ATI Leadership & Management Proctored
Exam V2 | 2026 Q&A with Rationale (ATI
Leadership & Management Proctored
Exam 2026)
1. A nurse manager is preparing to assign tasks to an assistive personnel (AP). Which of the
following tasks should the nurse manager delegate to the AP?
A. Evaluating a client’s response to pain medication
B. Providing discharge instructions to a client following a colonoscopy
C. Assisting a client with a hip fracture to use a bedpan
D. Updating the plan of care for a client who has a new diagnosis of diabetes
Correct Answer: C
Rationale: Assisting a client with basic needs such as using a bedpan is within the scope of
practice for an assistive personnel. Evaluation of medication effectiveness, discharge
teaching, and planning care are professional nursing responsibilities that cannot be
delegated. The nurse must ensure the AP is competent in the task and provide clear
instructions.
2. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I am not sure if
I want to go through with this procedure anymore.’ Which of the following actions should the
nurse take?
A. Reassure the client that the surgeon is highly skilled
,B. Notify the surgeon that the client is expressing doubts
C. Explain the risks of not having the procedure
D. Ask the client’s family to help convince the client
Correct Answer: B
Rationale: The nurse’s role in informed consent is to witness the signature and advocate
for the client’s autonomy. If the client expresses doubt, the nurse must notify the provider
so they can provide further clarification. It is not the nurse’s responsibility to provide
technical details or persuade the client to proceed.
3. A charge nurse is managing a unit with several staff members. Which of the following
behaviors by a staff nurse indicates a need for intervention regarding professional
boundaries?
A. Accepting a small handmade card from a pediatric client
B. Giving a client their personal cell phone number to call after discharge
C. Telling a client that they will be back to check on them in one hour
D. Asking a client about their religious preferences to update the care plan
Correct Answer: B
Rationale: Giving out personal contact information violates professional boundaries and
blurs the lines between a therapeutic and personal relationship. While small tokens like
, cards may be acceptable, sharing personal details or cell numbers is inappropriate. The
nurse manager must step in to maintain the professional standards of the facility.
4. A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
A. A client who is scheduled for physical therapy in 30 minutes
B. A client who is 2 days postoperative and has not had a bowel movement
C. A client who has a chest tube and reports a new onset of shortness of breath
D. A client who needs a dressing change for a chronic pressure injury
Correct Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with new-
onset shortness of breath is the highest priority. This could indicate a complication with the
chest tube or a pulmonary embolism, requiring immediate intervention. The other clients
are stable and their needs can be addressed after the respiratory issue is managed.
5. A nurse manager is conducting a root cause analysis (RCA) after a medication error
occurred on the unit. Which of the following is the primary goal of an RCA?
A. To identify which staff member was responsible for the error
B. To identify systemic factors that contributed to the error
C. To determine disciplinary actions for the nurse involved
D. To report the error to the state board of nursing
Exam V2 | 2026 Q&A with Rationale (ATI
Leadership & Management Proctored
Exam 2026)
1. A nurse manager is preparing to assign tasks to an assistive personnel (AP). Which of the
following tasks should the nurse manager delegate to the AP?
A. Evaluating a client’s response to pain medication
B. Providing discharge instructions to a client following a colonoscopy
C. Assisting a client with a hip fracture to use a bedpan
D. Updating the plan of care for a client who has a new diagnosis of diabetes
Correct Answer: C
Rationale: Assisting a client with basic needs such as using a bedpan is within the scope of
practice for an assistive personnel. Evaluation of medication effectiveness, discharge
teaching, and planning care are professional nursing responsibilities that cannot be
delegated. The nurse must ensure the AP is competent in the task and provide clear
instructions.
2. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I am not sure if
I want to go through with this procedure anymore.’ Which of the following actions should the
nurse take?
A. Reassure the client that the surgeon is highly skilled
,B. Notify the surgeon that the client is expressing doubts
C. Explain the risks of not having the procedure
D. Ask the client’s family to help convince the client
Correct Answer: B
Rationale: The nurse’s role in informed consent is to witness the signature and advocate
for the client’s autonomy. If the client expresses doubt, the nurse must notify the provider
so they can provide further clarification. It is not the nurse’s responsibility to provide
technical details or persuade the client to proceed.
3. A charge nurse is managing a unit with several staff members. Which of the following
behaviors by a staff nurse indicates a need for intervention regarding professional
boundaries?
A. Accepting a small handmade card from a pediatric client
B. Giving a client their personal cell phone number to call after discharge
C. Telling a client that they will be back to check on them in one hour
D. Asking a client about their religious preferences to update the care plan
Correct Answer: B
Rationale: Giving out personal contact information violates professional boundaries and
blurs the lines between a therapeutic and personal relationship. While small tokens like
, cards may be acceptable, sharing personal details or cell numbers is inappropriate. The
nurse manager must step in to maintain the professional standards of the facility.
4. A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
A. A client who is scheduled for physical therapy in 30 minutes
B. A client who is 2 days postoperative and has not had a bowel movement
C. A client who has a chest tube and reports a new onset of shortness of breath
D. A client who needs a dressing change for a chronic pressure injury
Correct Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with new-
onset shortness of breath is the highest priority. This could indicate a complication with the
chest tube or a pulmonary embolism, requiring immediate intervention. The other clients
are stable and their needs can be addressed after the respiratory issue is managed.
5. A nurse manager is conducting a root cause analysis (RCA) after a medication error
occurred on the unit. Which of the following is the primary goal of an RCA?
A. To identify which staff member was responsible for the error
B. To identify systemic factors that contributed to the error
C. To determine disciplinary actions for the nurse involved
D. To report the error to the state board of nursing
