1
ATI RN LEADERSHIP PROCTORED EXAM REAL
TEST QUESTIONS AND ANSWERS 2026 JUST
RELEASED VERSION
• Covers delegation, ethics, conflict resolution and leadership
principles critical for ATI predictor success.
Q1
A charge nurse notices a staff member is hesitant to follow a
new safety protocol. Which leadership style is being
demonstrated if the nurse involves staff in decision-making?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
,2
Correct Answer: A
Rationale: Democratic leadership encourages team
participation in decisions, improving buy-in and adherence.
Q2
Which task can an RN safely delegate to a UAP?
A. Measure and record a stable patient’s vital signs
B. Perform initial patient assessment
C. Administer IV medications
D. Evaluate effectiveness of pain management
Correct Answer: A
Rationale: Routine vital signs on stable patients fall within UAP
scope; assessment and medication require RN judgment.
Q3
A nurse manager observes a conflict between two staff
members. First action?
A. Meet with each individually to understand perspectives
B. Assign blame immediately
C. Ignore the situation
D. Conduct a group disciplinary session
,3
Correct Answer: A
Rationale: Understanding each perspective helps resolve
conflict objectively and professionally.
Q4
Which principle is most important when delegating tasks?
A. Match the task to the staff member’s competence and scope
of practice
B. Delegate all tasks to save time
C. Only delegate to new staff
D. Assign tasks based on seniority alone
Correct Answer: A
Rationale: Safe delegation requires knowledge of staff skills,
competency, and legal scope of practice.
Q5
A nurse manager wants to implement a new evidence-based fall
prevention program. Which step demonstrates quality
improvement?
A. Collect data on fall rates before and after implementation
B. Assign blame for previous falls
, 4
C. Mandate protocol without evaluation
D. Ignore staff feedback
Correct Answer: A
Rationale: Quality improvement uses data to evaluate
interventions and outcomes objectively.
Q6
A nurse faces an ethical dilemma regarding end-of-life care.
Which action is appropriate first?
A. Consult the hospital ethics committee
B. Make unilateral decisions
C. Avoid discussing with family
D. Ignore the dilemma
Correct Answer: A
Rationale: Ethics committees provide guidance for complex
situations and support ethical decision-making.
Q7
Which leadership style involves giving rewards for performance
and consequences for underperformance?
A. Transactional
B. Transformational
ATI RN LEADERSHIP PROCTORED EXAM REAL
TEST QUESTIONS AND ANSWERS 2026 JUST
RELEASED VERSION
• Covers delegation, ethics, conflict resolution and leadership
principles critical for ATI predictor success.
Q1
A charge nurse notices a staff member is hesitant to follow a
new safety protocol. Which leadership style is being
demonstrated if the nurse involves staff in decision-making?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
,2
Correct Answer: A
Rationale: Democratic leadership encourages team
participation in decisions, improving buy-in and adherence.
Q2
Which task can an RN safely delegate to a UAP?
A. Measure and record a stable patient’s vital signs
B. Perform initial patient assessment
C. Administer IV medications
D. Evaluate effectiveness of pain management
Correct Answer: A
Rationale: Routine vital signs on stable patients fall within UAP
scope; assessment and medication require RN judgment.
Q3
A nurse manager observes a conflict between two staff
members. First action?
A. Meet with each individually to understand perspectives
B. Assign blame immediately
C. Ignore the situation
D. Conduct a group disciplinary session
,3
Correct Answer: A
Rationale: Understanding each perspective helps resolve
conflict objectively and professionally.
Q4
Which principle is most important when delegating tasks?
A. Match the task to the staff member’s competence and scope
of practice
B. Delegate all tasks to save time
C. Only delegate to new staff
D. Assign tasks based on seniority alone
Correct Answer: A
Rationale: Safe delegation requires knowledge of staff skills,
competency, and legal scope of practice.
Q5
A nurse manager wants to implement a new evidence-based fall
prevention program. Which step demonstrates quality
improvement?
A. Collect data on fall rates before and after implementation
B. Assign blame for previous falls
, 4
C. Mandate protocol without evaluation
D. Ignore staff feedback
Correct Answer: A
Rationale: Quality improvement uses data to evaluate
interventions and outcomes objectively.
Q6
A nurse faces an ethical dilemma regarding end-of-life care.
Which action is appropriate first?
A. Consult the hospital ethics committee
B. Make unilateral decisions
C. Avoid discussing with family
D. Ignore the dilemma
Correct Answer: A
Rationale: Ethics committees provide guidance for complex
situations and support ethical decision-making.
Q7
Which leadership style involves giving rewards for performance
and consequences for underperformance?
A. Transactional
B. Transformational
