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Nursing Leadership Proctored Exam Retake 2026 Practice Questions and Clinical Decision-Making Review Guide

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This document provides a structured practice set for a nursing leadership proctored exam retake based on 2026 standards. It covers key concepts such as delegation, prioritization, conflict resolution, healthcare team management, and ethical decision-making. The questions are designed in exam-style format to strengthen clinical judgment and leadership skills in nursing practice. It is intended for revision, remediation, and improved performance on leadership assessments.

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ATI Leadership Proctored -
Study online at https://quizlet.com/_f70ikr

1. 1. A nurse is reviewing the electronic medical record Clients 2, 3, 5
on clients following the implementation of a quality
improvement plan to reduce health care associated
infections on a medical surgical unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Exhibit 2:
Client 2 Diagnosis: Pneumonia
Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the pro-
gram is EFFECTIVE.

2. 2. A nurse manager is overseeing employees on their Remove the em-
unit. ployee from the
Which of following actions is the nurse manager prior- work environment.
ity? Select the 1 action that the nurse manager should
take first.
o Schedule a meeting with the employee to address
the occurrence within 24 hr.
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their
substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging
that substance use will not be tolerated.

3. 3. A nurse is triaging a group of clients as they arrive Client 4,5,6
simultaneously in the emergency department follow-
ing a nearby bus crash.

Which of the following clients should the nurse trans-
fer to the three available trauma rooms? Select the 3
clients to transfer for immediate treatment.



, ATI Leadership Proctored -
Study online at https://quizlet.com/_f70ikr
4. 4. A charge nurse on a mental health unit is receiv- The charge nurse
ing change of shift report for a group of clients. The should first as-
charge nurse is working with an RN and PN and assis- sess CLIENT 1
tive personnel (API from 0700 to 1900 and is reviewing due to HALLU-
client care: assignments. CINATIONS and
Complete the following sentence by using the lists of DELUSIONS
options.
The charge nurse should first assess __________ due
to ______________ and ___________

5. 5. An infectious disease nurse is reviewing electronic Clients 1, 2, 4, 6
medical records on a group of clients.
Select 4 clients whose diagnosis should be reported
to the health department.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis)

6. 6. A nurse case manager is coordinating care for a Hospice care,
client. Respite care, So-
Select the 3 community resources the nurse should cial worker
refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker

7. 7. A nurse is caring for a client and notices fraying on Remove the IV
the electrical cord of the client's IV pump. Which of the pump from the
following actions is the priority for the nurse to take? client's room.
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room

8.


, ATI Leadership Proctored -
Study online at https://quizlet.com/_f70ikr
8. A nurse is observing a newly licensed nurse prepare Withdraws the
a medication from an ampule for a client's injection. medication from
For which of the following actions by the newly li- the ampule us-
censed nurse should the nurse intervene? ing a subcuta-
o Breaks the top of the ampule using an antiseptic neous needle.
wipe.
o Withdraws the medication from the ampule using a
subcutaneous needle.
o Disposes of the ampule by placing it in a sharps
container
o Performs 3 checks of medication before administra-
tion.

9. 9. A nurse manager observes an assistive personal Help the AP assist
(AP) incorrectly transferring a client to the bedside the client with the
commode. Which of the following actions should the transfer.
nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure
about a task.
o Demonstrate the proper client transfer technique for
the AP.
o Refer the AP to the facility procedure manual.

10. 10. A nurse is participating in the development of a A sufficient supply
disaster management plan for a hospital. The nurse of personal protec-
should recognize that which of the following re- tive equipment
sources is the highest priority to have available in
response to a bioterrorism event?
o A sufficient supply of personal protective equipment
o A system for tracking client information
o A mental health specialist on the response team
o A network for communication between staff mem-
bers families.

11. 11. A charge nurse observes a client fall while ambu- Veracity
lating with an assistive personnel and notes that the
client's gait belt was not in place. When reviewing the
incident report, the charge nurse finds that the report

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