ATI RN Leadership Proctored Exam Retake | Verified Questions
& Detailed Rationales | Latest 2026 Update Chamberlain
University College of Nursing
This comprehensive resource features verified multiple-choice questions
and detailed rationales for the ATI RN Leadership Proctored Exam Retake.
Each question is meticulously formatted with the correct answer and
explanation to ensure mastery of key leadership, management, and
delegation concepts. Designed for exam success, this guide is the ultimate
tool for nursing students preparing for their proctored retake.
Question 1
A local community disaster has occurred, and your facility must rapidly
discharge stable clients to free beds for new casualties. As the charge
nurse, you are deciding which client can safely be discharged.
Which of the following clients is safe for discharge?
A. A client with multiple sclerosis who reports ataxia
B. A client with right lower quadrant pain and rebound tenderness
C. A client with deep vein thrombosis (DVT) who requires daily aPTT
readings
D. A client with amylase and lipase levels twice the expected values
,Correct Answer: A. A client with multiple sclerosis who reports
ataxia
Explanation: Multiple sclerosis is a chronic condition, and occasional
ataxia is an expected finding; this client is stable for discharge. The
other listed manifestations indicate potential acute or serious
complications (appendicitis with rebound tenderness, risk of
pulmonary embolism with DVT requiring monitoring, or pancreatitis
with elevated amylase/lipase) requiring continued hospitalization .
Question 2
A nurse manager is addressing a conflict between two staff members.
What is the most effective initial action for the nurse manager to take?
A. Ignore the conflict to avoid escalating tension
B. Mediate the conflict immediately to resolve the issue
C. Discuss the issue with other staff members to gather perspectives
D. Observe the situation to gather more information before intervening
Correct Answer: D. Observe the situation to gather more
information before intervening
Explanation: Observing the situation first allows the nurse manager
to assess the context and severity of the conflict without premature
intervention, which aligns with effective conflict resolution
strategies by ensuring informed decision-making .
,Question 3
A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assessing a client's post-operative pain level
B. Teaching a client about insulin administration
C. Obtaining vital signs from a stable client
D. Developing a care plan for a newly admitted client
Correct Answer: C. Obtaining vital signs from a stable client
Explanation: Delegation to APs must follow the Five Rights of
Delegation. Obtaining vital signs for a stable client is within the AP's
scope of practice, whereas assessing, teaching, and developing care
plans require RN-level judgment .
Question 4
A nurse overhears a client discussing physical abuse with an attorney.
What should the nurse do first?
A. Report the conversation to the nurse manager
B. Question the client to clarify the allegations
C. Document the conversation in the client's chart
D. Recognize this as privileged communication
, Correct Answer: D. Recognize this as privileged communication
Explanation: Conversations between a client and their attorney are
legally protected. The nurse must respect this confidentiality unless
the client explicitly permits disclosure or there is a mandatory
reporting requirement, such as suspected abuse in specific
populations (e.g., children or elders) .
Question 5
A nurse manager is introducing a new scheduling system, and staff
express concerns. Which action facilitates adoption of the change?
A. Reassign staff who resist the change
B. Describe how the system saves money
C. Identify nurses who accept the change to influence others
D. Provide a brief overview just before implementation
Correct Answer: C. Identify nurses who accept the change to
influence others
Explanation: Using change agents (nurses who accept the change)
leverages peer influence to promote acceptance, aligning with
transformational leadership principles that encourage collaboration
and support during change .
& Detailed Rationales | Latest 2026 Update Chamberlain
University College of Nursing
This comprehensive resource features verified multiple-choice questions
and detailed rationales for the ATI RN Leadership Proctored Exam Retake.
Each question is meticulously formatted with the correct answer and
explanation to ensure mastery of key leadership, management, and
delegation concepts. Designed for exam success, this guide is the ultimate
tool for nursing students preparing for their proctored retake.
Question 1
A local community disaster has occurred, and your facility must rapidly
discharge stable clients to free beds for new casualties. As the charge
nurse, you are deciding which client can safely be discharged.
Which of the following clients is safe for discharge?
A. A client with multiple sclerosis who reports ataxia
B. A client with right lower quadrant pain and rebound tenderness
C. A client with deep vein thrombosis (DVT) who requires daily aPTT
readings
D. A client with amylase and lipase levels twice the expected values
,Correct Answer: A. A client with multiple sclerosis who reports
ataxia
Explanation: Multiple sclerosis is a chronic condition, and occasional
ataxia is an expected finding; this client is stable for discharge. The
other listed manifestations indicate potential acute or serious
complications (appendicitis with rebound tenderness, risk of
pulmonary embolism with DVT requiring monitoring, or pancreatitis
with elevated amylase/lipase) requiring continued hospitalization .
Question 2
A nurse manager is addressing a conflict between two staff members.
What is the most effective initial action for the nurse manager to take?
A. Ignore the conflict to avoid escalating tension
B. Mediate the conflict immediately to resolve the issue
C. Discuss the issue with other staff members to gather perspectives
D. Observe the situation to gather more information before intervening
Correct Answer: D. Observe the situation to gather more
information before intervening
Explanation: Observing the situation first allows the nurse manager
to assess the context and severity of the conflict without premature
intervention, which aligns with effective conflict resolution
strategies by ensuring informed decision-making .
,Question 3
A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assessing a client's post-operative pain level
B. Teaching a client about insulin administration
C. Obtaining vital signs from a stable client
D. Developing a care plan for a newly admitted client
Correct Answer: C. Obtaining vital signs from a stable client
Explanation: Delegation to APs must follow the Five Rights of
Delegation. Obtaining vital signs for a stable client is within the AP's
scope of practice, whereas assessing, teaching, and developing care
plans require RN-level judgment .
Question 4
A nurse overhears a client discussing physical abuse with an attorney.
What should the nurse do first?
A. Report the conversation to the nurse manager
B. Question the client to clarify the allegations
C. Document the conversation in the client's chart
D. Recognize this as privileged communication
, Correct Answer: D. Recognize this as privileged communication
Explanation: Conversations between a client and their attorney are
legally protected. The nurse must respect this confidentiality unless
the client explicitly permits disclosure or there is a mandatory
reporting requirement, such as suspected abuse in specific
populations (e.g., children or elders) .
Question 5
A nurse manager is introducing a new scheduling system, and staff
express concerns. Which action facilitates adoption of the change?
A. Reassign staff who resist the change
B. Describe how the system saves money
C. Identify nurses who accept the change to influence others
D. Provide a brief overview just before implementation
Correct Answer: C. Identify nurses who accept the change to
influence others
Explanation: Using change agents (nurses who accept the change)
leverages peer influence to promote acceptance, aligning with
transformational leadership principles that encourage collaboration
and support during change .
