ATI RN Leadership Practice Exam Question Bank (2025–2026 Updated) [exam-ready Answers[
(630)
A client is brought to the emergency department B* Document the client‟s refusal in the chart.
following a motor-vehicle crash. Drug use is suspected in
the crash, and a voided urine specimen is ordered. The
client repeatedly refuses to provide the specimen. Which
of the following is the appropriate action by the nurse?
A nurse is making shift assignments in a hospital. Which Administer a nasogastric tube feeding.
of the following tasks is appropriate to assign to a
licensed practical nurse?
A nurse preceptor is evaluating a newly licensed nurse‟s b. Opens the sterile pack by first unfolding the top flap away from her body
competency in assisting with a sterile procedure. Which d. Removes the outside packaging of a sterile instrument before dropping it onto
of the following actions indicates the newly licensed the sterile field
nurse is maintaining sterile technique? (SATA)
A nurse enters a client‟s room and identifies that the Auscultate the client‟s lungs.
client is receiving too much IV fluid because the IV pump
is not working properly. Which of the following actions
should the nurse take first?
A nurse is planning care for a group of clients and can Reinforcing teaching with a client who is learning to self-administer insulin
delegate care to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should
the nurse assign to the LPN?
A nurse is supervising a newly licensed nurse who is The nurse holds her hands above her waist.
performing surgical asepsis. After donning a sterile gown
and gloves, which of the following actions by the newly
licensed nurse demonstrates correct aseptic technique?
A nurse who is caring for a group of clients delegates Recheck vital signs that are outside the expected reference range.
collection of vital signs to an assistive personnel (AP).
Which of the following actions should the nurse take to
evaluate the delegated task?
A nurse is caring for four clients. Which of the following Obtaining a stool sample from a client who has renal failure
tasks can be delegated to an assistive personnel?
A nurse is triaging a group of clients following a disaster. A client who has two open chest wounds with a left tracheal deviation
Which of the following clients should the nurse
recommend for treatment first?
A nurse manager is reviewing guidelines for informed "Consent can be given by a durable power of attorney."
consent with the nursing staff. Which of the following
statements by a staff nurse indicates that the teaching
was effective?
A nurse is caring for four clients. For which of the An adolescent client whose parents refuse a blood transfusion for religious
following clients should the nurse collaborate with the reasons
facility ethics committee?
A nurse in an ambulatory care setting is orient a newly Establishing communication between providers
licensed nurse who is preparing to return a call to a
client. The nurse should explain that which of the
following is an objective of telehealth?
A nurse is providing discharge teaching to a client who Refer the client to the social services department
has a new diagnosis of diabetes. The client expresses
concern about the cost of blood-glucose monitoring
supplies. Which of the following actions should the nurse
take?
A charge nurse is receiving change-of-shift report. Which The emergency department nurse is waiting to give report on a new admission.
of the following situations should the charge nurse
address first?
Page 1
,ATI RN Leadership Practice Exam Question Bank (2025–2026 Updated) [exam-ready Answers[
A nurse who is precepting a newly licensed nurse is Determine client care goals (set/plan goals)
discussing the client assignment for the shift. Which of
the following actions should the nurse preceptor take first
to demonstrate appropriate time management?
A charge nurse is reviewing information about HIPAA "HIPAA allows clients to request a review of their own medical records."
with a group of staff nurses. Which of the following
statements by a staff nurse indicates understanding?
A nurse is caring for a client who has a tumor. The Whether the client understands the risk of refusing the procedure
provider recommends surgery. The client refuses, but the
client‟s partner wants the surgery performed. Which of
the following is the deciding factor in determining if the
surgery will be done?
A charge nurse is planning the care of four newborns. An Administer a hepatitis B vaccine.
assistive personnel and licensed practical nurse are
available for staffing. Which of the following tasks should
the nurse assign to a licensed practical nurse?
During a staff meeting a unit manager reviews the results Determine factors that interfere with the documentation of client education.
for documenting client education and finds that they are
below the benchmark. Which of the following strategies
should the nurse manager implement first?
A nurse is explaining ethics and values to a newly Nonmaleficence
licensed nurse. The nurse should explain that preventing
client injury by removing a fall hazard demonstrates
which of the following ethical principles?
A nurse is caring for a group of clients. Which of the A client who has a nasogastric tube and has crackles in the lungs (ABC-- airway)
following clients should the nurse plan to assess first?
A charge nurse is planning to evacuate clients on the unit A client who is receiving IV chemotherapy and is ambulatory
because there is a fire on another floor. Which of the
following clients should the nurse evacuate first?
A nurse enters the room of a client who is unconscious Log out the computer so that the client‟s son is unable to view his mother‟s
and finds that the client‟s son is reading her electronic information.
medical records from a monitor located at the bedside.
Which of the following actions should the nurse take
first?
A nurse is preparing a client for cardiac catheterization. Notify the provider about the client‟s concerns.
Just before the procedure, the client asks the nurse
about the risks of the procedure. Which of the following
actions should the nurse take?
A nurse is prioritizing care after receiving change-of-shift A client who reports indigestion and pain in her jaw
report on four clients. Which of the following clients
should the nurse assess first?
A charge nurse notices that two staff nurses are not Determine the reasons the nurses are not taking scheduled breaks. Assess first
taking meal breaks during their shifts. Which of the
following actions should the nurse take first?
A nurse is preparing to delegate bathing and turning of a Has data been collected about specific client needs related to turning?
newly admitted client who has end-stage bone cancer to (Assessment of holistic care r/t pt needs and what the experienced AP can do)
an experienced assistive personnel (AP). Which of the
following assessments should the nurse make before
delegating care?
A nurse is preparing to transfer a client from the The client‟s vital signs
emergency department to a medicalsurgical unit using
the SBAR communication tool. Which of the following
information should the nurse include in the background
portion of the report?
Page 2
,ATI RN Leadership Practice Exam Question Bank (2025–2026 Updated) [exam-ready Answers[
A nurse is planning discharge for a client who has "I will need assistance with bathing."
rheumatoid arthritis. Which of the following statements
by the client should the nurse identify as an indication
that a referral to an occupation therapist is necessary?
A nurse in the emergency department is caring for a 16- Attempt to notify the client‟s guardian to obtain consent.
year-old client who reports abdominal pain and is
accompanied by an adult neighbor. The provider
diagnoses a ruptured appendix and states that the client
requires an emergency appendectomy. Which of the
following actions should the nurse?
A nurse on a medical-surgical unit is caring for four A client who had a cardiac catheterization whose capillary refill in the great toe is
clients. Which of the following findings is the highest 4 seconds
priority?
A charge nurse suspects that a staff nurse is chemically Collect data about the staff nurse to support further action
impaired. Which of the following actions should the
charge nurse take?
A nurse is assessing a client‟s comprehension of a "I might have to wear a nose clip during this test."
pulmonary function test prior to the procedure. Which of
the following client statements indicates to the nurse an
understanding of the procedure?
A nurse in the emergency department is triaging four An older adult client who has dyspnea and a respiratory rate of 26/min
clients. Which of the following clients should the nurse
recommend to be examined first?
A home health nurse finds piles of newspapers in the Collaborating
hallway of a client‟s home. The nurse explains the need
to discard the newspapers for safety reasons. The client
agrees to move the newspapers into the living room.
Which of the following conflict resolution strategies has
the nurse used?
A nurse is planning to delegate client care assignments. Performing post mortem care prior to transferring the client to the morgue
Which of the following tasks should the nurse plan to
delegate to an assistive personnel?
A nurse is providing discharge teaching to a client b.Contact information for the physical therapist
following a total knee arthroplasty. Which of the following c. Medication guidelines information
information should the nurse include (SATA) e. Information about follow-up care
A nurse is planning to discharge a client who has "It makes it possible for you to have some time away from caring for your wife."
terminal cancer and suggests that the family might
benefit from respite services. When the client‟s partner
asks how this service can help, which of the following
responses by the nurse is appropriate?
A nurse is teaching a client how to use a finger-stick Warm the hands prior to piercing the skin.
glucometer at home. Which of the following instructions
should the nurse include?
A nurse is assessing a client who had a recent stroke. Unilateral neglect -is one of the disabling features of stroke, and is defined as a
Which of the following findings should indicate the need failure to attend to the side opposite a brain lesion.
for referral to an occupational therapist?
A nurse is participating in the development of a disaster A sufficient supply of personal protective equipment
management plan for a hospital. The nurse should
recognize that which of the following resources is the
highest priority to have available in response to a
bioterrorism event?
A nurse in a clinic is reviewing laboratory reports for a Pertussis
group of clients. Which of the following diseases should
the nurse report to the state health department?
Page 3
, ATI RN Leadership Practice Exam Question Bank (2025–2026 Updated) [exam-ready Answers[
A charge nurse is teaching a newly licensed nurse about Chlorine bleach
proper cleaning of equipment used for a client who has
Clostridium difficile. Which of the following solutions
should the nurse recommend to clean the equipment?
A nurse is assessing an older adult client who was Ask the client‟s son to go to the waiting area
brought to the emergency department by his adult son,
who reports that the client fell at home. The nurse
suspects elder abuse. Which of the following actions
should the nurse take?
A nurse is completing discharge teaching with a client "I should have a sputum culture done every 2 to 4 weeks."
who is being treated for tuberculosis (TB). Which of the
following statements by the client indicates an
understanding of the teaching?
An older adult client is awaiting surgery for a fractured Recording the client‟s vital signs
right hip. The nurse should recognize that which of the
following can be delegated to an assistive personnel?
A charge nurse in the newborn nursery is delegating Obtain the weight of a newborn that is receiving formula
tasks to an assistive personnel (AP). Which of the
following is an appropriate task for the AP?
A nurse is orienting a newly licensed nurse about the use "I will remove a client‟s restraints every 4 hours."
of restraints. Which of the following statements by the
newly licensed nurse indicates an understanding of the
teaching?
An infection control nurse is planning an education Mumps
program for a group of newly licensed nurses. Which of
the following infections should the nurse include when
discussing illnesses requiring droplet precautions?
A nurse is caring for a client who has cancer. The client "Hospice care is a multidisciplinary program for clients who are terminally ill."
and her partner are asking the nurse about hospice are.
Which of the following statements by the nurse is
appropriate?
A nurse is planning care for a client who has Addison‟s Remind the client to change positions slowly
disease. Which of the following tasks should the nurse
plan to delegate to an assistive personnel?
A charge nurse discovers that a staff nurse on the unit Ask the nurse to describe her medication administration procedure. (1)
has made repeated medication errors. Which of the
following actions should the charge nurse take first?
A case manager is reviewing documentation on several a. Libel : talking bad about someone via writing it in notes
clients and notes a progress report that falsely identifies
a client as HIV-positive due to multiple sexual partners.
The nurse manager should identify that which of the
following torts has occurred?
A nurse is preparing a client for an elective mastectomy. Place the client‟s ring in the facility safe.
The client is wearing a plain gold wedding band. Which
of the following is an appropriate procedure for taking
care of this client‟s ring?
A nurse is prioritizing postpartum care for four clients. Check uterine tone for a client who received methylergonovine- if the uterine
Which of the following actions should the nurse take tone is not
first?
A hospice nurse is caring for a client who has a terminal Continue the medication dosages that relieve the client‟s pain
illness and reports severe pain. After the nurse
administers the prescribed opioid and benzodiazepine,
the client becomes somnolent and difficult to arouse.
Which of the following actions should the nurse take?
Page 4
(630)
A client is brought to the emergency department B* Document the client‟s refusal in the chart.
following a motor-vehicle crash. Drug use is suspected in
the crash, and a voided urine specimen is ordered. The
client repeatedly refuses to provide the specimen. Which
of the following is the appropriate action by the nurse?
A nurse is making shift assignments in a hospital. Which Administer a nasogastric tube feeding.
of the following tasks is appropriate to assign to a
licensed practical nurse?
A nurse preceptor is evaluating a newly licensed nurse‟s b. Opens the sterile pack by first unfolding the top flap away from her body
competency in assisting with a sterile procedure. Which d. Removes the outside packaging of a sterile instrument before dropping it onto
of the following actions indicates the newly licensed the sterile field
nurse is maintaining sterile technique? (SATA)
A nurse enters a client‟s room and identifies that the Auscultate the client‟s lungs.
client is receiving too much IV fluid because the IV pump
is not working properly. Which of the following actions
should the nurse take first?
A nurse is planning care for a group of clients and can Reinforcing teaching with a client who is learning to self-administer insulin
delegate care to a licensed practical nurse (LPN) and an
assistive personnel. Which of the following tasks should
the nurse assign to the LPN?
A nurse is supervising a newly licensed nurse who is The nurse holds her hands above her waist.
performing surgical asepsis. After donning a sterile gown
and gloves, which of the following actions by the newly
licensed nurse demonstrates correct aseptic technique?
A nurse who is caring for a group of clients delegates Recheck vital signs that are outside the expected reference range.
collection of vital signs to an assistive personnel (AP).
Which of the following actions should the nurse take to
evaluate the delegated task?
A nurse is caring for four clients. Which of the following Obtaining a stool sample from a client who has renal failure
tasks can be delegated to an assistive personnel?
A nurse is triaging a group of clients following a disaster. A client who has two open chest wounds with a left tracheal deviation
Which of the following clients should the nurse
recommend for treatment first?
A nurse manager is reviewing guidelines for informed "Consent can be given by a durable power of attorney."
consent with the nursing staff. Which of the following
statements by a staff nurse indicates that the teaching
was effective?
A nurse is caring for four clients. For which of the An adolescent client whose parents refuse a blood transfusion for religious
following clients should the nurse collaborate with the reasons
facility ethics committee?
A nurse in an ambulatory care setting is orient a newly Establishing communication between providers
licensed nurse who is preparing to return a call to a
client. The nurse should explain that which of the
following is an objective of telehealth?
A nurse is providing discharge teaching to a client who Refer the client to the social services department
has a new diagnosis of diabetes. The client expresses
concern about the cost of blood-glucose monitoring
supplies. Which of the following actions should the nurse
take?
A charge nurse is receiving change-of-shift report. Which The emergency department nurse is waiting to give report on a new admission.
of the following situations should the charge nurse
address first?
Page 1
,ATI RN Leadership Practice Exam Question Bank (2025–2026 Updated) [exam-ready Answers[
A nurse who is precepting a newly licensed nurse is Determine client care goals (set/plan goals)
discussing the client assignment for the shift. Which of
the following actions should the nurse preceptor take first
to demonstrate appropriate time management?
A charge nurse is reviewing information about HIPAA "HIPAA allows clients to request a review of their own medical records."
with a group of staff nurses. Which of the following
statements by a staff nurse indicates understanding?
A nurse is caring for a client who has a tumor. The Whether the client understands the risk of refusing the procedure
provider recommends surgery. The client refuses, but the
client‟s partner wants the surgery performed. Which of
the following is the deciding factor in determining if the
surgery will be done?
A charge nurse is planning the care of four newborns. An Administer a hepatitis B vaccine.
assistive personnel and licensed practical nurse are
available for staffing. Which of the following tasks should
the nurse assign to a licensed practical nurse?
During a staff meeting a unit manager reviews the results Determine factors that interfere with the documentation of client education.
for documenting client education and finds that they are
below the benchmark. Which of the following strategies
should the nurse manager implement first?
A nurse is explaining ethics and values to a newly Nonmaleficence
licensed nurse. The nurse should explain that preventing
client injury by removing a fall hazard demonstrates
which of the following ethical principles?
A nurse is caring for a group of clients. Which of the A client who has a nasogastric tube and has crackles in the lungs (ABC-- airway)
following clients should the nurse plan to assess first?
A charge nurse is planning to evacuate clients on the unit A client who is receiving IV chemotherapy and is ambulatory
because there is a fire on another floor. Which of the
following clients should the nurse evacuate first?
A nurse enters the room of a client who is unconscious Log out the computer so that the client‟s son is unable to view his mother‟s
and finds that the client‟s son is reading her electronic information.
medical records from a monitor located at the bedside.
Which of the following actions should the nurse take
first?
A nurse is preparing a client for cardiac catheterization. Notify the provider about the client‟s concerns.
Just before the procedure, the client asks the nurse
about the risks of the procedure. Which of the following
actions should the nurse take?
A nurse is prioritizing care after receiving change-of-shift A client who reports indigestion and pain in her jaw
report on four clients. Which of the following clients
should the nurse assess first?
A charge nurse notices that two staff nurses are not Determine the reasons the nurses are not taking scheduled breaks. Assess first
taking meal breaks during their shifts. Which of the
following actions should the nurse take first?
A nurse is preparing to delegate bathing and turning of a Has data been collected about specific client needs related to turning?
newly admitted client who has end-stage bone cancer to (Assessment of holistic care r/t pt needs and what the experienced AP can do)
an experienced assistive personnel (AP). Which of the
following assessments should the nurse make before
delegating care?
A nurse is preparing to transfer a client from the The client‟s vital signs
emergency department to a medicalsurgical unit using
the SBAR communication tool. Which of the following
information should the nurse include in the background
portion of the report?
Page 2
,ATI RN Leadership Practice Exam Question Bank (2025–2026 Updated) [exam-ready Answers[
A nurse is planning discharge for a client who has "I will need assistance with bathing."
rheumatoid arthritis. Which of the following statements
by the client should the nurse identify as an indication
that a referral to an occupation therapist is necessary?
A nurse in the emergency department is caring for a 16- Attempt to notify the client‟s guardian to obtain consent.
year-old client who reports abdominal pain and is
accompanied by an adult neighbor. The provider
diagnoses a ruptured appendix and states that the client
requires an emergency appendectomy. Which of the
following actions should the nurse?
A nurse on a medical-surgical unit is caring for four A client who had a cardiac catheterization whose capillary refill in the great toe is
clients. Which of the following findings is the highest 4 seconds
priority?
A charge nurse suspects that a staff nurse is chemically Collect data about the staff nurse to support further action
impaired. Which of the following actions should the
charge nurse take?
A nurse is assessing a client‟s comprehension of a "I might have to wear a nose clip during this test."
pulmonary function test prior to the procedure. Which of
the following client statements indicates to the nurse an
understanding of the procedure?
A nurse in the emergency department is triaging four An older adult client who has dyspnea and a respiratory rate of 26/min
clients. Which of the following clients should the nurse
recommend to be examined first?
A home health nurse finds piles of newspapers in the Collaborating
hallway of a client‟s home. The nurse explains the need
to discard the newspapers for safety reasons. The client
agrees to move the newspapers into the living room.
Which of the following conflict resolution strategies has
the nurse used?
A nurse is planning to delegate client care assignments. Performing post mortem care prior to transferring the client to the morgue
Which of the following tasks should the nurse plan to
delegate to an assistive personnel?
A nurse is providing discharge teaching to a client b.Contact information for the physical therapist
following a total knee arthroplasty. Which of the following c. Medication guidelines information
information should the nurse include (SATA) e. Information about follow-up care
A nurse is planning to discharge a client who has "It makes it possible for you to have some time away from caring for your wife."
terminal cancer and suggests that the family might
benefit from respite services. When the client‟s partner
asks how this service can help, which of the following
responses by the nurse is appropriate?
A nurse is teaching a client how to use a finger-stick Warm the hands prior to piercing the skin.
glucometer at home. Which of the following instructions
should the nurse include?
A nurse is assessing a client who had a recent stroke. Unilateral neglect -is one of the disabling features of stroke, and is defined as a
Which of the following findings should indicate the need failure to attend to the side opposite a brain lesion.
for referral to an occupational therapist?
A nurse is participating in the development of a disaster A sufficient supply of personal protective equipment
management plan for a hospital. The nurse should
recognize that which of the following resources is the
highest priority to have available in response to a
bioterrorism event?
A nurse in a clinic is reviewing laboratory reports for a Pertussis
group of clients. Which of the following diseases should
the nurse report to the state health department?
Page 3
, ATI RN Leadership Practice Exam Question Bank (2025–2026 Updated) [exam-ready Answers[
A charge nurse is teaching a newly licensed nurse about Chlorine bleach
proper cleaning of equipment used for a client who has
Clostridium difficile. Which of the following solutions
should the nurse recommend to clean the equipment?
A nurse is assessing an older adult client who was Ask the client‟s son to go to the waiting area
brought to the emergency department by his adult son,
who reports that the client fell at home. The nurse
suspects elder abuse. Which of the following actions
should the nurse take?
A nurse is completing discharge teaching with a client "I should have a sputum culture done every 2 to 4 weeks."
who is being treated for tuberculosis (TB). Which of the
following statements by the client indicates an
understanding of the teaching?
An older adult client is awaiting surgery for a fractured Recording the client‟s vital signs
right hip. The nurse should recognize that which of the
following can be delegated to an assistive personnel?
A charge nurse in the newborn nursery is delegating Obtain the weight of a newborn that is receiving formula
tasks to an assistive personnel (AP). Which of the
following is an appropriate task for the AP?
A nurse is orienting a newly licensed nurse about the use "I will remove a client‟s restraints every 4 hours."
of restraints. Which of the following statements by the
newly licensed nurse indicates an understanding of the
teaching?
An infection control nurse is planning an education Mumps
program for a group of newly licensed nurses. Which of
the following infections should the nurse include when
discussing illnesses requiring droplet precautions?
A nurse is caring for a client who has cancer. The client "Hospice care is a multidisciplinary program for clients who are terminally ill."
and her partner are asking the nurse about hospice are.
Which of the following statements by the nurse is
appropriate?
A nurse is planning care for a client who has Addison‟s Remind the client to change positions slowly
disease. Which of the following tasks should the nurse
plan to delegate to an assistive personnel?
A charge nurse discovers that a staff nurse on the unit Ask the nurse to describe her medication administration procedure. (1)
has made repeated medication errors. Which of the
following actions should the charge nurse take first?
A case manager is reviewing documentation on several a. Libel : talking bad about someone via writing it in notes
clients and notes a progress report that falsely identifies
a client as HIV-positive due to multiple sexual partners.
The nurse manager should identify that which of the
following torts has occurred?
A nurse is preparing a client for an elective mastectomy. Place the client‟s ring in the facility safe.
The client is wearing a plain gold wedding band. Which
of the following is an appropriate procedure for taking
care of this client‟s ring?
A nurse is prioritizing postpartum care for four clients. Check uterine tone for a client who received methylergonovine- if the uterine
Which of the following actions should the nurse take tone is not
first?
A hospice nurse is caring for a client who has a terminal Continue the medication dosages that relieve the client‟s pain
illness and reports severe pain. After the nurse
administers the prescribed opioid and benzodiazepine,
the client becomes somnolent and difficult to arouse.
Which of the following actions should the nurse take?
Page 4
