ATI Leadership & Management Proctored
Exam V3 | 2026 Q&A with Rationale (ATI
Leadership & Management Proctored
Exam 2026)
1. A nurse manager is planning to implement a new policy regarding the use of personal
electronic devices during clinical hours. Which of the following actions should the manager
take first?
A. Develop a teaching plan to educate the staff on the risks of distraction.
B. Provide a written warning to staff who violate the new policy.
C. Determine the current level of staff compliance with existing cell phone rules.
D. Schedule a meeting with the nursing administration to finalize the policy.
Correct Answer: C
Rationale: The first step of the nursing process is assessment. The manager must first
gather data to understand the extent of the issue before planning or implementing a
change. This ensures that the intervention is targeted and necessary based on evidence
within the unit.
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate to the AP?
A. Checking the blood glucose level of a client who has type 2 diabetes.
,B. Feeding a client who has a history of dysphagia and is at risk for aspiration.
C. Evaluating the effectiveness of a PRN pain medication given to a client.
D. Assessing the lung sounds of a client who is being treated for pneumonia.
Correct Answer: A
Rationale: Checking a blood glucose level is a technical task that falls within the scope of
practice for an AP, provided they have been trained and demonstrated competency.
Assessment and evaluation are professional nursing responsibilities that cannot be
delegated. Feeding a client with high aspiration risk requires the clinical judgment of a
licensed nurse.
3. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which of the following conflict resolution strategies is the nurse using when she
asks both nurses to give up a preferred holiday in exchange for a different weekend off?
A. Collaborating
B. Avoiding
C. Smoothing
D. Compromising
Correct Answer: D
Rationale: Compromising involves both parties giving up something of value to reach a
solution. This strategy is often used when both sides have equal power or when a quick
,solution is needed for a complex issue. It is often described as a ‘lose-lose’ or ‘win-lose’
hybrid rather than a full ‘win-win’ like collaborating.
4. A nurse is caring for a client who is scheduled for surgery. The client tells the nurse, ‘I don’t
really understand why I need this procedure, and I am not sure I want it anymore.’ Which of
the following actions should the nurse take?
A. Explain the risks and benefits of the surgery to the client.
B. Ask the client’s next of kin to sign the consent form.
C. Document that the client has provided informed consent.
D. Inform the surgeon that the client has questions regarding the procedure.
Correct Answer: D
Rationale: The nurse’s role in informed consent is to witness the signature and advocate
for the client. If the client expresses a lack of understanding, the nurse must notify the
provider so the provider can provide further explanation. It is not within the nurse’s scope
to explain the specific risks and benefits of a surgical procedure to obtain consent.
5. A nurse is participating in a quality improvement (QI) study on the unit to reduce the
incidence of pressure injuries. Which of the following actions should the nurse take first?
A. Review the current literature on pressure injury prevention.
B. Establish a new protocol for turning and positioning clients.
C. Collect data on the current rate of pressure injuries on the unit.
, D. Meet with the interdisciplinary team to discuss possible solutions.
Correct Answer: C
Rationale: The first step in the quality improvement process is to identify the problem and
establish a baseline by collecting data. This data provides the necessary foundation for
determining if a change is needed and measuring the success of future interventions.
Without baseline data, the effectiveness of new protocols cannot be accurately evaluated.
6. A nurse is reviewing the ‘Rights of Delegation’ before assigning tasks. Which of the
following are included in the five rights? (Select all that apply.)
A. Right Task
B. Right Circumstances
C. Right Patient
D. Right Person
E. Right Direction/Communication
F. Right Supervision/Evaluation
Correct Answer: A,B,D,E,F
Rationale: The Five Rights of Delegation include the right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. ‘Right Patient’ is
a component of the Six Rights of Medication Administration but is not traditionally listed as
Exam V3 | 2026 Q&A with Rationale (ATI
Leadership & Management Proctored
Exam 2026)
1. A nurse manager is planning to implement a new policy regarding the use of personal
electronic devices during clinical hours. Which of the following actions should the manager
take first?
A. Develop a teaching plan to educate the staff on the risks of distraction.
B. Provide a written warning to staff who violate the new policy.
C. Determine the current level of staff compliance with existing cell phone rules.
D. Schedule a meeting with the nursing administration to finalize the policy.
Correct Answer: C
Rationale: The first step of the nursing process is assessment. The manager must first
gather data to understand the extent of the issue before planning or implementing a
change. This ensures that the intervention is targeted and necessary based on evidence
within the unit.
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate to the AP?
A. Checking the blood glucose level of a client who has type 2 diabetes.
,B. Feeding a client who has a history of dysphagia and is at risk for aspiration.
C. Evaluating the effectiveness of a PRN pain medication given to a client.
D. Assessing the lung sounds of a client who is being treated for pneumonia.
Correct Answer: A
Rationale: Checking a blood glucose level is a technical task that falls within the scope of
practice for an AP, provided they have been trained and demonstrated competency.
Assessment and evaluation are professional nursing responsibilities that cannot be
delegated. Feeding a client with high aspiration risk requires the clinical judgment of a
licensed nurse.
3. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which of the following conflict resolution strategies is the nurse using when she
asks both nurses to give up a preferred holiday in exchange for a different weekend off?
A. Collaborating
B. Avoiding
C. Smoothing
D. Compromising
Correct Answer: D
Rationale: Compromising involves both parties giving up something of value to reach a
solution. This strategy is often used when both sides have equal power or when a quick
,solution is needed for a complex issue. It is often described as a ‘lose-lose’ or ‘win-lose’
hybrid rather than a full ‘win-win’ like collaborating.
4. A nurse is caring for a client who is scheduled for surgery. The client tells the nurse, ‘I don’t
really understand why I need this procedure, and I am not sure I want it anymore.’ Which of
the following actions should the nurse take?
A. Explain the risks and benefits of the surgery to the client.
B. Ask the client’s next of kin to sign the consent form.
C. Document that the client has provided informed consent.
D. Inform the surgeon that the client has questions regarding the procedure.
Correct Answer: D
Rationale: The nurse’s role in informed consent is to witness the signature and advocate
for the client. If the client expresses a lack of understanding, the nurse must notify the
provider so the provider can provide further explanation. It is not within the nurse’s scope
to explain the specific risks and benefits of a surgical procedure to obtain consent.
5. A nurse is participating in a quality improvement (QI) study on the unit to reduce the
incidence of pressure injuries. Which of the following actions should the nurse take first?
A. Review the current literature on pressure injury prevention.
B. Establish a new protocol for turning and positioning clients.
C. Collect data on the current rate of pressure injuries on the unit.
, D. Meet with the interdisciplinary team to discuss possible solutions.
Correct Answer: C
Rationale: The first step in the quality improvement process is to identify the problem and
establish a baseline by collecting data. This data provides the necessary foundation for
determining if a change is needed and measuring the success of future interventions.
Without baseline data, the effectiveness of new protocols cannot be accurately evaluated.
6. A nurse is reviewing the ‘Rights of Delegation’ before assigning tasks. Which of the
following are included in the five rights? (Select all that apply.)
A. Right Task
B. Right Circumstances
C. Right Patient
D. Right Person
E. Right Direction/Communication
F. Right Supervision/Evaluation
Correct Answer: A,B,D,E,F
Rationale: The Five Rights of Delegation include the right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. ‘Right Patient’ is
a component of the Six Rights of Medication Administration but is not traditionally listed as
