ATI RN Leadership Proctored Exam Test Bank (5 Version) NGN
2026–2027 Questions with Verified Answers & Rationales
(GUARANTEED PASS)
INTRODUCTION
This ATI RN Leadership Proctored Exam Test Bank is a premium preparation
resource featuring 5 complete versions with Next Generation NCLEX (NGN) style
questions, verified answers, and detailed clinical rationales to ensure first-time
success on the ATI Leadership proctored assessment. Nursing programs with the
highest volume of ATI test-takers—this comprehensive guide covers all leadership
domains including delegation, prioritization, conflict resolution, ethical/legal
issues, and management of care. With high-yield scenarios mirroring actual exam
content and strategies for achieving Level 2 or higher, this A+ graded resource is
the ultimate tool for mastering nursing leadership and management concepts
required for both ATI success and NCLEX-RN readiness.
Question 1
A charge nurse is reviewing the list of tasks to delegate to an Assistive Personnel
(AP). Which of the following tasks should the nurse delegate to the AP?
A. Reapplying a condom catheter for a client who has urinary incontinence.
B. Instructing a client on how to use an incentive spirometer.
C. Checking the skin integrity of a client who has a stage 2 pressure injury.
D. Reviewing a low-sodium diet plan with a client prior to discharge.
,VERIFIED ANSWER: A. Reapplying a condom catheter for a client w ho has
urinary incontinence.
EXPLANATION: Reapplying a condom catheter is a non-invasive, routine task
that does not require clinical judgment or nursing assessment, making it
appropriate to delegate to an AP. Instructing a client on incentive
spirometry (B) and review ing a discharge diet plan (D) both involve client
teaching, w hich is an RN responsibility. Checking skin integrity (C) requires
nursing assessment, w hich cannot be delegated to an AP.
Question 2
A nurse on a medical-surgical unit is prioritizing care for four clients. Which of the
following clients should the nurse assess first?
A. A client who has chronic obstructive pulmonary disease (COPD) and an oxygen
saturation of 89%.
B. A client who had an abdominal hysterectomy 4 hours ago and reports a pain
level of 7 on a scale of 0 to 10.
C. A client who is 2 days postoperative following a total hip arthroplasty and has a
temperature of 38.2°C (100.8°F).
D. A client who has a fresh tracheostomy and has new-onset coarse crackles and
restlessness.
VERIFIED ANSWER: D. A client w ho has a fresh tracheostomy and has new -
onset coarse crackles and restlessness.
EXPLANATION: Using the airw ay, breathing, and circulation (ABC) priority
framew ork, the client w ith a fresh tracheostomy, coarse crackles, and
restlessness indicates potential airw ay obstruction or respiratory distress
,and must be assessed immediately. The client w ith COPD (A) is experiencing
an expected finding for their chronic condition. The postoperative client in
pain (B) and the client w ith a low -grade fever (C) require intervention but
are stable compared to the client w ith an acute airw ay issue.
Question 3
A nurse is preparing to care for a group of clients. Which of the following tasks
should the nurse plan to delegate to a Licensed Practical Nurse (LPN)?
A. Completing an initial admission assessment for a client who has a fractured
femur.
B. Administering an intermittent tube feeding to a client who has a gastrostomy
tube.
C. Developing a plan of care for a client who is newly diagnosed with type 1
diabetes mellitus.
D. Evaluating the effectiveness of an intravenous antiemetic administered to a
client.
VERIFIED ANSWER: B. Administering an intermittent tube feeding to a client
w ho has a gastrostomy tube.
EXPLANATION: Administering enteral feedings via a gastrostomy tube is
w ithin the scope of practice for an LPN, as it involves a stable client and a
standard nursing procedure. Initial admission assessments (A), developing
plans of care (C), and evaluating the clinical effectiveness of intravenous
medications (D) all require advanced nursing judgment, assessment skills,
and critical thinking, w hich are strictly w ithin the scope of practice of the
Registered Nurse (RN).
, Question 4
A nurse is caring for a client who refuses to receive a scheduled blood
transfusion due to religious beliefs. Which of the following actions should the
nurse take first?
A. Document the client's refusal in the medical record.
B. Notify the provider about the client's decision.
C. Explore the client's specific concerns and reasons for refusal.
D. Inform the client about the medical risks of refusing the blood.
VERIFIED ANSWER: C. Explore the client's specific concerns and reasons for
refusal.
EXPLANATION: Using the nursing process, assessment is the first step. The
nurse must explore the client's specific concerns, values, and reasons for
refusal to fully understand the situation and support client autonomy. While
documenting the refusal (A), notifying the provider (B), and explaining the
risks of refusal (D) are all necessary steps in managing a refusal of
treatment, they must occur after the nurse has gathered complete
assessment information from the client.
Question 5
A nurse leader is managing a busy emergency department. The leader makes all
the decisions for the unit, gives strict directives to staff, and rarely seeks input
from team members. The nurse is demonstrating which of the following leadership
styles?
A. Democratic
B. Transformational
2026–2027 Questions with Verified Answers & Rationales
(GUARANTEED PASS)
INTRODUCTION
This ATI RN Leadership Proctored Exam Test Bank is a premium preparation
resource featuring 5 complete versions with Next Generation NCLEX (NGN) style
questions, verified answers, and detailed clinical rationales to ensure first-time
success on the ATI Leadership proctored assessment. Nursing programs with the
highest volume of ATI test-takers—this comprehensive guide covers all leadership
domains including delegation, prioritization, conflict resolution, ethical/legal
issues, and management of care. With high-yield scenarios mirroring actual exam
content and strategies for achieving Level 2 or higher, this A+ graded resource is
the ultimate tool for mastering nursing leadership and management concepts
required for both ATI success and NCLEX-RN readiness.
Question 1
A charge nurse is reviewing the list of tasks to delegate to an Assistive Personnel
(AP). Which of the following tasks should the nurse delegate to the AP?
A. Reapplying a condom catheter for a client who has urinary incontinence.
B. Instructing a client on how to use an incentive spirometer.
C. Checking the skin integrity of a client who has a stage 2 pressure injury.
D. Reviewing a low-sodium diet plan with a client prior to discharge.
,VERIFIED ANSWER: A. Reapplying a condom catheter for a client w ho has
urinary incontinence.
EXPLANATION: Reapplying a condom catheter is a non-invasive, routine task
that does not require clinical judgment or nursing assessment, making it
appropriate to delegate to an AP. Instructing a client on incentive
spirometry (B) and review ing a discharge diet plan (D) both involve client
teaching, w hich is an RN responsibility. Checking skin integrity (C) requires
nursing assessment, w hich cannot be delegated to an AP.
Question 2
A nurse on a medical-surgical unit is prioritizing care for four clients. Which of the
following clients should the nurse assess first?
A. A client who has chronic obstructive pulmonary disease (COPD) and an oxygen
saturation of 89%.
B. A client who had an abdominal hysterectomy 4 hours ago and reports a pain
level of 7 on a scale of 0 to 10.
C. A client who is 2 days postoperative following a total hip arthroplasty and has a
temperature of 38.2°C (100.8°F).
D. A client who has a fresh tracheostomy and has new-onset coarse crackles and
restlessness.
VERIFIED ANSWER: D. A client w ho has a fresh tracheostomy and has new -
onset coarse crackles and restlessness.
EXPLANATION: Using the airw ay, breathing, and circulation (ABC) priority
framew ork, the client w ith a fresh tracheostomy, coarse crackles, and
restlessness indicates potential airw ay obstruction or respiratory distress
,and must be assessed immediately. The client w ith COPD (A) is experiencing
an expected finding for their chronic condition. The postoperative client in
pain (B) and the client w ith a low -grade fever (C) require intervention but
are stable compared to the client w ith an acute airw ay issue.
Question 3
A nurse is preparing to care for a group of clients. Which of the following tasks
should the nurse plan to delegate to a Licensed Practical Nurse (LPN)?
A. Completing an initial admission assessment for a client who has a fractured
femur.
B. Administering an intermittent tube feeding to a client who has a gastrostomy
tube.
C. Developing a plan of care for a client who is newly diagnosed with type 1
diabetes mellitus.
D. Evaluating the effectiveness of an intravenous antiemetic administered to a
client.
VERIFIED ANSWER: B. Administering an intermittent tube feeding to a client
w ho has a gastrostomy tube.
EXPLANATION: Administering enteral feedings via a gastrostomy tube is
w ithin the scope of practice for an LPN, as it involves a stable client and a
standard nursing procedure. Initial admission assessments (A), developing
plans of care (C), and evaluating the clinical effectiveness of intravenous
medications (D) all require advanced nursing judgment, assessment skills,
and critical thinking, w hich are strictly w ithin the scope of practice of the
Registered Nurse (RN).
, Question 4
A nurse is caring for a client who refuses to receive a scheduled blood
transfusion due to religious beliefs. Which of the following actions should the
nurse take first?
A. Document the client's refusal in the medical record.
B. Notify the provider about the client's decision.
C. Explore the client's specific concerns and reasons for refusal.
D. Inform the client about the medical risks of refusing the blood.
VERIFIED ANSWER: C. Explore the client's specific concerns and reasons for
refusal.
EXPLANATION: Using the nursing process, assessment is the first step. The
nurse must explore the client's specific concerns, values, and reasons for
refusal to fully understand the situation and support client autonomy. While
documenting the refusal (A), notifying the provider (B), and explaining the
risks of refusal (D) are all necessary steps in managing a refusal of
treatment, they must occur after the nurse has gathered complete
assessment information from the client.
Question 5
A nurse leader is managing a busy emergency department. The leader makes all
the decisions for the unit, gives strict directives to staff, and rarely seeks input
from team members. The nurse is demonstrating which of the following leadership
styles?
A. Democratic
B. Transformational
