ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM V7 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V7 2026/2027 | 400Q Mixed: A=109 B=110 C=94 D=87 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V7] Which client should RN see first? - Scenario 1 2026/2027
A. Constipation chronic
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Stable post-op day 3 awaiting discharge
D. Client asking for blanket
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V7
2. [Leadership V7] Conflict - nurse to nurse bullying - first? - Scenario 2 2026/2027
A. Address directly, use assertive communication, document, report to manager if continues
B. Quit
C. Ignore
D. Retaliate
Answer: A
Rationale: Address bullying assertively, report. - V7
3. [Leadership V7] Client assignment - which to float RN from med-surg to ICU? - Scenario 3 2026/2027
A. Charge role
B. New ICU admission intubated
C. Stable ICU client transferring to step-down
D. Unstable coding client
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V7
4. [Leadership V7] Performance appraisal - best? - Scenario 4 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. - V7
5. [Leadership V7] PASS for extinguisher? - Scenario 5 2026/2027
A. Push, Aim, Squeeze, Sweep
B. Pull pin, Aim at base, Squeeze handle, Sweep side to side
C. No acronym
D. Run
Answer: B
Rationale: PASS correct. - V7
6. [Leadership V7] Can RN delegate to UAP? - Scenario 6 2026/2027
A. Interpret labs
B. Teach new diabetic
C. Assess lung sounds
D. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
Answer: D
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V7
7. [Leadership V7] RN delegates to LPN - which task? - Scenario 7 2026/2027
A. IV push morphine
B. Initial assessment of new admission
C. Develop care plan
D. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
Answer: D
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V7
8. [Leadership V7] Informed consent - nurse role? - Scenario 8 2026/2027
A. Explain surgery risks
B. Witness signature, ensure competent, understands, voluntary, provider explained
, C. Obtain consent
D. Force client
Answer: B
Rationale: Provider explains. Nurse witnesses competence and understanding. - V7
9. [Leadership V7] Legal - malpractice requires? - Scenario 9 2026/2027
A. No duty
B. No damages
C. Duty, breach, causation, damages
D. Only error
Answer: C
Rationale: Malpractice 4 elements. - V7
10. [Leadership V7] Medication error - first action? - Scenario 10 2026/2027
A. Assess client safety, check vitals, notify provider, report per policy
B. Document only
C. Blame
D. Hide
Answer: A
Rationale: Med error: assess client first, then report. - V7
11. [Leadership V7] Management style - democratic? - Scenario 11 2026/2027
A. Laissez-faire no direction
B. Democratic - team input, collaboration, shared decision
C. No style
D. Autocratic decision only leader
Answer: B
Rationale: Democratic participative. - V7
12. [Leadership V7] Delegation - LPN asks RN to give IV push - RN should? - Scenario 12 2026/2027
A. Ignore scope
B. Allow LPN to give
C. Explain LPN cannot give IV push, RN will give
D. Delegate to UAP
Answer: C
Rationale: IV push is RN only. - V7
13. [Leadership V7] Which task can charge RN delegate to experienced RN? - Scenario 13 2026/2027
A. Care for unstable new admission with chest pain
B. Make assignment
C. Diagnose
D. Order meds
Answer: A
Rationale: Experienced RN gets unstable. - V7
14. [Leadership V7] Infection control - which requires private room? - Scenario 14 2026/2027
A. Active TB - airborne private negative pressure
B. No isolation needs private
C. All clients private
D. MRSA colonized - contact
Answer: A
Rationale: TB needs private negative pressure. - V7
15. [Leadership V7] HIPAA violation - which? - Scenario 15 2026/2027
A. Reporting abuse
B. Reporting communicable disease
C. Discussing client in private room with care team
D. Discussing client in elevator with visitors
Answer: D
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V7
16. [Leadership V7] Prioritization - fire on unit - first? - Scenario 16 2026/2027
A. Hide
B. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
C. Gather belongings
D. Open all doors
Answer: B
Rationale: RACE first rescue. - V7
,17. [Leadership V7] Case management role? - Scenario 17 2026/2027
A. Coordinate care across continuum, cost-effective, quality outcomes
B. Ignore
C. Only chart
D. Only give meds
Answer: A
Rationale: Case manager coordinates. - V7
18. [Leadership V7] Nursing process - ADPIE - D is? - Scenario 18 2026/2027
A. Drugs
B. Diagnosis - NANDA based on assessment data
C. Discharge
D. Doing
Answer: B
Rationale: ADPIE Diagnosis. - V7
19. [Leadership V7] Incident report after fall - action? - Scenario 19 2026/2027
A. Punish staff
B. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
C. Document incident report in chart
D. Ignore
Answer: B
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V7
20. [Leadership V7] Prioritization - Maslow - physiological first? - Scenario 20 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. - V7
21. [Leadership V7] Disaster triage - START - black tag? - Scenario 21 2026/2027
A. Minor
B. Deceased or expectant - no respirations after airway reposition
C. Immediate
D. Delayed
Answer: B
Rationale: Black = deceased/expectant. - V7
22. [Leadership V7] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 22 2026/2027
A. Force transfusion
B. Ignore
C. Call security
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V7
23. [Leadership V7] Conflict resolution first step? - Scenario 23 2026/2027
A. Ignore
B. Identify problem, gather data, consider options, choose best, evaluate
C. Argue
D. Blame
Answer: B
Rationale: Problem-solving process. - V7
24. [Leadership V7] Provider order unclear - what to do? - Scenario 24 2026/2027
A. Ask UAP
B. Clarify with provider, do not implement unclear order
C. Guess
D. Carry out
Answer: B
Rationale: Clarify unclear orders. - V7
25. [Leadership V7] Client requests to leave AMA - first? - Scenario 25 2026/2027
A. Force stay
B. Ignore
C. Restrain
, D. Assess understanding of risks, notify provider, document, have sign AMA form
Answer: D
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V7
26. [Leadership V7] Chain of command - provider not responding to critical lab - next? - Scenario 26 2026/2027
A. Ignore
B. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
C. Yell
D. Document only
Answer: B
Rationale: Chain: charge, supervisor, provider supervisor. - V7
27. [Leadership V7] Time management best? - Scenario 27 2026/2027
A. Do all tasks at once
B. Do easiest first only
C. Procrastinate
D. Prioritize ABCs, unstable, use delegation, cluster care, plan day
Answer: D
Rationale: Prioritize, delegate, cluster care, plan. - V7
28. [Leadership V7] Whistleblower - when? - Scenario 28 2026/2027
A. Ignore
B. Never report
C. Report unsafe practice to protect clients per chain and agency policy
D. Gossip
Answer: C
Rationale: Whistleblower protects reporting unsafe. - V7
29. [Leadership V7] Change theory - Lewin stages? - Scenario 29 2026/2027
A. No stages
B. Only moving
C. Unfreezing, moving, refreezing
D. Only freezing
Answer: C
Rationale: Lewin change model. - V7
30. [Leadership V7] SBAR communication - S stands for? - Scenario 30 2026/2027
A. Suggestion
B. Sympathy
C. Situation - what is happening now
D. Summary
Answer: C
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V7
31. [Leadership V7] Charge nurse receives report - which client assigned to LPN? - Scenario 31 2026/2027
A. Septic shock on vasopressors
B. New onset confusion
C. Stable COPD awaiting meds, chronic wound care
D. New admission with chest pain unstable
Answer: C
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V7
32. [Leadership V7] Client rights - restraints require? - Scenario 32 2026/2027
A. Family request only
B. No order
C. Staff convenience
D. Provider order, least restrictive, renewal q24h, assess q15min-2h
Answer: D
Rationale: Restraints need order, least restrictive. - V7
33. [Leadership V7] Budget - fixed vs variable costs? - Scenario 33 2026/2027
A. Only fixed
B. Fixed same each month - rent, Variable changes with census - supplies
C. Both same
D. No budget
Answer: B
Rationale: Fixed rent, variable supplies. - V7
34. [Leadership V7] UAP reports client chest pain - RN first? - Scenario 34 2026/2027
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V7 2026/2027 | 400Q Mixed: A=109 B=110 C=94 D=87 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V7] Which client should RN see first? - Scenario 1 2026/2027
A. Constipation chronic
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Stable post-op day 3 awaiting discharge
D. Client asking for blanket
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V7
2. [Leadership V7] Conflict - nurse to nurse bullying - first? - Scenario 2 2026/2027
A. Address directly, use assertive communication, document, report to manager if continues
B. Quit
C. Ignore
D. Retaliate
Answer: A
Rationale: Address bullying assertively, report. - V7
3. [Leadership V7] Client assignment - which to float RN from med-surg to ICU? - Scenario 3 2026/2027
A. Charge role
B. New ICU admission intubated
C. Stable ICU client transferring to step-down
D. Unstable coding client
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V7
4. [Leadership V7] Performance appraisal - best? - Scenario 4 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. - V7
5. [Leadership V7] PASS for extinguisher? - Scenario 5 2026/2027
A. Push, Aim, Squeeze, Sweep
B. Pull pin, Aim at base, Squeeze handle, Sweep side to side
C. No acronym
D. Run
Answer: B
Rationale: PASS correct. - V7
6. [Leadership V7] Can RN delegate to UAP? - Scenario 6 2026/2027
A. Interpret labs
B. Teach new diabetic
C. Assess lung sounds
D. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
Answer: D
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V7
7. [Leadership V7] RN delegates to LPN - which task? - Scenario 7 2026/2027
A. IV push morphine
B. Initial assessment of new admission
C. Develop care plan
D. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
Answer: D
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V7
8. [Leadership V7] Informed consent - nurse role? - Scenario 8 2026/2027
A. Explain surgery risks
B. Witness signature, ensure competent, understands, voluntary, provider explained
, C. Obtain consent
D. Force client
Answer: B
Rationale: Provider explains. Nurse witnesses competence and understanding. - V7
9. [Leadership V7] Legal - malpractice requires? - Scenario 9 2026/2027
A. No duty
B. No damages
C. Duty, breach, causation, damages
D. Only error
Answer: C
Rationale: Malpractice 4 elements. - V7
10. [Leadership V7] Medication error - first action? - Scenario 10 2026/2027
A. Assess client safety, check vitals, notify provider, report per policy
B. Document only
C. Blame
D. Hide
Answer: A
Rationale: Med error: assess client first, then report. - V7
11. [Leadership V7] Management style - democratic? - Scenario 11 2026/2027
A. Laissez-faire no direction
B. Democratic - team input, collaboration, shared decision
C. No style
D. Autocratic decision only leader
Answer: B
Rationale: Democratic participative. - V7
12. [Leadership V7] Delegation - LPN asks RN to give IV push - RN should? - Scenario 12 2026/2027
A. Ignore scope
B. Allow LPN to give
C. Explain LPN cannot give IV push, RN will give
D. Delegate to UAP
Answer: C
Rationale: IV push is RN only. - V7
13. [Leadership V7] Which task can charge RN delegate to experienced RN? - Scenario 13 2026/2027
A. Care for unstable new admission with chest pain
B. Make assignment
C. Diagnose
D. Order meds
Answer: A
Rationale: Experienced RN gets unstable. - V7
14. [Leadership V7] Infection control - which requires private room? - Scenario 14 2026/2027
A. Active TB - airborne private negative pressure
B. No isolation needs private
C. All clients private
D. MRSA colonized - contact
Answer: A
Rationale: TB needs private negative pressure. - V7
15. [Leadership V7] HIPAA violation - which? - Scenario 15 2026/2027
A. Reporting abuse
B. Reporting communicable disease
C. Discussing client in private room with care team
D. Discussing client in elevator with visitors
Answer: D
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V7
16. [Leadership V7] Prioritization - fire on unit - first? - Scenario 16 2026/2027
A. Hide
B. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
C. Gather belongings
D. Open all doors
Answer: B
Rationale: RACE first rescue. - V7
,17. [Leadership V7] Case management role? - Scenario 17 2026/2027
A. Coordinate care across continuum, cost-effective, quality outcomes
B. Ignore
C. Only chart
D. Only give meds
Answer: A
Rationale: Case manager coordinates. - V7
18. [Leadership V7] Nursing process - ADPIE - D is? - Scenario 18 2026/2027
A. Drugs
B. Diagnosis - NANDA based on assessment data
C. Discharge
D. Doing
Answer: B
Rationale: ADPIE Diagnosis. - V7
19. [Leadership V7] Incident report after fall - action? - Scenario 19 2026/2027
A. Punish staff
B. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
C. Document incident report in chart
D. Ignore
Answer: B
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V7
20. [Leadership V7] Prioritization - Maslow - physiological first? - Scenario 20 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. - V7
21. [Leadership V7] Disaster triage - START - black tag? - Scenario 21 2026/2027
A. Minor
B. Deceased or expectant - no respirations after airway reposition
C. Immediate
D. Delayed
Answer: B
Rationale: Black = deceased/expectant. - V7
22. [Leadership V7] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 22 2026/2027
A. Force transfusion
B. Ignore
C. Call security
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V7
23. [Leadership V7] Conflict resolution first step? - Scenario 23 2026/2027
A. Ignore
B. Identify problem, gather data, consider options, choose best, evaluate
C. Argue
D. Blame
Answer: B
Rationale: Problem-solving process. - V7
24. [Leadership V7] Provider order unclear - what to do? - Scenario 24 2026/2027
A. Ask UAP
B. Clarify with provider, do not implement unclear order
C. Guess
D. Carry out
Answer: B
Rationale: Clarify unclear orders. - V7
25. [Leadership V7] Client requests to leave AMA - first? - Scenario 25 2026/2027
A. Force stay
B. Ignore
C. Restrain
, D. Assess understanding of risks, notify provider, document, have sign AMA form
Answer: D
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V7
26. [Leadership V7] Chain of command - provider not responding to critical lab - next? - Scenario 26 2026/2027
A. Ignore
B. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
C. Yell
D. Document only
Answer: B
Rationale: Chain: charge, supervisor, provider supervisor. - V7
27. [Leadership V7] Time management best? - Scenario 27 2026/2027
A. Do all tasks at once
B. Do easiest first only
C. Procrastinate
D. Prioritize ABCs, unstable, use delegation, cluster care, plan day
Answer: D
Rationale: Prioritize, delegate, cluster care, plan. - V7
28. [Leadership V7] Whistleblower - when? - Scenario 28 2026/2027
A. Ignore
B. Never report
C. Report unsafe practice to protect clients per chain and agency policy
D. Gossip
Answer: C
Rationale: Whistleblower protects reporting unsafe. - V7
29. [Leadership V7] Change theory - Lewin stages? - Scenario 29 2026/2027
A. No stages
B. Only moving
C. Unfreezing, moving, refreezing
D. Only freezing
Answer: C
Rationale: Lewin change model. - V7
30. [Leadership V7] SBAR communication - S stands for? - Scenario 30 2026/2027
A. Suggestion
B. Sympathy
C. Situation - what is happening now
D. Summary
Answer: C
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V7
31. [Leadership V7] Charge nurse receives report - which client assigned to LPN? - Scenario 31 2026/2027
A. Septic shock on vasopressors
B. New onset confusion
C. Stable COPD awaiting meds, chronic wound care
D. New admission with chest pain unstable
Answer: C
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V7
32. [Leadership V7] Client rights - restraints require? - Scenario 32 2026/2027
A. Family request only
B. No order
C. Staff convenience
D. Provider order, least restrictive, renewal q24h, assess q15min-2h
Answer: D
Rationale: Restraints need order, least restrictive. - V7
33. [Leadership V7] Budget - fixed vs variable costs? - Scenario 33 2026/2027
A. Only fixed
B. Fixed same each month - rent, Variable changes with census - supplies
C. Both same
D. No budget
Answer: B
Rationale: Fixed rent, variable supplies. - V7
34. [Leadership V7] UAP reports client chest pain - RN first? - Scenario 34 2026/2027
