ATI RN Leadership Proctored Exam 2025–2026
NGN-Style Practice Examination
70 Questions + Answers + Rationales
RN Leadership, Management, Delegation, Quality
Improvement, Ethics, Prioritization, Communication
This is an original ATI-style practice exam, not an actual ATI exam or leaked test. Current ATI
Leadership-style preparation commonly emphasizes delegation, prioritization, conflict
resolution, ethics, quality improvement, communication, and NGN clinical judgment formats.
SECTION 1: LEADERSHIP & MANAGEMENT PRINCIPLES
Questions 1–15
1. A nurse manager demonstrates leadership when which action is performed?
A. Assigning daily tasks only
B. Inspiring staff to achieve shared goals
C. Completing paperwork independently
D. Following policies without question
Answer: B
Rationale:
Leadership involves influencing, motivating, and guiding others toward common goals.
2. Which statement best describes management?
A. Inspiring employees through vision
B. Planning, organizing, and coordinating resources
C. Avoiding responsibility
D. Delegating all decisions
Answer: B
,Rationale:
Management focuses on planning, organizing, staffing, directing, and controlling resources.
3. A nurse leader uses evidence-based data before changing staffing patterns. This
demonstrates:
A. Autocratic leadership
B. Data-driven decision making
C. Avoidance
D. Conflict escalation
Answer: B
4. Which leadership style is best during an emergency?
A. Laissez-faire
B. Democratic
C. Autocratic
D. Servant leadership
Answer: C
Rationale:
During crises, rapid decisions may require an autocratic approach.
5. A nurse manager asks staff members for input before changing a policy. This represents:
A. Democratic leadership
B. Autocratic leadership
C. Passive leadership
D. Avoidant leadership
Answer: A
6. Which behavior demonstrates transformational leadership?
A. Encouraging innovation and professional growth
B. Avoiding staff involvement
, C. Making all decisions alone
D. Focusing only on punishment
Answer: A
7. A nurse leader who serves staff by removing barriers is demonstrating:
A. Servant leadership
B. Autocratic leadership
C. Transactional leadership
D. Bureaucratic leadership
Answer: A
8. The primary responsibility of a nurse leader is:
A. Maintain patient safety and quality care
B. Complete every task personally
C. Avoid delegation
D. Prevent staff independence
Answer: A
9. A new nurse asks for guidance. The experienced nurse provides coaching and feedback.
This is:
A. Mentoring
B. Punishment
C. Avoidance
D. Competition
Answer: A
10. A nurse manager identifies a problem and develops a plan to correct it. This is:
A. Problem-solving
B. Avoidance
NGN-Style Practice Examination
70 Questions + Answers + Rationales
RN Leadership, Management, Delegation, Quality
Improvement, Ethics, Prioritization, Communication
This is an original ATI-style practice exam, not an actual ATI exam or leaked test. Current ATI
Leadership-style preparation commonly emphasizes delegation, prioritization, conflict
resolution, ethics, quality improvement, communication, and NGN clinical judgment formats.
SECTION 1: LEADERSHIP & MANAGEMENT PRINCIPLES
Questions 1–15
1. A nurse manager demonstrates leadership when which action is performed?
A. Assigning daily tasks only
B. Inspiring staff to achieve shared goals
C. Completing paperwork independently
D. Following policies without question
Answer: B
Rationale:
Leadership involves influencing, motivating, and guiding others toward common goals.
2. Which statement best describes management?
A. Inspiring employees through vision
B. Planning, organizing, and coordinating resources
C. Avoiding responsibility
D. Delegating all decisions
Answer: B
,Rationale:
Management focuses on planning, organizing, staffing, directing, and controlling resources.
3. A nurse leader uses evidence-based data before changing staffing patterns. This
demonstrates:
A. Autocratic leadership
B. Data-driven decision making
C. Avoidance
D. Conflict escalation
Answer: B
4. Which leadership style is best during an emergency?
A. Laissez-faire
B. Democratic
C. Autocratic
D. Servant leadership
Answer: C
Rationale:
During crises, rapid decisions may require an autocratic approach.
5. A nurse manager asks staff members for input before changing a policy. This represents:
A. Democratic leadership
B. Autocratic leadership
C. Passive leadership
D. Avoidant leadership
Answer: A
6. Which behavior demonstrates transformational leadership?
A. Encouraging innovation and professional growth
B. Avoiding staff involvement
, C. Making all decisions alone
D. Focusing only on punishment
Answer: A
7. A nurse leader who serves staff by removing barriers is demonstrating:
A. Servant leadership
B. Autocratic leadership
C. Transactional leadership
D. Bureaucratic leadership
Answer: A
8. The primary responsibility of a nurse leader is:
A. Maintain patient safety and quality care
B. Complete every task personally
C. Avoid delegation
D. Prevent staff independence
Answer: A
9. A new nurse asks for guidance. The experienced nurse provides coaching and feedback.
This is:
A. Mentoring
B. Punishment
C. Avoidance
D. Competition
Answer: A
10. A nurse manager identifies a problem and develops a plan to correct it. This is:
A. Problem-solving
B. Avoidance
