2025-2026 1
ATI LEADERSHIP & MANAGEMENT PROCTORED EXAM
2025–2026 | 100 PRACTICE QUESTIONS WITH ANSWERS &
RATIONALES, ALREADY GRADED A+
Q1.
A nurse manager is reviewing delegation with staff nurses. Which task should
the nurse assign to an assistive personnel (AP) member?
a) Administering oral medications
b) Assisting a client to ambulate after surgery
c) Performing a sterile dressing change
d) Teaching a client about deep breathing
Correct Answer: b) Assisting a client to ambulate after surgery
Rationale: APs can assist with basic tasks such as ambulation, feeding, and
hygiene. They cannot perform sterile procedures, administer medications, or
provide client education.
Q2.
A nurse is preparing to discharge a client who requires home oxygen. Which
referral is appropriate?
a) Occupational therapy
b) Respiratory therapy
c) Speech therapy
d) Social services
Correct Answer: b) Respiratory therapy
Rationale: Respiratory therapy helps with oxygen equipment, teaching, and
monitoring respiratory needs at home.
Q3.
A charge nurse observes a staff nurse documenting care before it is provided.
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Which action should the charge nurse take?
a) Report the incident to the nurse manager
b) Tell the nurse to finish documentation later
c) Ask the nurse to revise the entry
d) Notify the provider immediately
Correct Answer: a) Report the incident to the nurse manager
Rationale: Documenting care that has not occurred is falsification and must be
reported according to chain of command.
Q4.
A nurse manager is teaching about time management. Which activity should the
nurse identify as a priority?
a) Documenting shift assessments
b) Administering scheduled medications
c) Completing discharge teaching
d) Attending a staff meeting
Correct Answer: b) Administering scheduled medications
Rationale: Medication administration is a time-sensitive, priority nursing
responsibility compared with documentation or meetings.
Q5.
A nurse is planning assignments for the upcoming shift. Which client should be
assigned to an LPN?
a) A client requiring initial teaching about insulin
b) A client with a chest tube requiring assessment
c) A client receiving continuous tube feedings
d) A client with new-onset confusion
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Correct Answer: c) A client receiving continuous tube feedings
Rationale: LPNs can care for stable clients with predictable outcomes such as
tube feedings. RNs perform teaching, assessments, and care for unstable clients.
Q6.
A nurse witnesses another nurse diverting narcotics. Which action should the
nurse take first?
a) Report the incident to the charge nurse
b) Document the behavior in the client’s record
c) Confront the nurse directly
d) File an anonymous report
Correct Answer: a) Report the incident to the charge nurse
Rationale: The first step is following the chain of command and reporting to the
charge nurse.
Q7.
A nurse manager is planning an in-service about client confidentiality. Which
situation is a violation of HIPAA?
a) Discussing a client’s condition during change-of-shift report
b) Faxing a client’s medical record to a consulting provider
c) Leaving a client’s chart open on the nurses’ station desk
d) Updating a family member with the client’s permission
Correct Answer: c) Leaving a client’s chart open on the nurses’ station
desk
Rationale: Client records must not be left unattended or accessible to
unauthorized individuals.
Q8.
A client tells the nurse, “I want to leave the hospital now.” Which action should
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the nurse take?
a) Restrain the client until the provider arrives
b) Have the client sign an Against Medical Advice (AMA) form
c) Notify security immediately
d) Call the client’s family
Correct Answer: b) Have the client sign an Against Medical Advice
(AMA) form
Rationale: Competent clients have the right to leave the facility after signing the
AMA form.
Q9.
A nurse receives a verbal prescription from a provider. Which action should the
nurse take first?
a) Document the prescription in the chart
b) Repeat the prescription back to the provider
c) Notify the pharmacist
d) Administer the medication
Correct Answer: b) Repeat the prescription back to the provider
Rationale: Verbal orders must be verified by repeating them back to prevent
errors.
Q10.
A nurse manager is addressing staff about workplace bullying. Which statement
requires further teaching?
a) “Bullying can create a hostile work environment.”
b) “Bullying can increase staff turnover.”
c) “Bullying should be ignored to prevent escalation.”
d) “Bullying negatively impacts client care.”
ATI LEADERSHIP & MANAGEMENT PROCTORED EXAM
2025–2026 | 100 PRACTICE QUESTIONS WITH ANSWERS &
RATIONALES, ALREADY GRADED A+
Q1.
A nurse manager is reviewing delegation with staff nurses. Which task should
the nurse assign to an assistive personnel (AP) member?
a) Administering oral medications
b) Assisting a client to ambulate after surgery
c) Performing a sterile dressing change
d) Teaching a client about deep breathing
Correct Answer: b) Assisting a client to ambulate after surgery
Rationale: APs can assist with basic tasks such as ambulation, feeding, and
hygiene. They cannot perform sterile procedures, administer medications, or
provide client education.
Q2.
A nurse is preparing to discharge a client who requires home oxygen. Which
referral is appropriate?
a) Occupational therapy
b) Respiratory therapy
c) Speech therapy
d) Social services
Correct Answer: b) Respiratory therapy
Rationale: Respiratory therapy helps with oxygen equipment, teaching, and
monitoring respiratory needs at home.
Q3.
A charge nurse observes a staff nurse documenting care before it is provided.
, 2025-2026 2
Which action should the charge nurse take?
a) Report the incident to the nurse manager
b) Tell the nurse to finish documentation later
c) Ask the nurse to revise the entry
d) Notify the provider immediately
Correct Answer: a) Report the incident to the nurse manager
Rationale: Documenting care that has not occurred is falsification and must be
reported according to chain of command.
Q4.
A nurse manager is teaching about time management. Which activity should the
nurse identify as a priority?
a) Documenting shift assessments
b) Administering scheduled medications
c) Completing discharge teaching
d) Attending a staff meeting
Correct Answer: b) Administering scheduled medications
Rationale: Medication administration is a time-sensitive, priority nursing
responsibility compared with documentation or meetings.
Q5.
A nurse is planning assignments for the upcoming shift. Which client should be
assigned to an LPN?
a) A client requiring initial teaching about insulin
b) A client with a chest tube requiring assessment
c) A client receiving continuous tube feedings
d) A client with new-onset confusion
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Correct Answer: c) A client receiving continuous tube feedings
Rationale: LPNs can care for stable clients with predictable outcomes such as
tube feedings. RNs perform teaching, assessments, and care for unstable clients.
Q6.
A nurse witnesses another nurse diverting narcotics. Which action should the
nurse take first?
a) Report the incident to the charge nurse
b) Document the behavior in the client’s record
c) Confront the nurse directly
d) File an anonymous report
Correct Answer: a) Report the incident to the charge nurse
Rationale: The first step is following the chain of command and reporting to the
charge nurse.
Q7.
A nurse manager is planning an in-service about client confidentiality. Which
situation is a violation of HIPAA?
a) Discussing a client’s condition during change-of-shift report
b) Faxing a client’s medical record to a consulting provider
c) Leaving a client’s chart open on the nurses’ station desk
d) Updating a family member with the client’s permission
Correct Answer: c) Leaving a client’s chart open on the nurses’ station
desk
Rationale: Client records must not be left unattended or accessible to
unauthorized individuals.
Q8.
A client tells the nurse, “I want to leave the hospital now.” Which action should
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the nurse take?
a) Restrain the client until the provider arrives
b) Have the client sign an Against Medical Advice (AMA) form
c) Notify security immediately
d) Call the client’s family
Correct Answer: b) Have the client sign an Against Medical Advice
(AMA) form
Rationale: Competent clients have the right to leave the facility after signing the
AMA form.
Q9.
A nurse receives a verbal prescription from a provider. Which action should the
nurse take first?
a) Document the prescription in the chart
b) Repeat the prescription back to the provider
c) Notify the pharmacist
d) Administer the medication
Correct Answer: b) Repeat the prescription back to the provider
Rationale: Verbal orders must be verified by repeating them back to prevent
errors.
Q10.
A nurse manager is addressing staff about workplace bullying. Which statement
requires further teaching?
a) “Bullying can create a hostile work environment.”
b) “Bullying can increase staff turnover.”
c) “Bullying should be ignored to prevent escalation.”
d) “Bullying negatively impacts client care.”
