ATI RN Leadership Proctored Exam
Complete 70-Question Master Study Guide & Correct Answer Key with Clinical Rationales
Subject: Nursing Leadership & Management Questions Covered: (100% Complete) Format: High-Yield Exam Review
Core NCLEX / ATI Leadership Concepts Tested
This master document covers all 70 questions from the ATI RN Leadership Proctored Examination. Key tested domains
include: Priority Setting (ABCs, Maslow, Acute vs Chronic), Delegation & Supervision (RN vs LPN vs AP), Legal &
Ethical Nursing Practice (Informed Consent, HIPAA, Torts, AMA), Disaster Triage (Mass Casualty Tagging), and
Interdisciplinary Collaboration & Discharge Planning.
Question 1 INTERDISCIPLINARY CARE
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse
recommend for an interdisciplinary care conference?
A. A client who is at 35 weeks of gestation and has a biophysical profile (BPP) score of 6
B. A client who is at 28 weeks of gestation and has an HbA1c of 6.2%
C. A client who is at 39 weeks of gestation and reports mild Braxton Hicks contractions
D. A client who is at 12 weeks of gestation and experiences morning sickness
✓ Correct Answer:
A. A client who is at 35 weeks of gestation and has a biophysical profile (BPP) score of 6
Clinical Rationale: A biophysical profile (BPP) score of 6 indicates a equivocal/borderline result requiring further evaluation
and potential delivery planning. An interdisciplinary team (obstetrician, perinatologist, neonatal team, nurse case manager) is
required to coordinate optimal care.
Question 2 CASE MANAGEMENT & DISCHARGE
PLANNING
A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the
nurse she can no longer handle caring for the client at home. Which of the following actions should the
nurse take?
A. Contact the case manager to discuss discharge options and home care support
B. Advise the partner to hire a full-time private duty caregiver
C. Delay discharge indefinitely until the partner changes her mind
D. Instruct the partner that discharge is mandatory once medical stability is reached
✓ Correct Answer:
A. Contact the case manager to discuss discharge options and home care support
Clinical Rationale: Case managers coordinate healthcare services, evaluate home support systems, and arrange community
resources, skilled nursing facility placements, or respite care when family caregivers express inability to meet client needs.
ATI RN Leadership Exam Master Study Guide Page 1 of 24
, Question 3 COMMUNITY RESOURCES & REFERRALS
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The
parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals
should the nurse recommend?
A. Respiratory Therapist
B. Social Worker
C. Occupational Therapist
D. Child Life Specialist
✓ Correct Answer:
B. Social Worker
Clinical Rationale: Medical social workers assist clients and families with financial hardships, securing low-cost or state-
funded medical equipment, emergency assistance, and navigating community assistance programs.
Question 4 DELEGATION & SUPERVISION
A nurse is supervising assistive personnel (AP) who is feeding a client with dysphagia. Which of the
following actions by the AP should the nurse identify as correct technique?
A. Encouraging the client to lean backward while swallowing
B. Instructing the client to place their chin to chest while swallowing
C. Offering thin liquids between bites of solid food
D. Feeding the client rapidly to prevent food from cooling
✓ Correct Answer:
B. Instructing the client to place their chin to chest while swallowing
Clinical Rationale: The chin-tuck position (chin to chest) closes the airway and opens the esophagus, reducing the risk of
aspiration in clients with dysphagia.
Question 5 CLIENT RIGHTS & LEGAL ISSUES
A nurse is providing an in-service about client rights for a group of nurses. Which of the following
statements should the nurse include in the in-service?
A. 'A nurse can disclose medical information to family members upon request at any time.'
B. 'A nurse can disclose information to a family member with the client's explicit permission.'
C. 'Informational consent is not needed if the family member is a legal spouse.'
D. 'Clients lose the right to confidentiality once admitted to an intensive care unit.'
✓ Correct Answer:
B. 'A nurse can disclose information to a family member with the client's explicit permission.'
Clinical Rationale: Under HIPAA guidelines, protected health information (PHI) can only be shared with individuals
specifically designated and permitted by the client.
ATI RN Leadership Exam Master Study Guide Page 2 of 24
, Question 6 CONTINUITY OF CARE
A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet
delivered the oxygen tank. Which of the following actions should the nurse take?
A. Allow the client to go home and wait for the delivery
B. Contact social services or the case manager regarding the delayed delivery before discharging
C. Discharge the client with a hospital oxygen cylinder
D. Cancel the home oxygen order and discharge without oxygen
✓ Correct Answer:
B. Contact social services or the case manager regarding the delayed delivery before discharging
Clinical Rationale: Client safety is paramount. A client requiring home oxygen cannot be safely discharged without functional
equipment present in the home; social services/case management must resolve the logistics prior to discharge.
Question 7 INFORMED CONSENT & AUTONOMY
A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she
has reconsidered because she is worried about the pain. Which of the following responses by the nurse is
appropriate?
A. 'You have already signed the consent form, so you must proceed.'
B. 'I understand, and it's not too late to change your mind.'
C. 'Surgery is the only option you have to get better.'
D. 'Pain after surgery is easily managed, so there is nothing to worry about.'
✓ Correct Answer:
B. 'I understand, and it's not too late to change your mind.'
Clinical Rationale: Clients have the right to revoke consent at any time prior to a procedure. The nurse must validate the
client's feelings, support autonomy, and notify the provider.
Question 8 CLIENT ADVOCACY & MANDATORY
REPORTING
A nurse in a long-term care facility is caring for a client and witnessed assistive personnel (AP) position him
in bed with excessive force. Which of the following actions should the nurse take?
A. Contact the nurse manager immediately to report the incident
B. Ignore the incident if the client was not visibly injured
C. Confront the AP in front of the client
D. Document the event in the client's chart without informing leadership
✓ Correct Answer:
A. Contact the nurse manager immediately to report the incident
Clinical Rationale: Nurses have a legal and ethical duty to protect clients from abuse or harm. Suspected abuse or excessive
force must be reported immediately to unit leadership.
ATI RN Leadership Exam Master Study Guide Page 3 of 24
Complete 70-Question Master Study Guide & Correct Answer Key with Clinical Rationales
Subject: Nursing Leadership & Management Questions Covered: (100% Complete) Format: High-Yield Exam Review
Core NCLEX / ATI Leadership Concepts Tested
This master document covers all 70 questions from the ATI RN Leadership Proctored Examination. Key tested domains
include: Priority Setting (ABCs, Maslow, Acute vs Chronic), Delegation & Supervision (RN vs LPN vs AP), Legal &
Ethical Nursing Practice (Informed Consent, HIPAA, Torts, AMA), Disaster Triage (Mass Casualty Tagging), and
Interdisciplinary Collaboration & Discharge Planning.
Question 1 INTERDISCIPLINARY CARE
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse
recommend for an interdisciplinary care conference?
A. A client who is at 35 weeks of gestation and has a biophysical profile (BPP) score of 6
B. A client who is at 28 weeks of gestation and has an HbA1c of 6.2%
C. A client who is at 39 weeks of gestation and reports mild Braxton Hicks contractions
D. A client who is at 12 weeks of gestation and experiences morning sickness
✓ Correct Answer:
A. A client who is at 35 weeks of gestation and has a biophysical profile (BPP) score of 6
Clinical Rationale: A biophysical profile (BPP) score of 6 indicates a equivocal/borderline result requiring further evaluation
and potential delivery planning. An interdisciplinary team (obstetrician, perinatologist, neonatal team, nurse case manager) is
required to coordinate optimal care.
Question 2 CASE MANAGEMENT & DISCHARGE
PLANNING
A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the
nurse she can no longer handle caring for the client at home. Which of the following actions should the
nurse take?
A. Contact the case manager to discuss discharge options and home care support
B. Advise the partner to hire a full-time private duty caregiver
C. Delay discharge indefinitely until the partner changes her mind
D. Instruct the partner that discharge is mandatory once medical stability is reached
✓ Correct Answer:
A. Contact the case manager to discuss discharge options and home care support
Clinical Rationale: Case managers coordinate healthcare services, evaluate home support systems, and arrange community
resources, skilled nursing facility placements, or respite care when family caregivers express inability to meet client needs.
ATI RN Leadership Exam Master Study Guide Page 1 of 24
, Question 3 COMMUNITY RESOURCES & REFERRALS
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The
parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals
should the nurse recommend?
A. Respiratory Therapist
B. Social Worker
C. Occupational Therapist
D. Child Life Specialist
✓ Correct Answer:
B. Social Worker
Clinical Rationale: Medical social workers assist clients and families with financial hardships, securing low-cost or state-
funded medical equipment, emergency assistance, and navigating community assistance programs.
Question 4 DELEGATION & SUPERVISION
A nurse is supervising assistive personnel (AP) who is feeding a client with dysphagia. Which of the
following actions by the AP should the nurse identify as correct technique?
A. Encouraging the client to lean backward while swallowing
B. Instructing the client to place their chin to chest while swallowing
C. Offering thin liquids between bites of solid food
D. Feeding the client rapidly to prevent food from cooling
✓ Correct Answer:
B. Instructing the client to place their chin to chest while swallowing
Clinical Rationale: The chin-tuck position (chin to chest) closes the airway and opens the esophagus, reducing the risk of
aspiration in clients with dysphagia.
Question 5 CLIENT RIGHTS & LEGAL ISSUES
A nurse is providing an in-service about client rights for a group of nurses. Which of the following
statements should the nurse include in the in-service?
A. 'A nurse can disclose medical information to family members upon request at any time.'
B. 'A nurse can disclose information to a family member with the client's explicit permission.'
C. 'Informational consent is not needed if the family member is a legal spouse.'
D. 'Clients lose the right to confidentiality once admitted to an intensive care unit.'
✓ Correct Answer:
B. 'A nurse can disclose information to a family member with the client's explicit permission.'
Clinical Rationale: Under HIPAA guidelines, protected health information (PHI) can only be shared with individuals
specifically designated and permitted by the client.
ATI RN Leadership Exam Master Study Guide Page 2 of 24
, Question 6 CONTINUITY OF CARE
A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet
delivered the oxygen tank. Which of the following actions should the nurse take?
A. Allow the client to go home and wait for the delivery
B. Contact social services or the case manager regarding the delayed delivery before discharging
C. Discharge the client with a hospital oxygen cylinder
D. Cancel the home oxygen order and discharge without oxygen
✓ Correct Answer:
B. Contact social services or the case manager regarding the delayed delivery before discharging
Clinical Rationale: Client safety is paramount. A client requiring home oxygen cannot be safely discharged without functional
equipment present in the home; social services/case management must resolve the logistics prior to discharge.
Question 7 INFORMED CONSENT & AUTONOMY
A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she
has reconsidered because she is worried about the pain. Which of the following responses by the nurse is
appropriate?
A. 'You have already signed the consent form, so you must proceed.'
B. 'I understand, and it's not too late to change your mind.'
C. 'Surgery is the only option you have to get better.'
D. 'Pain after surgery is easily managed, so there is nothing to worry about.'
✓ Correct Answer:
B. 'I understand, and it's not too late to change your mind.'
Clinical Rationale: Clients have the right to revoke consent at any time prior to a procedure. The nurse must validate the
client's feelings, support autonomy, and notify the provider.
Question 8 CLIENT ADVOCACY & MANDATORY
REPORTING
A nurse in a long-term care facility is caring for a client and witnessed assistive personnel (AP) position him
in bed with excessive force. Which of the following actions should the nurse take?
A. Contact the nurse manager immediately to report the incident
B. Ignore the incident if the client was not visibly injured
C. Confront the AP in front of the client
D. Document the event in the client's chart without informing leadership
✓ Correct Answer:
A. Contact the nurse manager immediately to report the incident
Clinical Rationale: Nurses have a legal and ethical duty to protect clients from abuse or harm. Suspected abuse or excessive
force must be reported immediately to unit leadership.
ATI RN Leadership Exam Master Study Guide Page 3 of 24
