ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM V10 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V10 2026/2027 | 400Q Mixed: A=103 B=111 C=84 D=102 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V10] PASS for extinguisher? - Scenario 1 2026/2027
A. Run
B. Pull pin, Aim at base, Squeeze handle, Sweep side to side
C. Push, Aim, Squeeze, Sweep
D. No acronym
Answer: B
Rationale: PASS correct. - V10
2. [Leadership V10] Client requests to leave AMA - first? - Scenario 2 2026/2027
A. Restrain
B. Force stay
C. Ignore
D. Assess understanding of risks, notify provider, document, have sign AMA form
Answer: D
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V10
3. [Leadership V10] Performance appraisal - best? - Scenario 3 2026/2027
A. Annual only blame
B. Objective, ongoing feedback, specific examples, goals
C. Only negative
D. No feedback
Answer: B
Rationale: Appraisal objective ongoing. - V10
4. [Leadership V10] Prioritization - Maslow - physiological first? - Scenario 4 2026/2027
A. Love first
B. Self-actualization first
C. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
D. Esteem first
Answer: C
Rationale: Maslow physiological first. - V10
5. [Leadership V10] Staffing - acuity vs numbers? - Scenario 5 2026/2027
A. Same assignment always
B. Acuity based on client needs, unstable needs more staff
C. Only numbers
D. Ignore acuity
Answer: B
Rationale: Acuity staffing matches needs. - V10
6. [Leadership V10] UAP reports client chest pain - RN first? - Scenario 6 2026/2027
A. Ignore
B. Ask UAP to give nitro
C. Chart
D. Assess client immediately - ABCs
Answer: D
Rationale: RN must assess chest pain immediately. - V10
7. [Leadership V10] SBAR communication - S stands for? - Scenario 7 2026/2027
A. Sympathy
B. Situation - what is happening now
C. Suggestion
D. Summary
Answer: B
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V10
8. [Leadership V10] Medication error - first action? - Scenario 8 2026/2027
A. Document only
B. Hide
C. Blame
, D. Assess client safety, check vitals, notify provider, report per policy
Answer: D
Rationale: Med error: assess client first, then report. - V10
9. [Leadership V10] Charge nurse receives report - which client assigned to LPN? - Scenario 9 2026/2027
A. New admission with chest pain unstable
B. Stable COPD awaiting meds, chronic wound care
C. Septic shock on vasopressors
D. New onset confusion
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V10
10. [Leadership V10] Can RN delegate to UAP? - Scenario 10 2026/2027
A. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
B. Teach new diabetic
C. Assess lung sounds
D. Interpret labs
Answer: A
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V10
11. [Leadership V10] Incident report after fall - action? - Scenario 11 2026/2027
A. Punish staff
B. Document incident report in chart
C. Ignore
D. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
Answer: D
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V10
12. [Leadership V10] Budget - fixed vs variable costs? - Scenario 12 2026/2027
A. Only fixed
B. Fixed same each month - rent, Variable changes with census - supplies
C. Both same
D. No budget
Answer: B
Rationale: Fixed rent, variable supplies. - V10
13. [Leadership V10] Whistleblower - when? - Scenario 13 2026/2027
A. Gossip
B. Ignore
C. Never report
D. Report unsafe practice to protect clients per chain and agency policy
Answer: D
Rationale: Whistleblower protects reporting unsafe. - V10
14. [Leadership V10] Quality improvement - example? - Scenario 14 2026/2027
A. Ignore data
B. Blame nurse
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. No QI needed
Answer: C
Rationale: QI: measure, intervene, re-measure. - V10
15. [Leadership V10] Time management best? - Scenario 15 2026/2027
A. Do all tasks at once
B. Do easiest first only
C. Prioritize ABCs, unstable, use delegation, cluster care, plan day
D. Procrastinate
Answer: C
Rationale: Prioritize, delegate, cluster care, plan. - V10
16. [Leadership V10] Legal - malpractice requires? - Scenario 16 2026/2027
A. No damages
B. No duty
C. Duty, breach, causation, damages
D. Only error
Answer: C
Rationale: Malpractice 4 elements. - V10
17. [Leadership V10] Conflict resolution first step? - Scenario 17 2026/2027
, A. Blame
B. Identify problem, gather data, consider options, choose best, evaluate
C. Argue
D. Ignore
Answer: B
Rationale: Problem-solving process. - V10
18. [Leadership V10] Conflict - nurse to nurse bullying - first? - Scenario 18 2026/2027
A. Quit
B. Ignore
C. Retaliate
D. Address directly, use assertive communication, document, report to manager if continues
Answer: D
Rationale: Address bullying assertively, report. - V10
19. [Leadership V10] Disaster triage - START - black tag? - Scenario 19 2026/2027
A. Delayed
B. Immediate
C. Minor
D. Deceased or expectant - no respirations after airway reposition
Answer: D
Rationale: Black = deceased/expectant. - V10
20. [Leadership V10] Nursing process - ADPIE - D is? - Scenario 20 2026/2027
A. Drugs
B. Diagnosis - NANDA based on assessment data
C. Doing
D. Discharge
Answer: B
Rationale: ADPIE Diagnosis. - V10
21. [Leadership V10] Informed consent - nurse role? - Scenario 21 2026/2027
A. Force client
B. Explain surgery risks
C. Obtain consent
D. Witness signature, ensure competent, understands, voluntary, provider explained
Answer: D
Rationale: Provider explains. Nurse witnesses competence and understanding. - V10
22. [Leadership V10] Provider order unclear - what to do? - Scenario 22 2026/2027
A. Ask UAP
B. Carry out
C. Clarify with provider, do not implement unclear order
D. Guess
Answer: C
Rationale: Clarify unclear orders. - V10
23. [Leadership V10] HIPAA violation - which? - Scenario 23 2026/2027
A. Discussing client in elevator with visitors
B. Reporting communicable disease
C. Reporting abuse
D. Discussing client in private room with care team
Answer: A
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V10
24. [Leadership V10] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 24 2026/2027
A. Call security
B. Force transfusion
C. Ignore
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V10
25. [Leadership V10] Client assignment - which to float RN from med-surg to ICU? - Scenario 25 2026/2027
A. New ICU admission intubated
B. Unstable coding client
C. Stable ICU client transferring to step-down
D. Charge role
, Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V10
26. [Leadership V10] Client rights - restraints require? - Scenario 26 2026/2027
A. No order
B. Staff convenience
C. Provider order, least restrictive, renewal q24h, assess q15min-2h
D. Family request only
Answer: C
Rationale: Restraints need order, least restrictive. - V10
27. [Leadership V10] Which client should RN see first? - Scenario 27 2026/2027
A. Stable post-op day 3 awaiting discharge
B. Constipation chronic
C. Client asking for blanket
D. Chest pain radiating to jaw with diaphoresis, SpO2 88%
Answer: D
Rationale: ABCs - chest pain, low O2 unstable first. - V10
28. [Leadership V10] Case management role? - Scenario 28 2026/2027
A. Only chart
B. Coordinate care across continuum, cost-effective, quality outcomes
C. Only give meds
D. Ignore
Answer: B
Rationale: Case manager coordinates. - V10
29. [Leadership V10] Which task can charge RN delegate to experienced RN? - Scenario 29 2026/2027
A. Make assignment
B. Diagnose
C. Order meds
D. Care for unstable new admission with chest pain
Answer: D
Rationale: Experienced RN gets unstable. - V10
30. [Leadership V10] Chain of command - provider not responding to critical lab - next? - Scenario 30 2026/2027
A. Ignore
B. Document only
C. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
D. Yell
Answer: C
Rationale: Chain: charge, supervisor, provider supervisor. - V10
31. [Leadership V10] Management style - democratic? - Scenario 31 2026/2027
A. Democratic - team input, collaboration, shared decision
B. Laissez-faire no direction
C. Autocratic decision only leader
D. No style
Answer: A
Rationale: Democratic participative. - V10
32. [Leadership V10] Prioritization - fire on unit - first? - Scenario 32 2026/2027
A. Hide
B. Open all doors
C. Gather belongings
D. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
Answer: D
Rationale: RACE first rescue. - V10
33. [Leadership V10] Delegation - LPN asks RN to give IV push - RN should? - Scenario 33 2026/2027
A. Allow LPN to give
B. Explain LPN cannot give IV push, RN will give
C. Delegate to UAP
D. Ignore scope
Answer: B
Rationale: IV push is RN only. - V10
34. [Leadership V10] Change theory - Lewin stages? - Scenario 34 2026/2027
A. Only freezing
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V10 2026/2027 | 400Q Mixed: A=103 B=111 C=84 D=102 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V10] PASS for extinguisher? - Scenario 1 2026/2027
A. Run
B. Pull pin, Aim at base, Squeeze handle, Sweep side to side
C. Push, Aim, Squeeze, Sweep
D. No acronym
Answer: B
Rationale: PASS correct. - V10
2. [Leadership V10] Client requests to leave AMA - first? - Scenario 2 2026/2027
A. Restrain
B. Force stay
C. Ignore
D. Assess understanding of risks, notify provider, document, have sign AMA form
Answer: D
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V10
3. [Leadership V10] Performance appraisal - best? - Scenario 3 2026/2027
A. Annual only blame
B. Objective, ongoing feedback, specific examples, goals
C. Only negative
D. No feedback
Answer: B
Rationale: Appraisal objective ongoing. - V10
4. [Leadership V10] Prioritization - Maslow - physiological first? - Scenario 4 2026/2027
A. Love first
B. Self-actualization first
C. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
D. Esteem first
Answer: C
Rationale: Maslow physiological first. - V10
5. [Leadership V10] Staffing - acuity vs numbers? - Scenario 5 2026/2027
A. Same assignment always
B. Acuity based on client needs, unstable needs more staff
C. Only numbers
D. Ignore acuity
Answer: B
Rationale: Acuity staffing matches needs. - V10
6. [Leadership V10] UAP reports client chest pain - RN first? - Scenario 6 2026/2027
A. Ignore
B. Ask UAP to give nitro
C. Chart
D. Assess client immediately - ABCs
Answer: D
Rationale: RN must assess chest pain immediately. - V10
7. [Leadership V10] SBAR communication - S stands for? - Scenario 7 2026/2027
A. Sympathy
B. Situation - what is happening now
C. Suggestion
D. Summary
Answer: B
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V10
8. [Leadership V10] Medication error - first action? - Scenario 8 2026/2027
A. Document only
B. Hide
C. Blame
, D. Assess client safety, check vitals, notify provider, report per policy
Answer: D
Rationale: Med error: assess client first, then report. - V10
9. [Leadership V10] Charge nurse receives report - which client assigned to LPN? - Scenario 9 2026/2027
A. New admission with chest pain unstable
B. Stable COPD awaiting meds, chronic wound care
C. Septic shock on vasopressors
D. New onset confusion
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V10
10. [Leadership V10] Can RN delegate to UAP? - Scenario 10 2026/2027
A. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
B. Teach new diabetic
C. Assess lung sounds
D. Interpret labs
Answer: A
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V10
11. [Leadership V10] Incident report after fall - action? - Scenario 11 2026/2027
A. Punish staff
B. Document incident report in chart
C. Ignore
D. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
Answer: D
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V10
12. [Leadership V10] Budget - fixed vs variable costs? - Scenario 12 2026/2027
A. Only fixed
B. Fixed same each month - rent, Variable changes with census - supplies
C. Both same
D. No budget
Answer: B
Rationale: Fixed rent, variable supplies. - V10
13. [Leadership V10] Whistleblower - when? - Scenario 13 2026/2027
A. Gossip
B. Ignore
C. Never report
D. Report unsafe practice to protect clients per chain and agency policy
Answer: D
Rationale: Whistleblower protects reporting unsafe. - V10
14. [Leadership V10] Quality improvement - example? - Scenario 14 2026/2027
A. Ignore data
B. Blame nurse
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. No QI needed
Answer: C
Rationale: QI: measure, intervene, re-measure. - V10
15. [Leadership V10] Time management best? - Scenario 15 2026/2027
A. Do all tasks at once
B. Do easiest first only
C. Prioritize ABCs, unstable, use delegation, cluster care, plan day
D. Procrastinate
Answer: C
Rationale: Prioritize, delegate, cluster care, plan. - V10
16. [Leadership V10] Legal - malpractice requires? - Scenario 16 2026/2027
A. No damages
B. No duty
C. Duty, breach, causation, damages
D. Only error
Answer: C
Rationale: Malpractice 4 elements. - V10
17. [Leadership V10] Conflict resolution first step? - Scenario 17 2026/2027
, A. Blame
B. Identify problem, gather data, consider options, choose best, evaluate
C. Argue
D. Ignore
Answer: B
Rationale: Problem-solving process. - V10
18. [Leadership V10] Conflict - nurse to nurse bullying - first? - Scenario 18 2026/2027
A. Quit
B. Ignore
C. Retaliate
D. Address directly, use assertive communication, document, report to manager if continues
Answer: D
Rationale: Address bullying assertively, report. - V10
19. [Leadership V10] Disaster triage - START - black tag? - Scenario 19 2026/2027
A. Delayed
B. Immediate
C. Minor
D. Deceased or expectant - no respirations after airway reposition
Answer: D
Rationale: Black = deceased/expectant. - V10
20. [Leadership V10] Nursing process - ADPIE - D is? - Scenario 20 2026/2027
A. Drugs
B. Diagnosis - NANDA based on assessment data
C. Doing
D. Discharge
Answer: B
Rationale: ADPIE Diagnosis. - V10
21. [Leadership V10] Informed consent - nurse role? - Scenario 21 2026/2027
A. Force client
B. Explain surgery risks
C. Obtain consent
D. Witness signature, ensure competent, understands, voluntary, provider explained
Answer: D
Rationale: Provider explains. Nurse witnesses competence and understanding. - V10
22. [Leadership V10] Provider order unclear - what to do? - Scenario 22 2026/2027
A. Ask UAP
B. Carry out
C. Clarify with provider, do not implement unclear order
D. Guess
Answer: C
Rationale: Clarify unclear orders. - V10
23. [Leadership V10] HIPAA violation - which? - Scenario 23 2026/2027
A. Discussing client in elevator with visitors
B. Reporting communicable disease
C. Reporting abuse
D. Discussing client in private room with care team
Answer: A
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V10
24. [Leadership V10] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 24 2026/2027
A. Call security
B. Force transfusion
C. Ignore
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V10
25. [Leadership V10] Client assignment - which to float RN from med-surg to ICU? - Scenario 25 2026/2027
A. New ICU admission intubated
B. Unstable coding client
C. Stable ICU client transferring to step-down
D. Charge role
, Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V10
26. [Leadership V10] Client rights - restraints require? - Scenario 26 2026/2027
A. No order
B. Staff convenience
C. Provider order, least restrictive, renewal q24h, assess q15min-2h
D. Family request only
Answer: C
Rationale: Restraints need order, least restrictive. - V10
27. [Leadership V10] Which client should RN see first? - Scenario 27 2026/2027
A. Stable post-op day 3 awaiting discharge
B. Constipation chronic
C. Client asking for blanket
D. Chest pain radiating to jaw with diaphoresis, SpO2 88%
Answer: D
Rationale: ABCs - chest pain, low O2 unstable first. - V10
28. [Leadership V10] Case management role? - Scenario 28 2026/2027
A. Only chart
B. Coordinate care across continuum, cost-effective, quality outcomes
C. Only give meds
D. Ignore
Answer: B
Rationale: Case manager coordinates. - V10
29. [Leadership V10] Which task can charge RN delegate to experienced RN? - Scenario 29 2026/2027
A. Make assignment
B. Diagnose
C. Order meds
D. Care for unstable new admission with chest pain
Answer: D
Rationale: Experienced RN gets unstable. - V10
30. [Leadership V10] Chain of command - provider not responding to critical lab - next? - Scenario 30 2026/2027
A. Ignore
B. Document only
C. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
D. Yell
Answer: C
Rationale: Chain: charge, supervisor, provider supervisor. - V10
31. [Leadership V10] Management style - democratic? - Scenario 31 2026/2027
A. Democratic - team input, collaboration, shared decision
B. Laissez-faire no direction
C. Autocratic decision only leader
D. No style
Answer: A
Rationale: Democratic participative. - V10
32. [Leadership V10] Prioritization - fire on unit - first? - Scenario 32 2026/2027
A. Hide
B. Open all doors
C. Gather belongings
D. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
Answer: D
Rationale: RACE first rescue. - V10
33. [Leadership V10] Delegation - LPN asks RN to give IV push - RN should? - Scenario 33 2026/2027
A. Allow LPN to give
B. Explain LPN cannot give IV push, RN will give
C. Delegate to UAP
D. Ignore scope
Answer: B
Rationale: IV push is RN only. - V10
34. [Leadership V10] Change theory - Lewin stages? - Scenario 34 2026/2027
A. Only freezing
