ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM 2026/2027 - 400 QUESTIONS
MIXED ANSWERS A,B,C,D - DELEGATION & PRIORITIZATION
Course: ATI RN Leadership CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=96 B=104
C=95 D=105
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Delegate to LPN? (Variant 1 - 2026/2027)
A. Initial assessment
B. IV push
C. Teaching
D. PO meds, wound care, Foley, NG feeding, reinforce teaching
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
2. Delegate to UAP? (Variant 2 - 2026/2027)
A. Care planning
B. Teaching
C. Assessment
D. Vitals stable, ADLs, hygiene, ambulation, I&O;
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
3. Priority ABCs vs Maslow? (Variant 3 - 2026/2027)
A. Chart
B. Oxygenation first before teaching
C. Blanket
D. Teach first
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
4. Autonomy definition? (Variant 4 - 2026/2027)
A. No ethics
B. Client's right to decide
C. Do good only
D. Do no harm only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
5. Delegate to LPN? (Variant 5 - 2026/2027)
A. IV push
B. PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Initial assessment
D. Teaching
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
6. Delegate to UAP? (Variant 6 - 2026/2027)
A. Teaching
B. Assessment
C. Care planning
D. Vitals stable, ADLs, hygiene, ambulation, I&O;
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
7. Priority ABCs vs Maslow? (Variant 7 - 2026/2027)
, A. Chart
B. Blanket
C. Teach first
D. Oxygenation first before teaching
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
8. Autonomy definition? (Variant 8 - 2026/2027)
A. No ethics
B. Client's right to decide
C. Do good only
D. Do no harm only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
9. Delegate to LPN? (Variant 9 - 2026/2027)
A. IV push
B. Teaching
C. Initial assessment
D. PO meds, wound care, Foley, NG feeding, reinforce teaching
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
10. Delegate to UAP? (Variant 10 - 2026/2027)
A. Care planning
B. Vitals stable, ADLs, hygiene, ambulation, I&O;
C. Assessment
D. Teaching
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
11. Priority ABCs vs Maslow? (Variant 11 - 2026/2027)
A. Teach first
B. Oxygenation first before teaching
C. Blanket
D. Chart
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
12. Autonomy definition? (Variant 12 - 2026/2027)
A. Do no harm only
B. Do good only
C. No ethics
D. Client's right to decide
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
13. Delegate to LPN? (Variant 13 - 2026/2027)
A. Initial assessment
B. PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Teaching
D. IV push
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
14. Delegate to UAP? (Variant 14 - 2026/2027)
A. Teaching
B. Assessment
, C. Vitals stable, ADLs, hygiene, ambulation, I&O;
D. Care planning
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
15. Priority ABCs vs Maslow? (Variant 15 - 2026/2027)
A. Blanket
B. Chart
C. Oxygenation first before teaching
D. Teach first
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
16. Autonomy definition? (Variant 16 - 2026/2027)
A. Do good only
B. Do no harm only
C. No ethics
D. Client's right to decide
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
17. Delegate to LPN? (Variant 17 - 2026/2027)
A. Teaching
B. PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Initial assessment
D. IV push
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
18. Delegate to UAP? (Variant 18 - 2026/2027)
A. Vitals stable, ADLs, hygiene, ambulation, I&O;
B. Assessment
C. Care planning
D. Teaching
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Epiglottitis emergency: drooling, tripod, do
NOT examine throat.
19. Priority ABCs vs Maslow? (Variant 19 - 2026/2027)
A. Chart
B. Oxygenation first before teaching
C. Blanket
D. Teach first
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
20. Autonomy definition? (Variant 20 - 2026/2027)
A. Do no harm only
B. Do good only
C. No ethics
D. Client's right to decide
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
21. Delegate to LPN? (Variant 21 - 2026/2027)
A. Initial assessment
B. IV push
C. PO meds, wound care, Foley, NG feeding, reinforce teaching
D. Teaching
Correct Answer: C
, Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
22. Delegate to UAP? (Variant 22 - 2026/2027)
A. Assessment
B. Teaching
C. Care planning
D. Vitals stable, ADLs, hygiene, ambulation, I&O;
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
23. Priority ABCs vs Maslow? (Variant 23 - 2026/2027)
A. Teach first
B. Chart
C. Oxygenation first before teaching
D. Blanket
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
24. Autonomy definition? (Variant 24 - 2026/2027)
A. Client's right to decide
B. Do no harm only
C. Do good only
D. No ethics
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
25. Delegate to LPN? (Variant 25 - 2026/2027)
A. Initial assessment
B. IV push
C. PO meds, wound care, Foley, NG feeding, reinforce teaching
D. Teaching
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
26. Delegate to UAP? (Variant 26 - 2026/2027)
A. Care planning
B. Teaching
C. Vitals stable, ADLs, hygiene, ambulation, I&O;
D. Assessment
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. EPS emergency dystonia can affect airway.
27. Priority ABCs vs Maslow? (Variant 27 - 2026/2027)
A. Blanket
B. Chart
C. Oxygenation first before teaching
D. Teach first
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
28. Autonomy definition? (Variant 28 - 2026/2027)
A. Do good only
B. Client's right to decide
C. Do no harm only
D. No ethics
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
29. Delegate to LPN? (Variant 29 - 2026/2027)
MIXED ANSWERS A,B,C,D - DELEGATION & PRIORITIZATION
Course: ATI RN Leadership CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=96 B=104
C=95 D=105
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Delegate to LPN? (Variant 1 - 2026/2027)
A. Initial assessment
B. IV push
C. Teaching
D. PO meds, wound care, Foley, NG feeding, reinforce teaching
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
2. Delegate to UAP? (Variant 2 - 2026/2027)
A. Care planning
B. Teaching
C. Assessment
D. Vitals stable, ADLs, hygiene, ambulation, I&O;
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Warfarin: Vitamin K + PCC for bleeding. INR
2-3 therapeutic.
3. Priority ABCs vs Maslow? (Variant 3 - 2026/2027)
A. Chart
B. Oxygenation first before teaching
C. Blanket
D. Teach first
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
4. Autonomy definition? (Variant 4 - 2026/2027)
A. No ethics
B. Client's right to decide
C. Do good only
D. Do no harm only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
5. Delegate to LPN? (Variant 5 - 2026/2027)
A. IV push
B. PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Initial assessment
D. Teaching
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
6. Delegate to UAP? (Variant 6 - 2026/2027)
A. Teaching
B. Assessment
C. Care planning
D. Vitals stable, ADLs, hygiene, ambulation, I&O;
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
7. Priority ABCs vs Maslow? (Variant 7 - 2026/2027)
, A. Chart
B. Blanket
C. Teach first
D. Oxygenation first before teaching
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
8. Autonomy definition? (Variant 8 - 2026/2027)
A. No ethics
B. Client's right to decide
C. Do good only
D. Do no harm only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Opioid overdose triad: resp depression,
pinpoint pupils, LOC decreased. Naloxone antidote.
9. Delegate to LPN? (Variant 9 - 2026/2027)
A. IV push
B. Teaching
C. Initial assessment
D. PO meds, wound care, Foley, NG feeding, reinforce teaching
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
10. Delegate to UAP? (Variant 10 - 2026/2027)
A. Care planning
B. Vitals stable, ADLs, hygiene, ambulation, I&O;
C. Assessment
D. Teaching
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
11. Priority ABCs vs Maslow? (Variant 11 - 2026/2027)
A. Teach first
B. Oxygenation first before teaching
C. Blanket
D. Chart
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
12. Autonomy definition? (Variant 12 - 2026/2027)
A. Do no harm only
B. Do good only
C. No ethics
D. Client's right to decide
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
13. Delegate to LPN? (Variant 13 - 2026/2027)
A. Initial assessment
B. PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Teaching
D. IV push
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
14. Delegate to UAP? (Variant 14 - 2026/2027)
A. Teaching
B. Assessment
, C. Vitals stable, ADLs, hygiene, ambulation, I&O;
D. Care planning
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
15. Priority ABCs vs Maslow? (Variant 15 - 2026/2027)
A. Blanket
B. Chart
C. Oxygenation first before teaching
D. Teach first
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
16. Autonomy definition? (Variant 16 - 2026/2027)
A. Do good only
B. Do no harm only
C. No ethics
D. Client's right to decide
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
17. Delegate to LPN? (Variant 17 - 2026/2027)
A. Teaching
B. PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Initial assessment
D. IV push
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
18. Delegate to UAP? (Variant 18 - 2026/2027)
A. Vitals stable, ADLs, hygiene, ambulation, I&O;
B. Assessment
C. Care planning
D. Teaching
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Epiglottitis emergency: drooling, tripod, do
NOT examine throat.
19. Priority ABCs vs Maslow? (Variant 19 - 2026/2027)
A. Chart
B. Oxygenation first before teaching
C. Blanket
D. Teach first
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
20. Autonomy definition? (Variant 20 - 2026/2027)
A. Do no harm only
B. Do good only
C. No ethics
D. Client's right to decide
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. WHO 5 moments for hand hygiene.
21. Delegate to LPN? (Variant 21 - 2026/2027)
A. Initial assessment
B. IV push
C. PO meds, wound care, Foley, NG feeding, reinforce teaching
D. Teaching
Correct Answer: C
, Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
22. Delegate to UAP? (Variant 22 - 2026/2027)
A. Assessment
B. Teaching
C. Care planning
D. Vitals stable, ADLs, hygiene, ambulation, I&O;
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs override Maslow.
23. Priority ABCs vs Maslow? (Variant 23 - 2026/2027)
A. Teach first
B. Chart
C. Oxygenation first before teaching
D. Blanket
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
24. Autonomy definition? (Variant 24 - 2026/2027)
A. Client's right to decide
B. Do no harm only
C. Do good only
D. No ethics
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
25. Delegate to LPN? (Variant 25 - 2026/2027)
A. Initial assessment
B. IV push
C. PO meds, wound care, Foley, NG feeding, reinforce teaching
D. Teaching
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
26. Delegate to UAP? (Variant 26 - 2026/2027)
A. Care planning
B. Teaching
C. Vitals stable, ADLs, hygiene, ambulation, I&O;
D. Assessment
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. EPS emergency dystonia can affect airway.
27. Priority ABCs vs Maslow? (Variant 27 - 2026/2027)
A. Blanket
B. Chart
C. Oxygenation first before teaching
D. Teach first
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
28. Autonomy definition? (Variant 28 - 2026/2027)
A. Do good only
B. Client's right to decide
C. Do no harm only
D. No ethics
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
29. Delegate to LPN? (Variant 29 - 2026/2027)
