ATI Leadership & Management Proctored
Exam V1 | 2026 Q&A with Rationale (ATI
Leadership & Management Proctored
Exam 2026)
1. A nurse manager is planning to implement a new evidence-based practice on the unit.
According to Lewin’s Change Theory, which of the following actions should the manager take
during the ‘unfreezing’ stage?
A. Encourage staff to incorporate the new practice into daily routines.
B. Provide training and resources for the new procedure.
C. Establish a sense of urgency by explaining the need for the change.
D. Evaluate the effectiveness of the change through audits.
Correct Answer: C
Rationale: The unfreezing stage is the first step of Lewin’s Change Theory where the
manager must identify the problem and create awareness about the need for change. This
involves breaking down current habits and demonstrating why the status quo is no longer
acceptable. Training and evaluation occur during later stages, specifically the moving and
refreezing phases.
2. A registered nurse (RN) is delegating tasks to an assistive personnel (AP) on a medical-
surgical unit. Which of the following tasks is appropriate for the RN to delegate?
A. Providing basic post-mortem care to a client who recently passed away.
,B. Updating a client’s plan of care based on new laboratory results.
C. Performing a sterile dressing change on a client who is post-operative.
D. Evaluating a client’s response to an anti-hypertensive medication.
Correct Answer: A
Rationale: Assistive personnel (AP) can perform non-invasive, routine tasks such as basic
hygiene and post-mortem care. Sterile procedures, clinical updates to care plans, and
evaluation of medication effectiveness require the clinical judgment of an RN. Delegating
tasks that require assessment or evaluation is a violation of the five rights of delegation.
3. A charge nurse is managing a conflict between two staff nurses who disagree about the
holiday schedule. Both nurses agree to give up one minor holiday if they can have a major
holiday off. Which of the following conflict resolution strategies is being used?
A. Avoiding
B. Collaborating
C. Compromising
D. Smoothing
Correct Answer: C
Rationale: Compromising involves both parties giving up something of value to reach a
mutually acceptable agreement. In this scenario, each nurse surrenders a minor holiday to
,secure their preferred major holiday. This strategy is effective when both sides have equal
power and a quick resolution is needed.
4. A nurse is caring for four clients. Which of the following clients should the nurse assess
first?
A. A client with pneumonia who has an oxygen saturation of 88% on room air.
B. A client who is 2 hours post-operative following an abdominal surgery and reports a
pain level of 6/10.
C. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
D. A client scheduled for discharge who needs instructions on a new prescription.
Correct Answer: A
Rationale: Using the airway, breathing, circulation (ABC) framework, the client with an
oxygen saturation of 88% is the priority because they are experiencing acute respiratory
distress. Pitting edema is an expected finding for chronic heart failure, and while pain is
important, it is not life-threatening. Discharge instructions can be delayed until the
physiological stability of the pneumonia client is addressed.
5. A nurse enters a client’s room and finds the client lying on the floor. After assessing the
client and ensuring they are safe, which of the following actions should the nurse take next?
A. Notify the provider of the client’s change in status.
B. Call the risk manager to report the fall.
C. Document in the medical record that an incident report was completed.
, D. Place a copy of the incident report in the client’s chart.
Correct Answer: A
Rationale: Once the client’s immediate safety is ensured, the nurse must notify the
provider to receive further orders and evaluate the client for injuries. Incident reports are
internal documents used for quality improvement and should never be mentioned or filed
in the client’s permanent medical record. Documentation in the chart should focus on the
facts of the event and the client’s physical assessment.
6. A nurse is planning to delegate tasks to a Licensed Practical Nurse (LPN) and an Assistive
Personnel (AP). Which of the following tasks are appropriate to delegate to an LPN? (Select
all that apply.)
A. Administering an oral antibiotic to a stable client.
B. Performing an initial admission assessment on a new client.
C. Reinforcing teaching regarding a low-sodium diet.
D. Inserting a urinary catheter for a client who has retention.
E. Developing a plan of care for a client who has a pressure injury.
F. Providing tracheostomy care for a client with a chronic stoma.
Correct Answer: ACDF
Rationale: LPNs are trained to provide care for stable clients, including medication
administration (with some exceptions), reinforcement of teaching, and invasive tasks like
Exam V1 | 2026 Q&A with Rationale (ATI
Leadership & Management Proctored
Exam 2026)
1. A nurse manager is planning to implement a new evidence-based practice on the unit.
According to Lewin’s Change Theory, which of the following actions should the manager take
during the ‘unfreezing’ stage?
A. Encourage staff to incorporate the new practice into daily routines.
B. Provide training and resources for the new procedure.
C. Establish a sense of urgency by explaining the need for the change.
D. Evaluate the effectiveness of the change through audits.
Correct Answer: C
Rationale: The unfreezing stage is the first step of Lewin’s Change Theory where the
manager must identify the problem and create awareness about the need for change. This
involves breaking down current habits and demonstrating why the status quo is no longer
acceptable. Training and evaluation occur during later stages, specifically the moving and
refreezing phases.
2. A registered nurse (RN) is delegating tasks to an assistive personnel (AP) on a medical-
surgical unit. Which of the following tasks is appropriate for the RN to delegate?
A. Providing basic post-mortem care to a client who recently passed away.
,B. Updating a client’s plan of care based on new laboratory results.
C. Performing a sterile dressing change on a client who is post-operative.
D. Evaluating a client’s response to an anti-hypertensive medication.
Correct Answer: A
Rationale: Assistive personnel (AP) can perform non-invasive, routine tasks such as basic
hygiene and post-mortem care. Sterile procedures, clinical updates to care plans, and
evaluation of medication effectiveness require the clinical judgment of an RN. Delegating
tasks that require assessment or evaluation is a violation of the five rights of delegation.
3. A charge nurse is managing a conflict between two staff nurses who disagree about the
holiday schedule. Both nurses agree to give up one minor holiday if they can have a major
holiday off. Which of the following conflict resolution strategies is being used?
A. Avoiding
B. Collaborating
C. Compromising
D. Smoothing
Correct Answer: C
Rationale: Compromising involves both parties giving up something of value to reach a
mutually acceptable agreement. In this scenario, each nurse surrenders a minor holiday to
,secure their preferred major holiday. This strategy is effective when both sides have equal
power and a quick resolution is needed.
4. A nurse is caring for four clients. Which of the following clients should the nurse assess
first?
A. A client with pneumonia who has an oxygen saturation of 88% on room air.
B. A client who is 2 hours post-operative following an abdominal surgery and reports a
pain level of 6/10.
C. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
D. A client scheduled for discharge who needs instructions on a new prescription.
Correct Answer: A
Rationale: Using the airway, breathing, circulation (ABC) framework, the client with an
oxygen saturation of 88% is the priority because they are experiencing acute respiratory
distress. Pitting edema is an expected finding for chronic heart failure, and while pain is
important, it is not life-threatening. Discharge instructions can be delayed until the
physiological stability of the pneumonia client is addressed.
5. A nurse enters a client’s room and finds the client lying on the floor. After assessing the
client and ensuring they are safe, which of the following actions should the nurse take next?
A. Notify the provider of the client’s change in status.
B. Call the risk manager to report the fall.
C. Document in the medical record that an incident report was completed.
, D. Place a copy of the incident report in the client’s chart.
Correct Answer: A
Rationale: Once the client’s immediate safety is ensured, the nurse must notify the
provider to receive further orders and evaluate the client for injuries. Incident reports are
internal documents used for quality improvement and should never be mentioned or filed
in the client’s permanent medical record. Documentation in the chart should focus on the
facts of the event and the client’s physical assessment.
6. A nurse is planning to delegate tasks to a Licensed Practical Nurse (LPN) and an Assistive
Personnel (AP). Which of the following tasks are appropriate to delegate to an LPN? (Select
all that apply.)
A. Administering an oral antibiotic to a stable client.
B. Performing an initial admission assessment on a new client.
C. Reinforcing teaching regarding a low-sodium diet.
D. Inserting a urinary catheter for a client who has retention.
E. Developing a plan of care for a client who has a pressure injury.
F. Providing tracheostomy care for a client with a chronic stoma.
Correct Answer: ACDF
Rationale: LPNs are trained to provide care for stable clients, including medication
administration (with some exceptions), reinforcement of teaching, and invasive tasks like
