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ATI RN Leadership Proctored Exam: Comprehensive Practice Questions & Study Guide (2026)

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This study guide provides a comprehensive review of key concepts commonly covered in the ATI RN Leadership Proctored Exam, based on the 2026 edition. It includes detailed practice questions and review materials covering leadership and management principles, delegation, prioritization, assignment of care, supervision, communication, conflict resolution, teamwork, staffing, quality improvement, patient safety, ethical and legal responsibilities, evidence-based practice, and professional nursing standards. Emphasis is placed on developing clinical judgment, making appropriate delegation decisions, prioritizing patient care, and applying leadership principles to common nursing scenarios. Claims such as “100% correct answers,” “verified test bank,” and “A+ pass” are promotional descriptions and should not be interpreted as guarantees of exam performance.

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ATI RN LEADERSHIP PROCTORED EXAM COMPREHENSIVE
PRACTICE QUESTIONS & STUDY GUIDE 2026 LATEST EDITION
GRADED A+
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should
the nurse recommend for conference?

A. A client who is at 28 weeks gestation and has a negative Coombs titer
B. A client who is 39 weeks of gestation and has a negative contraction stress
test

C. A client who is at 35 weeks of gestation and has a biophysical profile of 6

D. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1
- ✔✔✔ANSWER-C. A client who is at 35 weeks of gestation and has a biophysical
profile of 6


To resolve a conflict between staff members regarding potential changes in policy, a nurse
manager decides to implement the changes she prefers regardless of the feelings of those
who oppose those changes. Which of the following conflict-resolution strategies is the nurse
manager using?


a. Competing
b. Collaborating.
c. Compromising.
d. Cooperating. - ✔✔✔ANSWER-a. Competing

A nurse is preparing an educational program for staff members regarding a new
intravenous pump. Identify the sequence of actions the nurse should take when developing
the program. (Move the steps into the box on the right, placing them in the selected order of
the performance)

,Develop learning objectives for the program Identify what skills to
teach the staff members Conduct program evaluation with staff
members
Schedule several sessions of the program - ✔✔✔ANSWER-Identify what skills to
teach the staff members
Develop learning objectives for the program Schedule several
sessions of the program Conduct program evaluation with staff
members


A nurse is preparing to discharge a client who as end stage heart failure. The client's
partner tells the nurse she can no longer handle caring for the client. Which of the following
action should the nurse take?


a. Request another family member assist the client's partner with care
b. Recommend the partner place the client in long term-care facility
c. Contact the case manager to discuss discharge options
d. Ask the provider to delay the clients discharge home for a few more days -
✔✔✔ANSWER-c. Contact the case manager to discuss discharge options


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. Social worker
b. Pharmacist
c. Respiratory therapist
d. Child protective services - ✔✔✔ANSWER-a. Social worker

A charge nurse is making staff assignments on a medical-surgical unit. Which of the
following tasks should the nurse plan to delegate to an assistive personnel?

, A. Measuring oxygen saturation for a client who has dyspnea

B. Inserting a rectal suppository for a client who is vomiting

C. Performing nasal hygiene for a client who has an NG tube

D. Pouching a client's ostomy bag for a new colostomy -
✔✔✔ANSWER-D. Pouching a client's ostomy bag for a new colostomy


A nurse is comparing the rate of medication errors on the medical unit to the rate from a
medical unit in a magnet hospital. Which of the following quality improvement methods is
the nurse using?



a) Structure audit
b) Benchmarking
c) Risk benefit analysis
d) Root cause analysis - ✔✔✔ANSWER-Benchmarking

A nurse is supervising an assistive personnel (AP) who is feeding a client who has
dysphagia. Which of the following actions by the AP should the nurse identify as correct
technique?


A. Elevating the head of the clients bed to 30 degrees during mealtime

B. Withholding fluids until the end of the meal

C. Providing a 10 min rest period prior to meals

D. Instructing the client to place her chin toward her chest when swallowing -
✔✔✔ANSWER-D. Instructing the client to place her chin toward her chest when
swallowing


nurse is providing an in-service about client right for a group of nurses. Which of the
following statements should the nurse include in the service?


a. A nurse can disclose information to a family member with the client9s permission

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