ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM V5 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V5 2026/2027 | 400Q Mixed: A=101 B=87 C=100 D=112 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V5] Conflict - nurse to nurse bullying - first? - Scenario 1 2026/2027
A. Address directly, use assertive communication, document, report to manager if continues
B. Quit
C. Ignore
D. Retaliate
Answer: A
Rationale: Address bullying assertively, report. - V5
2. [Leadership V5] RN delegates to LPN - which task? - Scenario 2 2026/2027
A. IV push morphine
B. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Develop care plan
D. Initial assessment of new admission
Answer: B
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V5
3. [Leadership V5] Performance appraisal - best? - Scenario 3 2026/2027
A. Annual only blame
B. Only negative
C. No feedback
D. Objective, ongoing feedback, specific examples, goals
Answer: D
Rationale: Appraisal objective ongoing. - V5
4. [Leadership V5] Time management best? - Scenario 4 2026/2027
A. Prioritize ABCs, unstable, use delegation, cluster care, plan day
B. Do easiest first only
C. Do all tasks at once
D. Procrastinate
Answer: A
Rationale: Prioritize, delegate, cluster care, plan. - V5
5. [Leadership V5] Client requests to leave AMA - first? - Scenario 5 2026/2027
A. Ignore
B. Force stay
C. Restrain
D. Assess understanding of risks, notify provider, document, have sign AMA form
Answer: D
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V5
6. [Leadership V5] Staffing - acuity vs numbers? - Scenario 6 2026/2027
A. Same assignment always
B. Ignore acuity
C. Acuity based on client needs, unstable needs more staff
D. Only numbers
Answer: C
Rationale: Acuity staffing matches needs. - V5
7. [Leadership V5] Medication error - first action? - Scenario 7 2026/2027
A. Blame
B. Assess client safety, check vitals, notify provider, report per policy
C. Hide
D. Document only
Answer: B
Rationale: Med error: assess client first, then report. - V5
8. [Leadership V5] Management style - democratic? - Scenario 8 2026/2027
A. Laissez-faire no direction
B. No style
, C. Autocratic decision only leader
D. Democratic - team input, collaboration, shared decision
Answer: D
Rationale: Democratic participative. - V5
9. [Leadership V5] Prioritization - fire on unit - first? - Scenario 9 2026/2027
A. Open all doors
B. Gather belongings
C. Hide
D. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
Answer: D
Rationale: RACE first rescue. - V5
10. [Leadership V5] Which task can charge RN delegate to experienced RN? - Scenario 10 2026/2027
A. Care for unstable new admission with chest pain
B. Diagnose
C. Make assignment
D. Order meds
Answer: A
Rationale: Experienced RN gets unstable. - V5
11. [Leadership V5] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 11 2026/2027
A. Call security
B. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
C. Force transfusion
D. Ignore
Answer: B
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V5
12. [Leadership V5] UAP reports client chest pain - RN first? - Scenario 12 2026/2027
A. Assess client immediately - ABCs
B. Chart
C. Ask UAP to give nitro
D. Ignore
Answer: A
Rationale: RN must assess chest pain immediately. - V5
13. [Leadership V5] Prioritization - Maslow - physiological first? - Scenario 13 2026/2027
A. Self-actualization first
B. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
C. Esteem first
D. Love first
Answer: B
Rationale: Maslow physiological first. - V5
14. [Leadership V5] Client assignment - which to float RN from med-surg to ICU? - Scenario 14 2026/2027
A. Unstable coding client
B. Stable ICU client transferring to step-down
C. New ICU admission intubated
D. Charge role
Answer: B
Rationale: Float to stable clients, not most unstable or charge. - V5
15. [Leadership V5] Conflict resolution first step? - Scenario 15 2026/2027
A. Blame
B. Argue
C. Ignore
D. Identify problem, gather data, consider options, choose best, evaluate
Answer: D
Rationale: Problem-solving process. - V5
16. [Leadership V5] SBAR communication - S stands for? - Scenario 16 2026/2027
A. Situation - what is happening now
B. Summary
C. Suggestion
D. Sympathy
Answer: A
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V5
,17. [Leadership V5] Informed consent - nurse role? - Scenario 17 2026/2027
A. Explain surgery risks
B. Witness signature, ensure competent, understands, voluntary, provider explained
C. Obtain consent
D. Force client
Answer: B
Rationale: Provider explains. Nurse witnesses competence and understanding. - V5
18. [Leadership V5] Provider order unclear - what to do? - Scenario 18 2026/2027
A. Guess
B. Clarify with provider, do not implement unclear order
C. Carry out
D. Ask UAP
Answer: B
Rationale: Clarify unclear orders. - V5
19. [Leadership V5] Can RN delegate to UAP? - Scenario 19 2026/2027
A. Assess lung sounds
B. Interpret labs
C. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
D. Teach new diabetic
Answer: C
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V5
20. [Leadership V5] Disaster triage - START - black tag? - Scenario 20 2026/2027
A. Deceased or expectant - no respirations after airway reposition
B. Immediate
C. Minor
D. Delayed
Answer: A
Rationale: Black = deceased/expectant. - V5
21. [Leadership V5] Legal - malpractice requires? - Scenario 21 2026/2027
A. No damages
B. Only error
C. Duty, breach, causation, damages
D. No duty
Answer: C
Rationale: Malpractice 4 elements. - V5
22. [Leadership V5] Infection control - which requires private room? - Scenario 22 2026/2027
A. MRSA colonized - contact
B. No isolation needs private
C. Active TB - airborne private negative pressure
D. All clients private
Answer: C
Rationale: TB needs private negative pressure. - V5
23. [Leadership V5] Client rights - restraints require? - Scenario 23 2026/2027
A. Family request only
B. No order
C. Staff convenience
D. Provider order, least restrictive, renewal q24h, assess q15min-2h
Answer: D
Rationale: Restraints need order, least restrictive. - V5
24. [Leadership V5] Budget - fixed vs variable costs? - Scenario 24 2026/2027
A. Both same
B. No budget
C. Only fixed
D. Fixed same each month - rent, Variable changes with census - supplies
Answer: D
Rationale: Fixed rent, variable supplies. - V5
25. [Leadership V5] Whistleblower - when? - Scenario 25 2026/2027
A. Report unsafe practice to protect clients per chain and agency policy
B. Never report
C. Ignore
, D. Gossip
Answer: A
Rationale: Whistleblower protects reporting unsafe. - V5
26. [Leadership V5] Case management role? - Scenario 26 2026/2027
A. Coordinate care across continuum, cost-effective, quality outcomes
B. Only chart
C. Only give meds
D. Ignore
Answer: A
Rationale: Case manager coordinates. - V5
27. [Leadership V5] Which client should RN see first? - Scenario 27 2026/2027
A. Stable post-op day 3 awaiting discharge
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Client asking for blanket
D. Constipation chronic
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V5
28. [Leadership V5] Incident report after fall - action? - Scenario 28 2026/2027
A. Punish staff
B. Ignore
C. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
D. Document incident report in chart
Answer: C
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V5
29. [Leadership V5] Quality improvement - example? - Scenario 29 2026/2027
A. Audit hand hygiene compliance 60%, educate, re-audit to 90%
B. Ignore data
C. No QI needed
D. Blame nurse
Answer: A
Rationale: QI: measure, intervene, re-measure. - V5
30. [Leadership V5] Chain of command - provider not responding to critical lab - next? - Scenario 30 2026/2027
A. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
B. Ignore
C. Document only
D. Yell
Answer: A
Rationale: Chain: charge, supervisor, provider supervisor. - V5
31. [Leadership V5] PASS for extinguisher? - Scenario 31 2026/2027
A. No acronym
B. Run
C. Pull pin, Aim at base, Squeeze handle, Sweep side to side
D. Push, Aim, Squeeze, Sweep
Answer: C
Rationale: PASS correct. - V5
32. [Leadership V5] Change theory - Lewin stages? - Scenario 32 2026/2027
A. Only moving
B. Only freezing
C. No stages
D. Unfreezing, moving, refreezing
Answer: D
Rationale: Lewin change model. - V5
33. [Leadership V5] Nursing process - ADPIE - D is? - Scenario 33 2026/2027
A. Doing
B. Discharge
C. Diagnosis - NANDA based on assessment data
D. Drugs
Answer: C
Rationale: ADPIE Diagnosis. - V5
34. [Leadership V5] Charge nurse receives report - which client assigned to LPN? - Scenario 34 2026/2027
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V5 2026/2027 | 400Q Mixed: A=101 B=87 C=100 D=112 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V5] Conflict - nurse to nurse bullying - first? - Scenario 1 2026/2027
A. Address directly, use assertive communication, document, report to manager if continues
B. Quit
C. Ignore
D. Retaliate
Answer: A
Rationale: Address bullying assertively, report. - V5
2. [Leadership V5] RN delegates to LPN - which task? - Scenario 2 2026/2027
A. IV push morphine
B. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
C. Develop care plan
D. Initial assessment of new admission
Answer: B
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V5
3. [Leadership V5] Performance appraisal - best? - Scenario 3 2026/2027
A. Annual only blame
B. Only negative
C. No feedback
D. Objective, ongoing feedback, specific examples, goals
Answer: D
Rationale: Appraisal objective ongoing. - V5
4. [Leadership V5] Time management best? - Scenario 4 2026/2027
A. Prioritize ABCs, unstable, use delegation, cluster care, plan day
B. Do easiest first only
C. Do all tasks at once
D. Procrastinate
Answer: A
Rationale: Prioritize, delegate, cluster care, plan. - V5
5. [Leadership V5] Client requests to leave AMA - first? - Scenario 5 2026/2027
A. Ignore
B. Force stay
C. Restrain
D. Assess understanding of risks, notify provider, document, have sign AMA form
Answer: D
Rationale: AMA: assess decision capacity, explain risks, notify provider, document, sign form. - V5
6. [Leadership V5] Staffing - acuity vs numbers? - Scenario 6 2026/2027
A. Same assignment always
B. Ignore acuity
C. Acuity based on client needs, unstable needs more staff
D. Only numbers
Answer: C
Rationale: Acuity staffing matches needs. - V5
7. [Leadership V5] Medication error - first action? - Scenario 7 2026/2027
A. Blame
B. Assess client safety, check vitals, notify provider, report per policy
C. Hide
D. Document only
Answer: B
Rationale: Med error: assess client first, then report. - V5
8. [Leadership V5] Management style - democratic? - Scenario 8 2026/2027
A. Laissez-faire no direction
B. No style
, C. Autocratic decision only leader
D. Democratic - team input, collaboration, shared decision
Answer: D
Rationale: Democratic participative. - V5
9. [Leadership V5] Prioritization - fire on unit - first? - Scenario 9 2026/2027
A. Open all doors
B. Gather belongings
C. Hide
D. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
Answer: D
Rationale: RACE first rescue. - V5
10. [Leadership V5] Which task can charge RN delegate to experienced RN? - Scenario 10 2026/2027
A. Care for unstable new admission with chest pain
B. Diagnose
C. Make assignment
D. Order meds
Answer: A
Rationale: Experienced RN gets unstable. - V5
11. [Leadership V5] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 11 2026/2027
A. Call security
B. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
C. Force transfusion
D. Ignore
Answer: B
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V5
12. [Leadership V5] UAP reports client chest pain - RN first? - Scenario 12 2026/2027
A. Assess client immediately - ABCs
B. Chart
C. Ask UAP to give nitro
D. Ignore
Answer: A
Rationale: RN must assess chest pain immediately. - V5
13. [Leadership V5] Prioritization - Maslow - physiological first? - Scenario 13 2026/2027
A. Self-actualization first
B. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
C. Esteem first
D. Love first
Answer: B
Rationale: Maslow physiological first. - V5
14. [Leadership V5] Client assignment - which to float RN from med-surg to ICU? - Scenario 14 2026/2027
A. Unstable coding client
B. Stable ICU client transferring to step-down
C. New ICU admission intubated
D. Charge role
Answer: B
Rationale: Float to stable clients, not most unstable or charge. - V5
15. [Leadership V5] Conflict resolution first step? - Scenario 15 2026/2027
A. Blame
B. Argue
C. Ignore
D. Identify problem, gather data, consider options, choose best, evaluate
Answer: D
Rationale: Problem-solving process. - V5
16. [Leadership V5] SBAR communication - S stands for? - Scenario 16 2026/2027
A. Situation - what is happening now
B. Summary
C. Suggestion
D. Sympathy
Answer: A
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V5
,17. [Leadership V5] Informed consent - nurse role? - Scenario 17 2026/2027
A. Explain surgery risks
B. Witness signature, ensure competent, understands, voluntary, provider explained
C. Obtain consent
D. Force client
Answer: B
Rationale: Provider explains. Nurse witnesses competence and understanding. - V5
18. [Leadership V5] Provider order unclear - what to do? - Scenario 18 2026/2027
A. Guess
B. Clarify with provider, do not implement unclear order
C. Carry out
D. Ask UAP
Answer: B
Rationale: Clarify unclear orders. - V5
19. [Leadership V5] Can RN delegate to UAP? - Scenario 19 2026/2027
A. Assess lung sounds
B. Interpret labs
C. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
D. Teach new diabetic
Answer: C
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V5
20. [Leadership V5] Disaster triage - START - black tag? - Scenario 20 2026/2027
A. Deceased or expectant - no respirations after airway reposition
B. Immediate
C. Minor
D. Delayed
Answer: A
Rationale: Black = deceased/expectant. - V5
21. [Leadership V5] Legal - malpractice requires? - Scenario 21 2026/2027
A. No damages
B. Only error
C. Duty, breach, causation, damages
D. No duty
Answer: C
Rationale: Malpractice 4 elements. - V5
22. [Leadership V5] Infection control - which requires private room? - Scenario 22 2026/2027
A. MRSA colonized - contact
B. No isolation needs private
C. Active TB - airborne private negative pressure
D. All clients private
Answer: C
Rationale: TB needs private negative pressure. - V5
23. [Leadership V5] Client rights - restraints require? - Scenario 23 2026/2027
A. Family request only
B. No order
C. Staff convenience
D. Provider order, least restrictive, renewal q24h, assess q15min-2h
Answer: D
Rationale: Restraints need order, least restrictive. - V5
24. [Leadership V5] Budget - fixed vs variable costs? - Scenario 24 2026/2027
A. Both same
B. No budget
C. Only fixed
D. Fixed same each month - rent, Variable changes with census - supplies
Answer: D
Rationale: Fixed rent, variable supplies. - V5
25. [Leadership V5] Whistleblower - when? - Scenario 25 2026/2027
A. Report unsafe practice to protect clients per chain and agency policy
B. Never report
C. Ignore
, D. Gossip
Answer: A
Rationale: Whistleblower protects reporting unsafe. - V5
26. [Leadership V5] Case management role? - Scenario 26 2026/2027
A. Coordinate care across continuum, cost-effective, quality outcomes
B. Only chart
C. Only give meds
D. Ignore
Answer: A
Rationale: Case manager coordinates. - V5
27. [Leadership V5] Which client should RN see first? - Scenario 27 2026/2027
A. Stable post-op day 3 awaiting discharge
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Client asking for blanket
D. Constipation chronic
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V5
28. [Leadership V5] Incident report after fall - action? - Scenario 28 2026/2027
A. Punish staff
B. Ignore
C. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
D. Document incident report in chart
Answer: C
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V5
29. [Leadership V5] Quality improvement - example? - Scenario 29 2026/2027
A. Audit hand hygiene compliance 60%, educate, re-audit to 90%
B. Ignore data
C. No QI needed
D. Blame nurse
Answer: A
Rationale: QI: measure, intervene, re-measure. - V5
30. [Leadership V5] Chain of command - provider not responding to critical lab - next? - Scenario 30 2026/2027
A. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
B. Ignore
C. Document only
D. Yell
Answer: A
Rationale: Chain: charge, supervisor, provider supervisor. - V5
31. [Leadership V5] PASS for extinguisher? - Scenario 31 2026/2027
A. No acronym
B. Run
C. Pull pin, Aim at base, Squeeze handle, Sweep side to side
D. Push, Aim, Squeeze, Sweep
Answer: C
Rationale: PASS correct. - V5
32. [Leadership V5] Change theory - Lewin stages? - Scenario 32 2026/2027
A. Only moving
B. Only freezing
C. No stages
D. Unfreezing, moving, refreezing
Answer: D
Rationale: Lewin change model. - V5
33. [Leadership V5] Nursing process - ADPIE - D is? - Scenario 33 2026/2027
A. Doing
B. Discharge
C. Diagnosis - NANDA based on assessment data
D. Drugs
Answer: C
Rationale: ADPIE Diagnosis. - V5
34. [Leadership V5] Charge nurse receives report - which client assigned to LPN? - Scenario 34 2026/2027
