ATI RN LEADERSHIP PROCTORED EXAM 2026
| PRACTICE QUESTIONS, VERIFIED CORRECT
ANSWERS & DETAILED RATIONALES |
NURSING LEADERSHIP STUDY GUIDE | JUST
RELEASED PDF
MANAGEMENT OF CARE
Question 1
A nurse is developing a discharge plan for a client who will require a wheelchair in
the home. Which resource should the nurse contact to coordinate this equipment?
A) Physical therapy
B) Occupational therapy
C) Social services
D) The provider's office
Correct Answer: C
Rationale: Social services is the appropriate resource for coordinating durable
medical equipment (DME) such as wheelchairs, home oxygen, and other devices
needed for home care. They assist with insurance authorization, community
resources, and discharge planning. Physical therapy evaluates mobility needs,
occupational therapy assesses functional abilities, and the provider prescribes the
equipment, but social services coordinates the actual acquisition and delivery .
Question 2
A nurse is caring for a client who requests a copy of their medical records
immediately. What is the nurse's best response?
A) Provide the client with a copy of the record immediately
B) Explain that the request must be submitted in writing and processed according to
facility policy
C) Inform the client that records cannot be released to patients
D) Direct the client to the medical records department without explanation
Correct Answer: B
Rationale: Clients have a right to access their medical records, but healthcare
facilities typically have policies requiring written requests and may charge a fee for
copying. The nurse should explain the process and facilitate the request rather than
providing immediate access without following protocol .
Question 3
A nurse is preparing a client for transfer to a long-term care facility. Which action
,should the nurse take first?
A) Complete the transfer form
B) Notify the receiving facility
C) Begin discharge planning upon admission
D) Contact the client's family
Correct Answer: C
Rationale: Discharge planning should begin upon admission to ensure continuity of
care and adequate preparation for the transfer. Starting early allows time to
coordinate services, arrange equipment, and involve the client and family in
planning .
Question 4
A charge nurse is observing two nurses having a loud discussion at the nurses'
station about not wanting to care for a client who has drug-resistant tuberculosis.
What is the charge nurse's priority action?
A) Escort the nurses to the nurses' lounge to continue the discussion
B) Make arrangements to take over the client's care
C) Recommend that both nurses be terminated
D) Contact the house supervisor to mediate the conflict
Correct Answer: B
Rationale: The charge nurse should first ensure continuity of client care by making
arrangements to take over the client's care. This addresses the immediate concern
and removes the nurses from a situation where their behavior is unprofessional and
could compromise patient care. Discussion and conflict resolution should follow .
Question 5
A nurse manager notices low staff morale after a policy change. Which action best
addresses this issue?
A) Enforce the policy without discussion
B) Hold a staff meeting to discuss concerns and solutions
C) Ignore the issue to maintain workflow
D) Reassign staff to different units
Correct Answer: B
Rationale: Holding a meeting to discuss concerns reflects transformational
leadership, fostering collaboration and addressing morale. This approach allows staff
to voice concerns, ask questions, and participate in finding solutions. Enforcing
without discussion dismisses staff input, ignoring the issue avoids the problem, and
reassignment does not address the underlying concern .
Question 6
A client is scheduled for surgery and asks the nurse about the risks and benefits of
the procedure. What is the nurse's role regarding informed consent?
,A) Provide a detailed explanation of the procedure and obtain consent
B) Clarify information provided by the provider and witness the signature
C) Make the decision for the client based on best interests
D) Refuse to answer questions and direct all questions to the provider
Correct Answer: B
Rationale: The nurse's role in informed consent is to ensure the client has been
adequately informed, clarify information provided by the provider, and witness the
client's signature. The provider is responsible for explaining the procedure, risks,
benefits, and alternatives. The nurse does not obtain consent or make the decision
for the client .
Question 7
A nurse is caring for a client who is a candidate for organ donation. What is the
nurse's responsibility regarding this situation?
A) Initiate the organ donation process independently
B) Discuss organ donation with the family
C) Support the family's decision and provide resources
D) Notify the organ procurement organization immediately
Correct Answer: C
Rationale: The nurse's role in organ donation is to support the family's decision and
provide resources. Discussions about organ donation are typically initiated by trained
donor coordinators or the provider. The nurse should provide emotional support and
facilitate communication with appropriate resources .
Question 8
A charge nurse is implementing a quality improvement plan to reduce healthcare-
associated infections on a medical-surgical unit. Which finding indicates the plan is
effective?
A) Staff satisfaction scores improved
B) Infection rates decreased over 3 months
C) The number of hand hygiene audits increased
D) Staff attended mandatory education sessions
Correct Answer: B
Rationale: Process indicators such as hand hygiene audits and staff education are
important, but the ultimate measure of a quality improvement plan's effectiveness is
a decrease in infection rates. Outcome indicators (actual client outcomes) provide the
strongest evidence that the quality improvement plan is achieving its intended goal .
Question 9
A nurse is preparing to transfer a client to a rehabilitation facility. Which information
should the nurse include in the change-of-shift report?
A) The steps to follow when providing wound care
, B) The time the client received their last dose of pain medication
C) The belief that the client has a difficult relationship with their son
D) The client's preferred time for bathing
Correct Answer: B
Rationale: The change-of-shift report should include objective, concise information
relevant to the client's immediate care needs, such as the time of the last medication
dose. Subjective opinions, personal judgments, and personal preferences unrelated
to clinical care should be excluded from formal reports .
Question 10
A nurse is auditing medical records on an oncology unit and finds that six of 15
records lack documentation regarding advance directives. What is the nurse's priority
action?
A) Document the finding and submit to administration
B) Meet with nursing staff to review the policy regarding advance directives
C) Notify the provider for each client without documentation
D) Disregard the finding as not clinically significant
Correct Answer: B
Rationale: The nurse manager should meet with nursing staff to review the policy on
advance directives and address the documentation gap. This proactive approach
promotes education and compliance. Submitting the finding alone without
addressing the root cause is insufficient .
Question 11
A client who sustained a concussion is being monitored for complications. Which
client should the nurse assign to a newly licensed nurse?
A) A client who has multiple sclerosis and ataxia
B) A client who sustained a concussion and is being monitored for complications
C) A client who has a brain tumor and is admitted for chemotherapy
D) A client who has Guillain-Barré syndrome and a tracheostomy
Correct Answer: B
Rationale: A client with a concussion who is being monitored for complications is
the most stable and appropriate assignment for a newly licensed nurse. Clients with
complex neurological conditions, active treatment, or airway compromise require
more experienced nurses .
Question 12
A nurse is caring for a client who has a Do-Not-Resuscitate (DNR) order. An assistive
personnel (AP) reports that the client is unresponsive and has no palpable pulse.
What action should the nurse take?
A) Direct the AP to initiate CPR immediately
B) Call a code blue and begin CPR
| PRACTICE QUESTIONS, VERIFIED CORRECT
ANSWERS & DETAILED RATIONALES |
NURSING LEADERSHIP STUDY GUIDE | JUST
RELEASED PDF
MANAGEMENT OF CARE
Question 1
A nurse is developing a discharge plan for a client who will require a wheelchair in
the home. Which resource should the nurse contact to coordinate this equipment?
A) Physical therapy
B) Occupational therapy
C) Social services
D) The provider's office
Correct Answer: C
Rationale: Social services is the appropriate resource for coordinating durable
medical equipment (DME) such as wheelchairs, home oxygen, and other devices
needed for home care. They assist with insurance authorization, community
resources, and discharge planning. Physical therapy evaluates mobility needs,
occupational therapy assesses functional abilities, and the provider prescribes the
equipment, but social services coordinates the actual acquisition and delivery .
Question 2
A nurse is caring for a client who requests a copy of their medical records
immediately. What is the nurse's best response?
A) Provide the client with a copy of the record immediately
B) Explain that the request must be submitted in writing and processed according to
facility policy
C) Inform the client that records cannot be released to patients
D) Direct the client to the medical records department without explanation
Correct Answer: B
Rationale: Clients have a right to access their medical records, but healthcare
facilities typically have policies requiring written requests and may charge a fee for
copying. The nurse should explain the process and facilitate the request rather than
providing immediate access without following protocol .
Question 3
A nurse is preparing a client for transfer to a long-term care facility. Which action
,should the nurse take first?
A) Complete the transfer form
B) Notify the receiving facility
C) Begin discharge planning upon admission
D) Contact the client's family
Correct Answer: C
Rationale: Discharge planning should begin upon admission to ensure continuity of
care and adequate preparation for the transfer. Starting early allows time to
coordinate services, arrange equipment, and involve the client and family in
planning .
Question 4
A charge nurse is observing two nurses having a loud discussion at the nurses'
station about not wanting to care for a client who has drug-resistant tuberculosis.
What is the charge nurse's priority action?
A) Escort the nurses to the nurses' lounge to continue the discussion
B) Make arrangements to take over the client's care
C) Recommend that both nurses be terminated
D) Contact the house supervisor to mediate the conflict
Correct Answer: B
Rationale: The charge nurse should first ensure continuity of client care by making
arrangements to take over the client's care. This addresses the immediate concern
and removes the nurses from a situation where their behavior is unprofessional and
could compromise patient care. Discussion and conflict resolution should follow .
Question 5
A nurse manager notices low staff morale after a policy change. Which action best
addresses this issue?
A) Enforce the policy without discussion
B) Hold a staff meeting to discuss concerns and solutions
C) Ignore the issue to maintain workflow
D) Reassign staff to different units
Correct Answer: B
Rationale: Holding a meeting to discuss concerns reflects transformational
leadership, fostering collaboration and addressing morale. This approach allows staff
to voice concerns, ask questions, and participate in finding solutions. Enforcing
without discussion dismisses staff input, ignoring the issue avoids the problem, and
reassignment does not address the underlying concern .
Question 6
A client is scheduled for surgery and asks the nurse about the risks and benefits of
the procedure. What is the nurse's role regarding informed consent?
,A) Provide a detailed explanation of the procedure and obtain consent
B) Clarify information provided by the provider and witness the signature
C) Make the decision for the client based on best interests
D) Refuse to answer questions and direct all questions to the provider
Correct Answer: B
Rationale: The nurse's role in informed consent is to ensure the client has been
adequately informed, clarify information provided by the provider, and witness the
client's signature. The provider is responsible for explaining the procedure, risks,
benefits, and alternatives. The nurse does not obtain consent or make the decision
for the client .
Question 7
A nurse is caring for a client who is a candidate for organ donation. What is the
nurse's responsibility regarding this situation?
A) Initiate the organ donation process independently
B) Discuss organ donation with the family
C) Support the family's decision and provide resources
D) Notify the organ procurement organization immediately
Correct Answer: C
Rationale: The nurse's role in organ donation is to support the family's decision and
provide resources. Discussions about organ donation are typically initiated by trained
donor coordinators or the provider. The nurse should provide emotional support and
facilitate communication with appropriate resources .
Question 8
A charge nurse is implementing a quality improvement plan to reduce healthcare-
associated infections on a medical-surgical unit. Which finding indicates the plan is
effective?
A) Staff satisfaction scores improved
B) Infection rates decreased over 3 months
C) The number of hand hygiene audits increased
D) Staff attended mandatory education sessions
Correct Answer: B
Rationale: Process indicators such as hand hygiene audits and staff education are
important, but the ultimate measure of a quality improvement plan's effectiveness is
a decrease in infection rates. Outcome indicators (actual client outcomes) provide the
strongest evidence that the quality improvement plan is achieving its intended goal .
Question 9
A nurse is preparing to transfer a client to a rehabilitation facility. Which information
should the nurse include in the change-of-shift report?
A) The steps to follow when providing wound care
, B) The time the client received their last dose of pain medication
C) The belief that the client has a difficult relationship with their son
D) The client's preferred time for bathing
Correct Answer: B
Rationale: The change-of-shift report should include objective, concise information
relevant to the client's immediate care needs, such as the time of the last medication
dose. Subjective opinions, personal judgments, and personal preferences unrelated
to clinical care should be excluded from formal reports .
Question 10
A nurse is auditing medical records on an oncology unit and finds that six of 15
records lack documentation regarding advance directives. What is the nurse's priority
action?
A) Document the finding and submit to administration
B) Meet with nursing staff to review the policy regarding advance directives
C) Notify the provider for each client without documentation
D) Disregard the finding as not clinically significant
Correct Answer: B
Rationale: The nurse manager should meet with nursing staff to review the policy on
advance directives and address the documentation gap. This proactive approach
promotes education and compliance. Submitting the finding alone without
addressing the root cause is insufficient .
Question 11
A client who sustained a concussion is being monitored for complications. Which
client should the nurse assign to a newly licensed nurse?
A) A client who has multiple sclerosis and ataxia
B) A client who sustained a concussion and is being monitored for complications
C) A client who has a brain tumor and is admitted for chemotherapy
D) A client who has Guillain-Barré syndrome and a tracheostomy
Correct Answer: B
Rationale: A client with a concussion who is being monitored for complications is
the most stable and appropriate assignment for a newly licensed nurse. Clients with
complex neurological conditions, active treatment, or airway compromise require
more experienced nurses .
Question 12
A nurse is caring for a client who has a Do-Not-Resuscitate (DNR) order. An assistive
personnel (AP) reports that the client is unresponsive and has no palpable pulse.
What action should the nurse take?
A) Direct the AP to initiate CPR immediately
B) Call a code blue and begin CPR
