RN ATI Leadership Proctored Exam 2025 Most Recent exam
COMPLETE (2026) EXAM Questions and Answers (Verified
Answers) (Latest Update 2026) Graded A+
Question 1
A charge nurse is assigning patient care to a team of nurses. Which task is appropriate to
delegate to a licensed practical nurse (LPN)?
A) Performing initial admission assessment
B) Administering IV push medications
C) Reinforcing teaching for a patient receiving a new prescription
D) Developing the plan of care
Rationale: LPNs can reinforce teaching but cannot perform initial assessments or create the plan
of care. IV push medications are typically restricted to RNs.
Question 2
A nurse manager notices conflict between two staff nurses. Which intervention
demonstrates effective conflict resolution?
A) Ignoring the conflict and hoping it resolves
B) Meeting with both nurses to facilitate discussion and identify solutions
C) Reassigning the nurses without discussion
D) Documenting the conflict and taking no action
Rationale: Facilitating open discussion allows resolution and maintains team cohesion.
Question 3
NGN Item: A nurse receives change-of-shift report and identifies which patient to assess first?
• Patient A: Postoperative day 1, vitals stable, pain 4/10
• Patient B: On IV heparin, new 2+ bruising on arms
1
• Patient C: Scheduled for discharge today, ambulating independently
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• Patient D: Chronic back pain, requesting pain medication
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, Answer: Patient B
Rationale: Patient on heparin with new bruising may have a bleeding complication; highest
priority.
Question 4
Which action demonstrates appropriate time management for a new RN?
A) Completing tasks as they arise, without prioritization
B) Creating a task list and prioritizing based on patient needs
C) Focusing only on stable patients
D) Leaving documentation for the end of the shift
Rationale: Prioritizing and planning tasks ensures safe, efficient patient care.
Question 5
A nurse is developing an in-service on fall prevention. Which step demonstrates effective
leadership in quality improvement?
A) Sending the material without review
B) Reviewing incident reports and identifying trends
C) Focusing only on education without data
D) Waiting for patient complaints
Rationale: Data-driven approaches guide effective quality improvement initiatives.
Question 6
Which action is a legal responsibility of the RN?
A) Delegating all patient care tasks to LPNs
B) Ensuring that delegated tasks are appropriate and performed safely
C) Ignoring unsafe practices by staff
D) Allowing unlicensed assistive personnel (UAP) to administer medications
Rationale: The RN is accountable for safe delegation and supervision.
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Page
Question 7
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, NGN Item: A patient with a PCA pump reports inadequate pain control. The LPN reports that
the PCA settings are correct. What should the RN do first?
A) Increase the PCA dose per LPN suggestion
B) Perform a full pain assessment
C) Call the provider immediately
D) Document the patient’s complaint
Rationale: Assessment is always the first step before interventions or notifying providers.
Question 8
Which action demonstrates ethical leadership?
A) Ignoring staff concerns to avoid conflict
B) Addressing staff concerns fairly and advocating for patient safety
C) Focusing only on budget goals
D) Reprimanding staff without investigation
Rationale: Ethical leadership involves fairness, advocacy, and accountability.
Question 9
A nurse is supervising a UAP assisting with hygiene. Which statement indicates proper
supervision?
A) “I trust you will do it correctly, check back later.”
B) “Please bathe Mr. Smith and let me know if he complains of pain or dizziness.”
C) “I will handle the bath myself; you can observe.”
D) “Do not ask me any questions during the bath.”
Rationale: Clear instructions and a plan for reporting issues ensure safe delegation.
Question 10
Which tool is used to prioritize patient care based on severity and immediacy?
A) Job description
B) Maslow’s hierarchy of needs or ABC framework
C) Staffing schedule
D) Nursing policy manual
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Page
Rationale: Maslow’s hierarchy and ABCs help prioritize care based on patient needs and safety.
EXAMPREPMASTER
COMPLETE (2026) EXAM Questions and Answers (Verified
Answers) (Latest Update 2026) Graded A+
Question 1
A charge nurse is assigning patient care to a team of nurses. Which task is appropriate to
delegate to a licensed practical nurse (LPN)?
A) Performing initial admission assessment
B) Administering IV push medications
C) Reinforcing teaching for a patient receiving a new prescription
D) Developing the plan of care
Rationale: LPNs can reinforce teaching but cannot perform initial assessments or create the plan
of care. IV push medications are typically restricted to RNs.
Question 2
A nurse manager notices conflict between two staff nurses. Which intervention
demonstrates effective conflict resolution?
A) Ignoring the conflict and hoping it resolves
B) Meeting with both nurses to facilitate discussion and identify solutions
C) Reassigning the nurses without discussion
D) Documenting the conflict and taking no action
Rationale: Facilitating open discussion allows resolution and maintains team cohesion.
Question 3
NGN Item: A nurse receives change-of-shift report and identifies which patient to assess first?
• Patient A: Postoperative day 1, vitals stable, pain 4/10
• Patient B: On IV heparin, new 2+ bruising on arms
1
• Patient C: Scheduled for discharge today, ambulating independently
Page
• Patient D: Chronic back pain, requesting pain medication
EXAMPREPMASTER
, Answer: Patient B
Rationale: Patient on heparin with new bruising may have a bleeding complication; highest
priority.
Question 4
Which action demonstrates appropriate time management for a new RN?
A) Completing tasks as they arise, without prioritization
B) Creating a task list and prioritizing based on patient needs
C) Focusing only on stable patients
D) Leaving documentation for the end of the shift
Rationale: Prioritizing and planning tasks ensures safe, efficient patient care.
Question 5
A nurse is developing an in-service on fall prevention. Which step demonstrates effective
leadership in quality improvement?
A) Sending the material without review
B) Reviewing incident reports and identifying trends
C) Focusing only on education without data
D) Waiting for patient complaints
Rationale: Data-driven approaches guide effective quality improvement initiatives.
Question 6
Which action is a legal responsibility of the RN?
A) Delegating all patient care tasks to LPNs
B) Ensuring that delegated tasks are appropriate and performed safely
C) Ignoring unsafe practices by staff
D) Allowing unlicensed assistive personnel (UAP) to administer medications
Rationale: The RN is accountable for safe delegation and supervision.
2
Page
Question 7
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, NGN Item: A patient with a PCA pump reports inadequate pain control. The LPN reports that
the PCA settings are correct. What should the RN do first?
A) Increase the PCA dose per LPN suggestion
B) Perform a full pain assessment
C) Call the provider immediately
D) Document the patient’s complaint
Rationale: Assessment is always the first step before interventions or notifying providers.
Question 8
Which action demonstrates ethical leadership?
A) Ignoring staff concerns to avoid conflict
B) Addressing staff concerns fairly and advocating for patient safety
C) Focusing only on budget goals
D) Reprimanding staff without investigation
Rationale: Ethical leadership involves fairness, advocacy, and accountability.
Question 9
A nurse is supervising a UAP assisting with hygiene. Which statement indicates proper
supervision?
A) “I trust you will do it correctly, check back later.”
B) “Please bathe Mr. Smith and let me know if he complains of pain or dizziness.”
C) “I will handle the bath myself; you can observe.”
D) “Do not ask me any questions during the bath.”
Rationale: Clear instructions and a plan for reporting issues ensure safe delegation.
Question 10
Which tool is used to prioritize patient care based on severity and immediacy?
A) Job description
B) Maslow’s hierarchy of needs or ABC framework
C) Staffing schedule
D) Nursing policy manual
3
Page
Rationale: Maslow’s hierarchy and ABCs help prioritize care based on patient needs and safety.
EXAMPREPMASTER
