ATI RN Leadership 2023 Proctored Exam - Latest
Test (Updated 2026/2027) | 100 Complete Exam
Questions with Verified Correct Answers &
Detailed Rationales | Graded A+
Question 1
A nurse in an acute care mental health facility is participating in a medication education
group. The leader of the group uses a laissez-faire leadership style. Which of the
following actions should the nurse expect from the leader during the session?
Answer: The leader allows group members to make decisions with minimal guidance.
✔✔
Rationale: Laissez-faire leadership is characterized by a hands-off approach where the
leader provides little direction. Group members are allowed to make decisions and
direct themselves with minimal guidance from the leader.
Question 2
A charge nurse is observing a conflict between two nurses who both insist that the
charge nurse favors the other making assignments. Which of the following conflict-
resolution strategies should the charge nurse use?
Answer: Encourage collaboration between the two nurses when making the
assignments. ✔✔
Rationale: Collaboration is the most effective conflict-resolution strategy, promoting
mutual problem-solving and shared decision-making. It allows both parties to work
together to find a solution.
Question 3
A nurse is preparing an in-service for a group of nurses about malpractice issues in
nursing. Which of the following examples should the nurse include in the teaching as an
example of malpractice?
Answer: A nurse administers the wrong medication to a client, resulting in injury. ✔✔
pg. 1
,Rationale: Malpractice is professional negligence that results in harm. Administering
the wrong medication that causes injury meets the criteria for malpractice (duty, breach,
causation, damages).
Question 4
A charge nurse is delegating care for a group of clients. Which of the following tasks
should the charge nurse assign to a licensed practical nurse?
Answer: Perform a sterile dressing change for a client who has an abdominal wound.
✔✔
Rationale: LPNs are trained to perform sterile dressing changes. This task is within
their scope of practice and does not require complex assessment or judgment.
Question 5
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which
of the following actions by the newly licensed nurse requires intervention by the staff
nurse?
Answer: Waits for 2 minutes between suction passes. ✔✔
Rationale: The nurse should wait 20-30 seconds between suction passes to allow the
client to recover oxygenation. Waiting 2 minutes is excessive and may cause
complications.
Question 6
A nurse is planning care for a group of clients and is working with one licensed practical
nurse and one assistive personnel. Which of the following actions should the nurse take
first to manage her time effectively?
Answer: Determine goals of the day. ✔✔
Rationale: Setting daily goals is the first step in time management. It establishes
priorities and guides delegation decisions.
Question 7
pg. 2
, A charge nurse is making client care assignments for the shift. Which of the following
should the charge nurse consider when making assignments?
Answer: The skill and experience level of each staff member. ✔✔
Rationale: The charge nurse must consider the competency and experience of staff
members when making assignments. This ensures clients receive safe care and staff are
not assigned tasks beyond their capabilities.
Question 8
A nurse is serving on a continuous quality improvement committee that has been
assigned to develop a program to reduce the number of medication administration
errors following a sentinel event at the facility. Which of the following strategies should
the committee plan to initiate first?
Answer: Review the events leading up to each medication administration error. ✔✔
Rationale: The first step in quality improvement after a sentinel event is to conduct a
root cause analysis by reviewing the events leading to each error. This identifies
contributing factors and informs corrective actions.
Question 9
A charge nurse has access to the facility's electronic client records. It is appropriate for
the charge nurse to share her personal password with whom?
Answer: No one. ✔✔
Rationale: Personal passwords should never be shared with anyone. Each staff
member must use their own unique login credentials to maintain security and
accountability.
Question 10
A nurse on a medical-surgical unit is reconciling a newly admitted client's medication.
The nurse is reviewing the process of medication reconciliation with a newly licensed
nurse. The nurse should include which of the following information?
Answer: The purpose of medication reconciliation is to prevent adverse medication
reactions. ✔✔
Rationale: Medication reconciliation compares a client's current medications with
newly ordered ones to identify discrepancies and prevent adverse drug reactions.
pg. 3
Test (Updated 2026/2027) | 100 Complete Exam
Questions with Verified Correct Answers &
Detailed Rationales | Graded A+
Question 1
A nurse in an acute care mental health facility is participating in a medication education
group. The leader of the group uses a laissez-faire leadership style. Which of the
following actions should the nurse expect from the leader during the session?
Answer: The leader allows group members to make decisions with minimal guidance.
✔✔
Rationale: Laissez-faire leadership is characterized by a hands-off approach where the
leader provides little direction. Group members are allowed to make decisions and
direct themselves with minimal guidance from the leader.
Question 2
A charge nurse is observing a conflict between two nurses who both insist that the
charge nurse favors the other making assignments. Which of the following conflict-
resolution strategies should the charge nurse use?
Answer: Encourage collaboration between the two nurses when making the
assignments. ✔✔
Rationale: Collaboration is the most effective conflict-resolution strategy, promoting
mutual problem-solving and shared decision-making. It allows both parties to work
together to find a solution.
Question 3
A nurse is preparing an in-service for a group of nurses about malpractice issues in
nursing. Which of the following examples should the nurse include in the teaching as an
example of malpractice?
Answer: A nurse administers the wrong medication to a client, resulting in injury. ✔✔
pg. 1
,Rationale: Malpractice is professional negligence that results in harm. Administering
the wrong medication that causes injury meets the criteria for malpractice (duty, breach,
causation, damages).
Question 4
A charge nurse is delegating care for a group of clients. Which of the following tasks
should the charge nurse assign to a licensed practical nurse?
Answer: Perform a sterile dressing change for a client who has an abdominal wound.
✔✔
Rationale: LPNs are trained to perform sterile dressing changes. This task is within
their scope of practice and does not require complex assessment or judgment.
Question 5
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which
of the following actions by the newly licensed nurse requires intervention by the staff
nurse?
Answer: Waits for 2 minutes between suction passes. ✔✔
Rationale: The nurse should wait 20-30 seconds between suction passes to allow the
client to recover oxygenation. Waiting 2 minutes is excessive and may cause
complications.
Question 6
A nurse is planning care for a group of clients and is working with one licensed practical
nurse and one assistive personnel. Which of the following actions should the nurse take
first to manage her time effectively?
Answer: Determine goals of the day. ✔✔
Rationale: Setting daily goals is the first step in time management. It establishes
priorities and guides delegation decisions.
Question 7
pg. 2
, A charge nurse is making client care assignments for the shift. Which of the following
should the charge nurse consider when making assignments?
Answer: The skill and experience level of each staff member. ✔✔
Rationale: The charge nurse must consider the competency and experience of staff
members when making assignments. This ensures clients receive safe care and staff are
not assigned tasks beyond their capabilities.
Question 8
A nurse is serving on a continuous quality improvement committee that has been
assigned to develop a program to reduce the number of medication administration
errors following a sentinel event at the facility. Which of the following strategies should
the committee plan to initiate first?
Answer: Review the events leading up to each medication administration error. ✔✔
Rationale: The first step in quality improvement after a sentinel event is to conduct a
root cause analysis by reviewing the events leading to each error. This identifies
contributing factors and informs corrective actions.
Question 9
A charge nurse has access to the facility's electronic client records. It is appropriate for
the charge nurse to share her personal password with whom?
Answer: No one. ✔✔
Rationale: Personal passwords should never be shared with anyone. Each staff
member must use their own unique login credentials to maintain security and
accountability.
Question 10
A nurse on a medical-surgical unit is reconciling a newly admitted client's medication.
The nurse is reviewing the process of medication reconciliation with a newly licensed
nurse. The nurse should include which of the following information?
Answer: The purpose of medication reconciliation is to prevent adverse medication
reactions. ✔✔
Rationale: Medication reconciliation compares a client's current medications with
newly ordered ones to identify discrepancies and prevent adverse drug reactions.
pg. 3
