ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM V6 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V6 2026/2027 | 400Q Mixed: A=90 B=115 C=108 D=87 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V6] Quality improvement - example? - Scenario 1 2026/2027
A. Ignore data
B. Blame nurse
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. No QI needed
Answer: C
Rationale: QI: measure, intervene, re-measure. - V6
2. [Leadership V6] Medication error - first action? - Scenario 2 2026/2027
A. Blame
B. Document only
C. Hide
D. Assess client safety, check vitals, notify provider, report per policy
Answer: D
Rationale: Med error: assess client first, then report. - V6
3. [Leadership V6] Infection control - which requires private room? - Scenario 3 2026/2027
A. No isolation needs private
B. MRSA colonized - contact
C. Active TB - airborne private negative pressure
D. All clients private
Answer: C
Rationale: TB needs private negative pressure. - V6
4. [Leadership V6] Which client should RN see first? - Scenario 4 2026/2027
A. Stable post-op day 3 awaiting discharge
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Constipation chronic
D. Client asking for blanket
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V6
5. [Leadership V6] Prioritization - fire on unit - first? - Scenario 5 2026/2027
A. Hide
B. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
C. Open all doors
D. Gather belongings
Answer: B
Rationale: RACE first rescue. - V6
6. [Leadership V6] Delegation - LPN asks RN to give IV push - RN should? - Scenario 6 2026/2027
A. Ignore scope
B. Explain LPN cannot give IV push, RN will give
C. Allow LPN to give
D. Delegate to UAP
Answer: B
Rationale: IV push is RN only. - V6
7. [Leadership V6] Informed consent - nurse role? - Scenario 7 2026/2027
A. Obtain consent
B. Force client
C. Witness signature, ensure competent, understands, voluntary, provider explained
D. Explain surgery risks
Answer: C
Rationale: Provider explains. Nurse witnesses competence and understanding. - V6
8. [Leadership V6] Budget - fixed vs variable costs? - Scenario 8 2026/2027
A. Fixed same each month - rent, Variable changes with census - supplies
B. Both same
C. No budget
, D. Only fixed
Answer: A
Rationale: Fixed rent, variable supplies. - V6
9. [Leadership V6] Performance appraisal - best? - Scenario 9 2026/2027
A. Only negative
B. No feedback
C. Objective, ongoing feedback, specific examples, goals
D. Annual only blame
Answer: C
Rationale: Appraisal objective ongoing. - V6
10. [Leadership V6] Case management role? - Scenario 10 2026/2027
A. Only give meds
B. Only chart
C. Ignore
D. Coordinate care across continuum, cost-effective, quality outcomes
Answer: D
Rationale: Case manager coordinates. - V6
11. [Leadership V6] Legal - malpractice requires? - Scenario 11 2026/2027
A. Only error
B. No duty
C. No damages
D. Duty, breach, causation, damages
Answer: D
Rationale: Malpractice 4 elements. - V6
12. [Leadership V6] Conflict - nurse to nurse bullying - first? - Scenario 12 2026/2027
A. Retaliate
B. Address directly, use assertive communication, document, report to manager if continues
C. Quit
D. Ignore
Answer: B
Rationale: Address bullying assertively, report. - V6
13. [Leadership V6] Can RN delegate to UAP? - Scenario 13 2026/2027
A. Teach new diabetic
B. Interpret labs
C. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
D. Assess lung sounds
Answer: C
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V6
14. [Leadership V6] Prioritization - Maslow - physiological first? - Scenario 14 2026/2027
A. Self-actualization first
B. Love first
C. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
D. Esteem first
Answer: C
Rationale: Maslow physiological first. - V6
15. [Leadership V6] Client rights - restraints require? - Scenario 15 2026/2027
A. Family request only
B. Provider order, least restrictive, renewal q24h, assess q15min-2h
C. Staff convenience
D. No order
Answer: B
Rationale: Restraints need order, least restrictive. - V6
16. [Leadership V6] Time management best? - Scenario 16 2026/2027
A. Do easiest first only
B. Do all tasks at once
C. Prioritize ABCs, unstable, use delegation, cluster care, plan day
D. Procrastinate
Answer: C
Rationale: Prioritize, delegate, cluster care, plan. - V6
17. [Leadership V6] Management style - democratic? - Scenario 17 2026/2027
, A. Laissez-faire no direction
B. Democratic - team input, collaboration, shared decision
C. Autocratic decision only leader
D. No style
Answer: B
Rationale: Democratic participative. - V6
18. [Leadership V6] HIPAA violation - which? - Scenario 18 2026/2027
A. Reporting abuse
B. Discussing client in elevator with visitors
C. Reporting communicable disease
D. Discussing client in private room with care team
Answer: B
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V6
19. [Leadership V6] Staffing - acuity vs numbers? - Scenario 19 2026/2027
A. Only numbers
B. Same assignment always
C. Acuity based on client needs, unstable needs more staff
D. Ignore acuity
Answer: C
Rationale: Acuity staffing matches needs. - V6
20. [Leadership V6] PASS for extinguisher? - Scenario 20 2026/2027
A. Pull pin, Aim at base, Squeeze handle, Sweep side to side
B. Run
C. Push, Aim, Squeeze, Sweep
D. No acronym
Answer: A
Rationale: PASS correct. - V6
21. [Leadership V6] Change theory - Lewin stages? - Scenario 21 2026/2027
A. Only freezing
B. Unfreezing, moving, refreezing
C. No stages
D. Only moving
Answer: B
Rationale: Lewin change model. - V6
22. [Leadership V6] SBAR communication - S stands for? - Scenario 22 2026/2027
A. Suggestion
B. Sympathy
C. Situation - what is happening now
D. Summary
Answer: C
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V6
23. [Leadership V6] Charge nurse receives report - which client assigned to LPN? - Scenario 23 2026/2027
A. New admission with chest pain unstable
B. Stable COPD awaiting meds, chronic wound care
C. New onset confusion
D. Septic shock on vasopressors
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V6
24. [Leadership V6] Which task can charge RN delegate to experienced RN? - Scenario 24 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. - V6
25. [Leadership V6] RN delegates to LPN - which task? - Scenario 25 2026/2027
A. Initial assessment of new admission
B. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Develop care plan
D. IV push morphine
, Answer: B
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V6
26. [Leadership V6] Conflict resolution first step? - Scenario 26 2026/2027
A. Argue
B. Identify problem, gather data, consider options, choose best, evaluate
C. Blame
D. Ignore
Answer: B
Rationale: Problem-solving process. - V6
27. [Leadership V6] Disaster triage - START - black tag? - Scenario 27 2026/2027
A. Minor
B. Deceased or expectant - no respirations after airway reposition
C. Delayed
D. Immediate
Answer: B
Rationale: Black = deceased/expectant. - V6
28. [Leadership V6] Client assignment - which to float RN from med-surg to ICU? - Scenario 28 2026/2027
A. Unstable coding client
B. New ICU admission intubated
C. Stable ICU client transferring to step-down
D. Charge role
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V6
29. [Leadership V6] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 29 2026/2027
A. Force transfusion
B. Call security
C. Ignore
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V6
30. [Leadership V6] Whistleblower - when? - Scenario 30 2026/2027
A. Ignore
B. Gossip
C. Report unsafe practice to protect clients per chain and agency policy
D. Never report
Answer: C
Rationale: Whistleblower protects reporting unsafe. - V6
31. [Leadership V6] Provider order unclear - what to do? - Scenario 31 2026/2027
A. Carry out
B. Ask UAP
C. Guess
D. Clarify with provider, do not implement unclear order
Answer: D
Rationale: Clarify unclear orders. - V6
32. [Leadership V6] Nursing process - ADPIE - D is? - Scenario 32 2026/2027
A. Doing
B. Drugs
C. Discharge
D. Diagnosis - NANDA based on assessment data
Answer: D
Rationale: ADPIE Diagnosis. - V6
33. [Leadership V6] UAP reports client chest pain - RN first? - Scenario 33 2026/2027
A. Assess client immediately - ABCs
B. Chart
C. Ignore
D. Ask UAP to give nitro
Answer: A
Rationale: RN must assess chest pain immediately. - V6
34. [Leadership V6] Incident report after fall - action? - Scenario 34 2026/2027
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V6 2026/2027 | 400Q Mixed: A=90 B=115 C=108 D=87 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V6] Quality improvement - example? - Scenario 1 2026/2027
A. Ignore data
B. Blame nurse
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. No QI needed
Answer: C
Rationale: QI: measure, intervene, re-measure. - V6
2. [Leadership V6] Medication error - first action? - Scenario 2 2026/2027
A. Blame
B. Document only
C. Hide
D. Assess client safety, check vitals, notify provider, report per policy
Answer: D
Rationale: Med error: assess client first, then report. - V6
3. [Leadership V6] Infection control - which requires private room? - Scenario 3 2026/2027
A. No isolation needs private
B. MRSA colonized - contact
C. Active TB - airborne private negative pressure
D. All clients private
Answer: C
Rationale: TB needs private negative pressure. - V6
4. [Leadership V6] Which client should RN see first? - Scenario 4 2026/2027
A. Stable post-op day 3 awaiting discharge
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Constipation chronic
D. Client asking for blanket
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V6
5. [Leadership V6] Prioritization - fire on unit - first? - Scenario 5 2026/2027
A. Hide
B. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
C. Open all doors
D. Gather belongings
Answer: B
Rationale: RACE first rescue. - V6
6. [Leadership V6] Delegation - LPN asks RN to give IV push - RN should? - Scenario 6 2026/2027
A. Ignore scope
B. Explain LPN cannot give IV push, RN will give
C. Allow LPN to give
D. Delegate to UAP
Answer: B
Rationale: IV push is RN only. - V6
7. [Leadership V6] Informed consent - nurse role? - Scenario 7 2026/2027
A. Obtain consent
B. Force client
C. Witness signature, ensure competent, understands, voluntary, provider explained
D. Explain surgery risks
Answer: C
Rationale: Provider explains. Nurse witnesses competence and understanding. - V6
8. [Leadership V6] Budget - fixed vs variable costs? - Scenario 8 2026/2027
A. Fixed same each month - rent, Variable changes with census - supplies
B. Both same
C. No budget
, D. Only fixed
Answer: A
Rationale: Fixed rent, variable supplies. - V6
9. [Leadership V6] Performance appraisal - best? - Scenario 9 2026/2027
A. Only negative
B. No feedback
C. Objective, ongoing feedback, specific examples, goals
D. Annual only blame
Answer: C
Rationale: Appraisal objective ongoing. - V6
10. [Leadership V6] Case management role? - Scenario 10 2026/2027
A. Only give meds
B. Only chart
C. Ignore
D. Coordinate care across continuum, cost-effective, quality outcomes
Answer: D
Rationale: Case manager coordinates. - V6
11. [Leadership V6] Legal - malpractice requires? - Scenario 11 2026/2027
A. Only error
B. No duty
C. No damages
D. Duty, breach, causation, damages
Answer: D
Rationale: Malpractice 4 elements. - V6
12. [Leadership V6] Conflict - nurse to nurse bullying - first? - Scenario 12 2026/2027
A. Retaliate
B. Address directly, use assertive communication, document, report to manager if continues
C. Quit
D. Ignore
Answer: B
Rationale: Address bullying assertively, report. - V6
13. [Leadership V6] Can RN delegate to UAP? - Scenario 13 2026/2027
A. Teach new diabetic
B. Interpret labs
C. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
D. Assess lung sounds
Answer: C
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V6
14. [Leadership V6] Prioritization - Maslow - physiological first? - Scenario 14 2026/2027
A. Self-actualization first
B. Love first
C. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
D. Esteem first
Answer: C
Rationale: Maslow physiological first. - V6
15. [Leadership V6] Client rights - restraints require? - Scenario 15 2026/2027
A. Family request only
B. Provider order, least restrictive, renewal q24h, assess q15min-2h
C. Staff convenience
D. No order
Answer: B
Rationale: Restraints need order, least restrictive. - V6
16. [Leadership V6] Time management best? - Scenario 16 2026/2027
A. Do easiest first only
B. Do all tasks at once
C. Prioritize ABCs, unstable, use delegation, cluster care, plan day
D. Procrastinate
Answer: C
Rationale: Prioritize, delegate, cluster care, plan. - V6
17. [Leadership V6] Management style - democratic? - Scenario 17 2026/2027
, A. Laissez-faire no direction
B. Democratic - team input, collaboration, shared decision
C. Autocratic decision only leader
D. No style
Answer: B
Rationale: Democratic participative. - V6
18. [Leadership V6] HIPAA violation - which? - Scenario 18 2026/2027
A. Reporting abuse
B. Discussing client in elevator with visitors
C. Reporting communicable disease
D. Discussing client in private room with care team
Answer: B
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V6
19. [Leadership V6] Staffing - acuity vs numbers? - Scenario 19 2026/2027
A. Only numbers
B. Same assignment always
C. Acuity based on client needs, unstable needs more staff
D. Ignore acuity
Answer: C
Rationale: Acuity staffing matches needs. - V6
20. [Leadership V6] PASS for extinguisher? - Scenario 20 2026/2027
A. Pull pin, Aim at base, Squeeze handle, Sweep side to side
B. Run
C. Push, Aim, Squeeze, Sweep
D. No acronym
Answer: A
Rationale: PASS correct. - V6
21. [Leadership V6] Change theory - Lewin stages? - Scenario 21 2026/2027
A. Only freezing
B. Unfreezing, moving, refreezing
C. No stages
D. Only moving
Answer: B
Rationale: Lewin change model. - V6
22. [Leadership V6] SBAR communication - S stands for? - Scenario 22 2026/2027
A. Suggestion
B. Sympathy
C. Situation - what is happening now
D. Summary
Answer: C
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V6
23. [Leadership V6] Charge nurse receives report - which client assigned to LPN? - Scenario 23 2026/2027
A. New admission with chest pain unstable
B. Stable COPD awaiting meds, chronic wound care
C. New onset confusion
D. Septic shock on vasopressors
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V6
24. [Leadership V6] Which task can charge RN delegate to experienced RN? - Scenario 24 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. - V6
25. [Leadership V6] RN delegates to LPN - which task? - Scenario 25 2026/2027
A. Initial assessment of new admission
B. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Develop care plan
D. IV push morphine
, Answer: B
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V6
26. [Leadership V6] Conflict resolution first step? - Scenario 26 2026/2027
A. Argue
B. Identify problem, gather data, consider options, choose best, evaluate
C. Blame
D. Ignore
Answer: B
Rationale: Problem-solving process. - V6
27. [Leadership V6] Disaster triage - START - black tag? - Scenario 27 2026/2027
A. Minor
B. Deceased or expectant - no respirations after airway reposition
C. Delayed
D. Immediate
Answer: B
Rationale: Black = deceased/expectant. - V6
28. [Leadership V6] Client assignment - which to float RN from med-surg to ICU? - Scenario 28 2026/2027
A. Unstable coding client
B. New ICU admission intubated
C. Stable ICU client transferring to step-down
D. Charge role
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V6
29. [Leadership V6] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 29 2026/2027
A. Force transfusion
B. Call security
C. Ignore
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V6
30. [Leadership V6] Whistleblower - when? - Scenario 30 2026/2027
A. Ignore
B. Gossip
C. Report unsafe practice to protect clients per chain and agency policy
D. Never report
Answer: C
Rationale: Whistleblower protects reporting unsafe. - V6
31. [Leadership V6] Provider order unclear - what to do? - Scenario 31 2026/2027
A. Carry out
B. Ask UAP
C. Guess
D. Clarify with provider, do not implement unclear order
Answer: D
Rationale: Clarify unclear orders. - V6
32. [Leadership V6] Nursing process - ADPIE - D is? - Scenario 32 2026/2027
A. Doing
B. Drugs
C. Discharge
D. Diagnosis - NANDA based on assessment data
Answer: D
Rationale: ADPIE Diagnosis. - V6
33. [Leadership V6] UAP reports client chest pain - RN first? - Scenario 33 2026/2027
A. Assess client immediately - ABCs
B. Chart
C. Ignore
D. Ask UAP to give nitro
Answer: A
Rationale: RN must assess chest pain immediately. - V6
34. [Leadership V6] Incident report after fall - action? - Scenario 34 2026/2027
