[ATI Leadership Proctored Exam] – EXAM-STYLE QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | 2026/27 LATEST UPDATE | EXAM PREP | STUDY GUIDE | PRACTICE TEST
1. A charge nurse is evaluating the documentation of a newly licensed nurse.
Which of the following entries demonstrates appropriate documentation
practices?
A. "Client is upset and complaining about the quality of care."
B. "Client refused morning dose of furosemide and appeared frustrated."
C. "Client seems to be in a bad mood after speaking with the provider."
D. "Client was uncooperative during the medication administration process."
Correct Answer: B. "Client refused morning dose of furosemide and appeared
frustrated."
Rationale: Option B is correct because it provides an objective, factual account of
the client's action (refused medication) and includes an observable, descriptive
behavior (appeared frustrated) without subjective interpretation. Option A is
incorrect because "upset" and "complaining about the quality of care" are subjective
judgments rather than factual observations. Option C is incorrect because "seems to
be in a bad mood" is a subjective interpretation of the client's emotional state.
Option D is incorrect because "uncooperative" is a vague and judgmental term that
lacks specific, observable details. Documentation should be objective, accurate, and
describe the client's behavior or response without using subjective language or
personal opinions.
,2. A charge nurse is making client care assignments for a medical-surgical unit.
Which of the following clients should the charge nurse assign to a practical
nurse (PN)?
A. A client who is 1-day post-operative following a total knee arthroplasty and
requires a blood transfusion.
B. A client who is 24 hours post-hemicolectomy and is receiving continuous
epidural analgesia.
C. A client who is newly admitted with a diagnosis of diabetic ketoacidosis and
requires continuous insulin infusion.
D. A client who is 3 days post-stroke and requires assistance with feeding and
oral care.
Correct Answer: D. A client who is 3 days post-stroke and requires assistance
with feeding and oral care.
Rationale: Option D is correct because tasks such as assisting with feeding and
providing oral care are within the scope of practice for a practical nurse, who can
provide care for stable clients with predictable outcomes. Options A, B, and C are
incorrect because these clients are considered unstable or require complex
interventions (blood transfusion, epidural analgesia, and continuous insulin
infusion) that require the assessment and critical thinking skills of a registered
nurse. The charge nurse must consider client acuity, staff competency, and the
state's nurse practice act when delegating tasks to ensure safe and effective care.
3. A nurse manager is planning to implement a new evidence-based protocol
for pressure ulcer prevention on the unit. Which of the following strategies is
most effective in facilitating the adoption of this change?
,A. Provide all staff with a written copy of the new protocol and a quiz.
B. Identify and engage informal unit leaders to champion the new protocol.
C. Implement the protocol immediately to avoid delays in practice changes.
D. Discuss the protocol at the next unit meeting and ask for feedback.
Correct Answer: B. Identify and engage informal unit leaders to champion the
new protocol.
Rationale: Option B is correct because leveraging informal leaders who are
respected by their peers can significantly influence the adoption of change. These
champions help to build trust, disseminate information, and address concerns
among staff, making the change more likely to succeed. Option A is incorrect
because simply providing written information and a quiz is a passive approach that
does not address staff concerns or foster buy-in. Option C is incorrect because
implementing change abruptly without preparing the team often leads to resistance
and failure. Option D is incorrect because discussing the protocol at a meeting
without strategic leadership engagement may not generate sufficient commitment
to drive the change effectively. Successful change management requires
communication, education, and engagement of key stakeholders.
4. A charge nurse is preparing the daily staff assignment and must consider the
unit's acuity level. A client with which of the following diagnoses would require
the highest staff-to-client ratio?
A. A client with an exacerbation of chronic obstructive pulmonary disease.
B. A client who is 1-day post-op following an uncomplicated laparoscopic
cholecystectomy.
C. A client who is receiving an inotropic infusion for heart failure in the
, progressive care unit.
D. A client with a urinary tract infection who is receiving oral antibiotics.
Correct Answer: C. A client who is receiving an inotropic infusion for heart failure
in the progressive care unit.
Rationale: Option C is correct because a client receiving an inotropic infusion is
hemodynamically unstable and requires frequent monitoring, which demands a
higher nurse-to-patient ratio and a higher level of nursing skill. Option A is
incorrect because, while requiring monitoring, a COPD exacerbation does not
usually require the same intensive one-on-one care as a client on inotropes, unless
the client is unstable. Option B is incorrect because an uncomplicated post-
operative cholecystectomy client is considered stable and requires less intensive
nursing care. Option D is incorrect because a client with a UTI on oral antibiotics is
stable and can be managed with a lower nurse-to-patient ratio. The charge nurse
must match patient acuity with appropriate staff skill mix to ensure client safety.
5. A nurse is preparing to delegate a task to an unlicensed assistive personnel
(UAP). Which of the following tasks is within the UAP's scope of practice?
A. Evaluating the effectiveness of a client's pain management.
B. Obtaining a client's blood pressure prior to administering hydralazine.
C. Performing a sterile dressing change on a post-operative wound.
D. Assisting a client with ambulation using a gait belt.
Correct Answer: D. Assisting a client with ambulation using a gait belt.
Rationale: Option D is correct because assisting with ambulation is a standard,
non-invasive task that is appropriately delegated to a UAP and is within their scope
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | 2026/27 LATEST UPDATE | EXAM PREP | STUDY GUIDE | PRACTICE TEST
1. A charge nurse is evaluating the documentation of a newly licensed nurse.
Which of the following entries demonstrates appropriate documentation
practices?
A. "Client is upset and complaining about the quality of care."
B. "Client refused morning dose of furosemide and appeared frustrated."
C. "Client seems to be in a bad mood after speaking with the provider."
D. "Client was uncooperative during the medication administration process."
Correct Answer: B. "Client refused morning dose of furosemide and appeared
frustrated."
Rationale: Option B is correct because it provides an objective, factual account of
the client's action (refused medication) and includes an observable, descriptive
behavior (appeared frustrated) without subjective interpretation. Option A is
incorrect because "upset" and "complaining about the quality of care" are subjective
judgments rather than factual observations. Option C is incorrect because "seems to
be in a bad mood" is a subjective interpretation of the client's emotional state.
Option D is incorrect because "uncooperative" is a vague and judgmental term that
lacks specific, observable details. Documentation should be objective, accurate, and
describe the client's behavior or response without using subjective language or
personal opinions.
,2. A charge nurse is making client care assignments for a medical-surgical unit.
Which of the following clients should the charge nurse assign to a practical
nurse (PN)?
A. A client who is 1-day post-operative following a total knee arthroplasty and
requires a blood transfusion.
B. A client who is 24 hours post-hemicolectomy and is receiving continuous
epidural analgesia.
C. A client who is newly admitted with a diagnosis of diabetic ketoacidosis and
requires continuous insulin infusion.
D. A client who is 3 days post-stroke and requires assistance with feeding and
oral care.
Correct Answer: D. A client who is 3 days post-stroke and requires assistance
with feeding and oral care.
Rationale: Option D is correct because tasks such as assisting with feeding and
providing oral care are within the scope of practice for a practical nurse, who can
provide care for stable clients with predictable outcomes. Options A, B, and C are
incorrect because these clients are considered unstable or require complex
interventions (blood transfusion, epidural analgesia, and continuous insulin
infusion) that require the assessment and critical thinking skills of a registered
nurse. The charge nurse must consider client acuity, staff competency, and the
state's nurse practice act when delegating tasks to ensure safe and effective care.
3. A nurse manager is planning to implement a new evidence-based protocol
for pressure ulcer prevention on the unit. Which of the following strategies is
most effective in facilitating the adoption of this change?
,A. Provide all staff with a written copy of the new protocol and a quiz.
B. Identify and engage informal unit leaders to champion the new protocol.
C. Implement the protocol immediately to avoid delays in practice changes.
D. Discuss the protocol at the next unit meeting and ask for feedback.
Correct Answer: B. Identify and engage informal unit leaders to champion the
new protocol.
Rationale: Option B is correct because leveraging informal leaders who are
respected by their peers can significantly influence the adoption of change. These
champions help to build trust, disseminate information, and address concerns
among staff, making the change more likely to succeed. Option A is incorrect
because simply providing written information and a quiz is a passive approach that
does not address staff concerns or foster buy-in. Option C is incorrect because
implementing change abruptly without preparing the team often leads to resistance
and failure. Option D is incorrect because discussing the protocol at a meeting
without strategic leadership engagement may not generate sufficient commitment
to drive the change effectively. Successful change management requires
communication, education, and engagement of key stakeholders.
4. A charge nurse is preparing the daily staff assignment and must consider the
unit's acuity level. A client with which of the following diagnoses would require
the highest staff-to-client ratio?
A. A client with an exacerbation of chronic obstructive pulmonary disease.
B. A client who is 1-day post-op following an uncomplicated laparoscopic
cholecystectomy.
C. A client who is receiving an inotropic infusion for heart failure in the
, progressive care unit.
D. A client with a urinary tract infection who is receiving oral antibiotics.
Correct Answer: C. A client who is receiving an inotropic infusion for heart failure
in the progressive care unit.
Rationale: Option C is correct because a client receiving an inotropic infusion is
hemodynamically unstable and requires frequent monitoring, which demands a
higher nurse-to-patient ratio and a higher level of nursing skill. Option A is
incorrect because, while requiring monitoring, a COPD exacerbation does not
usually require the same intensive one-on-one care as a client on inotropes, unless
the client is unstable. Option B is incorrect because an uncomplicated post-
operative cholecystectomy client is considered stable and requires less intensive
nursing care. Option D is incorrect because a client with a UTI on oral antibiotics is
stable and can be managed with a lower nurse-to-patient ratio. The charge nurse
must match patient acuity with appropriate staff skill mix to ensure client safety.
5. A nurse is preparing to delegate a task to an unlicensed assistive personnel
(UAP). Which of the following tasks is within the UAP's scope of practice?
A. Evaluating the effectiveness of a client's pain management.
B. Obtaining a client's blood pressure prior to administering hydralazine.
C. Performing a sterile dressing change on a post-operative wound.
D. Assisting a client with ambulation using a gait belt.
Correct Answer: D. Assisting a client with ambulation using a gait belt.
Rationale: Option D is correct because assisting with ambulation is a standard,
non-invasive task that is appropriately delegated to a UAP and is within their scope
