ATI Leadership CMS Proctored Exam –
ATI (2025/2026) | 100% Verified Questions
and Correct Answers | Grade A
Comprehensive Assessment
Student ID: _________________ Date: _________________
Instructor: [Instructor Name] Course Mentor: [Mentor Name]
Time Limit: 90 minutes Total Points: 75 points
This exam assesses key competencies in nursing leadership and management,
aligned with the ATI Leadership CMS Proctored Exam standards for 2025/2026.
Questions cover delegation, supervision, and prioritization; conflict resolution and
communication; ethical and legal decision-making; quality improvement and
resource management; and interprofessional collaboration. Select the best answer
for each question.
Question 1
A charge nurse is delegating tasks to unlicensed assistive personnel (UAP) on a
medical-surgical unit. Which of the following tasks is appropriate for the UAP to
perform?
A. Assessing a client's pain level after medication administration
B. Teaching a client about a new insulin regimen
C. Obtaining vital signs for a client with a new IV infusion
D. Developing a care plan for a client with a pressure injury
E. Ambulating a stable postoperative client
Rationale: Delegation to UAP should involve stable, routine tasks that do not
require nursing judgment, such as ambulation of stable clients. This aligns with
ATI Leadership standards on appropriate delegation and the ANA Code of Ethics
,(Provision 4), which emphasizes competent care delivery through proper task
assignment.
Question 2
A nurse manager is prioritizing care during a shift with multiple admissions.
Which client should the nurse manager instruct the team to assess first?
A. A client with stable vital signs scheduled for discharge
B. A client reporting mild nausea after chemotherapy
C. A client with a sudden onset of chest pain and dyspnea
D. A client awaiting routine lab results
E. A client with a sudden onset of chest pain and dyspnea
Rationale: Prioritization is based on ABCs (airway, breathing, circulation),
making acute respiratory and cardiac symptoms the highest priority. This follows
ATI prioritization guidelines and ANA Code of Ethics (Provision 1), promoting
patient safety.
Question 3
A staff nurse reports a medication error to the charge nurse. How should the charge
nurse respond to promote a just culture?
A. Immediately discipline the nurse for the error
B. Ignore the report to avoid documentation
C. Encourage the nurse to cover up the incident
D. Blame the pharmacy for the incorrect labeling
E. Support the nurse in reporting and learning from the error
Rationale: A just culture fosters error reporting for system improvements rather
than punishment. This is consistent with ATI quality improvement principles and
ANA Code of Ethics (Provision 2), which supports ethical reporting and
accountability.
Question 4
During a team huddle, two nurses disagree on patient assignment fairness. What is
the best initial action for the charge nurse?
, A. Assign the clients arbitrarily to end the discussion
B. Ignore the conflict to maintain harmony
C. Escalate to the nurse manager without intervention
D. Publicly side with one nurse
E. Facilitate open dialogue to understand both perspectives
Rationale: Active listening and collaboration resolve conflicts effectively. ATI
emphasizes communication in conflict resolution, aligning with ANA Code of
Ethics (Provision 5), which promotes collegial relationships.
Question 5
A nurse leader is reviewing a sentinel event report involving a fall. What quality
improvement tool should be used first?
A. Fishbone diagram
B. Pareto chart
C. Root cause analysis
D. Control chart
E. Root cause analysis
Rationale: Root cause analysis identifies underlying factors in adverse events.
This tool is recommended in ATI quality improvement modules and supports ANA
Code of Ethics (Provision 8), advancing healthcare quality.
Question 6
A registered nurse (RN) is supervising a licensed practical nurse (LPN)
administering enteral feedings. Which action by the LPN requires immediate
intervention?
A. Documenting the feeding after completion
B. Elevating the head of the bed to 30 degrees
C. Checking residual volumes every 4 hours
D. Administering the feeding via nasogastric tube
E. Administering the feeding without verifying tube placement
ATI (2025/2026) | 100% Verified Questions
and Correct Answers | Grade A
Comprehensive Assessment
Student ID: _________________ Date: _________________
Instructor: [Instructor Name] Course Mentor: [Mentor Name]
Time Limit: 90 minutes Total Points: 75 points
This exam assesses key competencies in nursing leadership and management,
aligned with the ATI Leadership CMS Proctored Exam standards for 2025/2026.
Questions cover delegation, supervision, and prioritization; conflict resolution and
communication; ethical and legal decision-making; quality improvement and
resource management; and interprofessional collaboration. Select the best answer
for each question.
Question 1
A charge nurse is delegating tasks to unlicensed assistive personnel (UAP) on a
medical-surgical unit. Which of the following tasks is appropriate for the UAP to
perform?
A. Assessing a client's pain level after medication administration
B. Teaching a client about a new insulin regimen
C. Obtaining vital signs for a client with a new IV infusion
D. Developing a care plan for a client with a pressure injury
E. Ambulating a stable postoperative client
Rationale: Delegation to UAP should involve stable, routine tasks that do not
require nursing judgment, such as ambulation of stable clients. This aligns with
ATI Leadership standards on appropriate delegation and the ANA Code of Ethics
,(Provision 4), which emphasizes competent care delivery through proper task
assignment.
Question 2
A nurse manager is prioritizing care during a shift with multiple admissions.
Which client should the nurse manager instruct the team to assess first?
A. A client with stable vital signs scheduled for discharge
B. A client reporting mild nausea after chemotherapy
C. A client with a sudden onset of chest pain and dyspnea
D. A client awaiting routine lab results
E. A client with a sudden onset of chest pain and dyspnea
Rationale: Prioritization is based on ABCs (airway, breathing, circulation),
making acute respiratory and cardiac symptoms the highest priority. This follows
ATI prioritization guidelines and ANA Code of Ethics (Provision 1), promoting
patient safety.
Question 3
A staff nurse reports a medication error to the charge nurse. How should the charge
nurse respond to promote a just culture?
A. Immediately discipline the nurse for the error
B. Ignore the report to avoid documentation
C. Encourage the nurse to cover up the incident
D. Blame the pharmacy for the incorrect labeling
E. Support the nurse in reporting and learning from the error
Rationale: A just culture fosters error reporting for system improvements rather
than punishment. This is consistent with ATI quality improvement principles and
ANA Code of Ethics (Provision 2), which supports ethical reporting and
accountability.
Question 4
During a team huddle, two nurses disagree on patient assignment fairness. What is
the best initial action for the charge nurse?
, A. Assign the clients arbitrarily to end the discussion
B. Ignore the conflict to maintain harmony
C. Escalate to the nurse manager without intervention
D. Publicly side with one nurse
E. Facilitate open dialogue to understand both perspectives
Rationale: Active listening and collaboration resolve conflicts effectively. ATI
emphasizes communication in conflict resolution, aligning with ANA Code of
Ethics (Provision 5), which promotes collegial relationships.
Question 5
A nurse leader is reviewing a sentinel event report involving a fall. What quality
improvement tool should be used first?
A. Fishbone diagram
B. Pareto chart
C. Root cause analysis
D. Control chart
E. Root cause analysis
Rationale: Root cause analysis identifies underlying factors in adverse events.
This tool is recommended in ATI quality improvement modules and supports ANA
Code of Ethics (Provision 8), advancing healthcare quality.
Question 6
A registered nurse (RN) is supervising a licensed practical nurse (LPN)
administering enteral feedings. Which action by the LPN requires immediate
intervention?
A. Documenting the feeding after completion
B. Elevating the head of the bed to 30 degrees
C. Checking residual volumes every 4 hours
D. Administering the feeding via nasogastric tube
E. Administering the feeding without verifying tube placement
