ATI RN LEADERSHIP LATEST 2025/2026 REAL EXAM QUESTIONS AND CORRECT
ANSWERS (ALL ANSWERS ARE CORRECT) |A+ GRADE ASSURED
Question 1
A new graduate nurse is struggling with time management and feels overwhelmed by her
assignments. The charge nurse should initially:
A) Take over some of the new graduate's tasks to reduce her workload.
B) Recommend that the new graduate work extra shifts to gain more experience.
C) Assign a mentor to work with the new graduate and discuss prioritization strategies.
D) Document the new graduate's performance issues in her file.
Correct Answer: C) Assign a mentor to work with the new graduate and discuss
prioritization strategies.
Rationale: Assigning a mentor provides direct support, guidance, and an opportunity for
the new graduate to learn effective time management and prioritization skills in a
supportive environment. Taking over tasks does not teach the new nurse, and documenting
performance issues is premature without intervention.
Question 2
Which leadership style is most effective in an emergency situation requiring immediate, decisive
action?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Correct Answer: C) Autocratic
Rationale: In an emergency, clear, swift decisions are paramount. An autocratic (or
authoritarian) leader makes decisions quickly and directs others, which is critical for rapid
,response and coordinated action in crisis situations. Democratic and laissez-faire styles are
too slow, and transformational is more for inspiring long-term vision.
Question 3
A staff nurse identifies a recurring issue with medication errors related to miscommunication
during handoff reports. The most appropriate first step to address this issue is to:
A) Immediately implement a new handoff report tool.
B) Collect data on the types and frequency of medication errors and handoff communication
breakdowns.
C) Blame the nurses involved in the errors.
D) Request that the nurse manager address the issue personally.
Correct Answer: B) Collect data on the types and frequency of medication errors and
handoff communication breakdowns.
Rationale: The first step in any quality improvement process is to assess the current state.
Collecting objective data helps to clearly define the problem, identify specific contributing
factors, and provide a baseline for evaluating future interventions. Implementing a solution
without full understanding is premature.
Question 4
A nurse manager is implementing a new electronic health record (EHR) system. Some staff
members are resistant to the change. The most effective strategy to manage this resistance is to:
A) Mandate that all staff immediately use the new system without exception.
B) Schedule extensive mandatory training sessions without addressing concerns.
C) Involve staff in the planning and implementation process, and address their concerns openly.
D) Threaten disciplinary action for non-compliance.
,Correct Answer: C) Involve staff in the planning and implementation process, and address
their concerns openly.
Rationale: Engaging staff in the change process, listening to their concerns, and providing
opportunities for input and feedback helps to build buy-in and reduce resistance. People
are more likely to accept change when they feel heard and involved.
Question 5
Which ethical principle is demonstrated when a nurse respects a patient's decision to refuse a
recommended medical treatment, even if the nurse believes it is not in the patient's best interest?
A) Beneficence
B) Non-maleficence
C) Justice
D) Autonomy
Correct Answer: D) Autonomy
Rationale: Autonomy is the ethical principle that respects an individual's right to self-
determination and to make their own decisions about their healthcare, even if those
decisions are not what healthcare providers would choose for themselves.
Question 6
A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is appropriate for the LPN to perform?
A) Administering a bolus of intravenous insulin.
B) Providing education to a newly diagnosed diabetic patient about self-injection.
C) Performing a sterile dressing change on a stable patient.
D) Completing the initial assessment for a new admission.
, Correct Answer: C) Performing a sterile dressing change on a stable patient.
Rationale: LPNs can perform sterile procedures, such as dressing changes, on stable
patients. Administering IV push medications (like insulin bolus), providing initial patient
education, and completing initial comprehensive assessments are typically within the scope
of practice for a Registered Nurse (RN).
Question 7
A nurse observes a colleague diverting controlled substances from the medication dispensing
system. The nurse's ethical and legal obligation is to:
A) Confront the colleague privately.
B) Document the observation in the patient's chart.
C) Report the suspected diversion to the nurse manager or appropriate authority immediately.
D) Ignore the behavior to avoid conflict.
Correct Answer: C) Report the suspected diversion to the nurse manager or appropriate
authority immediately.
Rationale: Diversion of controlled substances is illegal, unethical, and jeopardizes patient
safety. The nurse has a professional and legal obligation to report such behavior to protect
patients and maintain the integrity of the healthcare system. Immediate reporting to a
supervisor is crucial.
Question 8
In a quality improvement initiative, after identifying a problem, what is the next step in the
PDSA (Plan-Do-Study-Act) cycle?
A) Do: Implement the change on a large scale.
B) Act: Abandon the change if it doesn't work.
ANSWERS (ALL ANSWERS ARE CORRECT) |A+ GRADE ASSURED
Question 1
A new graduate nurse is struggling with time management and feels overwhelmed by her
assignments. The charge nurse should initially:
A) Take over some of the new graduate's tasks to reduce her workload.
B) Recommend that the new graduate work extra shifts to gain more experience.
C) Assign a mentor to work with the new graduate and discuss prioritization strategies.
D) Document the new graduate's performance issues in her file.
Correct Answer: C) Assign a mentor to work with the new graduate and discuss
prioritization strategies.
Rationale: Assigning a mentor provides direct support, guidance, and an opportunity for
the new graduate to learn effective time management and prioritization skills in a
supportive environment. Taking over tasks does not teach the new nurse, and documenting
performance issues is premature without intervention.
Question 2
Which leadership style is most effective in an emergency situation requiring immediate, decisive
action?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Correct Answer: C) Autocratic
Rationale: In an emergency, clear, swift decisions are paramount. An autocratic (or
authoritarian) leader makes decisions quickly and directs others, which is critical for rapid
,response and coordinated action in crisis situations. Democratic and laissez-faire styles are
too slow, and transformational is more for inspiring long-term vision.
Question 3
A staff nurse identifies a recurring issue with medication errors related to miscommunication
during handoff reports. The most appropriate first step to address this issue is to:
A) Immediately implement a new handoff report tool.
B) Collect data on the types and frequency of medication errors and handoff communication
breakdowns.
C) Blame the nurses involved in the errors.
D) Request that the nurse manager address the issue personally.
Correct Answer: B) Collect data on the types and frequency of medication errors and
handoff communication breakdowns.
Rationale: The first step in any quality improvement process is to assess the current state.
Collecting objective data helps to clearly define the problem, identify specific contributing
factors, and provide a baseline for evaluating future interventions. Implementing a solution
without full understanding is premature.
Question 4
A nurse manager is implementing a new electronic health record (EHR) system. Some staff
members are resistant to the change. The most effective strategy to manage this resistance is to:
A) Mandate that all staff immediately use the new system without exception.
B) Schedule extensive mandatory training sessions without addressing concerns.
C) Involve staff in the planning and implementation process, and address their concerns openly.
D) Threaten disciplinary action for non-compliance.
,Correct Answer: C) Involve staff in the planning and implementation process, and address
their concerns openly.
Rationale: Engaging staff in the change process, listening to their concerns, and providing
opportunities for input and feedback helps to build buy-in and reduce resistance. People
are more likely to accept change when they feel heard and involved.
Question 5
Which ethical principle is demonstrated when a nurse respects a patient's decision to refuse a
recommended medical treatment, even if the nurse believes it is not in the patient's best interest?
A) Beneficence
B) Non-maleficence
C) Justice
D) Autonomy
Correct Answer: D) Autonomy
Rationale: Autonomy is the ethical principle that respects an individual's right to self-
determination and to make their own decisions about their healthcare, even if those
decisions are not what healthcare providers would choose for themselves.
Question 6
A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is appropriate for the LPN to perform?
A) Administering a bolus of intravenous insulin.
B) Providing education to a newly diagnosed diabetic patient about self-injection.
C) Performing a sterile dressing change on a stable patient.
D) Completing the initial assessment for a new admission.
, Correct Answer: C) Performing a sterile dressing change on a stable patient.
Rationale: LPNs can perform sterile procedures, such as dressing changes, on stable
patients. Administering IV push medications (like insulin bolus), providing initial patient
education, and completing initial comprehensive assessments are typically within the scope
of practice for a Registered Nurse (RN).
Question 7
A nurse observes a colleague diverting controlled substances from the medication dispensing
system. The nurse's ethical and legal obligation is to:
A) Confront the colleague privately.
B) Document the observation in the patient's chart.
C) Report the suspected diversion to the nurse manager or appropriate authority immediately.
D) Ignore the behavior to avoid conflict.
Correct Answer: C) Report the suspected diversion to the nurse manager or appropriate
authority immediately.
Rationale: Diversion of controlled substances is illegal, unethical, and jeopardizes patient
safety. The nurse has a professional and legal obligation to report such behavior to protect
patients and maintain the integrity of the healthcare system. Immediate reporting to a
supervisor is crucial.
Question 8
In a quality improvement initiative, after identifying a problem, what is the next step in the
PDSA (Plan-Do-Study-Act) cycle?
A) Do: Implement the change on a large scale.
B) Act: Abandon the change if it doesn't work.
