ATI Leadership

ATI Leadership Practice Exam — Detailed Answer Key Most Recent exam
COMPLETE (2026) EXAM Questions and Answers (Verified Answers)
(Latest Update 2026) Graded A+



1. Question: A nurse manager is delegating patient care tasks. Which task is appropriate to
delegate to an LPN/LVN?
Answer: Administering medications to stable patients
Rationale: LPNs/LVNs can administer medications and perform routine care for stable patients
but cannot perform initial assessments or plan care independently.

2. Question: During a change-of-shift report, a nurse notices a new prescription for a patient’s
IV antibiotics. What is the first action?
Answer: Verify the prescription and check for allergies
Rationale: Ensuring patient safety requires verification of new orders before administration.

3. Question: A nurse manager is prioritizing staff assignments. Which patient should be
assigned to the most experienced RN?
Answer: A patient with unstable vital signs and new onset confusion
Rationale: The most critical patients require an RN with assessment and decision-making skills.

4. Question: A nurse observes a staff member administering the wrong dose of medication.
What is the priority action?
Answer: Ensure patient safety first, then report according to policy
Rationale: Protecting the patient is the top priority; incident reporting follows.

5. Question: Which leadership style involves the manager making decisions with little input
from staff?
Answer: Autocratic
Rationale: Autocratic leaders maintain control and make decisions independently, often in
urgent situations.

6. Question: A charge nurse notices increasing staff turnover. Which strategy is most effective
to address this?
Answer: Conduct staff interviews to identify concerns and improve work conditions
Rationale: Understanding root causes helps implement retention strategies.

7. Question: Which action demonstrates effective time management for a nurse?
Answer: Prioritizing tasks using patient acuity
Rationale: Time management in nursing involves organizing care based on patient needs and
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acuity.
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,8. Question: A nurse manager is evaluating a new policy. What is the first step in the evaluation
process?
Answer: Collect data on policy outcomes
Rationale: Evaluation begins with objective data collection to determine effectiveness.

9. Question: A nurse identifies a conflict between two staff members. What is the best
approach?
Answer: Facilitate a structured discussion to address the conflict
Rationale: Open communication and structured conflict resolution reduce workplace tension.

10. Question: During a mass casualty event, which patient should receive care first?
Answer: Patient with compromised airway but salvageable condition (triage: red tag)
Rationale: Triage prioritizes patients who are critically ill but have the potential to survive with
immediate intervention.



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✅ ATI Leadership Practice Exam — 100 Questions Answer Key
1. A nurse manager is delegating tasks. Which task is appropriate to assign to an
LPN/LVN?
A. Performing an initial patient assessment
B. Administering medications to a stable patient
C. Developing the nursing care plan
D. Evaluating patient outcomes
Rationale: LPNs/LVNs can provide care and administer medications for stable patients, but
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cannot perform initial assessments or independently plan or evaluate care.

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, 2. A charge nurse notices a new prescription for IV antibiotics during shift change. What is
the first action?
A. Administer the medication immediately
B. Verify the prescription and check for allergies
C. Document the prescription
D. Ask a colleague to administer it
Rationale: Patient safety requires verifying any new medication order before administration.

3. A nurse manager is assigning patients. Which patient should be assigned to the most
experienced RN?
A. A postoperative patient with stable vitals
B. A patient with COPD and a new oxygen requirement
C. A patient with unstable vital signs and new-onset confusion
D. A patient requiring routine medication administration
Rationale: The most critical patients requiring complex assessment and judgment should be
assigned to the most skilled RN.

4. A nurse observes a staff member giving the wrong dose of medication. What is the
priority action?
A. Document the error
B. Ensure patient safety and then report
C. Confront the staff member privately
D. Ignore it if the patient seems fine
Rationale: Patient safety is the highest priority; reporting follows institutional protocol.

5. Which leadership style involves the manager making decisions with little input from
staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Rationale: Autocratic leaders retain control, make unilateral decisions, and provide little staff
input, often necessary in urgent situations.

6. A charge nurse notices increased staff turnover. Which strategy is most effective?
A. Increase salaries
B. Conduct staff interviews to identify concerns and improve work conditions
C. Reduce staff workload immediately
D. Require mandatory overtime
Rationale: Identifying underlying causes through staff feedback helps implement sustainable
retention strategies.

7. Which action demonstrates effective time management for a nurse?
A. Completing tasks randomly
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B. Prioritizing tasks based on patient acuity
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