ATI Leadership Proctor Exam Prep | Exam Practice Questions
And Correct Answers (Verified Answers) Plus Rationale 2026
Q&A | Instant Download Pdf
1. A nurse manager is implementing a new scheduling system. Which of the
following staff responses indicates readiness for change?
A. "This will never work here."
B. "I need to see how this benefits patient care."
C. "I refuse to use the new system."
D. "Let’s wait until next quarter to try this."
Correct Answer: B
Rationale: Readiness for change involves openness and a desire to understand
benefits. Option B shows a willingness to evaluate the change’s impact on
patient care, a key step in Lewin’s "unfreezing" stage.
2. Which of the following is an example of an unethical action by a charge
nurse?
A. Delegating vital signs to an LPN.
B. Assigning a new graduate the most complex patient first.
C. Clocking out but staying to finish charting.
D. Reporting a medication error to the risk manager.
Correct Answer: B
Rationale: Assigning a new graduate a critically complex patient without
adequate orientation or support violates the ethical principle of nonmaleficence
(do no harm) and fails to ensure patient safety.
,3. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate?
A. Assessing a post-op patient’s lung sounds.
B. Feeding a patient with dysphagia.
C. Evaluating the effectiveness of pain medication.
D. Interpreting a telemetry strip.
Correct Answer: B
Rationale: Feeding a stable patient with dysphagia under nurse supervision is
within the UAP’s scope. Assessment, evaluation, and interpretation are nursing
responsibilities that cannot be delegated.
4. A nurse manager is using situational leadership. Which style is most
appropriate for a highly experienced, motivated team?
A. Telling
B. Selling
C. Participating
D. Delegating
Correct Answer: D
Rationale: Delegating (low task, low relationship) works best for high-
competence, high-commitment teams. Telling is for beginners, selling for
reluctant learners, and participating for capable but insecure members.
5. A patient repeatedly refuses a life-saving blood transfusion due to religious
beliefs. The nurse should:
A. Administer the transfusion quietly.
B. Call the ethics committee.
C. Respect the patient’s refusal and document it.
D. Obtain a court order for treatment.
,Correct Answer: C
Rationale: Respect for autonomy and informed consent means competent adults
have the right to refuse treatment, even if it leads to death. Document the
refusal and notify the provider.
6. A nurse manager notices increased medication errors on the unit. Which
leadership action is most effective first?
A. Fire the nurses who made errors.
B. Implement a no-blame reporting system.
C. Increase random drug testing.
D. Reduce nurse-to-patient ratios immediately.
Correct Answer: B
Rationale: A just culture approach encourages error reporting without fear of
punishment. A no-blame system helps identify system flaws, not just individual
mistakes.
7. Which of the following is a key element of transformational leadership?
A. Maintaining strict rules and penalties
B. Focusing only on daily tasks
C. Inspiring a shared vision and intellectual stimulation
D. Avoiding any change to processes
Correct Answer: C
Rationale: Transformational leadership involves idealized influence,
inspirational motivation, intellectual stimulation, and individualized
consideration—moving beyond transactional rewards/punishments.
8. A nurse is asked to float to a medical-surgical unit. Which action is
appropriate?
A. Refuse to float because it’s not their home unit.
, B. Accept the assignment only if they have received orientation to the unit.
C. Take report on 10 patients without asking questions.
D. Assign themselves the easiest patients.
Correct Answer: B
Rationale: Floating is acceptable if the nurse has been oriented to the unit; the
nurse must verify their competency for the assigned tasks. Refusal may be
insubordination unless unsafe.
9. A charge nurse observes a staff member documenting a patient’s blood
glucose as 120 when it was actually 200. This is an example of:
A. Negligence
B. Assault
C. Falsification of records
D. Battery
Correct Answer: C
Rationale: Falsification of records is intentionally altering or omitting
information. It is unethical and may lead to legal action. Negligence is failing
to act reasonably; assault/battery involve threats or harmful contact.
10. A patient falls out of bed. The nurse’s first priority is to:
A. Complete an incident report.
B. Call the nursing supervisor.
C. Assess the patient for injuries.
D. Blame the previous shift.
Correct Answer: C
Rationale: Patient safety is always first. Assess the patient, then notify the
provider and family, and finally complete an incident report for risk
management.
And Correct Answers (Verified Answers) Plus Rationale 2026
Q&A | Instant Download Pdf
1. A nurse manager is implementing a new scheduling system. Which of the
following staff responses indicates readiness for change?
A. "This will never work here."
B. "I need to see how this benefits patient care."
C. "I refuse to use the new system."
D. "Let’s wait until next quarter to try this."
Correct Answer: B
Rationale: Readiness for change involves openness and a desire to understand
benefits. Option B shows a willingness to evaluate the change’s impact on
patient care, a key step in Lewin’s "unfreezing" stage.
2. Which of the following is an example of an unethical action by a charge
nurse?
A. Delegating vital signs to an LPN.
B. Assigning a new graduate the most complex patient first.
C. Clocking out but staying to finish charting.
D. Reporting a medication error to the risk manager.
Correct Answer: B
Rationale: Assigning a new graduate a critically complex patient without
adequate orientation or support violates the ethical principle of nonmaleficence
(do no harm) and fails to ensure patient safety.
,3. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate?
A. Assessing a post-op patient’s lung sounds.
B. Feeding a patient with dysphagia.
C. Evaluating the effectiveness of pain medication.
D. Interpreting a telemetry strip.
Correct Answer: B
Rationale: Feeding a stable patient with dysphagia under nurse supervision is
within the UAP’s scope. Assessment, evaluation, and interpretation are nursing
responsibilities that cannot be delegated.
4. A nurse manager is using situational leadership. Which style is most
appropriate for a highly experienced, motivated team?
A. Telling
B. Selling
C. Participating
D. Delegating
Correct Answer: D
Rationale: Delegating (low task, low relationship) works best for high-
competence, high-commitment teams. Telling is for beginners, selling for
reluctant learners, and participating for capable but insecure members.
5. A patient repeatedly refuses a life-saving blood transfusion due to religious
beliefs. The nurse should:
A. Administer the transfusion quietly.
B. Call the ethics committee.
C. Respect the patient’s refusal and document it.
D. Obtain a court order for treatment.
,Correct Answer: C
Rationale: Respect for autonomy and informed consent means competent adults
have the right to refuse treatment, even if it leads to death. Document the
refusal and notify the provider.
6. A nurse manager notices increased medication errors on the unit. Which
leadership action is most effective first?
A. Fire the nurses who made errors.
B. Implement a no-blame reporting system.
C. Increase random drug testing.
D. Reduce nurse-to-patient ratios immediately.
Correct Answer: B
Rationale: A just culture approach encourages error reporting without fear of
punishment. A no-blame system helps identify system flaws, not just individual
mistakes.
7. Which of the following is a key element of transformational leadership?
A. Maintaining strict rules and penalties
B. Focusing only on daily tasks
C. Inspiring a shared vision and intellectual stimulation
D. Avoiding any change to processes
Correct Answer: C
Rationale: Transformational leadership involves idealized influence,
inspirational motivation, intellectual stimulation, and individualized
consideration—moving beyond transactional rewards/punishments.
8. A nurse is asked to float to a medical-surgical unit. Which action is
appropriate?
A. Refuse to float because it’s not their home unit.
, B. Accept the assignment only if they have received orientation to the unit.
C. Take report on 10 patients without asking questions.
D. Assign themselves the easiest patients.
Correct Answer: B
Rationale: Floating is acceptable if the nurse has been oriented to the unit; the
nurse must verify their competency for the assigned tasks. Refusal may be
insubordination unless unsafe.
9. A charge nurse observes a staff member documenting a patient’s blood
glucose as 120 when it was actually 200. This is an example of:
A. Negligence
B. Assault
C. Falsification of records
D. Battery
Correct Answer: C
Rationale: Falsification of records is intentionally altering or omitting
information. It is unethical and may lead to legal action. Negligence is failing
to act reasonably; assault/battery involve threats or harmful contact.
10. A patient falls out of bed. The nurse’s first priority is to:
A. Complete an incident report.
B. Call the nursing supervisor.
C. Assess the patient for injuries.
D. Blame the previous shift.
Correct Answer: C
Rationale: Patient safety is always first. Assess the patient, then notify the
provider and family, and finally complete an incident report for risk
management.
