ATI RN Leadership & Management Proctored
Exam — 100 Original Practice Questions
Versions 1 & 2 Study Edition | ANSWERs &
Rationales | 2026
VERSION 1 — QUESTIONS 1–50
1. Delegation
A registered nurse is caring for four clients. Which task is appropriate for the nurse to delegate to
assistive personnel (AP)?
A. Assess a client who reports new chest pain
B. Obtain vital signs for a stable postoperative client
C. Teach a client how to use an incentive spirometer
D. Evaluate a client's response to an antihypertensive medication
ANSWER: B
Rationale: Obtaining routine vital signs for a stable client is within the AP's role. Assessment, teaching,
and evaluation require RN-level judgment.
2. Prioritization
Which client should the nurse assess first?
,A. Client requesting assistance with bathing
B. Client with chronic arthritis reporting pain of 6/10
C. Client with COPD whose oxygen saturation decreased from 94% to 84%
D. Client awaiting discharge instructions
ANSWER: C
Rationale: An acute decrease in oxygen saturation indicates a potential airway or breathing problem and
takes priority.
3. Leadership Style
A nurse manager encourages staff members to participate in decisions and openly share ideas. Which
leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
ANSWER: B
Rationale: Democratic leadership emphasizes participation, collaboration, and shared decision-making.
4. Informed Consent
A client has limited English proficiency and is preparing for surgery. What should the nurse do?
,A. Ask a family member to translate
B. Use a qualified medical interpreter
C. Ask another client to interpret
D. Proceed because the procedure is routine
ANSWER: B
Rationale: A qualified interpreter promotes accurate communication and protects the client's right to
informed decision-making.
5. Conflict Resolution
Two nurses disagree about the assignment and refuse to communicate. Which approach is most
appropriate when the issue requires a lasting solution?
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
ANSWER: C
Rationale: Collaboration seeks a mutually acceptable solution and addresses the underlying concerns of
both parties.
6. Scope of Practice
Which action by an RN demonstrates appropriate delegation?
A. Delegating assessment of a newly admitted client to an AP
, B. Delegating medication administration to an AP regardless of policy
C. Assigning routine hygiene care to an AP
D. Asking an AP to determine whether a client needs suctioning
ANSWER: C
Rationale: Routine hygiene is appropriate for APs. Assessment, clinical judgment, and nursing decisions
cannot be delegated.
7. Incident Reporting
A nurse discovers that a client received the wrong medication. What should the nurse do first?
A. Complete an incident report
B. Notify the risk-management department
C. Assess the client
D. Document the error in the incident report only
ANSWER: C
Rationale: Client safety is the immediate priority. The nurse should assess the client and initiate
appropriate treatment before completing administrative reporting.
8. Quality Improvement
Which activity is an example of a process audit?
A. Measuring the number of falls on a unit
B. Reviewing whether nurses perform hand hygiene according to policy
Exam — 100 Original Practice Questions
Versions 1 & 2 Study Edition | ANSWERs &
Rationales | 2026
VERSION 1 — QUESTIONS 1–50
1. Delegation
A registered nurse is caring for four clients. Which task is appropriate for the nurse to delegate to
assistive personnel (AP)?
A. Assess a client who reports new chest pain
B. Obtain vital signs for a stable postoperative client
C. Teach a client how to use an incentive spirometer
D. Evaluate a client's response to an antihypertensive medication
ANSWER: B
Rationale: Obtaining routine vital signs for a stable client is within the AP's role. Assessment, teaching,
and evaluation require RN-level judgment.
2. Prioritization
Which client should the nurse assess first?
,A. Client requesting assistance with bathing
B. Client with chronic arthritis reporting pain of 6/10
C. Client with COPD whose oxygen saturation decreased from 94% to 84%
D. Client awaiting discharge instructions
ANSWER: C
Rationale: An acute decrease in oxygen saturation indicates a potential airway or breathing problem and
takes priority.
3. Leadership Style
A nurse manager encourages staff members to participate in decisions and openly share ideas. Which
leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
ANSWER: B
Rationale: Democratic leadership emphasizes participation, collaboration, and shared decision-making.
4. Informed Consent
A client has limited English proficiency and is preparing for surgery. What should the nurse do?
,A. Ask a family member to translate
B. Use a qualified medical interpreter
C. Ask another client to interpret
D. Proceed because the procedure is routine
ANSWER: B
Rationale: A qualified interpreter promotes accurate communication and protects the client's right to
informed decision-making.
5. Conflict Resolution
Two nurses disagree about the assignment and refuse to communicate. Which approach is most
appropriate when the issue requires a lasting solution?
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
ANSWER: C
Rationale: Collaboration seeks a mutually acceptable solution and addresses the underlying concerns of
both parties.
6. Scope of Practice
Which action by an RN demonstrates appropriate delegation?
A. Delegating assessment of a newly admitted client to an AP
, B. Delegating medication administration to an AP regardless of policy
C. Assigning routine hygiene care to an AP
D. Asking an AP to determine whether a client needs suctioning
ANSWER: C
Rationale: Routine hygiene is appropriate for APs. Assessment, clinical judgment, and nursing decisions
cannot be delegated.
7. Incident Reporting
A nurse discovers that a client received the wrong medication. What should the nurse do first?
A. Complete an incident report
B. Notify the risk-management department
C. Assess the client
D. Document the error in the incident report only
ANSWER: C
Rationale: Client safety is the immediate priority. The nurse should assess the client and initiate
appropriate treatment before completing administrative reporting.
8. Quality Improvement
Which activity is an example of a process audit?
A. Measuring the number of falls on a unit
B. Reviewing whether nurses perform hand hygiene according to policy
