(2025/2026) ATI LEADERSHIP RN |RN LEADERSHIP PROCTORED EXAM
(3+ - A, B, C VERSIONS ) WITH QUESTIONS AND VERIFIED ANSWERS
NGN, 100% GAURANTEED PASS - BEST FOR EXAM PRACTICE
A nurse in an acute care mental health facility is participating in a medication education group. The
leader of the group uses a laissez-faire leadership style. Which of the following actions should the
nurse expect from the leader during the session?
ANSWER –
The leader allows the group to discuss whatever they would like to regarding their medications.
A charge nurse is observing a conflict between two nurses who both insist that the charge nurse
favors the other making assignments. Which of the following conflict-resolution strategies should the
charge nurse use?
ANSWER –
Encourage collaboration between the two nurses when making the assignments.
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which
of the following examples should the nurse include in the teaching as an example of malpractice?
ANSWER –
Administering potassium IV bolus.
A charge nurse is delegating care for a group of clients. Which of the following tasks should the
charge nurse assign to a licensed practical nurse?
ANSWER –
Perform a sterile dressing change for a client who has an abdominal wound
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the
following actions by the newly licensed nurse requires intervention by the staff nurse?
ANSWER –
Waits for 2 min between suctions
A nurse is planning care for a group of clients and is working with one licensed practical nurse and
one assistive personnel. Which of the following actions should the nurse take first to manage her
time effectively?
ANSWER –
Determine goals of the day
,A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify
which of the following situations as an example of interpersonal conflict?
ANSWER –
A nurse experiences insulting comments directed at them by another nurse
A nurse is serving on a continuous quality improvement committee that has been assigned to develop
a program to reduce the number of medication administration errors following a sentinel event at the
facility. Which of the followng strategies should the comnittee plan to initiate first?
ANSWER –
Review the events leading up to each medication administration error
A charge nurse has access to the facility's electronic client records. It is appropriate for the charge
nurse to share her personal password with whom?
ANSWER –
No one
A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is
reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should
include which of the following information?
ANSWER –
The purpose of medication reconciliation is to prevent adverse medication reactions.
A nurse is caring for a client on the medical-surgical unit. The client has been taking warfarin at
home and her laboratory values reveal her INR is 3.5. The client states she is checking herself out of
the hospital and refuses to wait until her provider can discuss the situation with her. Which of the
following actions should the nurse take?
ANSWER –
Explain the risk the client faces if she leaves the facility.
A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the
following tasks should the charge nurse avoid assigning to the volunteer?
ANSWER –
Observing a postoperative client who is confused
An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit removing a
small amount of morphine from syringes prior to administering the medication to clients. Which of
the following actions should the nurse manager take first?
ANSWER –
Gather data about the nurse's work performance and attendance history.
A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant
coordinator has spoken with the client's family about organ donation. The client's spouse states she is
,confused and does not know what she should do. Which of the following responses by the nurse is
appropriate?
ANSWER –
What do you think your spouse would have wanted?
A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses.
Which of the following statements by the nurse manager is appropriate?
ANSWER –
"If you render aid in an accident, do not leave the scene until another competent person can take
over."
A nurse is caring for several clients. For which of the following situations should the nurse complete
an incident report?
ANSWER –
A client discovers that his dentures are missing.
A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual
relationship between the two of them, the nurse's promotion request would get increased
consideration. Which of the following actions should the staff nurse take first?
ANSWER-
Tell the hiring manager in clear terms that this conduct causes feelings of discomfort and that the
behavior should stop immediately.
A nurse in a long-term care facility has assigned a task to an assistive personnel (AP). The AP
refuses to perform the task. Which of the following is an appropriate statement for the nurse to
make?
ANSWER –
"I need to talk to you about the unit policies regarding client assignments."
A nurse is caring for a client who is participating in a research study for an experimental
chemotherapy medication. After three treatments, the experimental medication is discontinued due to
evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this
medication demonstrates which of the following ethical principles?
ANSWER –
Nonmaleficence
A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a
hospitalized client while in the cafeteria. Which of the following is the priority nursing action?
ANSWER –
Quietly tell the APs that this is not appropriate.
, A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following tasks
should the nurse ask the AP to perform first?
ANSWER –
Take an arterial blood gas (ABG) specimen to the laboratory
A nurse is caring for an older adult client who has a terminal illness and is ventilator dependent. The
client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be
aware that continued treatment against the client's wishes is a violation of which of the following
ethical principles?
ANSWER –
Autonomy.
A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which
of the following tasks should the nurse delegate to the LPN? SATA
ANSWER -
-Obtain vitalsigns from a client who is 6 hr postoperative.
-Administer a tap-water enema to a client who is preoperative.
-Catheterize a client who has not voided in 8 hr
A nurse is caring for a client who is scheduled for surgery. The nurse's role in regard to informed
consent is which of the following?
ANSWER –
Determining the client's level of understanding about the procedure
A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to
sue the nurse. The nurse should know that, in a legal proceeding, the standard that will be used to
determine if the nurse was negligent is which of the following?
ANSWER –
Another staff nurse provides testimony about how a reasonable, prudent nurse would have
handled the situation
A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process
to client care. Which of the following aspects of client care is measured by a process audit?
ANSWER –
Quality of nursing care provided
Following a tornado, a nurse is determining which of the clients assigned to her care can be
discharged to free up beds for injured clients. Which of the following clients should the nurse
recommend for discharge?
ANSWER –
A young adult client who has Crohn's disease and is 1 day preoperative for an ileostomy
(3+ - A, B, C VERSIONS ) WITH QUESTIONS AND VERIFIED ANSWERS
NGN, 100% GAURANTEED PASS - BEST FOR EXAM PRACTICE
A nurse in an acute care mental health facility is participating in a medication education group. The
leader of the group uses a laissez-faire leadership style. Which of the following actions should the
nurse expect from the leader during the session?
ANSWER –
The leader allows the group to discuss whatever they would like to regarding their medications.
A charge nurse is observing a conflict between two nurses who both insist that the charge nurse
favors the other making assignments. Which of the following conflict-resolution strategies should the
charge nurse use?
ANSWER –
Encourage collaboration between the two nurses when making the assignments.
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which
of the following examples should the nurse include in the teaching as an example of malpractice?
ANSWER –
Administering potassium IV bolus.
A charge nurse is delegating care for a group of clients. Which of the following tasks should the
charge nurse assign to a licensed practical nurse?
ANSWER –
Perform a sterile dressing change for a client who has an abdominal wound
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the
following actions by the newly licensed nurse requires intervention by the staff nurse?
ANSWER –
Waits for 2 min between suctions
A nurse is planning care for a group of clients and is working with one licensed practical nurse and
one assistive personnel. Which of the following actions should the nurse take first to manage her
time effectively?
ANSWER –
Determine goals of the day
,A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify
which of the following situations as an example of interpersonal conflict?
ANSWER –
A nurse experiences insulting comments directed at them by another nurse
A nurse is serving on a continuous quality improvement committee that has been assigned to develop
a program to reduce the number of medication administration errors following a sentinel event at the
facility. Which of the followng strategies should the comnittee plan to initiate first?
ANSWER –
Review the events leading up to each medication administration error
A charge nurse has access to the facility's electronic client records. It is appropriate for the charge
nurse to share her personal password with whom?
ANSWER –
No one
A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is
reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should
include which of the following information?
ANSWER –
The purpose of medication reconciliation is to prevent adverse medication reactions.
A nurse is caring for a client on the medical-surgical unit. The client has been taking warfarin at
home and her laboratory values reveal her INR is 3.5. The client states she is checking herself out of
the hospital and refuses to wait until her provider can discuss the situation with her. Which of the
following actions should the nurse take?
ANSWER –
Explain the risk the client faces if she leaves the facility.
A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the
following tasks should the charge nurse avoid assigning to the volunteer?
ANSWER –
Observing a postoperative client who is confused
An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit removing a
small amount of morphine from syringes prior to administering the medication to clients. Which of
the following actions should the nurse manager take first?
ANSWER –
Gather data about the nurse's work performance and attendance history.
A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant
coordinator has spoken with the client's family about organ donation. The client's spouse states she is
,confused and does not know what she should do. Which of the following responses by the nurse is
appropriate?
ANSWER –
What do you think your spouse would have wanted?
A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses.
Which of the following statements by the nurse manager is appropriate?
ANSWER –
"If you render aid in an accident, do not leave the scene until another competent person can take
over."
A nurse is caring for several clients. For which of the following situations should the nurse complete
an incident report?
ANSWER –
A client discovers that his dentures are missing.
A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual
relationship between the two of them, the nurse's promotion request would get increased
consideration. Which of the following actions should the staff nurse take first?
ANSWER-
Tell the hiring manager in clear terms that this conduct causes feelings of discomfort and that the
behavior should stop immediately.
A nurse in a long-term care facility has assigned a task to an assistive personnel (AP). The AP
refuses to perform the task. Which of the following is an appropriate statement for the nurse to
make?
ANSWER –
"I need to talk to you about the unit policies regarding client assignments."
A nurse is caring for a client who is participating in a research study for an experimental
chemotherapy medication. After three treatments, the experimental medication is discontinued due to
evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this
medication demonstrates which of the following ethical principles?
ANSWER –
Nonmaleficence
A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a
hospitalized client while in the cafeteria. Which of the following is the priority nursing action?
ANSWER –
Quietly tell the APs that this is not appropriate.
, A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following tasks
should the nurse ask the AP to perform first?
ANSWER –
Take an arterial blood gas (ABG) specimen to the laboratory
A nurse is caring for an older adult client who has a terminal illness and is ventilator dependent. The
client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be
aware that continued treatment against the client's wishes is a violation of which of the following
ethical principles?
ANSWER –
Autonomy.
A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which
of the following tasks should the nurse delegate to the LPN? SATA
ANSWER -
-Obtain vitalsigns from a client who is 6 hr postoperative.
-Administer a tap-water enema to a client who is preoperative.
-Catheterize a client who has not voided in 8 hr
A nurse is caring for a client who is scheduled for surgery. The nurse's role in regard to informed
consent is which of the following?
ANSWER –
Determining the client's level of understanding about the procedure
A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to
sue the nurse. The nurse should know that, in a legal proceeding, the standard that will be used to
determine if the nurse was negligent is which of the following?
ANSWER –
Another staff nurse provides testimony about how a reasonable, prudent nurse would have
handled the situation
A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process
to client care. Which of the following aspects of client care is measured by a process audit?
ANSWER –
Quality of nursing care provided
Following a tornado, a nurse is determining which of the clients assigned to her care can be
discharged to free up beds for injured clients. Which of the following clients should the nurse
recommend for discharge?
ANSWER –
A young adult client who has Crohn's disease and is 1 day preoperative for an ileostomy
