ATI Leadership Proctored Exam – Retake Actual Exam 2026/2027:
Complete Exam-Style Questions with Detailed Rationales | 100%
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Management of Care
1. The charge nurse on a medical-surgical unit is making assignments for the shift.
Which client is most appropriate to assign to an LPN/LVN?
A) A client admitted 2 hours ago with chest pain awaiting cardiac catheterization
B) A client with stable heart failure requiring routine IV furosemide and daily weights ✓
C) A client with newly diagnosed type 1 diabetes requiring initial insulin teaching
D) A client 1 day postoperative after abdominal surgery with a new ileostomy
Correct Answer: B) A client with stable heart failure requiring routine IV furosemide and
daily weights
Rationale: LPNs can care for stable clients with predictable outcomes. Unstable clients,
initial teaching, and complex ostomy management require RN assessment and
intervention.
2. A nurse is supervising a UAP who is ambulating a client. The UAP reports the
client became dizzy and sat down. What is the nurse's first action?
A) Complete an incident report immediately
B) Assess the client for injury and vital signs ✓
C) Reassign the UAP to another task
D) Call the physician before assessing the client
Correct Answer: B) Assess the client for injury and vital signs
Rationale: The nurse must first ensure client safety by assessing for injury. Incident
reports and provider notification follow assessment.
, 3. The nurse manager is reviewing staffing for the evening shift. Which task can be
safely delegated to a UAP?
A) Administering a scheduled subcutaneous insulin injection
B) Measuring and recording intake and output ✓
C) Assessing a postoperative client's incision
D) Teaching a client about wound care
Correct Answer: B) Measuring and recording intake and output
Rationale: UAPs can collect data such as I&O. Assessment, teaching, and medication
administration are within the RN scope of practice.
4. A charge nurse observes an LPN preparing to administer a medication via a
nasogastric tube. The LPN has not been checked off on this skill. Which action
should the charge nurse take?
A) Allow the LPN to proceed if they seem confident
B) Supervise the LPN during the procedure
C) Stop the LPN and perform the task or arrange for proper training ✓
D) Document that the LPN needs more experience
Correct Answer: C) Stop the LPN and perform the task or arrange for proper training
Rationale: The five rights of delegation include right supervision and right task. An LPN
cannot perform skills without proper training and competency validation.
5. A nurse is caring for four clients on a busy unit. Which client should the nurse
assess first?
A) A client requesting a PRN pain medication
B) A client with a blood pressure of 92/60 mmHg and new confusion ✓
C) A client scheduled for discharge in 2 hours
D) A client who needs a routine dressing change
Correct Answer: B) A client with a blood pressure of 92/60 mmHg and new confusion
Rationale: Hypotension with altered mental status indicates potential shock or sepsis.
This unstable client requires immediate assessment before stable or routine needs.
, 6. A case manager is coordinating care for a client being discharged home after a
stroke. Which activity is the priority role of the case manager?
A) Providing direct bedside nursing care
B) Ensuring appropriate resources and services are arranged for continuity of care ✓
C) Performing all physical therapy sessions
D) Making medical diagnoses
Correct Answer: B) Ensuring appropriate resources and services are arranged for
continuity of care
Rationale: Case managers coordinate care transitions and resources. They do not
provide direct care, perform therapy, or diagnose.
7. The nurse is delegating morning care to a UAP. Which statement by the nurse
provides the right direction and communication?
A) "Make sure everyone is comfortable."
B) "Please assist the clients in rooms 301, 303, and 305 with bathing and report any
client who refuses or appears weak." ✓
C) "Do whatever the clients need."
D) "Bathe all the clients on the hall before lunch."
Correct Answer: B) "Please assist the clients in rooms 301, 303, and 305 with bathing
and report any client who refuses or appears weak."
Rationale: Delegation requires clear, specific instructions and expected reporting
parameters. Vague directions violate the right communication.
8. A nurse is assigned to a team with one LPN and one UAP. Which client should the
nurse keep rather than delegate?
A) A client with stable chronic obstructive pulmonary disease requiring routine nebulizer
treatments
B) A client with a new tracheostomy who is hemodynamically unstable ✓
C) A client needing assistance with meals
D) A client requiring a standard dressing change
Correct Answer: B) A client with a new tracheostomy who is hemodynamically unstable
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Management of Care
1. The charge nurse on a medical-surgical unit is making assignments for the shift.
Which client is most appropriate to assign to an LPN/LVN?
A) A client admitted 2 hours ago with chest pain awaiting cardiac catheterization
B) A client with stable heart failure requiring routine IV furosemide and daily weights ✓
C) A client with newly diagnosed type 1 diabetes requiring initial insulin teaching
D) A client 1 day postoperative after abdominal surgery with a new ileostomy
Correct Answer: B) A client with stable heart failure requiring routine IV furosemide and
daily weights
Rationale: LPNs can care for stable clients with predictable outcomes. Unstable clients,
initial teaching, and complex ostomy management require RN assessment and
intervention.
2. A nurse is supervising a UAP who is ambulating a client. The UAP reports the
client became dizzy and sat down. What is the nurse's first action?
A) Complete an incident report immediately
B) Assess the client for injury and vital signs ✓
C) Reassign the UAP to another task
D) Call the physician before assessing the client
Correct Answer: B) Assess the client for injury and vital signs
Rationale: The nurse must first ensure client safety by assessing for injury. Incident
reports and provider notification follow assessment.
, 3. The nurse manager is reviewing staffing for the evening shift. Which task can be
safely delegated to a UAP?
A) Administering a scheduled subcutaneous insulin injection
B) Measuring and recording intake and output ✓
C) Assessing a postoperative client's incision
D) Teaching a client about wound care
Correct Answer: B) Measuring and recording intake and output
Rationale: UAPs can collect data such as I&O. Assessment, teaching, and medication
administration are within the RN scope of practice.
4. A charge nurse observes an LPN preparing to administer a medication via a
nasogastric tube. The LPN has not been checked off on this skill. Which action
should the charge nurse take?
A) Allow the LPN to proceed if they seem confident
B) Supervise the LPN during the procedure
C) Stop the LPN and perform the task or arrange for proper training ✓
D) Document that the LPN needs more experience
Correct Answer: C) Stop the LPN and perform the task or arrange for proper training
Rationale: The five rights of delegation include right supervision and right task. An LPN
cannot perform skills without proper training and competency validation.
5. A nurse is caring for four clients on a busy unit. Which client should the nurse
assess first?
A) A client requesting a PRN pain medication
B) A client with a blood pressure of 92/60 mmHg and new confusion ✓
C) A client scheduled for discharge in 2 hours
D) A client who needs a routine dressing change
Correct Answer: B) A client with a blood pressure of 92/60 mmHg and new confusion
Rationale: Hypotension with altered mental status indicates potential shock or sepsis.
This unstable client requires immediate assessment before stable or routine needs.
, 6. A case manager is coordinating care for a client being discharged home after a
stroke. Which activity is the priority role of the case manager?
A) Providing direct bedside nursing care
B) Ensuring appropriate resources and services are arranged for continuity of care ✓
C) Performing all physical therapy sessions
D) Making medical diagnoses
Correct Answer: B) Ensuring appropriate resources and services are arranged for
continuity of care
Rationale: Case managers coordinate care transitions and resources. They do not
provide direct care, perform therapy, or diagnose.
7. The nurse is delegating morning care to a UAP. Which statement by the nurse
provides the right direction and communication?
A) "Make sure everyone is comfortable."
B) "Please assist the clients in rooms 301, 303, and 305 with bathing and report any
client who refuses or appears weak." ✓
C) "Do whatever the clients need."
D) "Bathe all the clients on the hall before lunch."
Correct Answer: B) "Please assist the clients in rooms 301, 303, and 305 with bathing
and report any client who refuses or appears weak."
Rationale: Delegation requires clear, specific instructions and expected reporting
parameters. Vague directions violate the right communication.
8. A nurse is assigned to a team with one LPN and one UAP. Which client should the
nurse keep rather than delegate?
A) A client with stable chronic obstructive pulmonary disease requiring routine nebulizer
treatments
B) A client with a new tracheostomy who is hemodynamically unstable ✓
C) A client needing assistance with meals
D) A client requiring a standard dressing change
Correct Answer: B) A client with a new tracheostomy who is hemodynamically unstable
