ATI Leadership Proctored Exam 2026 Bundle | 8 Full
Versions Q&A | Next-Gen Nursing Management Final
Review | 100% Correct Verified Rationales | Graded
A+ Exit Test Bank
QUESTION 1
A charge nurse is assigning tasks to an LPN. Which task is appropriate?
A. Administering a nasogastric (NG) tube feeding to a stable client
B. Performing an initial assessment on a newly admitted patient
C. Creating the nursing care plan for a patient with a new diagnosis
D. Evaluating the effectiveness of a patient's pain management
Correct Answer: A. Administering a nasogastric (NG) tube feeding to a stable
client
Rationale: LPNs can perform stable, routine procedures for clients with predictable
outcomes. Initial assessments, care plan development, and outcome evaluations are the
responsibility of the RN.
QUESTION 2
According to the "five rights" of delegation, which determination should the nurse
make prior to assigning a task?
A. The degree of supervision the AP will require to complete the task
B. The AP's preferred work schedule for the week
C. The AP's personal feelings about the assigned patient
,D. The AP's length of employment at the facility
Correct Answer: A. The degree of supervision the AP will require to complete the
task
Rationale: The five rights of delegation include the right task, right circumstances,
right person, right direction/communication, and right supervision. Ensuring proper
supervision is a key component of safe delegation.
QUESTION 3
A nurse on a medical-surgical unit has four patients. Which patient should the nurse
see first?
A. A patient with diabetes who has a blood glucose of 48 mg/dL and is diaphoretic
B. A patient requesting pain medication for a headache
C. A patient who needs assistance with ambulation
D. A patient asking for a glass of water
Correct Answer: A. A patient with diabetes who has a blood glucose of 48 mg/dL
and is diaphoretic
Rationale: Hypoglycemia is a life-threatening emergency requiring immediate
intervention. Stable physiological needs (like glucose) take priority over other needs
based on Maslow's Hierarchy and the ABCs.
QUESTION 4
A client with heart failure has crackles, O2 sat of 89%, and reports shortness of
breath. What is the priority action?
,A. Raise the head of the bed to 90 degrees
B. Administer oral pain medication
C. Call the dietary department for a meal tray
D. Document the findings in the medical record
Correct Answer: A. Raise the head of the bed to 90 degrees
Rationale: This is an immediate intervention to improve airway and breathing (ABCs).
A potential complication is acute respiratory failure, and a key monitoring parameter is
urine output, which reflects the client's response to diuretic therapy.
QUESTION 5
During a disaster triage, which client should be recommended for treatment first?
A. A client with two open chest wounds and a left tracheal deviation
B. A client with a minor laceration on the arm
C. A client with a sprained ankle
D. A client with a headache and nausea
Correct Answer: A. A client with two open chest wounds and a left tracheal
deviation
Rationale: This indicates a tension pneumothorax, a life-threatening condition. This
client receives a "red tag" and must be treated immediately in a disaster triage
situation.
, QUESTION 6
A nurse witnesses another nurse diverting narcotics. What is the appropriate action?
A. Report to the nurse manager or state board of nursing
B. Confront the nurse privately in the break room
C. Ignore the situation to avoid conflict
D. Take over the nurse's patients and let them rest
Correct Answer: A. Report to the nurse manager or state board of nursing
Rationale: Drug diversion is illegal and unsafe. Nurses have a legal and ethical duty to
report this to a supervisor or the Board of Nursing. Confronting the nurse privately is
not appropriate and could compromise patient safety.
QUESTION 7
A nurse manager is implementing a new evidence-based protocol for fall prevention.
Which action best demonstrates the use of transformational leadership?
A. Articulating a vision of patient safety and empowering the staff to take ownership
of the change
B. Providing a detailed written instruction manual for the staff to follow
C. Rewarding staff with a bonus for each month they have zero falls
D. Closely monitoring staff compliance and providing corrective feedback
Correct Answer: A. Articulating a vision of patient safety and empowering the
staff to take ownership of the change
Versions Q&A | Next-Gen Nursing Management Final
Review | 100% Correct Verified Rationales | Graded
A+ Exit Test Bank
QUESTION 1
A charge nurse is assigning tasks to an LPN. Which task is appropriate?
A. Administering a nasogastric (NG) tube feeding to a stable client
B. Performing an initial assessment on a newly admitted patient
C. Creating the nursing care plan for a patient with a new diagnosis
D. Evaluating the effectiveness of a patient's pain management
Correct Answer: A. Administering a nasogastric (NG) tube feeding to a stable
client
Rationale: LPNs can perform stable, routine procedures for clients with predictable
outcomes. Initial assessments, care plan development, and outcome evaluations are the
responsibility of the RN.
QUESTION 2
According to the "five rights" of delegation, which determination should the nurse
make prior to assigning a task?
A. The degree of supervision the AP will require to complete the task
B. The AP's preferred work schedule for the week
C. The AP's personal feelings about the assigned patient
,D. The AP's length of employment at the facility
Correct Answer: A. The degree of supervision the AP will require to complete the
task
Rationale: The five rights of delegation include the right task, right circumstances,
right person, right direction/communication, and right supervision. Ensuring proper
supervision is a key component of safe delegation.
QUESTION 3
A nurse on a medical-surgical unit has four patients. Which patient should the nurse
see first?
A. A patient with diabetes who has a blood glucose of 48 mg/dL and is diaphoretic
B. A patient requesting pain medication for a headache
C. A patient who needs assistance with ambulation
D. A patient asking for a glass of water
Correct Answer: A. A patient with diabetes who has a blood glucose of 48 mg/dL
and is diaphoretic
Rationale: Hypoglycemia is a life-threatening emergency requiring immediate
intervention. Stable physiological needs (like glucose) take priority over other needs
based on Maslow's Hierarchy and the ABCs.
QUESTION 4
A client with heart failure has crackles, O2 sat of 89%, and reports shortness of
breath. What is the priority action?
,A. Raise the head of the bed to 90 degrees
B. Administer oral pain medication
C. Call the dietary department for a meal tray
D. Document the findings in the medical record
Correct Answer: A. Raise the head of the bed to 90 degrees
Rationale: This is an immediate intervention to improve airway and breathing (ABCs).
A potential complication is acute respiratory failure, and a key monitoring parameter is
urine output, which reflects the client's response to diuretic therapy.
QUESTION 5
During a disaster triage, which client should be recommended for treatment first?
A. A client with two open chest wounds and a left tracheal deviation
B. A client with a minor laceration on the arm
C. A client with a sprained ankle
D. A client with a headache and nausea
Correct Answer: A. A client with two open chest wounds and a left tracheal
deviation
Rationale: This indicates a tension pneumothorax, a life-threatening condition. This
client receives a "red tag" and must be treated immediately in a disaster triage
situation.
, QUESTION 6
A nurse witnesses another nurse diverting narcotics. What is the appropriate action?
A. Report to the nurse manager or state board of nursing
B. Confront the nurse privately in the break room
C. Ignore the situation to avoid conflict
D. Take over the nurse's patients and let them rest
Correct Answer: A. Report to the nurse manager or state board of nursing
Rationale: Drug diversion is illegal and unsafe. Nurses have a legal and ethical duty to
report this to a supervisor or the Board of Nursing. Confronting the nurse privately is
not appropriate and could compromise patient safety.
QUESTION 7
A nurse manager is implementing a new evidence-based protocol for fall prevention.
Which action best demonstrates the use of transformational leadership?
A. Articulating a vision of patient safety and empowering the staff to take ownership
of the change
B. Providing a detailed written instruction manual for the staff to follow
C. Rewarding staff with a bonus for each month they have zero falls
D. Closely monitoring staff compliance and providing corrective feedback
Correct Answer: A. Articulating a vision of patient safety and empowering the
staff to take ownership of the change
