ATI Leadership Exam 2025 All Questions Included
Latest ATI RN Leadership 2025 Proctored Exam Retake with NGN 70 Screenshot
Questions & Answers
1. A nurse manager reviews fall data and notices an increase in patient falls over the past
month. What is the most appropriate first action?
A. Discharge high–risk patients early
B. Conduct a root cause analysis on each fall
C. Implement penalties for the staff involved
D. Increase hourly rounding without further assessment
Correct Answer: B. Conduct a root cause analysis on each fall
2. Which task can the RN safely delegate to an LPN on the unit?
A. Performing the initial comprehensive admission assessment
B. Reinforcing teaching about a new medication regimen
C. Developing and updating the nursing care plan
D. Administering IV push potassium chloride
Correct Answer: B. Reinforcing teaching about a new medication regimen
3. A charge nurse is assigning a float nurse to four patients. Which assignment is most
appropriate for the float nurse unfamiliar with the unit?
A. Post-op abdominal surgery with potential complications
B. Stable client awaiting discharge education
C. Client on continuous telemetry with frequent alarms
D. Newly admitted client with chest pain
Correct Answer: B. Stable client awaiting discharge education
4. A staff nurse reports another nurse charting care that was never provided. What is the
first action the charge nurse should take?
A. Contact the state board of nursing
B. Document the allegation and report it to the nurse manager
C. Confront the nurse immediately in front of peers
D. Ignore it unless there is patient harm
Correct Answer: B. Document the allegation and report it to the nurse manager
5. During a mass casualty drill, the nurse leader asks for feedback. Which strategy best
promotes open communication?
A. Criticize staff performance publicly to drive improvement
B. Encourage staff to share concerns without fear of blame
C. Focus only on top performers’ opinions
D. Limit discussion to written comments only
Correct Answer: B. Encourage staff to share concerns without fear of blame
, 6. A client refuses morning medications. What leadership role should the nurse adopt first?
A. Autocratic enforcement of the provider’s orders
B. Encourage patient autonomy and clarify concerns
C. Delegate the teaching to the UAP
D. Document refusal and move on
Correct Answer: B. Encourage patient autonomy and clarify concerns
7. Which action by a nurse leader exemplifies transformational leadership?
A. Setting strict policies without staff input
B. Recognizing and rewarding innovative practice
C. Maintaining the status quo to avoid disruption
D. Enforcing rules through punitive measures
Correct Answer: B. Recognizing and rewarding innovative practice
8. A nurse is uncertain about the correct scope of delegation. What should the charge nurse
do?
A. Refer to facility policy and clarify the LPN/UAP scope
B. Allow the RN to decide independently
C. Delegate anyway and monitor closely
D. Prohibit all delegation until policy is updated
Correct Answer: A. Refer to facility policy and clarify the LPN/UAP scope
9. A staff member complains of persistent workplace bullying. What is the most effective
initial response?
A. Transfer the complainant to another unit immediately
B. Investigate the complaint confidentially and objectively
C. Advise the staff member to ignore the behavior
D. Issue a warning to all staff about bullying
Correct Answer: B. Investigate the complaint confidentially and objectively
10. When implementing a new electronic health record, which approach supports best
practice?
A. Mandate overnight training with no hands–on practice
B. Phase in training gradually with super-user support
C. Delay implementation indefinitely
D. Allow staff to teach each other informally
Correct Answer: B. Phase in training gradually with super-user support
11. A nurse leader observes inconsistent pain reassessment. What is the most appropriate
corrective measure?
A. Increase PRN dosing without protocol change
B. Educate staff on pain reassessment policy and monitor compliance
C. Discontinue pain protocols entirely
D. Delegate pain reassessment to the UAP
Correct Answer: B. Educate staff on pain reassessment policy and monitor
compliance
12. A client’s family threatens legal action over perceived inadequate care. What should the
nurse leader do first?