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ATI RN Leadership 2026 | 70 Practice Questions with Rationales

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Prepare for the ATI RN Leadership exam with 70 practice questions and detailed rationales. Covers delegation, management, priority setting, and nursing leadership concepts. Updated for 2026.

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RN Leadership 2023
70 Questions - With Rationales - 1 Question Per Page




Question: 7 of 70 RN Leadership




P 'ga.u N Leadership 2023



Question:
7 of 70
e
A nurse manager is teachin
ISg a8 newly nevly icensad
liconsor nurse about ieschup
der tyben. Which of the folawing oformatist
on

@ Ataissestauee seacier m

@ an authormarian lesger siows «
@ Atransactionsiteader s resuts-oneted
@ v al leader lacks long-term visc



A nurse manager is teaching a newly licensed nurse about leadership styles.
following information should the nurse include?


A. A laissez-faire leader motivates group members through criticism.

B. An authoritarian leader allows decisions to be made by the group.


v C. A transactional leader is results-oriented.


D. A transformational leader lacks long-term vision.



v Correct Answer: C

A transactional leader uses reward and punishment to motivate staff and is results-oriente
goals through exchange (transactions). A laissez-faire (permissive) leader provides minim
the group to make decisions — not motivation through criticism. An authoritarian (autocrai
decisions alone, does not allow group input. A transformational leader inspires with vision
they do NOT lack long-term vision.

,Question: 21 of 70 RN Leade




A nurse is assessing a client who had a recent stroke. Which of the foll
indicate to the nurse the need for referral to an occupational therapist?

A. Memory loss

B. Facial drooping


v C. Unilateral neglect

D. Receptive aphasia


v Correct Answer: C

Unilateral neglect (hemineglect) — failure to recognize or attend to one side of the |
for occupational therapy (OT) referral. OT addresses ADL retraining, safety with uni
equipment, and sensory-perceptual deficits. Facial drooping and receptive aphasia
language) indicate speech-language pathology referral. Memory loss may require n

,Question: 22 of 70 F




A charge nurse is assessing the room of a newly admitted clie
the following pieces of equipment should the nurse ensure is

A. Nasal cannula and oxygen

B. Large-handled utensils


v C. Yankauer suction device

D. Bite block


Vv Correct Answer: C

A Yankauer (rigid tonsil-tip) suction device must be immediately availabl
dysphagiato manage aspiration of secretions or food. Dysphagia signifi
pneumonia — suction readiness is a safety priority. Large-handled uten:
deficits, not dysphagia. A bite block is used during seizures or dental prc

, Question: 25 of 70 RN Leade




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

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

B. Pouching a client's ostomy bag for a new colostomy


C. Measuring oxygen saturation for a client who has dyspnea

v D. Performing rectal hygiene for a client who has an NG tube


v Correct Answer: D

Rectal hygiene (perineal care) is a routine hygiene task within the scope of assistive
five rights of delegation: right task, right circumstance, right person, right direction, 1
rectal suppository requires nursing assessment and clinical judgment. Pouching a N
patient teaching and assessment— this is an RN responsibility. Measuring O2 satu

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