RN ATI Leadership Proctored
Exam 2023-2025
1. A nurse is assigning tasks to a UAP. Which task is appropriate for the nurse to delegate?
A. Assessing the skin of a client with a pressure ulcer B. Assisting a client with bathing
C. Administering a tube feeding D. Performing an initial client assessment
Answer: B. Assisting a client with bathing
Rationale: Assisting with hygiene is within the scope of a UAP. Assessment and administering
feedings require nursing judgment and cannot be delegated to UAPs.
2. A nurse leader is working with a team that has a history of high turnover. What is the
most effective approach to reduce turnover? A. Ignore the issue and focus only on
recruitment B. Improve job satisfaction by offering opportunities for growth, recognizing
achievements, and fostering a supportive work environment C. Increase the workload to
make the job more challenging D. Reprimand staff for leaving the team
Answer: B. Improve job satisfaction by offering opportunities for growth, recognizing
achievements, and fostering a supportive work environment
Rationale: Enhancing job satisfaction through growth opportunities and recognition fosters
retention and reduces turnover.
3. What is the most effective method to enhance communication within a nursing team? A.
Limit communication to only written updates B. Encourage open, honest, and frequent
communication among team members C. Ignore team feedback and assume they will
adjust on their own D. Assign new tasks without explaining their purpose
Answer: B. Encourage open, honest, and frequent communication among team members
Rationale: Open communication promotes trust, collaboration, and effective teamwork.
4. A nurse manager notices poor teamwork on the unit. What is the best approach to
improve teamwork? A. Assign tasks individually and avoid group activities B. Foster
team-building opportunities, encourage collaboration, and provide clear goals for the
team C. Ignore the issue and assume the team will work better on its own D. Focus solely
on individual performance and disregard team dynamics
Answer: B. Foster team-building opportunities, encourage collaboration, and provide clear goals
for the team
Rationale: Building trust and collaboration improves team dynamics and patient outcomes.
, 5. A nurse is caring for a client with a Do Not Resuscitate (DNR) order. Which action
should the nurse take if the client’s pulse is not detectable? A. Begin CPR immediately B.
Call for the client's nurse to come to the room for further assessment C. Ignore the
situation since the client has a DNR D. Contact the family before taking any action
Answer: B. Call for the client's nurse to come to the room for further assessment
Rationale: The nursing assistant should notify the nurse for further assessment; the DNR means
no resuscitation, but assessment is still required.
6. Which client should the nurse assess first during change-of-shift report? A. A client 6
hours post-abdominal surgery with a heart rate of 120/min for the last 2 hours B. A client
ready for discharge C. A client requesting pain medication D. A client scheduled for
routine lab work
Answer: A. A client 6 hours post-abdominal surgery with a heart rate of 120/min for the last 2
hours
Rationale: A sustained elevated heart rate post-surgery may indicate complications and requires
immediate assessment.
7. What is the best strategy to ensure successful implementation of a new team-based
approach to patient care? A. Force the team to adopt the new approach immediately B.
Provide clear communication, training, and support to ensure the team understands the
new approach C. Ignore team feedback and assume they will adjust on their own D.
Assign new tasks without explaining their purpose
Answer: B. Provide clear communication, training, and support to ensure the team understands
the new approach
Rationale: Clear communication and training facilitate smooth transitions and acceptance of
change.
8. What communication tool should a nurse use to report a client’s adverse medication
reaction? A. SOAP notes B. SBAR framework C. Incident report only D. Verbal report
without documentation
Answer: B. SBAR framework
Rationale: SBAR (Situation, Background, Assessment, Recommendation) is an effective
communication tool for reporting critical information.
9. A nurse is caring for four clients. Which task should the nurse complete first? A.
Administering scheduled medications B. Assisting a client with ambulation C. Assessing
a client reporting chest pain D. Documenting intake and output
Answer: C. Assessing a client reporting chest pain
,Rationale: Chest pain indicates a potentially life-threatening condition and requires immediate
assessment.
10. A nurse manager is responsible for creating the unit schedule. What is the most important
factor to consider? A. Staff preferences B. Budget constraints C. Patient acuity and needs
D. Equal distribution of overtime
Answer: C. Patient acuity and needs
Rationale: Staffing decisions should primarily be based on patient care requirements.
11. A client refuses a medication. What is the nurse's responsibility? A. Administer the
medication against the client's will B. Educate the client about the medication and
potential consequences of refusal C. Document the refusal and notify the provider D.
Both B and C
Answer: D. Both B and C
Rationale: Nurses should educate clients and respect their right to refuse treatment while
ensuring appropriate documentation and communication.
12. A nurse is caring for a client from a different culture. What is the most important action?
A. Assuming the client follows traditional practices B. Asking the client about their
cultural beliefs and practices C. Providing care based on personal beliefs D. Ignoring
cultural differences
Answer: B. Asking the client about their cultural beliefs and practices
Rationale: Culturally competent care requires understanding and respecting individual beliefs
and practices.
13. During a fire, what is the nurse's first action? A. Extinguish the fire B. Evacuate clients C.
Activate the fire alarm D. Close all doors and windows
Answer: C. Activate the fire alarm
Rationale: Activating the alarm alerts others and initiates the emergency response.
14. What is the purpose of a root cause analysis? A. To blame individuals for errors B. To
identify underlying causes of adverse events C. To punish those involved in the event D.
To hide errors from regulatory agencies
Answer: B. To identify underlying causes of adverse events
Rationale: Root cause analysis aims to prevent future errors by addressing systemic issues.
, 15. A nurse manager identifies a gap in staff knowledge. What is the best approach to address
this? A. Ignoring the issue B. Providing targeted education and training C. Disciplining
staff for their lack of knowledge D. Hiring new staff with the required skills
Answer: B. Providing targeted education and training
Rationale: Targeted education improves staff competence and patient outcomes.
16. What is the primary purpose of performance evaluations? A. To determine salary
increases B. To provide feedback and identify areas for improvement C. To document
disciplinary actions D. To compare staff members
Answer: B. To provide feedback and identify areas for improvement
Rationale: Performance evaluations should focus on growth and development.
17. A nurse manager is preparing a budget. What is the first step? A. Estimating revenue B.
Determining staffing needs C. Reviewing past expenditures D. Allocating funds to
different departments
Answer: C. Reviewing past expenditures
Rationale: Understanding past spending patterns informs future budget planning.
18. Two nurses are in conflict. What is the best approach for the nurse manager? A. Ignoring
the conflict B. Taking sides with one nurse C. Facilitating a discussion to find a resolution
D. Punishing both nurses
Answer: C. Facilitating a discussion to find a resolution
Rationale: Facilitating communication helps resolve conflicts and maintain a positive work
environment.
19. A nurse makes a medication error. What is the first action? A. Reporting the error to the
nurse manager B. Assessing the client and implementing corrective measures C.
Documenting the error in the client's chart D. All of the above
Answer: D. All of the above
Rationale: Addressing medication errors involves ensuring patient safety, reporting, and
documentation.
20. A nurse witnesses another nurse diverting medication. What is the ethical responsibility?
A. Ignoring the situation B. Reporting the nurse to the appropriate authorities C.
Confronting the nurse privately D. Documenting the incident without reporting
Answer: B. Reporting the nurse to the appropriate authorities
Exam 2023-2025
1. A nurse is assigning tasks to a UAP. Which task is appropriate for the nurse to delegate?
A. Assessing the skin of a client with a pressure ulcer B. Assisting a client with bathing
C. Administering a tube feeding D. Performing an initial client assessment
Answer: B. Assisting a client with bathing
Rationale: Assisting with hygiene is within the scope of a UAP. Assessment and administering
feedings require nursing judgment and cannot be delegated to UAPs.
2. A nurse leader is working with a team that has a history of high turnover. What is the
most effective approach to reduce turnover? A. Ignore the issue and focus only on
recruitment B. Improve job satisfaction by offering opportunities for growth, recognizing
achievements, and fostering a supportive work environment C. Increase the workload to
make the job more challenging D. Reprimand staff for leaving the team
Answer: B. Improve job satisfaction by offering opportunities for growth, recognizing
achievements, and fostering a supportive work environment
Rationale: Enhancing job satisfaction through growth opportunities and recognition fosters
retention and reduces turnover.
3. What is the most effective method to enhance communication within a nursing team? A.
Limit communication to only written updates B. Encourage open, honest, and frequent
communication among team members C. Ignore team feedback and assume they will
adjust on their own D. Assign new tasks without explaining their purpose
Answer: B. Encourage open, honest, and frequent communication among team members
Rationale: Open communication promotes trust, collaboration, and effective teamwork.
4. A nurse manager notices poor teamwork on the unit. What is the best approach to
improve teamwork? A. Assign tasks individually and avoid group activities B. Foster
team-building opportunities, encourage collaboration, and provide clear goals for the
team C. Ignore the issue and assume the team will work better on its own D. Focus solely
on individual performance and disregard team dynamics
Answer: B. Foster team-building opportunities, encourage collaboration, and provide clear goals
for the team
Rationale: Building trust and collaboration improves team dynamics and patient outcomes.
, 5. A nurse is caring for a client with a Do Not Resuscitate (DNR) order. Which action
should the nurse take if the client’s pulse is not detectable? A. Begin CPR immediately B.
Call for the client's nurse to come to the room for further assessment C. Ignore the
situation since the client has a DNR D. Contact the family before taking any action
Answer: B. Call for the client's nurse to come to the room for further assessment
Rationale: The nursing assistant should notify the nurse for further assessment; the DNR means
no resuscitation, but assessment is still required.
6. Which client should the nurse assess first during change-of-shift report? A. A client 6
hours post-abdominal surgery with a heart rate of 120/min for the last 2 hours B. A client
ready for discharge C. A client requesting pain medication D. A client scheduled for
routine lab work
Answer: A. A client 6 hours post-abdominal surgery with a heart rate of 120/min for the last 2
hours
Rationale: A sustained elevated heart rate post-surgery may indicate complications and requires
immediate assessment.
7. What is the best strategy to ensure successful implementation of a new team-based
approach to patient care? A. Force the team to adopt the new approach immediately B.
Provide clear communication, training, and support to ensure the team understands the
new approach C. Ignore team feedback and assume they will adjust on their own D.
Assign new tasks without explaining their purpose
Answer: B. Provide clear communication, training, and support to ensure the team understands
the new approach
Rationale: Clear communication and training facilitate smooth transitions and acceptance of
change.
8. What communication tool should a nurse use to report a client’s adverse medication
reaction? A. SOAP notes B. SBAR framework C. Incident report only D. Verbal report
without documentation
Answer: B. SBAR framework
Rationale: SBAR (Situation, Background, Assessment, Recommendation) is an effective
communication tool for reporting critical information.
9. A nurse is caring for four clients. Which task should the nurse complete first? A.
Administering scheduled medications B. Assisting a client with ambulation C. Assessing
a client reporting chest pain D. Documenting intake and output
Answer: C. Assessing a client reporting chest pain
,Rationale: Chest pain indicates a potentially life-threatening condition and requires immediate
assessment.
10. A nurse manager is responsible for creating the unit schedule. What is the most important
factor to consider? A. Staff preferences B. Budget constraints C. Patient acuity and needs
D. Equal distribution of overtime
Answer: C. Patient acuity and needs
Rationale: Staffing decisions should primarily be based on patient care requirements.
11. A client refuses a medication. What is the nurse's responsibility? A. Administer the
medication against the client's will B. Educate the client about the medication and
potential consequences of refusal C. Document the refusal and notify the provider D.
Both B and C
Answer: D. Both B and C
Rationale: Nurses should educate clients and respect their right to refuse treatment while
ensuring appropriate documentation and communication.
12. A nurse is caring for a client from a different culture. What is the most important action?
A. Assuming the client follows traditional practices B. Asking the client about their
cultural beliefs and practices C. Providing care based on personal beliefs D. Ignoring
cultural differences
Answer: B. Asking the client about their cultural beliefs and practices
Rationale: Culturally competent care requires understanding and respecting individual beliefs
and practices.
13. During a fire, what is the nurse's first action? A. Extinguish the fire B. Evacuate clients C.
Activate the fire alarm D. Close all doors and windows
Answer: C. Activate the fire alarm
Rationale: Activating the alarm alerts others and initiates the emergency response.
14. What is the purpose of a root cause analysis? A. To blame individuals for errors B. To
identify underlying causes of adverse events C. To punish those involved in the event D.
To hide errors from regulatory agencies
Answer: B. To identify underlying causes of adverse events
Rationale: Root cause analysis aims to prevent future errors by addressing systemic issues.
, 15. A nurse manager identifies a gap in staff knowledge. What is the best approach to address
this? A. Ignoring the issue B. Providing targeted education and training C. Disciplining
staff for their lack of knowledge D. Hiring new staff with the required skills
Answer: B. Providing targeted education and training
Rationale: Targeted education improves staff competence and patient outcomes.
16. What is the primary purpose of performance evaluations? A. To determine salary
increases B. To provide feedback and identify areas for improvement C. To document
disciplinary actions D. To compare staff members
Answer: B. To provide feedback and identify areas for improvement
Rationale: Performance evaluations should focus on growth and development.
17. A nurse manager is preparing a budget. What is the first step? A. Estimating revenue B.
Determining staffing needs C. Reviewing past expenditures D. Allocating funds to
different departments
Answer: C. Reviewing past expenditures
Rationale: Understanding past spending patterns informs future budget planning.
18. Two nurses are in conflict. What is the best approach for the nurse manager? A. Ignoring
the conflict B. Taking sides with one nurse C. Facilitating a discussion to find a resolution
D. Punishing both nurses
Answer: C. Facilitating a discussion to find a resolution
Rationale: Facilitating communication helps resolve conflicts and maintain a positive work
environment.
19. A nurse makes a medication error. What is the first action? A. Reporting the error to the
nurse manager B. Assessing the client and implementing corrective measures C.
Documenting the error in the client's chart D. All of the above
Answer: D. All of the above
Rationale: Addressing medication errors involves ensuring patient safety, reporting, and
documentation.
20. A nurse witnesses another nurse diverting medication. What is the ethical responsibility?
A. Ignoring the situation B. Reporting the nurse to the appropriate authorities C.
Confronting the nurse privately D. Documenting the incident without reporting
Answer: B. Reporting the nurse to the appropriate authorities
