ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM V9 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V9 2026/2027 | 400Q Mixed: A=95 B=93 C=108 D=104 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V9] Nursing process - ADPIE - D is? - Scenario 1 2026/2027
A. Doing
B. Discharge
C. Drugs
D. Diagnosis - NANDA based on assessment data
Answer: D
Rationale: ADPIE Diagnosis. - V9
2. [Leadership V9] Provider order unclear - what to do? - Scenario 2 2026/2027
A. Clarify with provider, do not implement unclear order
B. Guess
C. Carry out
D. Ask UAP
Answer: A
Rationale: Clarify unclear orders. - V9
3. [Leadership V9] Prioritization - fire on unit - first? - Scenario 3 2026/2027
A. Hide
B. Open all doors
C. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
D. Gather belongings
Answer: C
Rationale: RACE first rescue. - V9
4. [Leadership V9] Which client should RN see first? - Scenario 4 2026/2027
A. Client asking for blanket
B. Constipation chronic
C. Stable post-op day 3 awaiting discharge
D. Chest pain radiating to jaw with diaphoresis, SpO2 88%
Answer: D
Rationale: ABCs - chest pain, low O2 unstable first. - V9
5. [Leadership V9] UAP reports client chest pain - RN first? - Scenario 5 2026/2027
A. Assess client immediately - ABCs
B. Chart
C. Ignore
D. Ask UAP to give nitro
Answer: A
Rationale: RN must assess chest pain immediately. - V9
6. [Leadership V9] Legal - malpractice requires? - Scenario 6 2026/2027
A. Duty, breach, causation, damages
B. No damages
C. No duty
D. Only error
Answer: A
Rationale: Malpractice 4 elements. - V9
7. [Leadership V9] Time management best? - Scenario 7 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. - V9
8. [Leadership V9] Performance appraisal - best? - Scenario 8 2026/2027
A. Objective, ongoing feedback, specific examples, goals
B. Only negative
C. No feedback
, D. Annual only blame
Answer: A
Rationale: Appraisal objective ongoing. - V9
9. [Leadership V9] Incident report after fall - action? - Scenario 9 2026/2027
A. Document incident report in chart
B. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
C. Punish staff
D. Ignore
Answer: B
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V9
10. [Leadership V9] Which task can charge RN delegate to experienced RN? - Scenario 10 2026/2027
A. Diagnose
B. Care for unstable new admission with chest pain
C. Make assignment
D. Order meds
Answer: B
Rationale: Experienced RN gets unstable. - V9
11. [Leadership V9] Conflict resolution first step? - Scenario 11 2026/2027
A. Blame
B. Identify problem, gather data, consider options, choose best, evaluate
C. Ignore
D. Argue
Answer: B
Rationale: Problem-solving process. - V9
12. [Leadership V9] Case management role? - Scenario 12 2026/2027
A. Only give meds
B. Ignore
C. Coordinate care across continuum, cost-effective, quality outcomes
D. Only chart
Answer: C
Rationale: Case manager coordinates. - V9
13. [Leadership V9] Client rights - restraints require? - Scenario 13 2026/2027
A. Staff convenience
B. Provider order, least restrictive, renewal q24h, assess q15min-2h
C. No order
D. Family request only
Answer: B
Rationale: Restraints need order, least restrictive. - V9
14. [Leadership V9] Can RN delegate to UAP? - Scenario 14 2026/2027
A. Teach new diabetic
B. Assess lung sounds
C. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
D. Interpret labs
Answer: C
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V9
15. [Leadership V9] RN delegates to LPN - which task? - Scenario 15 2026/2027
A. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
B. Initial assessment of new admission
C. Develop care plan
D. IV push morphine
Answer: A
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V9
16. [Leadership V9] SBAR communication - S stands for? - Scenario 16 2026/2027
A. Sympathy
B. Situation - what is happening now
C. Summary
D. Suggestion
Answer: B
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V9
,17. [Leadership V9] Client assignment - which to float RN from med-surg to ICU? - Scenario 17 2026/2027
A. Unstable coding client
B. Charge role
C. Stable ICU client transferring to step-down
D. New ICU admission intubated
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V9
18. [Leadership V9] Delegation - LPN asks RN to give IV push - RN should? - Scenario 18 2026/2027
A. Ignore scope
B. Explain LPN cannot give IV push, RN will give
C. Delegate to UAP
D. Allow LPN to give
Answer: B
Rationale: IV push is RN only. - V9
19. [Leadership V9] Infection control - which requires private room? - Scenario 19 2026/2027
A. Active TB - airborne private negative pressure
B. All clients private
C. MRSA colonized - contact
D. No isolation needs private
Answer: A
Rationale: TB needs private negative pressure. - V9
20. [Leadership V9] Disaster triage - START - black tag? - Scenario 20 2026/2027
A. Immediate
B. Delayed
C. Deceased or expectant - no respirations after airway reposition
D. Minor
Answer: C
Rationale: Black = deceased/expectant. - V9
21. [Leadership V9] Change theory - Lewin stages? - Scenario 21 2026/2027
A. Unfreezing, moving, refreezing
B. No stages
C. Only freezing
D. Only moving
Answer: A
Rationale: Lewin change model. - V9
22. [Leadership V9] Client requests to leave AMA - first? - Scenario 22 2026/2027
A. Ignore
B. Restrain
C. Assess understanding of risks, notify provider, document, have sign AMA form
D. Force stay
Answer: C
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V9
23. [Leadership V9] Informed consent - nurse role? - Scenario 23 2026/2027
A. Explain surgery risks
B. Force client
C. Obtain consent
D. Witness signature, ensure competent, understands, voluntary, provider explained
Answer: D
Rationale: Provider explains. Nurse witnesses competence and understanding. - V9
24. [Leadership V9] Conflict - nurse to nurse bullying - first? - Scenario 24 2026/2027
A. Ignore
B. Address directly, use assertive communication, document, report to manager if continues
C. Retaliate
D. Quit
Answer: B
Rationale: Address bullying assertively, report. - V9
25. [Leadership V9] Chain of command - provider not responding to critical lab - next? - Scenario 25 2026/2027
A. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
B. Document only
C. Ignore
, D. Yell
Answer: A
Rationale: Chain: charge, supervisor, provider supervisor. - V9
26. [Leadership V9] Whistleblower - when? - Scenario 26 2026/2027
A. Never report
B. Gossip
C. Ignore
D. Report unsafe practice to protect clients per chain and agency policy
Answer: D
Rationale: Whistleblower protects reporting unsafe. - V9
27. [Leadership V9] Charge nurse receives report - which client assigned to LPN? - Scenario 27 2026/2027
A. New onset confusion
B. Stable COPD awaiting meds, chronic wound care
C. Septic shock on vasopressors
D. New admission with chest pain unstable
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V9
28. [Leadership V9] Prioritization - Maslow - physiological first? - Scenario 28 2026/2027
A. Love first
B. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
C. Esteem first
D. Self-actualization first
Answer: B
Rationale: Maslow physiological first. - V9
29. [Leadership V9] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 29 2026/2027
A. Ignore
B. Force transfusion
C. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
D. Call security
Answer: C
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V9
30. [Leadership V9] Quality improvement - example? - Scenario 30 2026/2027
A. No QI needed
B. Ignore data
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. Blame nurse
Answer: C
Rationale: QI: measure, intervene, re-measure. - V9
31. [Leadership V9] Budget - fixed vs variable costs? - Scenario 31 2026/2027
A. Both same
B. Fixed same each month - rent, Variable changes with census - supplies
C. No budget
D. Only fixed
Answer: B
Rationale: Fixed rent, variable supplies. - V9
32. [Leadership V9] HIPAA violation - which? - Scenario 32 2026/2027
A. Discussing client in elevator with visitors
B. Reporting abuse
C. Reporting communicable disease
D. Discussing client in private room with care team
Answer: A
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V9
33. [Leadership V9] Staffing - acuity vs numbers? - Scenario 33 2026/2027
A. Same assignment always
B. Acuity based on client needs, unstable needs more staff
C. Ignore acuity
D. Only numbers
Answer: B
Rationale: Acuity staffing matches needs. - V9
34. [Leadership V9] PASS for extinguisher? - Scenario 34 2026/2027
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V9 2026/2027 | 400Q Mixed: A=95 B=93 C=108 D=104 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V9] Nursing process - ADPIE - D is? - Scenario 1 2026/2027
A. Doing
B. Discharge
C. Drugs
D. Diagnosis - NANDA based on assessment data
Answer: D
Rationale: ADPIE Diagnosis. - V9
2. [Leadership V9] Provider order unclear - what to do? - Scenario 2 2026/2027
A. Clarify with provider, do not implement unclear order
B. Guess
C. Carry out
D. Ask UAP
Answer: A
Rationale: Clarify unclear orders. - V9
3. [Leadership V9] Prioritization - fire on unit - first? - Scenario 3 2026/2027
A. Hide
B. Open all doors
C. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
D. Gather belongings
Answer: C
Rationale: RACE first rescue. - V9
4. [Leadership V9] Which client should RN see first? - Scenario 4 2026/2027
A. Client asking for blanket
B. Constipation chronic
C. Stable post-op day 3 awaiting discharge
D. Chest pain radiating to jaw with diaphoresis, SpO2 88%
Answer: D
Rationale: ABCs - chest pain, low O2 unstable first. - V9
5. [Leadership V9] UAP reports client chest pain - RN first? - Scenario 5 2026/2027
A. Assess client immediately - ABCs
B. Chart
C. Ignore
D. Ask UAP to give nitro
Answer: A
Rationale: RN must assess chest pain immediately. - V9
6. [Leadership V9] Legal - malpractice requires? - Scenario 6 2026/2027
A. Duty, breach, causation, damages
B. No damages
C. No duty
D. Only error
Answer: A
Rationale: Malpractice 4 elements. - V9
7. [Leadership V9] Time management best? - Scenario 7 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. - V9
8. [Leadership V9] Performance appraisal - best? - Scenario 8 2026/2027
A. Objective, ongoing feedback, specific examples, goals
B. Only negative
C. No feedback
, D. Annual only blame
Answer: A
Rationale: Appraisal objective ongoing. - V9
9. [Leadership V9] Incident report after fall - action? - Scenario 9 2026/2027
A. Document incident report in chart
B. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
C. Punish staff
D. Ignore
Answer: B
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V9
10. [Leadership V9] Which task can charge RN delegate to experienced RN? - Scenario 10 2026/2027
A. Diagnose
B. Care for unstable new admission with chest pain
C. Make assignment
D. Order meds
Answer: B
Rationale: Experienced RN gets unstable. - V9
11. [Leadership V9] Conflict resolution first step? - Scenario 11 2026/2027
A. Blame
B. Identify problem, gather data, consider options, choose best, evaluate
C. Ignore
D. Argue
Answer: B
Rationale: Problem-solving process. - V9
12. [Leadership V9] Case management role? - Scenario 12 2026/2027
A. Only give meds
B. Ignore
C. Coordinate care across continuum, cost-effective, quality outcomes
D. Only chart
Answer: C
Rationale: Case manager coordinates. - V9
13. [Leadership V9] Client rights - restraints require? - Scenario 13 2026/2027
A. Staff convenience
B. Provider order, least restrictive, renewal q24h, assess q15min-2h
C. No order
D. Family request only
Answer: B
Rationale: Restraints need order, least restrictive. - V9
14. [Leadership V9] Can RN delegate to UAP? - Scenario 14 2026/2027
A. Teach new diabetic
B. Assess lung sounds
C. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
D. Interpret labs
Answer: C
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V9
15. [Leadership V9] RN delegates to LPN - which task? - Scenario 15 2026/2027
A. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
B. Initial assessment of new admission
C. Develop care plan
D. IV push morphine
Answer: A
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V9
16. [Leadership V9] SBAR communication - S stands for? - Scenario 16 2026/2027
A. Sympathy
B. Situation - what is happening now
C. Summary
D. Suggestion
Answer: B
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V9
,17. [Leadership V9] Client assignment - which to float RN from med-surg to ICU? - Scenario 17 2026/2027
A. Unstable coding client
B. Charge role
C. Stable ICU client transferring to step-down
D. New ICU admission intubated
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V9
18. [Leadership V9] Delegation - LPN asks RN to give IV push - RN should? - Scenario 18 2026/2027
A. Ignore scope
B. Explain LPN cannot give IV push, RN will give
C. Delegate to UAP
D. Allow LPN to give
Answer: B
Rationale: IV push is RN only. - V9
19. [Leadership V9] Infection control - which requires private room? - Scenario 19 2026/2027
A. Active TB - airborne private negative pressure
B. All clients private
C. MRSA colonized - contact
D. No isolation needs private
Answer: A
Rationale: TB needs private negative pressure. - V9
20. [Leadership V9] Disaster triage - START - black tag? - Scenario 20 2026/2027
A. Immediate
B. Delayed
C. Deceased or expectant - no respirations after airway reposition
D. Minor
Answer: C
Rationale: Black = deceased/expectant. - V9
21. [Leadership V9] Change theory - Lewin stages? - Scenario 21 2026/2027
A. Unfreezing, moving, refreezing
B. No stages
C. Only freezing
D. Only moving
Answer: A
Rationale: Lewin change model. - V9
22. [Leadership V9] Client requests to leave AMA - first? - Scenario 22 2026/2027
A. Ignore
B. Restrain
C. Assess understanding of risks, notify provider, document, have sign AMA form
D. Force stay
Answer: C
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V9
23. [Leadership V9] Informed consent - nurse role? - Scenario 23 2026/2027
A. Explain surgery risks
B. Force client
C. Obtain consent
D. Witness signature, ensure competent, understands, voluntary, provider explained
Answer: D
Rationale: Provider explains. Nurse witnesses competence and understanding. - V9
24. [Leadership V9] Conflict - nurse to nurse bullying - first? - Scenario 24 2026/2027
A. Ignore
B. Address directly, use assertive communication, document, report to manager if continues
C. Retaliate
D. Quit
Answer: B
Rationale: Address bullying assertively, report. - V9
25. [Leadership V9] Chain of command - provider not responding to critical lab - next? - Scenario 25 2026/2027
A. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
B. Document only
C. Ignore
, D. Yell
Answer: A
Rationale: Chain: charge, supervisor, provider supervisor. - V9
26. [Leadership V9] Whistleblower - when? - Scenario 26 2026/2027
A. Never report
B. Gossip
C. Ignore
D. Report unsafe practice to protect clients per chain and agency policy
Answer: D
Rationale: Whistleblower protects reporting unsafe. - V9
27. [Leadership V9] Charge nurse receives report - which client assigned to LPN? - Scenario 27 2026/2027
A. New onset confusion
B. Stable COPD awaiting meds, chronic wound care
C. Septic shock on vasopressors
D. New admission with chest pain unstable
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V9
28. [Leadership V9] Prioritization - Maslow - physiological first? - Scenario 28 2026/2027
A. Love first
B. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
C. Esteem first
D. Self-actualization first
Answer: B
Rationale: Maslow physiological first. - V9
29. [Leadership V9] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 29 2026/2027
A. Ignore
B. Force transfusion
C. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
D. Call security
Answer: C
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V9
30. [Leadership V9] Quality improvement - example? - Scenario 30 2026/2027
A. No QI needed
B. Ignore data
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. Blame nurse
Answer: C
Rationale: QI: measure, intervene, re-measure. - V9
31. [Leadership V9] Budget - fixed vs variable costs? - Scenario 31 2026/2027
A. Both same
B. Fixed same each month - rent, Variable changes with census - supplies
C. No budget
D. Only fixed
Answer: B
Rationale: Fixed rent, variable supplies. - V9
32. [Leadership V9] HIPAA violation - which? - Scenario 32 2026/2027
A. Discussing client in elevator with visitors
B. Reporting abuse
C. Reporting communicable disease
D. Discussing client in private room with care team
Answer: A
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V9
33. [Leadership V9] Staffing - acuity vs numbers? - Scenario 33 2026/2027
A. Same assignment always
B. Acuity based on client needs, unstable needs more staff
C. Ignore acuity
D. Only numbers
Answer: B
Rationale: Acuity staffing matches needs. - V9
34. [Leadership V9] PASS for extinguisher? - Scenario 34 2026/2027
