ATI RN Leadership Proctored Exam
Version 3 – EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS || 100%
GUARANTEED PASS NEWEST VERSION
Description: This comprehensive revision set covers 100 multiple-choice
questions aligned with the ATI RN Leadership Proctored Exam Version 3. Each question
includes four answer choices, the correct answer marked with ✅, and a
brief rationale to reinforce key leadership and management concepts.
Keywords: ATI Leadership, RN Proctored Exam, Version 3, Delegation, Prioritization,
Conflict Resolution, Quality Improvement, Ethical-Legal, Patient Safety, NGN Style, 2026
Section 1: Delegation and Supervision (Questions 1–15)
Q1. A RN delegates the task of obtaining the blood pressure of a client who is 2 hours
post-op following a cholecystectomy to an LPN. The LPN reports a BP that is
significantly higher than the client's previous reading. Which of the following actions
should the RN take first?
A. Document the finding in the client's chart
B. Recheck the client's blood pressure ✅
C. Notify the provider immediately
D. Ask the LPN to recheck the BP in 15 minutes
,Rationale: The RN must verify abnormal findings before acting on them. Rechecking the
BP is the priority to ensure accuracy before notifying the provider.
Q2. A charge nurse is planning assignments for the upcoming shift. Which of the
following tasks should the charge nurse delegate to an assistive personnel (AP)?
A. Administering oral medications to a stable client
B. Assisting a client who had a hip arthroplasty to a chair ✅
C. Performing a sterile dressing change
D. Assessing a client's response to pain medication
Rationale: Ambulation assistance is within the AP's scope of practice. Medication
administration, sterile procedures, and assessment require licensed personnel.
Q3. A nurse is preparing to delegate a task to a UAP. Which task is appropriate to
delegate?
A. Administering a routine oral medication
B. Assisting a patient with ambulation using a walker ✅
C. Assessing a patient's response to pain medication
D. Inserting a urinary catheter
Rationale: Ambulation assistance is within UAP scope. Option A requires licensure,
option C involves assessment, and option D is a sterile procedure typically performed by
licensed nurses.
Q4. An RN is supervising an LPN who is caring for a group of patients. The RN must
provide initial direction, periodic monitoring, and follow-up evaluation. This describes
which component of delegation?
A. Authority
B. Responsibility
C. Accountability
D. Supervision ✅
,Rationale: Supervision includes providing initial directions, periodic monitoring, and
follow-up evaluation to ensure correct completion of delegated tasks.
Q5. A nurse delegates a task to an AP. Which statement by the nurse reflects the "right
direction/communication" of delegation?
A. "Take vital signs every 2 hours for the cholecystectomy client in room 612."
B. "Check urinary output at 1100 for John Doe and report immediately." ✅
C. "Report excessive chest tube drainage for Jane Doe in room 2438."
D. "Notify me of any abnormal vitals or blood glucose levels."
Rationale: This provides a specific task, client identifier, timeframe, and reporting
expectation, fulfilling delegation communication requirements.
Q6. Which statement by a new RN indicates correct understanding of delegation?
A. "I can delegate anything as long as I supervise."
B. "Delegation is transferring authority but not accountability." ✅
C. "I am not accountable for tasks I delegate."
D. "LPNs can do initial assessments on stable clients."
Rationale: The RN retains accountability for the delegation decision and overall client
outcomes. Statement A ignores scope of practice. Statement D is false because initial
assessment is RN-only.
Q7. The RN delegates vital signs to an AP. Which client requires the RN to reassess the
AP's measurement?
A. Post-operative day 2, afebrile, stable
B. Newly admitted with pneumonia, SpO2 89% on room air ✅
C. Chronic hypertension, BP 138/86 mmHg
D. Hip replacement, pain reported as 3 out of 10
Rationale: An oxygen saturation of 89% is abnormal and indicates hypoxia, requiring
immediate RN assessment.
, Q8. The RN is supervising an AP obtaining a blood pressure. Which finding requires the
RN to reassess?
A. 120/80 mmHg
B. 138/88 mmHg
C. 90/50 mmHg with dizziness reported by AP ✅
D. 110/70 mmHg
Rationale: Hypotension with symptoms (dizziness) is abnormal and requires RN
assessment.
Q9. A UAP reports a client has difficulty breathing. The RN should:
A. Tell the UAP to continue monitoring
B. Assess the client immediately ✅
C. Document only
D. Delegate assessment to another UAP
Rationale: Difficulty breathing indicates a potential life-threatening emergency
requiring immediate RN assessment.
Q10. The RN assigns an AP to obtain vital signs on a client post-sedation. The AP
reports heart rate 120, blood pressure 90/60. What should the RN do first?
A. Tell the AP to repeat vital signs in 15 minutes
B. Assess the client immediately ✅
C. Ask the AP to check the cuff size
D. Document the findings
Rationale: Abnormal vital signs post-sedation may indicate hypovolemia or bleeding,
requiring immediate RN assessment.
Q11. An LPN reports a client's blood glucose is 45 mg/dL. The RN's first action should
be to:
A. Tell the LPN to give orange juice
B. Assess the client for hypoglycemia symptoms ✅
Version 3 – EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS || 100%
GUARANTEED PASS NEWEST VERSION
Description: This comprehensive revision set covers 100 multiple-choice
questions aligned with the ATI RN Leadership Proctored Exam Version 3. Each question
includes four answer choices, the correct answer marked with ✅, and a
brief rationale to reinforce key leadership and management concepts.
Keywords: ATI Leadership, RN Proctored Exam, Version 3, Delegation, Prioritization,
Conflict Resolution, Quality Improvement, Ethical-Legal, Patient Safety, NGN Style, 2026
Section 1: Delegation and Supervision (Questions 1–15)
Q1. A RN delegates the task of obtaining the blood pressure of a client who is 2 hours
post-op following a cholecystectomy to an LPN. The LPN reports a BP that is
significantly higher than the client's previous reading. Which of the following actions
should the RN take first?
A. Document the finding in the client's chart
B. Recheck the client's blood pressure ✅
C. Notify the provider immediately
D. Ask the LPN to recheck the BP in 15 minutes
,Rationale: The RN must verify abnormal findings before acting on them. Rechecking the
BP is the priority to ensure accuracy before notifying the provider.
Q2. A charge nurse is planning assignments for the upcoming shift. Which of the
following tasks should the charge nurse delegate to an assistive personnel (AP)?
A. Administering oral medications to a stable client
B. Assisting a client who had a hip arthroplasty to a chair ✅
C. Performing a sterile dressing change
D. Assessing a client's response to pain medication
Rationale: Ambulation assistance is within the AP's scope of practice. Medication
administration, sterile procedures, and assessment require licensed personnel.
Q3. A nurse is preparing to delegate a task to a UAP. Which task is appropriate to
delegate?
A. Administering a routine oral medication
B. Assisting a patient with ambulation using a walker ✅
C. Assessing a patient's response to pain medication
D. Inserting a urinary catheter
Rationale: Ambulation assistance is within UAP scope. Option A requires licensure,
option C involves assessment, and option D is a sterile procedure typically performed by
licensed nurses.
Q4. An RN is supervising an LPN who is caring for a group of patients. The RN must
provide initial direction, periodic monitoring, and follow-up evaluation. This describes
which component of delegation?
A. Authority
B. Responsibility
C. Accountability
D. Supervision ✅
,Rationale: Supervision includes providing initial directions, periodic monitoring, and
follow-up evaluation to ensure correct completion of delegated tasks.
Q5. A nurse delegates a task to an AP. Which statement by the nurse reflects the "right
direction/communication" of delegation?
A. "Take vital signs every 2 hours for the cholecystectomy client in room 612."
B. "Check urinary output at 1100 for John Doe and report immediately." ✅
C. "Report excessive chest tube drainage for Jane Doe in room 2438."
D. "Notify me of any abnormal vitals or blood glucose levels."
Rationale: This provides a specific task, client identifier, timeframe, and reporting
expectation, fulfilling delegation communication requirements.
Q6. Which statement by a new RN indicates correct understanding of delegation?
A. "I can delegate anything as long as I supervise."
B. "Delegation is transferring authority but not accountability." ✅
C. "I am not accountable for tasks I delegate."
D. "LPNs can do initial assessments on stable clients."
Rationale: The RN retains accountability for the delegation decision and overall client
outcomes. Statement A ignores scope of practice. Statement D is false because initial
assessment is RN-only.
Q7. The RN delegates vital signs to an AP. Which client requires the RN to reassess the
AP's measurement?
A. Post-operative day 2, afebrile, stable
B. Newly admitted with pneumonia, SpO2 89% on room air ✅
C. Chronic hypertension, BP 138/86 mmHg
D. Hip replacement, pain reported as 3 out of 10
Rationale: An oxygen saturation of 89% is abnormal and indicates hypoxia, requiring
immediate RN assessment.
, Q8. The RN is supervising an AP obtaining a blood pressure. Which finding requires the
RN to reassess?
A. 120/80 mmHg
B. 138/88 mmHg
C. 90/50 mmHg with dizziness reported by AP ✅
D. 110/70 mmHg
Rationale: Hypotension with symptoms (dizziness) is abnormal and requires RN
assessment.
Q9. A UAP reports a client has difficulty breathing. The RN should:
A. Tell the UAP to continue monitoring
B. Assess the client immediately ✅
C. Document only
D. Delegate assessment to another UAP
Rationale: Difficulty breathing indicates a potential life-threatening emergency
requiring immediate RN assessment.
Q10. The RN assigns an AP to obtain vital signs on a client post-sedation. The AP
reports heart rate 120, blood pressure 90/60. What should the RN do first?
A. Tell the AP to repeat vital signs in 15 minutes
B. Assess the client immediately ✅
C. Ask the AP to check the cuff size
D. Document the findings
Rationale: Abnormal vital signs post-sedation may indicate hypovolemia or bleeding,
requiring immediate RN assessment.
Q11. An LPN reports a client's blood glucose is 45 mg/dL. The RN's first action should
be to:
A. Tell the LPN to give orange juice
B. Assess the client for hypoglycemia symptoms ✅
