ATI LEADERSHIP PRACTICE TEST EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A |LATEST EXAM UPDATE 2026/2027..
CORE DOMAINS
* Prioritization and Delegation
* Conflict Resolution
* Ethical and Legal Decision-Making
* Healthcare Informatics and Data Security
* Quality Improvement and Risk Management
* Staff Development and Mentorship
* Resource Allocation and Budgeting
* Evidence-Based Practice Management
INTRODUCTION
*The purpose of this examination is to evaluate the clinical leadership and management competencies essential for professional nur
SECTION ONE: QUESTIONS 1–100
A nurse manager is preparing to conduct an annual performance appraisal for a staff nurse. Which of the following actions should the
manager take to ensure a fair and effective process?
A. Focus primarily on the most recent incident involving the nurse.
B. Compare the nurse’s performance against established standards and job descriptions.
C. Include peer feedback without verifying the accuracy of the observations.
D. Use the appraisal as a primary forum to address unresolved interpersonal conflicts.
🟢B
🔴 RATIONALE: Performance appraisals should be based on objective criteria, established standards, and specific job descriptions
rather than subjective impressions or recent isolated events.
A charge nurse observes a newly licensed nurse failing to verify a medication dosage with another nurse before administering a high-
alert medication. Which action should the charge nurse take first?
A. Document the error in the nurse’s permanent personnel file.
B. Discuss the incident with the nurse in private immediately.
, C. Report the nurse to the state board of nursing.
D. Require the nurse to attend a remedial pharmacology course.
🟢B
🔴 RATIONALE: The first step in addressing a performance deficit is immediate, private feedback to ensure the nurse understands the
safety protocol and the rationale behind it.
Which of the following delegation tasks is appropriate for a registered nurse (RN) to assign to an assistive personnel (AP)?
A. Assessing the skin integrity of a patient with a pressure ulcer.
B. Educating a patient on the side effects of a new antihypertensive medication.
C. Measuring and recording the urinary output of a patient with an indwelling catheter.
D. Determining the nursing diagnosis for a patient admitted with pneumonia.
🟢C
🔴 RATIONALE: APs can perform routine, non-invasive tasks such as measuring intake and output, while assessment, education, and
diagnosis are within the scope of practice of an RN.
A nurse leader is implementing a change in the electronic health record (EHR) documentation process. According to Lewin’s Change
Theory, which stage involves reinforcing the new behavior?
A. Unfreezing
B. Moving
C. Refreezing
D. Transitioning
🟢C
🔴 RATIONALE: Refreezing is the stage in Lewin’s model where the change is integrated into the culture and stabilized to prevent a
regression to previous behaviors.
A hospital committee is reviewing the budget. Which type of budget focuses on the anticipated revenue and expenses for the upcoming
fiscal year?
A. Operating budget
B. Capital budget
C. Personnel budget
D. Cash budget
🟢A
🔴 RATIONALE: The operating budget covers the daily costs of running the unit, including supplies, utilities, and daily operations,
based on projected revenue and expenses.
Q&A |LATEST EXAM UPDATE 2026/2027..
CORE DOMAINS
* Prioritization and Delegation
* Conflict Resolution
* Ethical and Legal Decision-Making
* Healthcare Informatics and Data Security
* Quality Improvement and Risk Management
* Staff Development and Mentorship
* Resource Allocation and Budgeting
* Evidence-Based Practice Management
INTRODUCTION
*The purpose of this examination is to evaluate the clinical leadership and management competencies essential for professional nur
SECTION ONE: QUESTIONS 1–100
A nurse manager is preparing to conduct an annual performance appraisal for a staff nurse. Which of the following actions should the
manager take to ensure a fair and effective process?
A. Focus primarily on the most recent incident involving the nurse.
B. Compare the nurse’s performance against established standards and job descriptions.
C. Include peer feedback without verifying the accuracy of the observations.
D. Use the appraisal as a primary forum to address unresolved interpersonal conflicts.
🟢B
🔴 RATIONALE: Performance appraisals should be based on objective criteria, established standards, and specific job descriptions
rather than subjective impressions or recent isolated events.
A charge nurse observes a newly licensed nurse failing to verify a medication dosage with another nurse before administering a high-
alert medication. Which action should the charge nurse take first?
A. Document the error in the nurse’s permanent personnel file.
B. Discuss the incident with the nurse in private immediately.
, C. Report the nurse to the state board of nursing.
D. Require the nurse to attend a remedial pharmacology course.
🟢B
🔴 RATIONALE: The first step in addressing a performance deficit is immediate, private feedback to ensure the nurse understands the
safety protocol and the rationale behind it.
Which of the following delegation tasks is appropriate for a registered nurse (RN) to assign to an assistive personnel (AP)?
A. Assessing the skin integrity of a patient with a pressure ulcer.
B. Educating a patient on the side effects of a new antihypertensive medication.
C. Measuring and recording the urinary output of a patient with an indwelling catheter.
D. Determining the nursing diagnosis for a patient admitted with pneumonia.
🟢C
🔴 RATIONALE: APs can perform routine, non-invasive tasks such as measuring intake and output, while assessment, education, and
diagnosis are within the scope of practice of an RN.
A nurse leader is implementing a change in the electronic health record (EHR) documentation process. According to Lewin’s Change
Theory, which stage involves reinforcing the new behavior?
A. Unfreezing
B. Moving
C. Refreezing
D. Transitioning
🟢C
🔴 RATIONALE: Refreezing is the stage in Lewin’s model where the change is integrated into the culture and stabilized to prevent a
regression to previous behaviors.
A hospital committee is reviewing the budget. Which type of budget focuses on the anticipated revenue and expenses for the upcoming
fiscal year?
A. Operating budget
B. Capital budget
C. Personnel budget
D. Cash budget
🟢A
🔴 RATIONALE: The operating budget covers the daily costs of running the unit, including supplies, utilities, and daily operations,
based on projected revenue and expenses.
