROCTORED EXAM 2026–
2027 COMPREHENSIVE PRACTICE QUESTION
BANK 200 QUESTIONS & ANSWERS WITH
DETAILED RATIONALES LEADERSHIP,
DELEGATION, PRIORITIZATION, NGN & SATA
REVIEW
ATI RN Leadership Proctored Exam Practice Question Bank
1. Delegation to UAP
A charge nurse is assigning tasks for the shift. Which task is appropriate to delegate to an assistive
personnel (AP)?
A. Assessing a client's pain level
B. Reinforcing discharge instructions
C. Obtaining routine vital signs on a stable client
D. Evaluating a client's response to medication
Answer: C
Rationale: APs can perform routine, noninvasive tasks such as obtaining vital signs on stable clients.
Assessment, teaching, and evaluation remain the nurse's responsibility.
2. Priority Setting
The nurse receives report on four clients. Which client should be assessed first?
A. Client with COPD and oxygen saturation of 91%
B. Client with diabetes reporting shakiness and diaphoresis
C. Client scheduled for discharge in 1 hour
D. Client requesting pain medication rated 5/10
Answer: B
Rationale: Shakiness and diaphoresis indicate possible hypoglycemia, which can rapidly become life-
threatening. This client has the highest priority.
3. Conflict Resolution
,Two staff nurses are arguing loudly at the nurses' station. Which action should the charge nurse take
first?
A. Document the incident
B. Separate the nurses and discuss concerns privately
C. Notify the nurse manager immediately
D. Reassign both nurses
Answer: B
Rationale: The first step is to de-escalate the conflict and move the discussion to a private area.
4. Informed Consent
Which statement indicates a nurse understands informed consent?
A. The nurse explains all surgical risks.
B. The provider obtains informed consent.
C. The nurse signs the consent for the client.
D. The nurse determines whether surgery is necessary.
Answer: B
Rationale: The provider performing the procedure is responsible for obtaining informed consent. The
nurse witnesses the signature and verifies understanding.
5. Ethical Principle
A nurse respects a client's decision to refuse treatment. Which ethical principle is demonstrated?
A. Beneficence
B. Justice
C. Fidelity
D. Autonomy
Answer: D
Rationale: Autonomy recognizes a client's right to make healthcare decisions.
6. Chain of Command
A nurse disagrees with a provider's medication order and receives no response after clarification. What
should the nurse do next?
A. Administer the medication
B. Ignore the order
,C. Follow the chain of command
D. Ask another nurse to administer it
Answer: C
Rationale: Concerns regarding client safety should be addressed through the chain of command.
7. Quality Improvement
Which outcome best reflects quality improvement?
A. Punishing staff errors
B. Identifying system processes that need improvement
C. Replacing ineffective employees
D. Reducing documentation
Answer: B
Rationale: Quality improvement focuses on improving systems and processes to enhance outcomes.
8. Staff Education
A nurse manager notices an increase in medication errors. Which action is most appropriate?
A. Terminate involved nurses
B. Implement education and review procedures
C. Ignore the trend
D. Reduce staffing
Answer: B
Rationale: Education and process review help address root causes and improve safety.
9. Time Management
Which action demonstrates effective time management?
A. Performing easy tasks first
B. Delegating all tasks to APs
C. Prioritizing tasks based on client acuity
D. Avoiding documentation until end of shift
Answer: C
Rationale: Prioritization based on acuity improves efficiency and safety.
, 10. HIPAA
A nurse receives a call requesting client information. What is the priority action?
A. Provide information immediately
B. Verify the caller's identity and authorization
C. Refer all calls to administration
D. Hang up
Answer: B
Rationale: HIPAA requires verification before sharing protected health information.
11. Leadership Style
A nurse manager encourages staff participation in decision-making. Which leadership style is
demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Answer: B
Rationale: Democratic leaders involve team members in decisions.
12. Incident Report
Which situation requires an incident report?
A. Client receives wrong medication dosage
B. Client requests a blanket
C. Provider changes medication order
D. Nurse completes assessment
Answer: A
Rationale: Medication errors require incident reporting for risk management.
13. Delegation
Which task can be delegated to an LPN/LVN?
A. Initial assessment
B. Client teaching
2027 COMPREHENSIVE PRACTICE QUESTION
BANK 200 QUESTIONS & ANSWERS WITH
DETAILED RATIONALES LEADERSHIP,
DELEGATION, PRIORITIZATION, NGN & SATA
REVIEW
ATI RN Leadership Proctored Exam Practice Question Bank
1. Delegation to UAP
A charge nurse is assigning tasks for the shift. Which task is appropriate to delegate to an assistive
personnel (AP)?
A. Assessing a client's pain level
B. Reinforcing discharge instructions
C. Obtaining routine vital signs on a stable client
D. Evaluating a client's response to medication
Answer: C
Rationale: APs can perform routine, noninvasive tasks such as obtaining vital signs on stable clients.
Assessment, teaching, and evaluation remain the nurse's responsibility.
2. Priority Setting
The nurse receives report on four clients. Which client should be assessed first?
A. Client with COPD and oxygen saturation of 91%
B. Client with diabetes reporting shakiness and diaphoresis
C. Client scheduled for discharge in 1 hour
D. Client requesting pain medication rated 5/10
Answer: B
Rationale: Shakiness and diaphoresis indicate possible hypoglycemia, which can rapidly become life-
threatening. This client has the highest priority.
3. Conflict Resolution
,Two staff nurses are arguing loudly at the nurses' station. Which action should the charge nurse take
first?
A. Document the incident
B. Separate the nurses and discuss concerns privately
C. Notify the nurse manager immediately
D. Reassign both nurses
Answer: B
Rationale: The first step is to de-escalate the conflict and move the discussion to a private area.
4. Informed Consent
Which statement indicates a nurse understands informed consent?
A. The nurse explains all surgical risks.
B. The provider obtains informed consent.
C. The nurse signs the consent for the client.
D. The nurse determines whether surgery is necessary.
Answer: B
Rationale: The provider performing the procedure is responsible for obtaining informed consent. The
nurse witnesses the signature and verifies understanding.
5. Ethical Principle
A nurse respects a client's decision to refuse treatment. Which ethical principle is demonstrated?
A. Beneficence
B. Justice
C. Fidelity
D. Autonomy
Answer: D
Rationale: Autonomy recognizes a client's right to make healthcare decisions.
6. Chain of Command
A nurse disagrees with a provider's medication order and receives no response after clarification. What
should the nurse do next?
A. Administer the medication
B. Ignore the order
,C. Follow the chain of command
D. Ask another nurse to administer it
Answer: C
Rationale: Concerns regarding client safety should be addressed through the chain of command.
7. Quality Improvement
Which outcome best reflects quality improvement?
A. Punishing staff errors
B. Identifying system processes that need improvement
C. Replacing ineffective employees
D. Reducing documentation
Answer: B
Rationale: Quality improvement focuses on improving systems and processes to enhance outcomes.
8. Staff Education
A nurse manager notices an increase in medication errors. Which action is most appropriate?
A. Terminate involved nurses
B. Implement education and review procedures
C. Ignore the trend
D. Reduce staffing
Answer: B
Rationale: Education and process review help address root causes and improve safety.
9. Time Management
Which action demonstrates effective time management?
A. Performing easy tasks first
B. Delegating all tasks to APs
C. Prioritizing tasks based on client acuity
D. Avoiding documentation until end of shift
Answer: C
Rationale: Prioritization based on acuity improves efficiency and safety.
, 10. HIPAA
A nurse receives a call requesting client information. What is the priority action?
A. Provide information immediately
B. Verify the caller's identity and authorization
C. Refer all calls to administration
D. Hang up
Answer: B
Rationale: HIPAA requires verification before sharing protected health information.
11. Leadership Style
A nurse manager encourages staff participation in decision-making. Which leadership style is
demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Answer: B
Rationale: Democratic leaders involve team members in decisions.
12. Incident Report
Which situation requires an incident report?
A. Client receives wrong medication dosage
B. Client requests a blanket
C. Provider changes medication order
D. Nurse completes assessment
Answer: A
Rationale: Medication errors require incident reporting for risk management.
13. Delegation
Which task can be delegated to an LPN/LVN?
A. Initial assessment
B. Client teaching
