© Academic_Excellence
ATI Leadership Proctored | Exam Practice Questions And Correct
Answers (Verified Answers) Plus Rationale 2026 Q&A | Instant
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1. A charge nurse is assigning clients on a medical-surgical unit. Which client should
be assigned to a float RN from the postpartum unit?
A. A client with diabetic ketoacidosis on an insulin drip
B. A stable client with pneumonia requiring oral antibiotics
C. A client with a chest tube for a spontaneous pneumothorax
D. A client immediately post-hemodialysis with a new AV fistula
Correct Answer: B
Rationale: A float nurse should receive stable, predictable clients. The postpartum
RN can manage oral medications and basic assessments. Options A, C, and D
require specialized skills (insulin titration, chest tube management, vascular access
monitoring).
2. A nurse manager is reviewing the five rights of delegation. Which right ensures the
task is appropriate for the delegatee’s scope of practice?
A. Right task
B. Right circumstance
C. Right person
D. Right direction
Correct Answer: C
Rationale: The “right person” means the delegatee has the appropriate knowledge,
skill, and licensure (e.g., RN, LPN, UAP) to perform the task safely.
3. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The
client’s family member demands that the nurse “do everything.” What is the nurse’s
best response?
A. “I will call a code if the client stops breathing.”
B. “You can override the DNR because you are family.”
C. “Let me review the DNR order with the provider and ethics committee.”
D. “I will ignore the DNR and follow the family’s wishes.”
,© Academic_Excellence
Correct Answer: C
Rationale: The nurse should advocate for the client’s advance directive while
addressing family concerns. Ethics committee and provider can mediate. The DNR is
legally binding; family cannot unilaterally override it without evidence of patient
decision-making capacity change.
4. A charge nurse is evaluating a staff nurse’s performance. Which finding indicates
a need for remediation regarding informed consent?
A. The nurse obtains verbal consent from a client for a minor procedure.
B. The nurse ensures the provider explains the risks before the client signs.
C. The nurse witnesses a signature on a surgical consent form.
D. The nurse obtains consent from a 17-year-old mother for her own surgery.
Correct Answer: A
*Rationale: Verbal consent is acceptable for minor procedures (e.g., blood draw), but
the provider must obtain informed consent for invasive procedures. The nurse’s role
is to witness the signature, not to explain risks or obtain consent for major
procedures. The 17-year-old mother is emancipated/minor parent — she can consent
for herself.*
5. A nurse manager is planning a staff in-service on conflict resolution. Which
statement describes “collaborating” as a conflict management style?
A. “I’ll just ignore the issue and hope it goes away.”
B. “You must do it my way because I’m the manager.”
C. “Let’s work together to find a solution that meets everyone’s needs.”
D. “I’ll give in to keep the peace.”
Correct Answer: C
Rationale: Collaborating (win-win) involves problem-solving to meet all parties’
underlying needs. Avoiding (A), competing (B), and accommodating (D) are different
styles.
6. A nurse is preparing to delegate a task to a UAP. Which instruction is most
appropriate?
A. “Measure the patient’s urine output and report if less than 30 mL/hr.”
B. “Assess the patient’s lung sounds and report any crackles.”
,© Academic_Excellence
C. “Evaluate the patient’s pain level on a 0-10 scale.”
D. “Interpret the telemetry rhythm strip.”
Correct Answer: A
Rationale: Measuring output and reporting a specific finding (oliguria) is within UAP
scope. Assessment, evaluation, and interpretation are RN responsibilities.
7. A nurse manager is using a democratic leadership style. Which outcome is
expected?
A. Rapid decision-making in emergencies
B. Increased staff satisfaction and ownership of decisions
C. Strict adherence to rules without input
D. Minimal communication with staff
Correct Answer: B
Rationale: Democratic (participative) leadership involves staff in decisions,
increasing buy-in and satisfaction. Autocratic (A) is faster in emergencies but lowers
morale long-term.
8. A charge nurse notices that a staff nurse is consistently late returning from lunch,
leaving the unit understaffed. Which action should the charge nurse take first?
A. Report the nurse to human resources.
B. Have a private, non-punitive conversation to identify barriers.
C. Publicly shame the nurse during huddle.
D. Change the nurse’s schedule without discussion.
Correct Answer: B
Rationale: Progressive discipline starts with a private conversation to understand
causes (traffic, personal issues, misunderstanding). Public shaming is
unprofessional; reporting to HR is premature.
9. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs (Jehovah’s Witness). The nurse should:
A. Administer the transfusion because the provider ordered it.
B. Respect the refusal and notify the provider.
, © Academic_Excellence
C. Call security to restrain the client.
D. Have the family sign consent for the transfusion.
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment based on religious
beliefs. The nurse advocates for the client’s autonomy. Document refusal and notify
provider.
10. A nurse manager is reviewing a sentinel event. What is the primary purpose of a
root cause analysis (RCA)?
A. To assign blame to the individual who made the error
B. To identify system and process failures that contributed to the event
C. To calculate financial loss from the event
D. To immediately terminate staff involved
Correct Answer: B
Rationale: RCA is a non-punitive, systems-focused process to prevent recurrence.
Blame and termination are not goals of RCA.
11. A nurse is leading a team during a code blue. Which action demonstrates
effective leadership?
A. Allowing anyone to shout out orders
B. Assigning specific roles (compressions, airway, medications, recorder)
C. Stopping compressions to check for a pulse every 30 seconds
D. Asking the family to leave the room without explanation
Correct Answer: B
Rationale: Clear role assignment reduces chaos and improves outcomes.
Compressions should be interrupted minimally (every 2 minutes for rhythm check).
Family presence may be allowed with support.
12. A charge nurse is making assignments for a shift with one RN, one LPN, and two
UAPs. Which client should be assigned to the LPN?
A. A client with unstable angina on a nitroglycerin drip
B. A client with a new tracheostomy requiring suctioning
ATI Leadership Proctored | Exam Practice Questions And Correct
Answers (Verified Answers) Plus Rationale 2026 Q&A | Instant
Download Pdf
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should
be assigned to a float RN from the postpartum unit?
A. A client with diabetic ketoacidosis on an insulin drip
B. A stable client with pneumonia requiring oral antibiotics
C. A client with a chest tube for a spontaneous pneumothorax
D. A client immediately post-hemodialysis with a new AV fistula
Correct Answer: B
Rationale: A float nurse should receive stable, predictable clients. The postpartum
RN can manage oral medications and basic assessments. Options A, C, and D
require specialized skills (insulin titration, chest tube management, vascular access
monitoring).
2. A nurse manager is reviewing the five rights of delegation. Which right ensures the
task is appropriate for the delegatee’s scope of practice?
A. Right task
B. Right circumstance
C. Right person
D. Right direction
Correct Answer: C
Rationale: The “right person” means the delegatee has the appropriate knowledge,
skill, and licensure (e.g., RN, LPN, UAP) to perform the task safely.
3. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The
client’s family member demands that the nurse “do everything.” What is the nurse’s
best response?
A. “I will call a code if the client stops breathing.”
B. “You can override the DNR because you are family.”
C. “Let me review the DNR order with the provider and ethics committee.”
D. “I will ignore the DNR and follow the family’s wishes.”
,© Academic_Excellence
Correct Answer: C
Rationale: The nurse should advocate for the client’s advance directive while
addressing family concerns. Ethics committee and provider can mediate. The DNR is
legally binding; family cannot unilaterally override it without evidence of patient
decision-making capacity change.
4. A charge nurse is evaluating a staff nurse’s performance. Which finding indicates
a need for remediation regarding informed consent?
A. The nurse obtains verbal consent from a client for a minor procedure.
B. The nurse ensures the provider explains the risks before the client signs.
C. The nurse witnesses a signature on a surgical consent form.
D. The nurse obtains consent from a 17-year-old mother for her own surgery.
Correct Answer: A
*Rationale: Verbal consent is acceptable for minor procedures (e.g., blood draw), but
the provider must obtain informed consent for invasive procedures. The nurse’s role
is to witness the signature, not to explain risks or obtain consent for major
procedures. The 17-year-old mother is emancipated/minor parent — she can consent
for herself.*
5. A nurse manager is planning a staff in-service on conflict resolution. Which
statement describes “collaborating” as a conflict management style?
A. “I’ll just ignore the issue and hope it goes away.”
B. “You must do it my way because I’m the manager.”
C. “Let’s work together to find a solution that meets everyone’s needs.”
D. “I’ll give in to keep the peace.”
Correct Answer: C
Rationale: Collaborating (win-win) involves problem-solving to meet all parties’
underlying needs. Avoiding (A), competing (B), and accommodating (D) are different
styles.
6. A nurse is preparing to delegate a task to a UAP. Which instruction is most
appropriate?
A. “Measure the patient’s urine output and report if less than 30 mL/hr.”
B. “Assess the patient’s lung sounds and report any crackles.”
,© Academic_Excellence
C. “Evaluate the patient’s pain level on a 0-10 scale.”
D. “Interpret the telemetry rhythm strip.”
Correct Answer: A
Rationale: Measuring output and reporting a specific finding (oliguria) is within UAP
scope. Assessment, evaluation, and interpretation are RN responsibilities.
7. A nurse manager is using a democratic leadership style. Which outcome is
expected?
A. Rapid decision-making in emergencies
B. Increased staff satisfaction and ownership of decisions
C. Strict adherence to rules without input
D. Minimal communication with staff
Correct Answer: B
Rationale: Democratic (participative) leadership involves staff in decisions,
increasing buy-in and satisfaction. Autocratic (A) is faster in emergencies but lowers
morale long-term.
8. A charge nurse notices that a staff nurse is consistently late returning from lunch,
leaving the unit understaffed. Which action should the charge nurse take first?
A. Report the nurse to human resources.
B. Have a private, non-punitive conversation to identify barriers.
C. Publicly shame the nurse during huddle.
D. Change the nurse’s schedule without discussion.
Correct Answer: B
Rationale: Progressive discipline starts with a private conversation to understand
causes (traffic, personal issues, misunderstanding). Public shaming is
unprofessional; reporting to HR is premature.
9. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs (Jehovah’s Witness). The nurse should:
A. Administer the transfusion because the provider ordered it.
B. Respect the refusal and notify the provider.
, © Academic_Excellence
C. Call security to restrain the client.
D. Have the family sign consent for the transfusion.
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment based on religious
beliefs. The nurse advocates for the client’s autonomy. Document refusal and notify
provider.
10. A nurse manager is reviewing a sentinel event. What is the primary purpose of a
root cause analysis (RCA)?
A. To assign blame to the individual who made the error
B. To identify system and process failures that contributed to the event
C. To calculate financial loss from the event
D. To immediately terminate staff involved
Correct Answer: B
Rationale: RCA is a non-punitive, systems-focused process to prevent recurrence.
Blame and termination are not goals of RCA.
11. A nurse is leading a team during a code blue. Which action demonstrates
effective leadership?
A. Allowing anyone to shout out orders
B. Assigning specific roles (compressions, airway, medications, recorder)
C. Stopping compressions to check for a pulse every 30 seconds
D. Asking the family to leave the room without explanation
Correct Answer: B
Rationale: Clear role assignment reduces chaos and improves outcomes.
Compressions should be interrupted minimally (every 2 minutes for rhythm check).
Family presence may be allowed with support.
12. A charge nurse is making assignments for a shift with one RN, one LPN, and two
UAPs. Which client should be assigned to the LPN?
A. A client with unstable angina on a nitroglycerin drip
B. A client with a new tracheostomy requiring suctioning
