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ATI LEADERSHIP PROCTORED EXAM 2025/2026 | 140
PRACTICE QUESTIONS WITH ANSWERS &
RATIONALES,100% CORRECT ALREADY GRADED A+
1. A nurse manager is reviewing the incident reports on the unit. Which situation
requires follow-up?
A. A nurse gave a medication 30 minutes late
B. A nurse documented patient care at the end of the shift
C. A nurse failed to report a fall immediately
D. A nurse performed a dressing change without sterile gloves
Answer: C. A nurse failed to report a fall immediately
Rationale: Falls must be reported right away for safety and legal reasons.
2. A nurse is floating to a new unit. Which action is most appropriate?
A. Refuse all patient assignments
B. Accept only tasks within scope of practice
C. Provide direct orders to other nurses
D. Take full assignment without orientation
Answer: B. Accept only tasks within scope of practice
Rationale: Floating nurses should only accept safe and appropriate assignments.
3. Which action by a charge nurse demonstrates effective delegation?
A. Assigning an RN to check vital signs
B. Assigning an LPN to administer IV chemotherapy
C. Assigning a UAP to ambulate a stable client
D. Assigning a UAP to assess pain
Answer: C. Assigning a UAP to ambulate a stable client
Rationale: This is within the UAP scope of practice.
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4. Which principle should guide conflict resolution among staff?
A. Focus on personalities
B. Avoid addressing issues directly
C. Address behaviors and solutions
D. Use authority to settle disputes
Answer: C. Address behaviors and solutions
Rationale: Constructive conflict resolution focuses on issues, not individuals.
5. A nurse suspects another nurse is diverting narcotics. What is the first action?
A. Confront the nurse directly
B. Report to the nurse manager
C. Call the police
D. Ignore the situation
Answer: B. Report to the nurse manager
Rationale: Follow chain of command when handling suspected diversion.
6. A nurse is planning assignments. Which client is appropriate for the LPN?
A. New admission with chest pain
B. Client receiving blood transfusion
C. Client with stable chronic wound care needs
D. Client requiring initial post-op assessment
Answer: C. Client with stable chronic wound care needs
Rationale: LPNs can provide care to stable patients with predictable outcomes.
7. A new nurse is consistently late. Which management style is most effective?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Passive
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Answer: B. Democratic
Rationale: Encourages accountability with support and collaboration.
8. A nurse manager is implementing a new policy. Which strategy increases staff
acceptance?
A. Mandating immediate compliance
B. Asking staff to participate in planning
C. Ignoring staff concerns
D. Providing no explanation
Answer: B. Asking staff to participate in planning
Rationale: Staff involvement promotes ownership and acceptance.
9. Which action shows advocacy for a client?
A. Withholding information until discharge
B. Reporting unsafe staffing to administration
C. Assigning a UAP to provide teaching
D. Ignoring family concerns
Answer: B. Reporting unsafe staffing to administration
Rationale: Advocacy means protecting patient safety and rights.
10. Which task is appropriate to delegate to a UAP?
A. Administering oral medications
B. Performing sterile wound dressing changes
C. Measuring intake and output
D. Assessing pain level
Answer: C. Measuring intake and output
Rationale: Within UAP role, does not require nursing judgment.
11. A nurse manager is planning for a disaster. Which client should be discharged
first?
A. Client with stable vital signs after surgery 1 week ago
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B. Client requiring hourly blood sugar checks
C. Client on a ventilator
D. Client with chest pain awaiting labs
Answer: A. Client with stable vital signs after surgery 1 week ago
Rationale: Stable clients can be discharged to free up beds.
12. Which action demonstrates accountability?
A. Blaming coworkers for errors
B. Documenting care honestly
C. Avoiding responsibility
D. Ignoring hospital policies
Answer: B. Documenting care honestly
Rationale: Accountability means taking responsibility for actions.
13. Which example demonstrates a sentinel event?
A. Delay in giving medication
B. Patient falls and sustains a hip fracture
C. Incorrect diet order entered
D. Mislabeling a lab specimen
Answer: B. Patient falls and sustains a hip fracture
Rationale: Sentinel events cause serious harm or death.
14. A nurse is preparing to delegate tasks. Which factor is most important to
consider?
A. Nurse’s personal preference
B. Complexity of the task
C. Length of the shift
D. Nurse’s relationship with staff
Answer: B. Complexity of the task
Rationale: Delegation must be based on skill, safety, and task complexity.
ATI LEADERSHIP PROCTORED EXAM 2025/2026 | 140
PRACTICE QUESTIONS WITH ANSWERS &
RATIONALES,100% CORRECT ALREADY GRADED A+
1. A nurse manager is reviewing the incident reports on the unit. Which situation
requires follow-up?
A. A nurse gave a medication 30 minutes late
B. A nurse documented patient care at the end of the shift
C. A nurse failed to report a fall immediately
D. A nurse performed a dressing change without sterile gloves
Answer: C. A nurse failed to report a fall immediately
Rationale: Falls must be reported right away for safety and legal reasons.
2. A nurse is floating to a new unit. Which action is most appropriate?
A. Refuse all patient assignments
B. Accept only tasks within scope of practice
C. Provide direct orders to other nurses
D. Take full assignment without orientation
Answer: B. Accept only tasks within scope of practice
Rationale: Floating nurses should only accept safe and appropriate assignments.
3. Which action by a charge nurse demonstrates effective delegation?
A. Assigning an RN to check vital signs
B. Assigning an LPN to administer IV chemotherapy
C. Assigning a UAP to ambulate a stable client
D. Assigning a UAP to assess pain
Answer: C. Assigning a UAP to ambulate a stable client
Rationale: This is within the UAP scope of practice.
,2|Page
4. Which principle should guide conflict resolution among staff?
A. Focus on personalities
B. Avoid addressing issues directly
C. Address behaviors and solutions
D. Use authority to settle disputes
Answer: C. Address behaviors and solutions
Rationale: Constructive conflict resolution focuses on issues, not individuals.
5. A nurse suspects another nurse is diverting narcotics. What is the first action?
A. Confront the nurse directly
B. Report to the nurse manager
C. Call the police
D. Ignore the situation
Answer: B. Report to the nurse manager
Rationale: Follow chain of command when handling suspected diversion.
6. A nurse is planning assignments. Which client is appropriate for the LPN?
A. New admission with chest pain
B. Client receiving blood transfusion
C. Client with stable chronic wound care needs
D. Client requiring initial post-op assessment
Answer: C. Client with stable chronic wound care needs
Rationale: LPNs can provide care to stable patients with predictable outcomes.
7. A new nurse is consistently late. Which management style is most effective?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Passive
,3|Page
Answer: B. Democratic
Rationale: Encourages accountability with support and collaboration.
8. A nurse manager is implementing a new policy. Which strategy increases staff
acceptance?
A. Mandating immediate compliance
B. Asking staff to participate in planning
C. Ignoring staff concerns
D. Providing no explanation
Answer: B. Asking staff to participate in planning
Rationale: Staff involvement promotes ownership and acceptance.
9. Which action shows advocacy for a client?
A. Withholding information until discharge
B. Reporting unsafe staffing to administration
C. Assigning a UAP to provide teaching
D. Ignoring family concerns
Answer: B. Reporting unsafe staffing to administration
Rationale: Advocacy means protecting patient safety and rights.
10. Which task is appropriate to delegate to a UAP?
A. Administering oral medications
B. Performing sterile wound dressing changes
C. Measuring intake and output
D. Assessing pain level
Answer: C. Measuring intake and output
Rationale: Within UAP role, does not require nursing judgment.
11. A nurse manager is planning for a disaster. Which client should be discharged
first?
A. Client with stable vital signs after surgery 1 week ago
, 4|Page
B. Client requiring hourly blood sugar checks
C. Client on a ventilator
D. Client with chest pain awaiting labs
Answer: A. Client with stable vital signs after surgery 1 week ago
Rationale: Stable clients can be discharged to free up beds.
12. Which action demonstrates accountability?
A. Blaming coworkers for errors
B. Documenting care honestly
C. Avoiding responsibility
D. Ignoring hospital policies
Answer: B. Documenting care honestly
Rationale: Accountability means taking responsibility for actions.
13. Which example demonstrates a sentinel event?
A. Delay in giving medication
B. Patient falls and sustains a hip fracture
C. Incorrect diet order entered
D. Mislabeling a lab specimen
Answer: B. Patient falls and sustains a hip fracture
Rationale: Sentinel events cause serious harm or death.
14. A nurse is preparing to delegate tasks. Which factor is most important to
consider?
A. Nurse’s personal preference
B. Complexity of the task
C. Length of the shift
D. Nurse’s relationship with staff
Answer: B. Complexity of the task
Rationale: Delegation must be based on skill, safety, and task complexity.
