ATI RN LEADERSHIP PROCTORED
ASSESSMENT WITH NGN 2026/2027
1. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Both nurses are willing to give up one desired day off to reach a solution. Which
conflict resolution strategy is being applied?
A. Avoiding
B. Competing
C. Compromising
D. Collaborating
Answer: C
Conceptual Explanation: Compromising involves each party giving up something of value
to reach a solution. It is a ‘lose-lose’ or ‘win-lose’ hybrid where neither gets everything they
want but a middle ground is found.
,2. A nurse is caring for a client who is scheduled for an elective surgery. The client states, ‘I
changed my mind; I don’t want to go through with this.’ Which action should the nurse take
first?
A. Notify the surgeon that the client is refusing the procedure.
B. Inform the client of the risks associated with refusing the surgery.
C. Document the client’s refusal in the medical record.
D. Assess the client’s reasons for wanting to cancel the surgery.
Answer: D
Conceptual Explanation: According to the nursing process, assessment is the first step.
The nurse must understand the client’s concerns or lack of information before taking
further action like notifying the surgeon or documenting.
3. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate
to delegate?
A. Performing a simple dressing change on a stable pressure injury.
B. Suctioning a client’s new tracheostomy for the first time.
C. Evaluating a client’s response to an anti-emetic medication.
D. Collecting a stool specimen for occult blood.
Answer: D
, Conceptual Explanation: Routine tasks such as specimen collection from a stable client
are within the AP’s scope. Dressing changes, suctioning (especially new), and evaluation
require clinical judgment reserved for the RN or LPN.
4. Which of the following describes the ethical principle of ‘Fidelity’?
A. The duty to do no harm to the client.
B. The obligation to keep promises and follow through on commitments.
C. The right of the client to make their own decisions.
D. Providing fair and equitable treatment to all clients.
Answer: B
Conceptual Explanation: Fidelity refers to faithfulness and keeping one’s promise to the
client about care. Nonmaleficence is doing no harm, autonomy is self-determination, and
justice is fairness.
5. A nurse manager is implementing a new documentation system. According to Lewin’s
Change Theory, which action occurs during the ‘Unfreezing’ stage?
A. Creating awareness of the need for the new system among the staff.
B. Establishing the new system as the standard of care.
C. Supporting staff while they integrate the new system into daily practice.
D. Providing training sessions on how to use the new software.
Answer: A
ASSESSMENT WITH NGN 2026/2027
1. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Both nurses are willing to give up one desired day off to reach a solution. Which
conflict resolution strategy is being applied?
A. Avoiding
B. Competing
C. Compromising
D. Collaborating
Answer: C
Conceptual Explanation: Compromising involves each party giving up something of value
to reach a solution. It is a ‘lose-lose’ or ‘win-lose’ hybrid where neither gets everything they
want but a middle ground is found.
,2. A nurse is caring for a client who is scheduled for an elective surgery. The client states, ‘I
changed my mind; I don’t want to go through with this.’ Which action should the nurse take
first?
A. Notify the surgeon that the client is refusing the procedure.
B. Inform the client of the risks associated with refusing the surgery.
C. Document the client’s refusal in the medical record.
D. Assess the client’s reasons for wanting to cancel the surgery.
Answer: D
Conceptual Explanation: According to the nursing process, assessment is the first step.
The nurse must understand the client’s concerns or lack of information before taking
further action like notifying the surgeon or documenting.
3. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate
to delegate?
A. Performing a simple dressing change on a stable pressure injury.
B. Suctioning a client’s new tracheostomy for the first time.
C. Evaluating a client’s response to an anti-emetic medication.
D. Collecting a stool specimen for occult blood.
Answer: D
, Conceptual Explanation: Routine tasks such as specimen collection from a stable client
are within the AP’s scope. Dressing changes, suctioning (especially new), and evaluation
require clinical judgment reserved for the RN or LPN.
4. Which of the following describes the ethical principle of ‘Fidelity’?
A. The duty to do no harm to the client.
B. The obligation to keep promises and follow through on commitments.
C. The right of the client to make their own decisions.
D. Providing fair and equitable treatment to all clients.
Answer: B
Conceptual Explanation: Fidelity refers to faithfulness and keeping one’s promise to the
client about care. Nonmaleficence is doing no harm, autonomy is self-determination, and
justice is fairness.
5. A nurse manager is implementing a new documentation system. According to Lewin’s
Change Theory, which action occurs during the ‘Unfreezing’ stage?
A. Creating awareness of the need for the new system among the staff.
B. Establishing the new system as the standard of care.
C. Supporting staff while they integrate the new system into daily practice.
D. Providing training sessions on how to use the new software.
Answer: A
