Page 1 of 70
ATI RN LEADERSHIP PROCTORED (NGN) 2026
EXAMINATION COMPLETE (160) CURRENT
TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES|GRADED A+.
ATI RN
Prepare for the ATI RN Leadership Proctored (NGN) Examination with
practice questions covering nursing leadership, delegation,
prioritization, quality improvement, healthcare policy, patient safety,
and clinical judgment using Next Generation NCLEX (NGN) formats.
This study guide helps reinforce essential leadership and
management nursing concepts and supports effective ATI exam
preparation. Designed to improve decision-making skills and boost
confidence in supervisory nursing roles and healthcare leadership.
Suitable for nursing students preparing for RN licensure and
leadership courses.
MULTIPLE CHOICE.
Section 1: Leadership & Management Fundamentals (Questions
1–20)
1. What is the primary difference between a leader and a manager?
A) Leaders focus on maintaining the status quo; managers focus on
change.
B) Leaders influence and inspire others; managers coordinate
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resources and processes.
C) Leaders control outcomes; managers delegate tasks.
D) There is no difference; the terms are interchangeable.
Answer: B. Leaders influence and inspire others; managers
coordinate resources and processes.
Explanation: A leader inspires, motivates, and influences others
toward a shared vision, while a manager plans, organizes, and
coordinates resources to achieve organizational goals.
2. Which leadership style is characterized by making decisions
independently and then notifying staff of the decision?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Answer: C. Autocratic
Explanation: Autocratic leadership involves high control, with the
leader making decisions alone and expecting compliance.
3. A nurse manager who shares responsibility with the staff and
guides the team toward reaching objectives is using which
leadership style?
A) Laissez-faire
B) Democratic
C) Autocratic
D) Transactional
Answer: B. Democratic
Explanation: Democratic leadership encourages participation,
collaboration, and shared decision-making.
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4. According to Lewin’s change theory, which stage involves
reinforcing and stabilizing the change?
A) Unfreezing
B) Moving
C) Refreezing
D) Transforming
Answer: C. Refreezing
Explanation: Refreezing is the final stage where the change is
solidified and integrated into the organization’s culture.
5. Victor Vroom’s expectancy theory states that:
A) Personal motivators can be separated from job satisfiers.
B) People are motivated by three basic needs: achievement,
affiliation, and power.
C) A manager’s assumptions about workers directly affect their
intrinsic motivation.
D) Employees’ expectations about their work environment will affect
their behavior.
Answer: D. Employees’ expectations about their work environment
will affect their behavior.
Explanation: Vroom’s theory posits that motivation is a function of
expectancy (effort → performance), instrumentality (performance →
outcome), and valence (value of the outcome).
6. Which of the following is an example of efficient nursing practice?
A) Delegate all tasks to assistive personnel
B) Group tasks together that are in the same location
C) Perform non-essential tasks first thing in the morning
D) Avoid documenting until the end of the shift
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Answer: B. Group tasks together that are in the same location
Explanation: Grouping tasks for a single patient or grouping tasks in
the same location saves time and improves efficiency.
7. A nurse demonstrates the ethical principle of fidelity by:
A) Telling a client the truth about their diagnosis
B) Keeping a promise to return with pain medication within 15
minutes
C) Dividing resources fairly among all clients
D) Avoiding harm to the client
Answer: B. Keeping a promise to return with pain medication within
15 minutes
Explanation: Fidelity means keeping one’s promises to the client
about care that was offered.
8. A charge nurse is reviewing the stages of team formation. Which
stage is characterized by conflict arising among team members?
A) Forming
B) Storming
C) Norming
D) Adjourning
Answer: B. Storming
Explanation: During the storming stage, conflict arises as team
members assert their individual roles and expectations.
9. Which of the following is a component of a performance review?
A) Data collection over the course of a year
B) Allowing the employee to turn in a self-assessment
C) Peer review and performance checklist
D) All of the above
ATI RN LEADERSHIP PROCTORED (NGN) 2026
EXAMINATION COMPLETE (160) CURRENT
TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES|GRADED A+.
ATI RN
Prepare for the ATI RN Leadership Proctored (NGN) Examination with
practice questions covering nursing leadership, delegation,
prioritization, quality improvement, healthcare policy, patient safety,
and clinical judgment using Next Generation NCLEX (NGN) formats.
This study guide helps reinforce essential leadership and
management nursing concepts and supports effective ATI exam
preparation. Designed to improve decision-making skills and boost
confidence in supervisory nursing roles and healthcare leadership.
Suitable for nursing students preparing for RN licensure and
leadership courses.
MULTIPLE CHOICE.
Section 1: Leadership & Management Fundamentals (Questions
1–20)
1. What is the primary difference between a leader and a manager?
A) Leaders focus on maintaining the status quo; managers focus on
change.
B) Leaders influence and inspire others; managers coordinate
, Page 2 of 70
resources and processes.
C) Leaders control outcomes; managers delegate tasks.
D) There is no difference; the terms are interchangeable.
Answer: B. Leaders influence and inspire others; managers
coordinate resources and processes.
Explanation: A leader inspires, motivates, and influences others
toward a shared vision, while a manager plans, organizes, and
coordinates resources to achieve organizational goals.
2. Which leadership style is characterized by making decisions
independently and then notifying staff of the decision?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Answer: C. Autocratic
Explanation: Autocratic leadership involves high control, with the
leader making decisions alone and expecting compliance.
3. A nurse manager who shares responsibility with the staff and
guides the team toward reaching objectives is using which
leadership style?
A) Laissez-faire
B) Democratic
C) Autocratic
D) Transactional
Answer: B. Democratic
Explanation: Democratic leadership encourages participation,
collaboration, and shared decision-making.
, Page 3 of 70
4. According to Lewin’s change theory, which stage involves
reinforcing and stabilizing the change?
A) Unfreezing
B) Moving
C) Refreezing
D) Transforming
Answer: C. Refreezing
Explanation: Refreezing is the final stage where the change is
solidified and integrated into the organization’s culture.
5. Victor Vroom’s expectancy theory states that:
A) Personal motivators can be separated from job satisfiers.
B) People are motivated by three basic needs: achievement,
affiliation, and power.
C) A manager’s assumptions about workers directly affect their
intrinsic motivation.
D) Employees’ expectations about their work environment will affect
their behavior.
Answer: D. Employees’ expectations about their work environment
will affect their behavior.
Explanation: Vroom’s theory posits that motivation is a function of
expectancy (effort → performance), instrumentality (performance →
outcome), and valence (value of the outcome).
6. Which of the following is an example of efficient nursing practice?
A) Delegate all tasks to assistive personnel
B) Group tasks together that are in the same location
C) Perform non-essential tasks first thing in the morning
D) Avoid documenting until the end of the shift
, Page 4 of 70
Answer: B. Group tasks together that are in the same location
Explanation: Grouping tasks for a single patient or grouping tasks in
the same location saves time and improves efficiency.
7. A nurse demonstrates the ethical principle of fidelity by:
A) Telling a client the truth about their diagnosis
B) Keeping a promise to return with pain medication within 15
minutes
C) Dividing resources fairly among all clients
D) Avoiding harm to the client
Answer: B. Keeping a promise to return with pain medication within
15 minutes
Explanation: Fidelity means keeping one’s promises to the client
about care that was offered.
8. A charge nurse is reviewing the stages of team formation. Which
stage is characterized by conflict arising among team members?
A) Forming
B) Storming
C) Norming
D) Adjourning
Answer: B. Storming
Explanation: During the storming stage, conflict arises as team
members assert their individual roles and expectations.
9. Which of the following is a component of a performance review?
A) Data collection over the course of a year
B) Allowing the employee to turn in a self-assessment
C) Peer review and performance checklist
D) All of the above
