1
RN ATI Leadership Proctored
Exam Retake 2024: 70
Questions with Verified
Rationalized Answers
Leadership Principles
1. A nurse delegates a task to a certified nursing assistant (CNA). Which task is
appropriate?
a. Administer IV medication
b. Perform sterile wound care
c. Take vital signs
d. Adjust ventilator settings
Rationale: CNAs are trained to perform non-invasive tasks like taking vital signs.
Administering IV medication, sterile wound care, and ventilator adjustments require RN
licensure, per 2023 ATI leadership guidelines.
2. A charge nurse is assigning tasks for a busy shift. Which client should the RN assess
first?
a. A client with stable hypertension
b. A client reporting chest pain
c. A client awaiting discharge teaching
d. A client with a scheduled dressing change
Rationale: Chest pain may indicate a life-threatening condition (e.g., myocardial
infarction). Prioritizing assessment aligns with ABC (airway, breathing, circulation)
principles, per NCLEX-RN 2023 guidelines.
3. A nurse manager is addressing staff burnout. Which strategy best promotes staff
retention?
a. Increase mandatory overtime
b. Implement a shared governance model
c. Limit staff breaks to maintain workflow
d. Assign extra tasks to experienced nurses
Rationale: Shared governance empowers nurses, improving job satisfaction and
retention, per 2023 ATI leadership principles.
4. A nurse is leading a quality improvement project. Which step is first in the Plan-Do-
Study-Act (PDSA) cycle?
a. Implement the change
, 2
b. Identify the problem and plan a solution
c. Evaluate outcomes
d. Adjust the intervention
Rationale: The PDSA cycle begins with planning, identifying the problem, and
developing a solution, per 2023 quality improvement standards.
5. A charge nurse overhears a nurse discussing a client’s diagnosis in the cafeteria. What is
the best response?
a. Ignore the conversation
b. Address the nurse privately about confidentiality
c. Report the nurse to the ethics committee
d. Post a reminder about HIPAA in the break room
Rationale: Addressing the nurse privately corrects the behavior while maintaining
professionalism and ensuring HIPAA compliance, per 2023 ATI guidelines.
6. A nurse manager is resolving a conflict between two nurses. Which approach is most
effective?
a. Ignore the conflict
b. Facilitate open communication
c. Reassign one nurse to another unit
d. Discipline both nurses
Rationale: Open communication promotes collaboration and resolves conflict
constructively, per 2023 leadership and conflict resolution principles.
7. A nurse is precepting a new graduate RN. Which action best supports the new nurse’s
development?
a. Complete tasks for the new nurse
b. Provide constructive feedback after tasks
c. Assign only low-acuity clients
d. Limit the new nurse’s autonomy
Rationale: Constructive feedback fosters learning and confidence, aligning with ATI’s
2023 preceptorship guidelines.
8. A charge nurse is managing a code blue. Which role should the RN assume?
a. Administer medications
b. Lead the code team
c. Document the event
d. Perform chest compressions
Rationale: The RN’s leadership role in a code includes directing the team to ensure
coordinated care, per 2023 ACLS and ATI guidelines.
9. A nurse manager is creating a staffing schedule. Which factor is most important to
consider?
a. Staff personal preferences
b. Client acuity and safety
c. Equal distribution of overtime
d. Seniority of staff members
Rationale: Client acuity and safety are the primary considerations for safe staffing, per
2023 ATI leadership standards.
10. A nurse is advocating for a client who refuses a procedure. What is the nurse’s best
action?
RN ATI Leadership Proctored
Exam Retake 2024: 70
Questions with Verified
Rationalized Answers
Leadership Principles
1. A nurse delegates a task to a certified nursing assistant (CNA). Which task is
appropriate?
a. Administer IV medication
b. Perform sterile wound care
c. Take vital signs
d. Adjust ventilator settings
Rationale: CNAs are trained to perform non-invasive tasks like taking vital signs.
Administering IV medication, sterile wound care, and ventilator adjustments require RN
licensure, per 2023 ATI leadership guidelines.
2. A charge nurse is assigning tasks for a busy shift. Which client should the RN assess
first?
a. A client with stable hypertension
b. A client reporting chest pain
c. A client awaiting discharge teaching
d. A client with a scheduled dressing change
Rationale: Chest pain may indicate a life-threatening condition (e.g., myocardial
infarction). Prioritizing assessment aligns with ABC (airway, breathing, circulation)
principles, per NCLEX-RN 2023 guidelines.
3. A nurse manager is addressing staff burnout. Which strategy best promotes staff
retention?
a. Increase mandatory overtime
b. Implement a shared governance model
c. Limit staff breaks to maintain workflow
d. Assign extra tasks to experienced nurses
Rationale: Shared governance empowers nurses, improving job satisfaction and
retention, per 2023 ATI leadership principles.
4. A nurse is leading a quality improvement project. Which step is first in the Plan-Do-
Study-Act (PDSA) cycle?
a. Implement the change
, 2
b. Identify the problem and plan a solution
c. Evaluate outcomes
d. Adjust the intervention
Rationale: The PDSA cycle begins with planning, identifying the problem, and
developing a solution, per 2023 quality improvement standards.
5. A charge nurse overhears a nurse discussing a client’s diagnosis in the cafeteria. What is
the best response?
a. Ignore the conversation
b. Address the nurse privately about confidentiality
c. Report the nurse to the ethics committee
d. Post a reminder about HIPAA in the break room
Rationale: Addressing the nurse privately corrects the behavior while maintaining
professionalism and ensuring HIPAA compliance, per 2023 ATI guidelines.
6. A nurse manager is resolving a conflict between two nurses. Which approach is most
effective?
a. Ignore the conflict
b. Facilitate open communication
c. Reassign one nurse to another unit
d. Discipline both nurses
Rationale: Open communication promotes collaboration and resolves conflict
constructively, per 2023 leadership and conflict resolution principles.
7. A nurse is precepting a new graduate RN. Which action best supports the new nurse’s
development?
a. Complete tasks for the new nurse
b. Provide constructive feedback after tasks
c. Assign only low-acuity clients
d. Limit the new nurse’s autonomy
Rationale: Constructive feedback fosters learning and confidence, aligning with ATI’s
2023 preceptorship guidelines.
8. A charge nurse is managing a code blue. Which role should the RN assume?
a. Administer medications
b. Lead the code team
c. Document the event
d. Perform chest compressions
Rationale: The RN’s leadership role in a code includes directing the team to ensure
coordinated care, per 2023 ACLS and ATI guidelines.
9. A nurse manager is creating a staffing schedule. Which factor is most important to
consider?
a. Staff personal preferences
b. Client acuity and safety
c. Equal distribution of overtime
d. Seniority of staff members
Rationale: Client acuity and safety are the primary considerations for safe staffing, per
2023 ATI leadership standards.
10. A nurse is advocating for a client who refuses a procedure. What is the nurse’s best
action?
