ATI RN Leadership 2025/2026 – Updated
NGN Exam-Style Practice Guide with
screenshots and normal questions and
Accuracy-Reviewed Rationales
,1. A nurse manager is implementing a new evidence-based practice
protocol. Which strategy best ensures staff compliance? A. Mandating
the change during a staff meeting. B. Identifying "change champions"
among the staff to lead the transition. C. Posting the new policy on the
breakroom bulletin board. D. Providing a memo detailing the
consequences of non-compliance.
, • Answer: B. Rationale: Change champions (opinion leaders)
significantly increase buy-in by modeling the behavior and
answering peer questions.
2. A nurse is delegating care for a group of clients. Which task is
appropriate for a Licensed Practical Nurse (LPN)? A. Performing an
initial admission assessment. B. Administering an IV push medication
for an unstable client. C. Reinforcing client education on insulin self-
administration. D. Developing a nursing care plan for a new admission.
, • Answer: C. Rationale: LPNs can reinforce teaching, but the initial
assessment and care plan development are strictly within the RN
scope of practice.
3. A nurse witnesses a peer making a medication error. What is the
priority action? A. File an incident report immediately. B. Assess the
client for adverse effects. C. Notify the charge nurse. D. Ask the peer to
explain why the error happened.
• Answer: B. Rationale: Always prioritize patient safety. Assessing
the client is the first step in any clinical emergency.
4. A nurse leader is utilizing the SBAR technique to report a change in
a client's condition. What information belongs in the "Assessment"
section? A. The client’s blood pressure and heart rate. B. The client's
history of heart failure. C. The nurse’s analysis of the problem (e.g., "I
am concerned the client is becoming septic"). D. The request for a new
medication order.
NGN Exam-Style Practice Guide with
screenshots and normal questions and
Accuracy-Reviewed Rationales
,1. A nurse manager is implementing a new evidence-based practice
protocol. Which strategy best ensures staff compliance? A. Mandating
the change during a staff meeting. B. Identifying "change champions"
among the staff to lead the transition. C. Posting the new policy on the
breakroom bulletin board. D. Providing a memo detailing the
consequences of non-compliance.
, • Answer: B. Rationale: Change champions (opinion leaders)
significantly increase buy-in by modeling the behavior and
answering peer questions.
2. A nurse is delegating care for a group of clients. Which task is
appropriate for a Licensed Practical Nurse (LPN)? A. Performing an
initial admission assessment. B. Administering an IV push medication
for an unstable client. C. Reinforcing client education on insulin self-
administration. D. Developing a nursing care plan for a new admission.
, • Answer: C. Rationale: LPNs can reinforce teaching, but the initial
assessment and care plan development are strictly within the RN
scope of practice.
3. A nurse witnesses a peer making a medication error. What is the
priority action? A. File an incident report immediately. B. Assess the
client for adverse effects. C. Notify the charge nurse. D. Ask the peer to
explain why the error happened.
• Answer: B. Rationale: Always prioritize patient safety. Assessing
the client is the first step in any clinical emergency.
4. A nurse leader is utilizing the SBAR technique to report a change in
a client's condition. What information belongs in the "Assessment"
section? A. The client’s blood pressure and heart rate. B. The client's
history of heart failure. C. The nurse’s analysis of the problem (e.g., "I
am concerned the client is becoming septic"). D. The request for a new
medication order.
