ATI Leadership & Management Proctored Exam
2026/2027 | Latest 300+ Questions & Verified
Answers | Complete Competency Assessment |
Nursing Leadership
ATI Nursing Education | Proctored Exam Form A
Instructions: This exam assesses competencies in leadership and management. Read
each scenario carefully and select the best answer. For "Select All That Apply"
questions, choose ALL correct options.
1. The charge nurse is making assignments on a 32-bed medical unit. Which task is
most appropriate to delegate to the UAP?
A. Insert a nasogastric tube for a newly admitted client.
B. Perform a sterile dressing change on a post-op wound.
C. Assist a client with a recent stroke to ambulate in the hallway for the first time.
*D. Measure and record the blood glucose of a stable client who has received
insulin. <-- GRADE A ANSWER
Rationale: The Five Rights of Delegation allow delegation of stable, routine tasks within
UAP scope. Measuring blood glucose is repetitive and does not require licensed nurse
judgment once competency is verified.
2. An LPN complains to the charge nurse that she is always assigned the more
difficult clients. Which response by the charge nurse demonstrates effective
conflict resolution?
, A. “Your assignments are based on your experience.”
B. “I will consider your request next time.”
C. “Everyone has to take their turn with difficult clients.”
*D. “Let’s review the assignment rationale together and discuss your concerns.”
<-- GRADE A ANSWER
Rationale: Addressing concerns collaboratively promotes open communication and
reduces future conflict (win-win approach).
3. (Select all that apply.) A client is scheduled for surgery at 0800. The nurse
discovers the consent form was signed by the client’s spouse. Which actions are
required?
*A. Notify the surgeon and risk management.
*B. Do not transport the client to the OR until properly signed consent is obtained.
*C. Provide education regarding the procedure and obtain new consent if the
client is competent.
D. Allow the spouse to sign a new consent form.
E. Document the incident in the occurrence report.
Rationale: Only the client (if competent) can sign; spouse signature is invalid. Surgeon,
OR, and risk management must be notified; occurrence report is mandatory.
4. A newly licensed RN is preparing to insert an IV catheter for the first time without
direct observation. Which action should the charge nurse take first?
A. Assign another RN to perform the task.
B. Tell the new RN to find a preceptor.
*C. Assess the new RN’s competency and provide supervision as needed. <--
GRADE A ANSWER
D. Document the incident as a competency failure.
Rationale: Charge nurse must verify competency and supervise until competence is
established (delegation supervision principle).
5. (Ordered Response) Place the following steps in the correct order for managing a
medication error discovered after administration.
6. Assess the client’s condition and intervene as needed.
7. Notify the provider of the error.
8. Document the error in the medical record (factually, without blame).
, 9. Complete an occurrence (incident) report per facility policy.
10. Participate in a root-cause analysis if requested.
Rationale: Patient safety first (assess), then communication, factual documentation,
occurrence report (quality), and systems improvement.
6. The nurse manager learns that two staff members posted critical comments
about a client on social media, although no names were used. Which is the most
appropriate manager action?
A. Ignore the posts since no identifiers were present.
B. Counsel staff privately and delete the posts.
*C. Report to administration and risk management; initiate disciplinary action per
policy. <-- GRADE A ANSWER
D. Ask staff to remove posts and apologize to the client.
Rationale: Social media breaches violate HIPAA and professional standards even
without names; must follow facility disciplinary and reporting processes.
7. During morning report, the night nurse states, “That client in 212 is just lazy and
refuses to get up.” Which response by the charge nurse demonstrates advocacy
and professionalism?
A. “Let’s just document refusal and move on.”
B. “You need to be more compassionate.”
*C. “Describe the client’s specific behaviors and any factors affecting mobility.”
<-- GRADE A ANSWER
D. “I will speak with the client about being more cooperative.”
Rationale: Gathers objective data and avoids judgmental language; supports unbiased
assessment and client advocacy.
8. (Select all that apply.) Which tasks can the charge nurse delegate to the LPN
under supervision?
*A. Administer oral medications to stable clients.
*B. Perform a simple wet-to-dry dressing change on a chronic wound.
C. Complete the initial admission assessment for a new client.
*D. Insert a straight catheter per protocol for a one-time urine specimen.
E. Develop the plan of care for a client with multiple comorbidities.
2026/2027 | Latest 300+ Questions & Verified
Answers | Complete Competency Assessment |
Nursing Leadership
ATI Nursing Education | Proctored Exam Form A
Instructions: This exam assesses competencies in leadership and management. Read
each scenario carefully and select the best answer. For "Select All That Apply"
questions, choose ALL correct options.
1. The charge nurse is making assignments on a 32-bed medical unit. Which task is
most appropriate to delegate to the UAP?
A. Insert a nasogastric tube for a newly admitted client.
B. Perform a sterile dressing change on a post-op wound.
C. Assist a client with a recent stroke to ambulate in the hallway for the first time.
*D. Measure and record the blood glucose of a stable client who has received
insulin. <-- GRADE A ANSWER
Rationale: The Five Rights of Delegation allow delegation of stable, routine tasks within
UAP scope. Measuring blood glucose is repetitive and does not require licensed nurse
judgment once competency is verified.
2. An LPN complains to the charge nurse that she is always assigned the more
difficult clients. Which response by the charge nurse demonstrates effective
conflict resolution?
, A. “Your assignments are based on your experience.”
B. “I will consider your request next time.”
C. “Everyone has to take their turn with difficult clients.”
*D. “Let’s review the assignment rationale together and discuss your concerns.”
<-- GRADE A ANSWER
Rationale: Addressing concerns collaboratively promotes open communication and
reduces future conflict (win-win approach).
3. (Select all that apply.) A client is scheduled for surgery at 0800. The nurse
discovers the consent form was signed by the client’s spouse. Which actions are
required?
*A. Notify the surgeon and risk management.
*B. Do not transport the client to the OR until properly signed consent is obtained.
*C. Provide education regarding the procedure and obtain new consent if the
client is competent.
D. Allow the spouse to sign a new consent form.
E. Document the incident in the occurrence report.
Rationale: Only the client (if competent) can sign; spouse signature is invalid. Surgeon,
OR, and risk management must be notified; occurrence report is mandatory.
4. A newly licensed RN is preparing to insert an IV catheter for the first time without
direct observation. Which action should the charge nurse take first?
A. Assign another RN to perform the task.
B. Tell the new RN to find a preceptor.
*C. Assess the new RN’s competency and provide supervision as needed. <--
GRADE A ANSWER
D. Document the incident as a competency failure.
Rationale: Charge nurse must verify competency and supervise until competence is
established (delegation supervision principle).
5. (Ordered Response) Place the following steps in the correct order for managing a
medication error discovered after administration.
6. Assess the client’s condition and intervene as needed.
7. Notify the provider of the error.
8. Document the error in the medical record (factually, without blame).
, 9. Complete an occurrence (incident) report per facility policy.
10. Participate in a root-cause analysis if requested.
Rationale: Patient safety first (assess), then communication, factual documentation,
occurrence report (quality), and systems improvement.
6. The nurse manager learns that two staff members posted critical comments
about a client on social media, although no names were used. Which is the most
appropriate manager action?
A. Ignore the posts since no identifiers were present.
B. Counsel staff privately and delete the posts.
*C. Report to administration and risk management; initiate disciplinary action per
policy. <-- GRADE A ANSWER
D. Ask staff to remove posts and apologize to the client.
Rationale: Social media breaches violate HIPAA and professional standards even
without names; must follow facility disciplinary and reporting processes.
7. During morning report, the night nurse states, “That client in 212 is just lazy and
refuses to get up.” Which response by the charge nurse demonstrates advocacy
and professionalism?
A. “Let’s just document refusal and move on.”
B. “You need to be more compassionate.”
*C. “Describe the client’s specific behaviors and any factors affecting mobility.”
<-- GRADE A ANSWER
D. “I will speak with the client about being more cooperative.”
Rationale: Gathers objective data and avoids judgmental language; supports unbiased
assessment and client advocacy.
8. (Select all that apply.) Which tasks can the charge nurse delegate to the LPN
under supervision?
*A. Administer oral medications to stable clients.
*B. Perform a simple wet-to-dry dressing change on a chronic wound.
C. Complete the initial admission assessment for a new client.
*D. Insert a straight catheter per protocol for a one-time urine specimen.
E. Develop the plan of care for a client with multiple comorbidities.
