2023 ATI RN
LEADERSHIP
EXAM QUESTIONS
(3 FULL SET EXAMS)
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 400+ LEADERSHIP nursing questions
• Detailed answer rationales for each question
Perfect For:
• RN nursing students
• ATI LEADERSHIP Exam prep
• NCLEX-RN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
ATI LEADERSHIP EXAM - SET 1 .......................................................... 2
ATI LEADERSHIP EXAM - SET 2 ........................................................ 50
ATI LEADERSHIP EXAM - SET 3 ...................................................... 107
ATI LEADERSHIP (200 BONUS QS) ................................................. 170
ATI LEADERSHIP EXAM - SET 1
QUESTION 1
A nurse is reviewing the electronic medical record on clients following the
implementation of a quality improvement plan to reduce health care-associated
infections on a medical-surgical unit.
Exhibits:
• Client 1: Cerebrovascular accident
• Client 2: Pneumonia
• Client 3: Wound infection
• Client 4: Urinary tract infection
• Client 5: Fractured hip
Select the 3 clients whose findings indicate the program is EFFECTIVE:
A. Clients 1, 2, and 4
B. Clients 2, 3, and 5
C. Clients 1, 3, and 5
D. Clients 2, 4, and 5
Correct Answer: B. Clients 2, 3, and 5
,Rationale: A quality improvement plan to reduce healthcare-associated infections
(HAIs) would be considered effective if clients have community-acquired infections
rather than hospital-acquired infections.
• Client 2 (Pneumonia): If community-acquired, indicates prevention of hospital-
acquired pneumonia
• Client 3 (Wound infection): If present on admission, not hospital-acquired
• Client 5 (Fractured hip): Orthopedic injury without infection indicates successful
prevention
Clients 1 (CVA) and 4 (UTI) are more likely to be hospital-acquired complications, which
would indicate the program is NOT effective.
QUESTION 2
A nurse manager is overseeing employees on their unit. Which of the following
actions is the nurse manager's priority?
A. Document the incident for human resources
B. Remove the employee from the work environment
C. Schedule a meeting with the employee to discuss concerns
D. Review the employee's performance record
Correct Answer: B. Remove the employee from the work environment
Rationale: Patient safety is always the priority. If an employee poses an immediate
risk to patient safety, the nurse manager must first remove that employee from the work
environment to prevent harm. Documentation, meetings, and record reviews can occur
after the immediate safety threat is addressed. This follows the principle of "first, do no
harm."
QUESTION 3
A nurse is triaging a group of clients as they arrive simultaneously in the
emergency department following a nearby bus crash. Which of the following
clients should the nurse transfer to the three available trauma rooms? (Select 3)
, A. Client with a minor laceration on the arm
B. Client with an open fracture of the tibia
C. Client with a suspected spinal cord injury
D. Client with a Glasgow Coma Scale of 15
E. Client with a tension pneumothorax
F. Client with stable vital signs and abdominal pain
Correct Answer: B, C, and E
Rationale: Trauma rooms are reserved for clients requiring immediate, life-saving
interventions (emergent/urgent categories per triage protocols):
• B. Open fracture of tibia: High risk for infection, blood loss, and compartment
syndrome
• C. Suspected spinal cord injury: Risk for permanent neurological damage;
requires immobilization and immediate assessment
• E. Tension pneumothorax: Life-threatening condition requiring immediate
decompression
Minor lacerations (A), fully alert clients (D-GCS 15), and stable clients (F) can wait in the
regular emergency department.
QUESTION 4
A charge nurse on a mental health unit is receiving change-of-shift report for a
group of clients. The charge nurse is working with an RN, PN, and assistive
personnel (AP) from 0700 to 1900 and is reviewing client care assignments.
Complete the following sentence: The charge nurse should first assess ________
due to ________ and ________.
A. Client 1 due to HALLUCINATIONS and DELUSIONS
B. Client 2 due to DEPRESSION and SUICIDE RISK
C. Client 3 due to MANIA and HYPERACTIVITY
D. Client 4 due to ANXIETY and PANIC ATTACKS
Correct Answer: A. Client 1 due to HALLUCINATIONS and DELUSIONS
LEADERSHIP
EXAM QUESTIONS
(3 FULL SET EXAMS)
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
GET A LEVEL 2 OR HIGHER
What You’ll Get:
• 400+ LEADERSHIP nursing questions
• Detailed answer rationales for each question
Perfect For:
• RN nursing students
• ATI LEADERSHIP Exam prep
• NCLEX-RN preparation
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
ATI LEADERSHIP EXAM - SET 1 .......................................................... 2
ATI LEADERSHIP EXAM - SET 2 ........................................................ 50
ATI LEADERSHIP EXAM - SET 3 ...................................................... 107
ATI LEADERSHIP (200 BONUS QS) ................................................. 170
ATI LEADERSHIP EXAM - SET 1
QUESTION 1
A nurse is reviewing the electronic medical record on clients following the
implementation of a quality improvement plan to reduce health care-associated
infections on a medical-surgical unit.
Exhibits:
• Client 1: Cerebrovascular accident
• Client 2: Pneumonia
• Client 3: Wound infection
• Client 4: Urinary tract infection
• Client 5: Fractured hip
Select the 3 clients whose findings indicate the program is EFFECTIVE:
A. Clients 1, 2, and 4
B. Clients 2, 3, and 5
C. Clients 1, 3, and 5
D. Clients 2, 4, and 5
Correct Answer: B. Clients 2, 3, and 5
,Rationale: A quality improvement plan to reduce healthcare-associated infections
(HAIs) would be considered effective if clients have community-acquired infections
rather than hospital-acquired infections.
• Client 2 (Pneumonia): If community-acquired, indicates prevention of hospital-
acquired pneumonia
• Client 3 (Wound infection): If present on admission, not hospital-acquired
• Client 5 (Fractured hip): Orthopedic injury without infection indicates successful
prevention
Clients 1 (CVA) and 4 (UTI) are more likely to be hospital-acquired complications, which
would indicate the program is NOT effective.
QUESTION 2
A nurse manager is overseeing employees on their unit. Which of the following
actions is the nurse manager's priority?
A. Document the incident for human resources
B. Remove the employee from the work environment
C. Schedule a meeting with the employee to discuss concerns
D. Review the employee's performance record
Correct Answer: B. Remove the employee from the work environment
Rationale: Patient safety is always the priority. If an employee poses an immediate
risk to patient safety, the nurse manager must first remove that employee from the work
environment to prevent harm. Documentation, meetings, and record reviews can occur
after the immediate safety threat is addressed. This follows the principle of "first, do no
harm."
QUESTION 3
A nurse is triaging a group of clients as they arrive simultaneously in the
emergency department following a nearby bus crash. Which of the following
clients should the nurse transfer to the three available trauma rooms? (Select 3)
, A. Client with a minor laceration on the arm
B. Client with an open fracture of the tibia
C. Client with a suspected spinal cord injury
D. Client with a Glasgow Coma Scale of 15
E. Client with a tension pneumothorax
F. Client with stable vital signs and abdominal pain
Correct Answer: B, C, and E
Rationale: Trauma rooms are reserved for clients requiring immediate, life-saving
interventions (emergent/urgent categories per triage protocols):
• B. Open fracture of tibia: High risk for infection, blood loss, and compartment
syndrome
• C. Suspected spinal cord injury: Risk for permanent neurological damage;
requires immobilization and immediate assessment
• E. Tension pneumothorax: Life-threatening condition requiring immediate
decompression
Minor lacerations (A), fully alert clients (D-GCS 15), and stable clients (F) can wait in the
regular emergency department.
QUESTION 4
A charge nurse on a mental health unit is receiving change-of-shift report for a
group of clients. The charge nurse is working with an RN, PN, and assistive
personnel (AP) from 0700 to 1900 and is reviewing client care assignments.
Complete the following sentence: The charge nurse should first assess ________
due to ________ and ________.
A. Client 1 due to HALLUCINATIONS and DELUSIONS
B. Client 2 due to DEPRESSION and SUICIDE RISK
C. Client 3 due to MANIA and HYPERACTIVITY
D. Client 4 due to ANXIETY and PANIC ATTACKS
Correct Answer: A. Client 1 due to HALLUCINATIONS and DELUSIONS
