ATI Leadership CMS Proctored Exam |
Latest 2023–2024 Update | Questions
and Verified Answers | 100% Correct
This ATI Leadership CMS Proctored Exam contains 70 multiple-choice and select-all-that-apply
(SATA) questions, reflecting the standard format for the 2023/2024 assessment. Questions
cover delegation, prioritization, leadership theories, ethical decision-making, and conflict
management, aligned with ATI's Comprehensive Medical-Surgical Nursing content and
NCLEX-style testing. Each question includes four answer options (A–D) for multiple-choice or
multiple selections for SATA, the correct answer(s), and a detailed rationale explaining why the
correct answer is appropriate and why the other options are incorrect. Rationales emphasize
leadership principles and clinical application for nursing practice.
Delegation (Questions 1–15)
Question 1
A charge nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is
appropriate for delegation?
A) Assessing a client's pain level
B) Obtaining vital signs for a stable client
C) Developing a care plan for a new admission
D) Evaluating the effectiveness of a client's medication
Correct Answer: B
Rationale: Delegation to UAP is appropriate for stable, routine tasks like vital signs, per the Five
Rights of Delegation (ATI Leadership, Ch. 1). Option A is incorrect because assessment
,requires RN judgment. Option C is incorrect because care planning is RN responsibility. Option
D is incorrect because evaluation requires RN analysis.
Question 2
A nurse manager is delegating client care on a busy unit. Which principle should guide the
delegation process?
A) The delegator must ensure the delegatee has the right circumstances, right task, right
person, right direction, and right supervision
B) Delegation is limited to tasks that can be completed in under 5 minutes
C) All tasks can be delegated to UAP if the RN supervises
D) Delegation is only for licensed practical nurses (LPNs)
Correct Answer: A
Rationale: The Five Rights of Delegation ensure safe task assignment (ATI Leadership, Ch. 1).
Option B is incorrect (no time limit). Option C is incorrect (not all tasks delegable). Option D is
incorrect (UAP and LPNs both delegable, but RN accountable).
Question 3
Select All That Apply (SATA): Which tasks can a registered nurse delegate to a UAP? (Select all
that apply.)
A) Taking vital signs
B) Ambulating a stable client
C) Administering IV antibiotics
D) Assisting with hygiene
E) Performing a sterile dressing change
F) Obtaining a urine specimen
Correct Answers: A, B, D, F
Rationale: UAP can perform routine, non-judgmental tasks like vital signs, ambulation, hygiene,
and urine specimens (ATI Leadership, Ch. 1). Option C is incorrect (medication administration
requires RN). Option E is incorrect (sterile procedures require RN).
Question 4
A nurse is delegating medication administration to an LPN. What is the RN's responsibility?
A) Verify the LPN's competence and supervise
B) Assume LPNs are always competent
C) Delegate all medications without review
, D) Avoid delegation to LPNs
Correct Answer: A
Rationale: RNs must verify competence and provide supervision for delegated tasks (ATI
Leadership, Ch. 1). Option B is incorrect (competence varies). Option C is incorrect (RN
accountable). Option D is incorrect (appropriate delegation).
Question 5
A charge nurse delegates a task to a UAP, but the UAP reports back with concerns. What is the
nurse's best response?
A) Reassess the task and provide additional guidance
B) Tell the UAP to complete it anyway
C) Delegate to another UAP
D) Perform the task herself
Correct Answer: A
Rationale: Reassessing ensures safe delegation and addresses concerns (ATI Leadership, Ch.
1). Option B is incorrect (ignores UAP input). Option C is incorrect (avoids issue). Option D is
incorrect (undermines delegation).
Question 6
Which client condition makes delegation of ADLs to UAP inappropriate?
A) Unstable vital signs
B) Stable post-op client
C) Client with dementia
D) Client with mobility issues
Correct Answer: A
Rationale: Unstable vital signs require RN assessment, not delegation (ATI Leadership, Ch. 1).
Option B is incorrect (stable delegable). Option C is incorrect (UAP can assist). Option D is
incorrect (delegable with supervision).
Question 7
SATA: Which are the Five Rights of Delegation? (Select all that apply.)
A) Right task
B) Right circumstances
Latest 2023–2024 Update | Questions
and Verified Answers | 100% Correct
This ATI Leadership CMS Proctored Exam contains 70 multiple-choice and select-all-that-apply
(SATA) questions, reflecting the standard format for the 2023/2024 assessment. Questions
cover delegation, prioritization, leadership theories, ethical decision-making, and conflict
management, aligned with ATI's Comprehensive Medical-Surgical Nursing content and
NCLEX-style testing. Each question includes four answer options (A–D) for multiple-choice or
multiple selections for SATA, the correct answer(s), and a detailed rationale explaining why the
correct answer is appropriate and why the other options are incorrect. Rationales emphasize
leadership principles and clinical application for nursing practice.
Delegation (Questions 1–15)
Question 1
A charge nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is
appropriate for delegation?
A) Assessing a client's pain level
B) Obtaining vital signs for a stable client
C) Developing a care plan for a new admission
D) Evaluating the effectiveness of a client's medication
Correct Answer: B
Rationale: Delegation to UAP is appropriate for stable, routine tasks like vital signs, per the Five
Rights of Delegation (ATI Leadership, Ch. 1). Option A is incorrect because assessment
,requires RN judgment. Option C is incorrect because care planning is RN responsibility. Option
D is incorrect because evaluation requires RN analysis.
Question 2
A nurse manager is delegating client care on a busy unit. Which principle should guide the
delegation process?
A) The delegator must ensure the delegatee has the right circumstances, right task, right
person, right direction, and right supervision
B) Delegation is limited to tasks that can be completed in under 5 minutes
C) All tasks can be delegated to UAP if the RN supervises
D) Delegation is only for licensed practical nurses (LPNs)
Correct Answer: A
Rationale: The Five Rights of Delegation ensure safe task assignment (ATI Leadership, Ch. 1).
Option B is incorrect (no time limit). Option C is incorrect (not all tasks delegable). Option D is
incorrect (UAP and LPNs both delegable, but RN accountable).
Question 3
Select All That Apply (SATA): Which tasks can a registered nurse delegate to a UAP? (Select all
that apply.)
A) Taking vital signs
B) Ambulating a stable client
C) Administering IV antibiotics
D) Assisting with hygiene
E) Performing a sterile dressing change
F) Obtaining a urine specimen
Correct Answers: A, B, D, F
Rationale: UAP can perform routine, non-judgmental tasks like vital signs, ambulation, hygiene,
and urine specimens (ATI Leadership, Ch. 1). Option C is incorrect (medication administration
requires RN). Option E is incorrect (sterile procedures require RN).
Question 4
A nurse is delegating medication administration to an LPN. What is the RN's responsibility?
A) Verify the LPN's competence and supervise
B) Assume LPNs are always competent
C) Delegate all medications without review
, D) Avoid delegation to LPNs
Correct Answer: A
Rationale: RNs must verify competence and provide supervision for delegated tasks (ATI
Leadership, Ch. 1). Option B is incorrect (competence varies). Option C is incorrect (RN
accountable). Option D is incorrect (appropriate delegation).
Question 5
A charge nurse delegates a task to a UAP, but the UAP reports back with concerns. What is the
nurse's best response?
A) Reassess the task and provide additional guidance
B) Tell the UAP to complete it anyway
C) Delegate to another UAP
D) Perform the task herself
Correct Answer: A
Rationale: Reassessing ensures safe delegation and addresses concerns (ATI Leadership, Ch.
1). Option B is incorrect (ignores UAP input). Option C is incorrect (avoids issue). Option D is
incorrect (undermines delegation).
Question 6
Which client condition makes delegation of ADLs to UAP inappropriate?
A) Unstable vital signs
B) Stable post-op client
C) Client with dementia
D) Client with mobility issues
Correct Answer: A
Rationale: Unstable vital signs require RN assessment, not delegation (ATI Leadership, Ch. 1).
Option B is incorrect (stable delegable). Option C is incorrect (UAP can assist). Option D is
incorrect (delegable with supervision).
Question 7
SATA: Which are the Five Rights of Delegation? (Select all that apply.)
A) Right task
B) Right circumstances
