ATI LEADERSHIP PRACTICE EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
A nurse is working w/ an assistive personnel (AP) in a long-term care facility. According to the 5
rights of delegation, which of the following determinations should the nurse make prior to
assigning tasks?
A. Whether the AP has consented to the performance of delegated tasks
B. the pt's willingness to consent to care from the AP
C. Whether the task can be more efficiently completed by the nurse
D. The degree of supervision that the AP will required to complete the task - ANS D. The
degree of supervision that the AP will require to complete the task
Rationales....
Successful delegation involves assigning the right task to the right person under the right
circumstances. The person who will perform the task must be given adequate direction &
specification regarding the amount of supervision that will be provided. The right
communication of expectations & the right feedback about performance must also be supplied.
A. The nurse does not have to obtain consent from the AP when delegating tasks w/in the scope
of practice & job descriptions for APs
B. Tasks that can be delegated to an AP do not require the pt's consent
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,C. One of the barriers to successful delegation is the belief that no one can do a tasks as
efficiently & effectively as the nurse. Due to the time constraints on nurses, tasks that can be
done by an AP should be duly delegated
A home health nurse is caring for a pt who asks about the purpose of a living will. Which of the
following statements should the nurse include in the teaching?
A. "It est. who will make health care decisions for the pt if the pt is not about to do so"
B. "it allows the pt to express personal wishes regarding health care decisions"
C. "It serves as an informed consent form for any procedure prescribed by a provider"
D." It is only valid when a pt is lucid & able to make informed decisions independently" -
ANS B. It allows the pt to express personal wishes regarding health care decisions
Rationales...
A living will allows the pt to specify what aspects of care & tx are to be accepted / refused in the
event that the pt can no longer communicate those decisions
A. this described a health care proxy document, which frequently accompanies a living will but
is not considered a part of it
C. A living will does not serve the same function as informed consent. Prior to any procedure,
consent must always be obtained form the pt, a family member, or a designated health care
proxy
D. A living will is not valid / necessary when a pt is able to make informed health care decisions
independently
A nurse manager notes that a full-time nurse has been absent from work 6 times over the last 6
weeks. Using a nonpunitive approach, which of the following actions should the nurse manager
take?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A. verbally remind the employee about the facility's employment standards
B. recommend that the employee review the facility's policy regarding absences
C. Inform the employee in writing about the facilities employment policy
D. ask the employee for a written action plan after discussing the reasons for these absences -
ANS A. verbally remind the employee about the facility's employment standards
Rationales...
Verbal admonishment is the first step in the disciplinary process for this type of infraction. The
employee might not know or remember the existing standard, and a verbal reminder may be
sufficient to change the employee's behavior
B. Recommending that the employee reviews the policy does not ensure that the employee will
read & fully understand the employment standards
C. written admonishment is the second step in the disciplinary process for this type of
infraction. If the employee fails to make a positive behavioral change after being verbally
reminded by the manager about the facility's employment standards, the nurse manager should
inform the employee writing
D. this is an example of performance-deficiency coaching, which the nurse manager should use
to correct unacceptable behaviors over time
A charge nurse on a med surg unit is making assignments for the oncoming shift. Which of the
following pts should the charge nurse assign to a LPN?
A. a pt who requires an updated plan of care following a dx of cancer
B. a pt who is postop following a total hip replacement & requires discharge teaching
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
D. a pt who has just arrived from PACU & requires a head-to-toe assessment - ANS C. a pt
who has a prescription for irrigation of an indwelling urinary catheter
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Rationales...
It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter when
prescribed by a provider
A. an RN should develop & update a pt's plan of care
B. an RN should provide discharge teaching to a pt
D. an RN should perform an assessment of a pt
A nurse is speaking w/ the family member of a pt who has early Alzheimer's disease. The family
member would like to keep the pt living at home, but the pt requires assistance whole the
family member is away at work. Which of the following services should the nurse include in the
discussion?
A. hospice care
B. adult day care
C. assisted-living facility
D. long-term care facility - ANS B. adult day care
Rationales...
Adult day care personnel can proivde constant assistance w/ ADLs while the family member is at
work; the pt can live at home during the night & evening hours
A. hospice care is only appropriate for a tp who has a terminal illness & a life expectancy of <6
months
C. pts who live in an assisted living facility need to be able to live independently & require
minimal assistance. Pts can receive assistance w/ med & are offered one prepared meal a day if
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
A nurse is working w/ an assistive personnel (AP) in a long-term care facility. According to the 5
rights of delegation, which of the following determinations should the nurse make prior to
assigning tasks?
A. Whether the AP has consented to the performance of delegated tasks
B. the pt's willingness to consent to care from the AP
C. Whether the task can be more efficiently completed by the nurse
D. The degree of supervision that the AP will required to complete the task - ANS D. The
degree of supervision that the AP will require to complete the task
Rationales....
Successful delegation involves assigning the right task to the right person under the right
circumstances. The person who will perform the task must be given adequate direction &
specification regarding the amount of supervision that will be provided. The right
communication of expectations & the right feedback about performance must also be supplied.
A. The nurse does not have to obtain consent from the AP when delegating tasks w/in the scope
of practice & job descriptions for APs
B. Tasks that can be delegated to an AP do not require the pt's consent
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,C. One of the barriers to successful delegation is the belief that no one can do a tasks as
efficiently & effectively as the nurse. Due to the time constraints on nurses, tasks that can be
done by an AP should be duly delegated
A home health nurse is caring for a pt who asks about the purpose of a living will. Which of the
following statements should the nurse include in the teaching?
A. "It est. who will make health care decisions for the pt if the pt is not about to do so"
B. "it allows the pt to express personal wishes regarding health care decisions"
C. "It serves as an informed consent form for any procedure prescribed by a provider"
D." It is only valid when a pt is lucid & able to make informed decisions independently" -
ANS B. It allows the pt to express personal wishes regarding health care decisions
Rationales...
A living will allows the pt to specify what aspects of care & tx are to be accepted / refused in the
event that the pt can no longer communicate those decisions
A. this described a health care proxy document, which frequently accompanies a living will but
is not considered a part of it
C. A living will does not serve the same function as informed consent. Prior to any procedure,
consent must always be obtained form the pt, a family member, or a designated health care
proxy
D. A living will is not valid / necessary when a pt is able to make informed health care decisions
independently
A nurse manager notes that a full-time nurse has been absent from work 6 times over the last 6
weeks. Using a nonpunitive approach, which of the following actions should the nurse manager
take?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A. verbally remind the employee about the facility's employment standards
B. recommend that the employee review the facility's policy regarding absences
C. Inform the employee in writing about the facilities employment policy
D. ask the employee for a written action plan after discussing the reasons for these absences -
ANS A. verbally remind the employee about the facility's employment standards
Rationales...
Verbal admonishment is the first step in the disciplinary process for this type of infraction. The
employee might not know or remember the existing standard, and a verbal reminder may be
sufficient to change the employee's behavior
B. Recommending that the employee reviews the policy does not ensure that the employee will
read & fully understand the employment standards
C. written admonishment is the second step in the disciplinary process for this type of
infraction. If the employee fails to make a positive behavioral change after being verbally
reminded by the manager about the facility's employment standards, the nurse manager should
inform the employee writing
D. this is an example of performance-deficiency coaching, which the nurse manager should use
to correct unacceptable behaviors over time
A charge nurse on a med surg unit is making assignments for the oncoming shift. Which of the
following pts should the charge nurse assign to a LPN?
A. a pt who requires an updated plan of care following a dx of cancer
B. a pt who is postop following a total hip replacement & requires discharge teaching
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
D. a pt who has just arrived from PACU & requires a head-to-toe assessment - ANS C. a pt
who has a prescription for irrigation of an indwelling urinary catheter
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Rationales...
It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter when
prescribed by a provider
A. an RN should develop & update a pt's plan of care
B. an RN should provide discharge teaching to a pt
D. an RN should perform an assessment of a pt
A nurse is speaking w/ the family member of a pt who has early Alzheimer's disease. The family
member would like to keep the pt living at home, but the pt requires assistance whole the
family member is away at work. Which of the following services should the nurse include in the
discussion?
A. hospice care
B. adult day care
C. assisted-living facility
D. long-term care facility - ANS B. adult day care
Rationales...
Adult day care personnel can proivde constant assistance w/ ADLs while the family member is at
work; the pt can live at home during the night & evening hours
A. hospice care is only appropriate for a tp who has a terminal illness & a life expectancy of <6
months
C. pts who live in an assisted living facility need to be able to live independently & require
minimal assistance. Pts can receive assistance w/ med & are offered one prepared meal a day if
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
