ATI PN LEADERSHIP PRACTICE B QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES | INSTANT
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CORE DOMAINS
• Leadership Styles and Theories
• Delegation and Supervision
• Prioritization and Clinical Decision-Making
• Communication and Collaboration
• Legal and Ethical Responsibilities
• Quality Improvement and Safety
• Conflict Resolution and Team Building
• Resource Management and Staffing
INTRODUCTION
The purpose of this comprehensive assessment is to evaluate the
practical nursing student's mastery of leadership and
management principles essential for the ATI PN Leadership
Practice B examination. This assessment covers leadership styles,
delegation, prioritization, communication, legal and ethical
responsibilities, quality improvement, conflict resolution, and
resource management. Questions are structured as multiple-
choice and scenario-based items designed to simulate real-world
leadership decision-making. Emphasis is placed on applied
professional knowledge, clinical judgment, and critical thinking
necessary for safe and effective nursing leadership in practical
nursing practice.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is assigning tasks to an assistive personnel (AP)
for a stable post-surgical client. Which task can the nurse
delegate?
A. Administering oral medications
B. Assessing pain levels
C. Obtaining routine vital signs
D. Developing the care plan
C. Obtaining routine vital signs
RATIONALE: Measuring vital signs is within the AP's scope of
practice for stable clients, involving routine data collection.
Administering medications, assessing pain, and care planning
require nursing judgment and cannot be delegated to AP .
2. A nurse must prioritize care for four clients. Which client
should be assessed first?
A. Client with a scheduled dressing change
B. Client reporting mild nausea
C. Client with a respiratory rate of 28/min
D. Client awaiting discharge instructions
C. Client with a respiratory rate of 28/min
RATIONALE: A respiratory rate of 28/min indicates potential
respiratory distress, requiring immediate assessment using the
ABC (Airway, Breathing, Circulation) framework. Other tasks are
less urgent .
3. A client refuses a prescribed treatment. What should the
nurse do?
A. Administer the treatment anyway
B. Document the refusal and notify the provider
,C. Convince the client to comply
D. Ignore the refusal
B. Document the refusal and notify the provider
RATIONALE: Respecting client autonomy, the nurse
documents the refusal and notifies the provider, ensuring legal
and ethical compliance. Administering treatment against the
client's wishes constitutes battery .
4. A nurse observes an AP yelling at a client for spilling
food. What is the first action?
A. Reprimand the AP publicly
B. Address the AP privately
C. Report to the state board
D. Ignore the incident
B. Address the AP privately
RATIONALE: Private discussion maintains professionalism and
corrects behavior effectively. Public reprimand undermines dignity
and team morale .
5. A nurse manager conducts a quality improvement audit.
Which finding requires action?
A. Staff perform hand hygiene
B. Medication errors not reported
C. Clients receive discharge teaching
D. Nurses verify orders
B. Medication errors not reported
RATIONALE: Unreported medication errors hinder safety and
quality improvement. Reporting errors is essential for identifying
system issues and preventing recurrence .
, 6. A nurse teaches an AP about a client with a DNR order.
Which AP statement indicates understanding?
A. "I'll perform CPR if the client stops breathing."
B. "I'll notify the nurse if I can't detect a pulse."
C. "I'll encourage the client to reconsider the DNR."
D. "I'll avoid checking vital signs."
B. "I'll notify the nurse if I can't detect a pulse."
RATIONALE: Notifying the nurse respects the DNR order and
ensures proper action. Performing CPR on a DNR client violates
the client's wishes and legal directives .
7. Which task can a nurse delegate to an AP?
A. Evaluating therapy response
B. Administering IV fluids
C. Assisting with ambulation
D. Teaching medication side effects
C. Assisting with ambulation
RATIONALE: Assisting with ambulation is within the AP's scope
for stable clients. Evaluation, IV medication administration, and
teaching require nursing judgment .
8. A client with pneumonia has a delayed antibiotic dose by
3 hours. What action should the nurse take?
A. Administer immediately
B. Complete a variance report
C. Notify pharmacy only
D. Document as routine
B. Complete a variance report
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES | INSTANT
DOWNLOAD PDF
CORE DOMAINS
• Leadership Styles and Theories
• Delegation and Supervision
• Prioritization and Clinical Decision-Making
• Communication and Collaboration
• Legal and Ethical Responsibilities
• Quality Improvement and Safety
• Conflict Resolution and Team Building
• Resource Management and Staffing
INTRODUCTION
The purpose of this comprehensive assessment is to evaluate the
practical nursing student's mastery of leadership and
management principles essential for the ATI PN Leadership
Practice B examination. This assessment covers leadership styles,
delegation, prioritization, communication, legal and ethical
responsibilities, quality improvement, conflict resolution, and
resource management. Questions are structured as multiple-
choice and scenario-based items designed to simulate real-world
leadership decision-making. Emphasis is placed on applied
professional knowledge, clinical judgment, and critical thinking
necessary for safe and effective nursing leadership in practical
nursing practice.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is assigning tasks to an assistive personnel (AP)
for a stable post-surgical client. Which task can the nurse
delegate?
A. Administering oral medications
B. Assessing pain levels
C. Obtaining routine vital signs
D. Developing the care plan
C. Obtaining routine vital signs
RATIONALE: Measuring vital signs is within the AP's scope of
practice for stable clients, involving routine data collection.
Administering medications, assessing pain, and care planning
require nursing judgment and cannot be delegated to AP .
2. A nurse must prioritize care for four clients. Which client
should be assessed first?
A. Client with a scheduled dressing change
B. Client reporting mild nausea
C. Client with a respiratory rate of 28/min
D. Client awaiting discharge instructions
C. Client with a respiratory rate of 28/min
RATIONALE: A respiratory rate of 28/min indicates potential
respiratory distress, requiring immediate assessment using the
ABC (Airway, Breathing, Circulation) framework. Other tasks are
less urgent .
3. A client refuses a prescribed treatment. What should the
nurse do?
A. Administer the treatment anyway
B. Document the refusal and notify the provider
,C. Convince the client to comply
D. Ignore the refusal
B. Document the refusal and notify the provider
RATIONALE: Respecting client autonomy, the nurse
documents the refusal and notifies the provider, ensuring legal
and ethical compliance. Administering treatment against the
client's wishes constitutes battery .
4. A nurse observes an AP yelling at a client for spilling
food. What is the first action?
A. Reprimand the AP publicly
B. Address the AP privately
C. Report to the state board
D. Ignore the incident
B. Address the AP privately
RATIONALE: Private discussion maintains professionalism and
corrects behavior effectively. Public reprimand undermines dignity
and team morale .
5. A nurse manager conducts a quality improvement audit.
Which finding requires action?
A. Staff perform hand hygiene
B. Medication errors not reported
C. Clients receive discharge teaching
D. Nurses verify orders
B. Medication errors not reported
RATIONALE: Unreported medication errors hinder safety and
quality improvement. Reporting errors is essential for identifying
system issues and preventing recurrence .
, 6. A nurse teaches an AP about a client with a DNR order.
Which AP statement indicates understanding?
A. "I'll perform CPR if the client stops breathing."
B. "I'll notify the nurse if I can't detect a pulse."
C. "I'll encourage the client to reconsider the DNR."
D. "I'll avoid checking vital signs."
B. "I'll notify the nurse if I can't detect a pulse."
RATIONALE: Notifying the nurse respects the DNR order and
ensures proper action. Performing CPR on a DNR client violates
the client's wishes and legal directives .
7. Which task can a nurse delegate to an AP?
A. Evaluating therapy response
B. Administering IV fluids
C. Assisting with ambulation
D. Teaching medication side effects
C. Assisting with ambulation
RATIONALE: Assisting with ambulation is within the AP's scope
for stable clients. Evaluation, IV medication administration, and
teaching require nursing judgment .
8. A client with pneumonia has a delayed antibiotic dose by
3 hours. What action should the nurse take?
A. Administer immediately
B. Complete a variance report
C. Notify pharmacy only
D. Document as routine
B. Complete a variance report
