ATI LEADERSHIP PROCTORED ACTUAL REAL EXAM
NEWEST VERSION 2026 COMPLITION OF 3 DIFFERENT
FORM/VERSIONS NEWEST VERSION 2026-2027
ACTUAL QUESTION AND CORRECT DETAILED VERIFIED
ANSWERS FROM VERIFIED SOURCES BY EXPERT
RATED A GRADE.
,
, lOMoAR cPSD| 16999568
A nurse tells the unit manager, "I am tired of all the changes on the
unit. If things don't get better, I'm going to quit." Which of the
following responses by the unit manager is appropriate?
A. "You should file a written complaint with hospital administration."
B. "Just stick with it a little longer. Things will get better soon."
C. "So, you are upset about all the changes on the unit?"
D. "I think you have a right to be upset. I am tired of the changes, too."
Correct Answer: C. "So, you are upset about all the changes on the
unit?"
Rationale
This response uses the therapeutic communication technique of
restating, which validates the nurse's feelings and encourages further
expression of concerns. It demonstrates active listening and opens the
door for a constructive dialogue about the issues. Suggesting a written
complaint may escalate the situation prematurely. Telling the nurse to
"stick with it" dismisses her concerns and may increase frustration.
Agreeing with the nurse and expressing personal frustration is
unprofessional and undermines the manager's leadership role by
validating negative feelings rather than addressing the underlying issues
constructively.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A charge nurse notices that two staff nurses are not taking meal
breaks during their shifts. Which of the following actions should the
nurse take first?
A. Provide coverage for the nurses' breaks.
B. Review facility policies for taking scheduled breaks.
, lOMoAR cPSD| 16999568
C. Determine the reasons the nurses are not taking scheduled breaks.
D. Discuss time management strategies with the nurses.
Correct Answer: C. Determine the reasons the nurses are not taking
scheduled breaks.
Rationale
The first step in addressing an issue is to assess the situation by
determining the underlying reasons for the behavior. The nurses may
be skipping breaks due to heavy workloads, staffing issues, personal
preference, or lack of awareness of policies. Understanding the root
cause allows for appropriate intervention. Providing coverage without
understanding the reason may not address the underlying problem.
Reviewing policies and discussing time management are appropriate
but should follow the assessment of the specific reasons.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment
A client has a new permanent pacemaker inserted. Which of the
following home care instructions should the nurse include?
A. Regular programming evaluations can be conducted by telephone.
B. The client should avoid using remote control devices to prevent
dysrhythmias.
C. The client should avoid using a microwave oven to heat food.
D. Swimming could cause the unit to have an electrical short.
Correct Answer: A. Regular programming evaluations can be conducted
by telephone.
Rationale
Permanent pacemakers can be monitored remotely via telephone or
internet-based systems, allowing for routine evaluation without
requiring the client to visit the provider's office. Modern microwave
NEWEST VERSION 2026 COMPLITION OF 3 DIFFERENT
FORM/VERSIONS NEWEST VERSION 2026-2027
ACTUAL QUESTION AND CORRECT DETAILED VERIFIED
ANSWERS FROM VERIFIED SOURCES BY EXPERT
RATED A GRADE.
,
, lOMoAR cPSD| 16999568
A nurse tells the unit manager, "I am tired of all the changes on the
unit. If things don't get better, I'm going to quit." Which of the
following responses by the unit manager is appropriate?
A. "You should file a written complaint with hospital administration."
B. "Just stick with it a little longer. Things will get better soon."
C. "So, you are upset about all the changes on the unit?"
D. "I think you have a right to be upset. I am tired of the changes, too."
Correct Answer: C. "So, you are upset about all the changes on the
unit?"
Rationale
This response uses the therapeutic communication technique of
restating, which validates the nurse's feelings and encourages further
expression of concerns. It demonstrates active listening and opens the
door for a constructive dialogue about the issues. Suggesting a written
complaint may escalate the situation prematurely. Telling the nurse to
"stick with it" dismisses her concerns and may increase frustration.
Agreeing with the nurse and expressing personal frustration is
unprofessional and undermines the manager's leadership role by
validating negative feelings rather than addressing the underlying issues
constructively.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
A charge nurse notices that two staff nurses are not taking meal
breaks during their shifts. Which of the following actions should the
nurse take first?
A. Provide coverage for the nurses' breaks.
B. Review facility policies for taking scheduled breaks.
, lOMoAR cPSD| 16999568
C. Determine the reasons the nurses are not taking scheduled breaks.
D. Discuss time management strategies with the nurses.
Correct Answer: C. Determine the reasons the nurses are not taking
scheduled breaks.
Rationale
The first step in addressing an issue is to assess the situation by
determining the underlying reasons for the behavior. The nurses may
be skipping breaks due to heavy workloads, staffing issues, personal
preference, or lack of awareness of policies. Understanding the root
cause allows for appropriate intervention. Providing coverage without
understanding the reason may not address the underlying problem.
Reviewing policies and discussing time management are appropriate
but should follow the assessment of the specific reasons.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment
A client has a new permanent pacemaker inserted. Which of the
following home care instructions should the nurse include?
A. Regular programming evaluations can be conducted by telephone.
B. The client should avoid using remote control devices to prevent
dysrhythmias.
C. The client should avoid using a microwave oven to heat food.
D. Swimming could cause the unit to have an electrical short.
Correct Answer: A. Regular programming evaluations can be conducted
by telephone.
Rationale
Permanent pacemakers can be monitored remotely via telephone or
internet-based systems, allowing for routine evaluation without
requiring the client to visit the provider's office. Modern microwave
