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1
ATI RN LEADERSHIP PROCTORED EXAM WITH NGN REFLECTING
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AND ANSWERS AS SCREENSHOTS EXAM
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Introduction
The#ATI# RN#Leadership#Proctored#Exam#evaluates#a#nurse’s#knowledge#and#skills#in#leadership,#management,
delegation,#safety,#patient#advocacy,#conflict#resolution,#and#quality#improvement.#The#NGN#format#assesses
critical#thinking,#prioritization,#and#clinical#judgment,#simulating#real-world#decision-making#in#nursing#leadership
roles.
Exam#Structure
Total#Questions:#100#(MCQs#+#NGN-style#items)
Format:
1. Multiple-Choice#Questions#(MCQs)
2. Multiple-Response#Questions#(select#all#that#apply)
3. Ordered#Response#(prioritization)
4. Hot-spot#/#Scenario-based#decision-making
5. Drag-and-Drop#delegation#or#workflow#sequencing
Time:#2–3#hours#recommended
Focus#Areas:
1. Leadership#&#Management#Principles
2. Delegation#&#Supervision
3. Patient#Safety#&#Quality#Improvement
4. Ethical#and#Legal#Considerations
5. Conflict#Resolution#&#Communication
6. Resource#&#Staffing#Management
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2
Q1. Multiple-Choice (MCQ)
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A newly appointed charge nurse notices that staff frequently
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bypass medication administration protocols. The first action
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should be: #
A. Immediately report the staff to administration
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B. Conduct a staff meeting to review protocols and expectations
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C. Ignore the behavior
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D. Document the issue only
# # # #
Answer: B #
Rationale: Reviewing protocols and expectations ensures staff
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understand standards and promotes compliance before
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escalation.
Q2. Multiple-Response (Select All That Apply)
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Which of the following are appropriate tasks to delegate to a
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licensed practical nurse (LPN) on a medical-surgical unit?
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3
A. Administer routine medications
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B. Perform initial patient assessments
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C. Reinforce patient teaching for discharge
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D. Assist with wound care under RN supervision
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Answer: A, C, D # # #
Rationale: LPNs can administer routine medications, assist with
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wound care under supervision, and reinforce teaching. Initial
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assessments are within RN scope. # # # #
Q3. Ordered Response (Prioritization)
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Rank the following tasks in order of priority using Maslow’s
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Hierarchy of Needs: # #
1. Patient reports anxiety about surgery
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2. Patient’s oxygen saturation drops to 85%
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3. Patient requests water
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4. Patient is scheduled for medication administration
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Answer (Priority Order): 2 → 1 → 4 → 3
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Rationale: Physiological needs (oxygen) take highest priority,
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followed by psychological safety, scheduled interventions, and
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comfort needs. #
Q4. Hot-Spot / Scenario-Based
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4
A staff member reports a conflict with another nurse affecting
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patient care. Identify the most appropriate leadership
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intervention on the diagram of a unit workflow. # # # # # # #
Answer: Initiate a private conflict resolution meeting and
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mediate collaboratively. #
Rationale: Addressing interpersonal conflicts promptly
# # # #
maintains team function and patient safety.
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Q5. Multiple-Choice (MCQ)
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A unit manager is creating a staffing schedule. Which principle
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should guide the assignment of nurses?
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A. Assign staff based on personal preferences
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B. Match nurse competencies with patient acuity
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C. Rotate staff randomly
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D. Assign the least experienced nurse to critical patients
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Answer: B #
Rationale: Assigning nurses based on competencies ensures
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safe, high-quality patient care.
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Q6. Drag-and-Drop (Delegation Sequencing)
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Drag the following tasks to the correct provider:
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RN: IV infusion for new central line
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1
ATI RN LEADERSHIP PROCTORED EXAM WITH NGN REFLECTING
# # # # # # #
AND ANSWERS AS SCREENSHOTS EXAM
# # # #
Introduction
The#ATI# RN#Leadership#Proctored#Exam#evaluates#a#nurse’s#knowledge#and#skills#in#leadership,#management,
delegation,#safety,#patient#advocacy,#conflict#resolution,#and#quality#improvement.#The#NGN#format#assesses
critical#thinking,#prioritization,#and#clinical#judgment,#simulating#real-world#decision-making#in#nursing#leadership
roles.
Exam#Structure
Total#Questions:#100#(MCQs#+#NGN-style#items)
Format:
1. Multiple-Choice#Questions#(MCQs)
2. Multiple-Response#Questions#(select#all#that#apply)
3. Ordered#Response#(prioritization)
4. Hot-spot#/#Scenario-based#decision-making
5. Drag-and-Drop#delegation#or#workflow#sequencing
Time:#2–3#hours#recommended
Focus#Areas:
1. Leadership#&#Management#Principles
2. Delegation#&#Supervision
3. Patient#Safety#&#Quality#Improvement
4. Ethical#and#Legal#Considerations
5. Conflict#Resolution#&#Communication
6. Resource#&#Staffing#Management
,#
2
Q1. Multiple-Choice (MCQ)
# #
A newly appointed charge nurse notices that staff frequently
# # # # # # # #
bypass medication administration protocols. The first action
# # # # # #
should be: #
A. Immediately report the staff to administration
# # # # # #
B. Conduct a staff meeting to review protocols and expectations
# # # # # # # # #
C. Ignore the behavior
# # #
D. Document the issue only
# # # #
Answer: B #
Rationale: Reviewing protocols and expectations ensures staff
# # # # # #
understand standards and promotes compliance before
# # # # #
escalation.
Q2. Multiple-Response (Select All That Apply)
# # # # #
Which of the following are appropriate tasks to delegate to a
# # # # # # # # # #
licensed practical nurse (LPN) on a medical-surgical unit?
# # # # # # #
,#
3
A. Administer routine medications
# # #
B. Perform initial patient assessments
# # # #
C. Reinforce patient teaching for discharge
# # # # #
D. Assist with wound care under RN supervision
# # # # # # #
Answer: A, C, D # # #
Rationale: LPNs can administer routine medications, assist with
# # # # # # #
wound care under supervision, and reinforce teaching. Initial
# # # # # # #
assessments are within RN scope. # # # #
Q3. Ordered Response (Prioritization)
# # #
Rank the following tasks in order of priority using Maslow’s
# # # # # # # # #
Hierarchy of Needs: # #
1. Patient reports anxiety about surgery
# # # # #
2. Patient’s oxygen saturation drops to 85%
# # # # # #
3. Patient requests water
# # #
4. Patient is scheduled for medication administration
# # # # # #
Answer (Priority Order): 2 → 1 → 4 → 3
# # # # # # # # #
Rationale: Physiological needs (oxygen) take highest priority,
# # # # # #
followed by psychological safety, scheduled interventions, and
# # # # # #
comfort needs. #
Q4. Hot-Spot / Scenario-Based
# # #
,#
4
A staff member reports a conflict with another nurse affecting
# # # # # # # # #
patient care. Identify the most appropriate leadership
# # # # # #
intervention on the diagram of a unit workflow. # # # # # # #
Answer: Initiate a private conflict resolution meeting and
# # # # # # #
mediate collaboratively. #
Rationale: Addressing interpersonal conflicts promptly
# # # #
maintains team function and patient safety.
# # # # #
Q5. Multiple-Choice (MCQ)
# #
A unit manager is creating a staffing schedule. Which principle
# # # # # # # # #
should guide the assignment of nurses?
# # # # #
A. Assign staff based on personal preferences
# # # # # #
B. Match nurse competencies with patient acuity
# # # # # #
C. Rotate staff randomly
# # #
D. Assign the least experienced nurse to critical patients
# # # # # # # #
Answer: B #
Rationale: Assigning nurses based on competencies ensures
# # # # # #
safe, high-quality patient care.
# # #
Q6. Drag-and-Drop (Delegation Sequencing)
# # #
Drag the following tasks to the correct provider:
# # # # # # #
RN: IV infusion for new central line
# # # # # #
