Practice Test - Leadership Proctored Exam Prep
550 RN Leadership Questions & Correct Answers |
2026-2027 Edition
This comprehensive test bank is designed to help you prepare for the ATI RN Leadership
Proctored Exam (Versions 1, 2, and 3) for the 2026-2027 testing cycle. The questions cover all
key leadership domains including management of care, delegation and prioritization (Maslow,
ABCs, safety), conflict resolution, legal and ethical issues, quality improvement, and staff
leadership, with NGN-style clinical judgment scenarios .
Content Area Overview
Domain Topics Questions
Delegation & Assignment RN/LPN/AP scope of practice, Five Rights of Delegation, task
assignment 1-80
Prioritization ABCs, Maslow's Hierarchy, Safety, Urgent vs. Non-urgent 81-160
Conflict Resolution & Communication SBAR, conflict management styles, assertiveness,
team communication 161-220
Legal & Ethical Issues HIPAA, confidentiality, informed consent, advance directives, DNR,
ethical principles 221-280
Quality Improvement & Safety Incident reporting, root cause analysis, quality indicators,
safety protocols 281-330
Leadership & Management Leadership styles, staff management, change management,
resource allocation 331-400
NGN-Style Case Studies Clinical judgment, prioritization, SATA, unfolding cases 401-
500
Professional Issues Advocacy, workplace safety, burnout prevention, cultural competency
501-550
,SECTION 1: DELEGATION & ASSIGNMENT (Questions 1-80)
Question 1: When planning delegation of tasks to assistive personnel (AP), a nurse considers
the five rights of delegation. Which of the following should the nurse consider when using one
of the five rights of delegation?
A) The AP's ability to prioritize
B) The AP has the knowledge and skill to perform the task
C) The AP's rapport with clients
D) The AP's ability to complete the task without assistance
Correct Answer: B
Rationale: The right person is one of the five rights of delegation. The nurse should seek
information from the AP about their individual skill level before delegating the task . The five
rights of delegation are: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation.
Question 2: A nurse is instructing an assistive personnel (AP) about care for a client with a Do-
Not-Resuscitate (DNR) order. Which statement by the AP indicates understanding?
A) "If I cannot detect the client's pulse, I will have another AP verify it."
B) "If the client does not have a pulse, I will call for the rapid response team immediately."
C) "I will initiate CPR until the nurse arrives if I cannot detect the client's pulse."
D) "I will call the nurse to come to the room if I cannot detect the client's pulse."
Correct Answer: D
Rationale: The AP should notify the nurse for further assessment. CPR is not indicated for
clients with a DNR order, and the nurse is responsible for clinical decision-making in such
situations .
,Question 3: Which task can the nurse safely assign to an assistive personnel (AP)?
A) Perform chest compressions on a client in cardiac arrest
B) Change a sterile dressing on a client's leg wound
C) Check the residual volume of a client's gastrostomy tube
D) Instruct the client on the use of a blood glucose machine
Correct Answer: A
Rationale: Basic CPR, including chest compressions, is within the scope of practice for APs.
More complex assessments, sterile procedures, and client teaching must be performed by
licensed nurses .
Question 4: A nurse is delegating a task to an LPN. Which of the following tasks is appropriate
for an LPN?
A) Perform the initial admission assessment
B) Administer IV push morphine to a client in pain
C) Insert a nasogastric tube for gastric decompression
D) Develop the plan of care for a client with pneumonia
Correct Answer: C
Rationale: Insertion of a nasogastric tube is within the LPN scope of practice in many states.
Initial assessment, IV push medications, and developing the plan of care require RN-level
judgment .
, Question 5: A charge nurse is making assignments for one practical nurse and three registered
nurses. Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60
B) Viral meningitis whose temperature changed from 101°F to 102°F
C) Diabetic ketoacidosis whose Glasgow coma scale score changed from 10 to 7
D) Myxedema, whose blood pressure changed from 80/50 to 70/40
Correct Answer: B
Rationale: The PN can care for clients with stable, predictable conditions. The viral meningitis
client with a minor temperature change is the most stable of the options. The other clients
have significant changes indicating deterioration requiring RN assessment.
SECTION 2: PRIORITIZATION (Questions 81-160)
Question 81: A charge nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A) A client with pneumonia who has an oxygen saturation of 89% on 2 L/min nasal cannula
B) A client with diabetes mellitus who has a blood glucose of 48 mg/dL and is awake
C) A client with a fractured hip who is requesting pain medication
D) A client with a urinary tract infection who has a temperature of 100.4°F (38°C)
Correct Answer: A
Rationale: An oxygen saturation of 89% indicates hypoxemia, which is a life-threatening
airway/breathing priority. The client with hypoglycemia (B) is awake and can be treated after
addressing the airway issue. Pain and low-grade fever are not life-threatening.
550 RN Leadership Questions & Correct Answers |
2026-2027 Edition
This comprehensive test bank is designed to help you prepare for the ATI RN Leadership
Proctored Exam (Versions 1, 2, and 3) for the 2026-2027 testing cycle. The questions cover all
key leadership domains including management of care, delegation and prioritization (Maslow,
ABCs, safety), conflict resolution, legal and ethical issues, quality improvement, and staff
leadership, with NGN-style clinical judgment scenarios .
Content Area Overview
Domain Topics Questions
Delegation & Assignment RN/LPN/AP scope of practice, Five Rights of Delegation, task
assignment 1-80
Prioritization ABCs, Maslow's Hierarchy, Safety, Urgent vs. Non-urgent 81-160
Conflict Resolution & Communication SBAR, conflict management styles, assertiveness,
team communication 161-220
Legal & Ethical Issues HIPAA, confidentiality, informed consent, advance directives, DNR,
ethical principles 221-280
Quality Improvement & Safety Incident reporting, root cause analysis, quality indicators,
safety protocols 281-330
Leadership & Management Leadership styles, staff management, change management,
resource allocation 331-400
NGN-Style Case Studies Clinical judgment, prioritization, SATA, unfolding cases 401-
500
Professional Issues Advocacy, workplace safety, burnout prevention, cultural competency
501-550
,SECTION 1: DELEGATION & ASSIGNMENT (Questions 1-80)
Question 1: When planning delegation of tasks to assistive personnel (AP), a nurse considers
the five rights of delegation. Which of the following should the nurse consider when using one
of the five rights of delegation?
A) The AP's ability to prioritize
B) The AP has the knowledge and skill to perform the task
C) The AP's rapport with clients
D) The AP's ability to complete the task without assistance
Correct Answer: B
Rationale: The right person is one of the five rights of delegation. The nurse should seek
information from the AP about their individual skill level before delegating the task . The five
rights of delegation are: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation.
Question 2: A nurse is instructing an assistive personnel (AP) about care for a client with a Do-
Not-Resuscitate (DNR) order. Which statement by the AP indicates understanding?
A) "If I cannot detect the client's pulse, I will have another AP verify it."
B) "If the client does not have a pulse, I will call for the rapid response team immediately."
C) "I will initiate CPR until the nurse arrives if I cannot detect the client's pulse."
D) "I will call the nurse to come to the room if I cannot detect the client's pulse."
Correct Answer: D
Rationale: The AP should notify the nurse for further assessment. CPR is not indicated for
clients with a DNR order, and the nurse is responsible for clinical decision-making in such
situations .
,Question 3: Which task can the nurse safely assign to an assistive personnel (AP)?
A) Perform chest compressions on a client in cardiac arrest
B) Change a sterile dressing on a client's leg wound
C) Check the residual volume of a client's gastrostomy tube
D) Instruct the client on the use of a blood glucose machine
Correct Answer: A
Rationale: Basic CPR, including chest compressions, is within the scope of practice for APs.
More complex assessments, sterile procedures, and client teaching must be performed by
licensed nurses .
Question 4: A nurse is delegating a task to an LPN. Which of the following tasks is appropriate
for an LPN?
A) Perform the initial admission assessment
B) Administer IV push morphine to a client in pain
C) Insert a nasogastric tube for gastric decompression
D) Develop the plan of care for a client with pneumonia
Correct Answer: C
Rationale: Insertion of a nasogastric tube is within the LPN scope of practice in many states.
Initial assessment, IV push medications, and developing the plan of care require RN-level
judgment .
, Question 5: A charge nurse is making assignments for one practical nurse and three registered
nurses. Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60
B) Viral meningitis whose temperature changed from 101°F to 102°F
C) Diabetic ketoacidosis whose Glasgow coma scale score changed from 10 to 7
D) Myxedema, whose blood pressure changed from 80/50 to 70/40
Correct Answer: B
Rationale: The PN can care for clients with stable, predictable conditions. The viral meningitis
client with a minor temperature change is the most stable of the options. The other clients
have significant changes indicating deterioration requiring RN assessment.
SECTION 2: PRIORITIZATION (Questions 81-160)
Question 81: A charge nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A) A client with pneumonia who has an oxygen saturation of 89% on 2 L/min nasal cannula
B) A client with diabetes mellitus who has a blood glucose of 48 mg/dL and is awake
C) A client with a fractured hip who is requesting pain medication
D) A client with a urinary tract infection who has a temperature of 100.4°F (38°C)
Correct Answer: A
Rationale: An oxygen saturation of 89% indicates hypoxemia, which is a life-threatening
airway/breathing priority. The client with hypoglycemia (B) is awake and can be treated after
addressing the airway issue. Pain and low-grade fever are not life-threatening.
