ATI LEADERSHIP EXAM —(QUESTIONS 1–200) Most Recent exam
COMPLETE (2026) EXAM Questions and Answers (Verified Answers)
(Latest Update 2026) Graded A+
1. Which task can the nurse delegate to the AP?
A. Perform wound irrigation
B. Administer a PO medication
✓ C. Assist a client with ambulation
D. Perform a sterile dressing change
Rationale: Ambulation is within an AP’s scope; sterile procedures and medications are not.
2. A nurse is planning care for four clients. Which client should be assessed first?
✓ A. A client reporting chest pain rated 8/10
B. A client awaiting morning medications
C. A client requesting help to the bathroom
D. A client scheduled for discharge
Rationale: Chest pain suggests possible cardiac ischemia and is the highest priority (ABC rule).
3. Which action by the charge nurse demonstrates effective leadership?
A. Completing all staff assignments independently
✓ B. Encouraging staff to participate in decision-making
C. Avoiding giving feedback to reduce conflict
D. Withholding information to prevent confusion
Rationale: Shared governance promotes teamwork and empowerment.
4. The RN is delegating tasks to the LPN. Which assignment is appropriate?
A. Initial assessment of a newly admitted client
✓ B. Administering enteral feedings via NG tube
C. Developing the client’s plan of care
D. Giving IV push morphine
Rationale: LPNs may perform stable procedures like NG feedings.
1
Page
EXAMPREPMASTER
,5. A client refuses a scheduled treatment. What action should the nurse take first?
A. Notify the provider immediately
✓ B. Acknowledge the client’s concerns
C. Document the refusal
D. Explain the treatment again
Rationale: Therapeutic communication comes first to understand the refusal.
6. Which action indicates a breach of client confidentiality?
A. Storing charts in a secure location
✓ B. Discussing a client’s condition in the hallway
C. Logging off after charting
D. Providing results only to authorized family
Rationale: Risk of being overheard violates HIPAA.
7. Which action demonstrates effective time management?
A. Starting with the easiest tasks
B. Documenting all care before performing it
✓ C. Prioritizing tasks based on client needs
D. Delaying assessments until after lunch
Rationale: Prioritization is the foundation of time management.
8. Which client should the nurse see first?
A. A client requesting pain medication
✓ B. A client with new onset confusion
C. A client needing assistance to the chair
D. A client ready for discharge teaching
Rationale: Sudden confusion may indicate neurologic changes; urgent.
9. The nurse suspects a coworker is diverting narcotics. What is the appropriate action?
A. Confront the coworker directly
✓ B. Report the suspicion to the charge nurse
2
C. Ignore it unless it happens again
Page
EXAMPREPMASTER
,D. Ask another staff member to investigate
Rationale: Reporting up the chain of command is required.
10. Which task can the RN delegate to the AP?
A. Assessing circulation to a casted limb
✓ B. Obtaining routine vital signs
C. Teaching the use of an incentive spirometer
D. Evaluating pain relief
Rationale: Vital signs are within AP scope; assessments require RN.
11. A nurse is floating to a surgical unit. Which assignment is most appropriate?
A. Fresh postoperative abdominal surgery
✓ B. Stable client 2 days post-op hip replacement
C. Immediate post-op thoracic surgery
D. Chest tube insertion observation
Rationale: Float nurses receive stable clients only.
12. Which action is considered an ethical dilemma?
A. Deciding who can visit a client
✓ B. Conflict between autonomy and beneficence
C. Choosing a priority client
D. Administering scheduled meds
Rationale: Ethical dilemmas involve conflicting moral principles.
13. A client has a new pressure injury. Which action by the AP requires intervention?
A. Turning client every 2 hours
B. Offering high-protein snacks
✓ C. Massaging reddened areas
D. Keeping sheets wrinkle-free
Rationale: Massaging reddened areas worsens tissue injury.
3
Page
EXAMPREPMASTER
, 14. What should the nurse do first during a fire alarm?
✓ A. Move ambulatory clients from immediate danger
B. Extinguish the fire
C. Close all fire doors
D. Pull the fire alarm
Rationale: RACE protocol — Rescue is always first.
15. Which statement by the AP indicates a need for further teaching?
A. “I will wear gloves when bathing clients.”
✓ B. “I can remove an IV line when the client is discharged.”
C. “I will report urine output less than 30 mL/hr.”
D. “I can help position the client.”
Rationale: APs cannot remove IVs.
16. Which task should the nurse assign to the LPN?
A. Admission assessment
✓ B. Monitoring a client receiving blood
C. Teaching about iron supplements
D. Interpreting lab values
Rationale: LPN may monitor stable patients receiving blood (RN starts/finishes).
17. The nurse receives four calls. Which should be returned first?
✓ A. Client with new difficulty breathing
B. Client requesting sleeping medication
C. Client with a question about diet
D. Client asking about visiting hours
Rationale: Airway concerns always first.
18. Which action demonstrates conflict resolution using “smoothing”?
A. Addressing the issue directly
✓ B. Focusing on areas of agreement
4
C. Avoiding the conflict entirely
Page
EXAMPREPMASTER
COMPLETE (2026) EXAM Questions and Answers (Verified Answers)
(Latest Update 2026) Graded A+
1. Which task can the nurse delegate to the AP?
A. Perform wound irrigation
B. Administer a PO medication
✓ C. Assist a client with ambulation
D. Perform a sterile dressing change
Rationale: Ambulation is within an AP’s scope; sterile procedures and medications are not.
2. A nurse is planning care for four clients. Which client should be assessed first?
✓ A. A client reporting chest pain rated 8/10
B. A client awaiting morning medications
C. A client requesting help to the bathroom
D. A client scheduled for discharge
Rationale: Chest pain suggests possible cardiac ischemia and is the highest priority (ABC rule).
3. Which action by the charge nurse demonstrates effective leadership?
A. Completing all staff assignments independently
✓ B. Encouraging staff to participate in decision-making
C. Avoiding giving feedback to reduce conflict
D. Withholding information to prevent confusion
Rationale: Shared governance promotes teamwork and empowerment.
4. The RN is delegating tasks to the LPN. Which assignment is appropriate?
A. Initial assessment of a newly admitted client
✓ B. Administering enteral feedings via NG tube
C. Developing the client’s plan of care
D. Giving IV push morphine
Rationale: LPNs may perform stable procedures like NG feedings.
1
Page
EXAMPREPMASTER
,5. A client refuses a scheduled treatment. What action should the nurse take first?
A. Notify the provider immediately
✓ B. Acknowledge the client’s concerns
C. Document the refusal
D. Explain the treatment again
Rationale: Therapeutic communication comes first to understand the refusal.
6. Which action indicates a breach of client confidentiality?
A. Storing charts in a secure location
✓ B. Discussing a client’s condition in the hallway
C. Logging off after charting
D. Providing results only to authorized family
Rationale: Risk of being overheard violates HIPAA.
7. Which action demonstrates effective time management?
A. Starting with the easiest tasks
B. Documenting all care before performing it
✓ C. Prioritizing tasks based on client needs
D. Delaying assessments until after lunch
Rationale: Prioritization is the foundation of time management.
8. Which client should the nurse see first?
A. A client requesting pain medication
✓ B. A client with new onset confusion
C. A client needing assistance to the chair
D. A client ready for discharge teaching
Rationale: Sudden confusion may indicate neurologic changes; urgent.
9. The nurse suspects a coworker is diverting narcotics. What is the appropriate action?
A. Confront the coworker directly
✓ B. Report the suspicion to the charge nurse
2
C. Ignore it unless it happens again
Page
EXAMPREPMASTER
,D. Ask another staff member to investigate
Rationale: Reporting up the chain of command is required.
10. Which task can the RN delegate to the AP?
A. Assessing circulation to a casted limb
✓ B. Obtaining routine vital signs
C. Teaching the use of an incentive spirometer
D. Evaluating pain relief
Rationale: Vital signs are within AP scope; assessments require RN.
11. A nurse is floating to a surgical unit. Which assignment is most appropriate?
A. Fresh postoperative abdominal surgery
✓ B. Stable client 2 days post-op hip replacement
C. Immediate post-op thoracic surgery
D. Chest tube insertion observation
Rationale: Float nurses receive stable clients only.
12. Which action is considered an ethical dilemma?
A. Deciding who can visit a client
✓ B. Conflict between autonomy and beneficence
C. Choosing a priority client
D. Administering scheduled meds
Rationale: Ethical dilemmas involve conflicting moral principles.
13. A client has a new pressure injury. Which action by the AP requires intervention?
A. Turning client every 2 hours
B. Offering high-protein snacks
✓ C. Massaging reddened areas
D. Keeping sheets wrinkle-free
Rationale: Massaging reddened areas worsens tissue injury.
3
Page
EXAMPREPMASTER
, 14. What should the nurse do first during a fire alarm?
✓ A. Move ambulatory clients from immediate danger
B. Extinguish the fire
C. Close all fire doors
D. Pull the fire alarm
Rationale: RACE protocol — Rescue is always first.
15. Which statement by the AP indicates a need for further teaching?
A. “I will wear gloves when bathing clients.”
✓ B. “I can remove an IV line when the client is discharged.”
C. “I will report urine output less than 30 mL/hr.”
D. “I can help position the client.”
Rationale: APs cannot remove IVs.
16. Which task should the nurse assign to the LPN?
A. Admission assessment
✓ B. Monitoring a client receiving blood
C. Teaching about iron supplements
D. Interpreting lab values
Rationale: LPN may monitor stable patients receiving blood (RN starts/finishes).
17. The nurse receives four calls. Which should be returned first?
✓ A. Client with new difficulty breathing
B. Client requesting sleeping medication
C. Client with a question about diet
D. Client asking about visiting hours
Rationale: Airway concerns always first.
18. Which action demonstrates conflict resolution using “smoothing”?
A. Addressing the issue directly
✓ B. Focusing on areas of agreement
4
C. Avoiding the conflict entirely
Page
EXAMPREPMASTER
