ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM V3 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V3 2026/2027 | 400Q Mixed: A=100 B=92 C=117 D=91 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V3] Management style - democratic? - Scenario 1 2026/2027
A. Democratic - team input, collaboration, shared decision
B. Laissez-faire no direction
C. No style
D. Autocratic decision only leader
Answer: A
Rationale: Democratic participative. - V3
2. [Leadership V3] Nursing process - ADPIE - D is? - Scenario 2 2026/2027
A. Discharge
B. Drugs
C. Doing
D. Diagnosis - NANDA based on assessment data
Answer: D
Rationale: ADPIE Diagnosis. - V3
3. [Leadership V3] Conflict - nurse to nurse bullying - first? - Scenario 3 2026/2027
A. Quit
B. Address directly, use assertive communication, document, report to manager if continues
C. Retaliate
D. Ignore
Answer: B
Rationale: Address bullying assertively, report. - V3
4. [Leadership V3] Whistleblower - when? - Scenario 4 2026/2027
A. Report unsafe practice to protect clients per chain and agency policy
B. Ignore
C. Never report
D. Gossip
Answer: A
Rationale: Whistleblower protects reporting unsafe. - V3
5. [Leadership V3] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 5 2026/2027
A. Ignore
B. Force transfusion
C. Call security
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V3
6. [Leadership V3] Can RN delegate to UAP? - Scenario 6 2026/2027
A. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
B. Assess lung sounds
C. Teach new diabetic
D. Interpret labs
Answer: A
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V3
7. [Leadership V3] Informed consent - nurse role? - Scenario 7 2026/2027
A. Force client
B. Obtain consent
C. Witness signature, ensure competent, understands, voluntary, provider explained
D. Explain surgery risks
Answer: C
Rationale: Provider explains. Nurse witnesses competence and understanding. - V3
8. [Leadership V3] Quality improvement - example? - Scenario 8 2026/2027
A. No QI needed
B. Ignore data
C. Blame nurse
, D. Audit hand hygiene compliance 60%, educate, re-audit to 90%
Answer: D
Rationale: QI: measure, intervene, re-measure. - V3
9. [Leadership V3] Charge nurse receives report - which client assigned to LPN? - Scenario 9 2026/2027
A. New admission with chest pain unstable
B. Stable COPD awaiting meds, chronic wound care
C. New onset confusion
D. Septic shock on vasopressors
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V3
10. [Leadership V3] RN delegates to LPN - which task? - Scenario 10 2026/2027
A. Initial assessment of new admission
B. IV push morphine
C. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
D. Develop care plan
Answer: C
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V3
11. [Leadership V3] Medication error - first action? - Scenario 11 2026/2027
A. Assess client safety, check vitals, notify provider, report per policy
B. Blame
C. Hide
D. Document only
Answer: A
Rationale: Med error: assess client first, then report. - V3
12. [Leadership V3] Incident report after fall - action? - Scenario 12 2026/2027
A. Punish staff
B. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
C. Document incident report in chart
D. Ignore
Answer: B
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V3
13. [Leadership V3] Prioritization - fire on unit - first? - Scenario 13 2026/2027
A. Hide
B. Open all doors
C. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
D. Gather belongings
Answer: C
Rationale: RACE first rescue. - V3
14. [Leadership V3] Infection control - which requires private room? - Scenario 14 2026/2027
A. Active TB - airborne private negative pressure
B. MRSA colonized - contact
C. No isolation needs private
D. All clients private
Answer: A
Rationale: TB needs private negative pressure. - V3
15. [Leadership V3] Provider order unclear - what to do? - Scenario 15 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. - V3
16. [Leadership V3] Staffing - acuity vs numbers? - Scenario 16 2026/2027
A. Only numbers
B. Ignore acuity
C. Same assignment always
D. Acuity based on client needs, unstable needs more staff
Answer: D
Rationale: Acuity staffing matches needs. - V3
,17. [Leadership V3] Prioritization - Maslow - physiological first? - Scenario 17 2026/2027
A. Love first
B. Self-actualization first
C. Esteem first
D. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
Answer: D
Rationale: Maslow physiological first. - V3
18. [Leadership V3] Which client should RN see first? - Scenario 18 2026/2027
A. Client asking for blanket
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Constipation chronic
D. Stable post-op day 3 awaiting discharge
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V3
19. [Leadership V3] Case management role? - Scenario 19 2026/2027
A. Ignore
B. Only give meds
C. Only chart
D. Coordinate care across continuum, cost-effective, quality outcomes
Answer: D
Rationale: Case manager coordinates. - V3
20. [Leadership V3] UAP reports client chest pain - RN first? - Scenario 20 2026/2027
A. Chart
B. Ignore
C. Ask UAP to give nitro
D. Assess client immediately - ABCs
Answer: D
Rationale: RN must assess chest pain immediately. - V3
21. [Leadership V3] Performance appraisal - best? - Scenario 21 2026/2027
A. Objective, ongoing feedback, specific examples, goals
B. Annual only blame
C. No feedback
D. Only negative
Answer: A
Rationale: Appraisal objective ongoing. - V3
22. [Leadership V3] PASS for extinguisher? - Scenario 22 2026/2027
A. Push, Aim, Squeeze, Sweep
B. Run
C. Pull pin, Aim at base, Squeeze handle, Sweep side to side
D. No acronym
Answer: C
Rationale: PASS correct. - V3
23. [Leadership V3] Client requests to leave AMA - first? - Scenario 23 2026/2027
A. Force stay
B. Restrain
C. Ignore
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. - V3
24. [Leadership V3] Budget - fixed vs variable costs? - Scenario 24 2026/2027
A. Both same
B. Fixed same each month - rent, Variable changes with census - supplies
C. Only fixed
D. No budget
Answer: B
Rationale: Fixed rent, variable supplies. - V3
25. [Leadership V3] Conflict resolution first step? - Scenario 25 2026/2027
A. Argue
B. Blame
C. Identify problem, gather data, consider options, choose best, evaluate
, D. Ignore
Answer: C
Rationale: Problem-solving process. - V3
26. [Leadership V3] Time management best? - Scenario 26 2026/2027
A. Procrastinate
B. Do easiest first only
C. Prioritize ABCs, unstable, use delegation, cluster care, plan day
D. Do all tasks at once
Answer: C
Rationale: Prioritize, delegate, cluster care, plan. - V3
27. [Leadership V3] HIPAA violation - which? - Scenario 27 2026/2027
A. Reporting communicable disease
B. Reporting abuse
C. Discussing client in elevator with visitors
D. Discussing client in private room with care team
Answer: C
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V3
28. [Leadership V3] Client assignment - which to float RN from med-surg to ICU? - Scenario 28 2026/2027
A. New ICU admission intubated
B. Charge role
C. Stable ICU client transferring to step-down
D. Unstable coding client
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V3
29. [Leadership V3] Which task can charge RN delegate to experienced RN? - Scenario 29 2026/2027
A. Diagnose
B. Make assignment
C. Care for unstable new admission with chest pain
D. Order meds
Answer: C
Rationale: Experienced RN gets unstable. - V3
30. [Leadership V3] Delegation - LPN asks RN to give IV push - RN should? - Scenario 30 2026/2027
A. Delegate to UAP
B. Explain LPN cannot give IV push, RN will give
C. Ignore scope
D. Allow LPN to give
Answer: B
Rationale: IV push is RN only. - V3
31. [Leadership V3] SBAR communication - S stands for? - Scenario 31 2026/2027
A. Sympathy
B. Suggestion
C. Situation - what is happening now
D. Summary
Answer: C
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V3
32. [Leadership V3] Change theory - Lewin stages? - Scenario 32 2026/2027
A. No stages
B. Unfreezing, moving, refreezing
C. Only freezing
D. Only moving
Answer: B
Rationale: Lewin change model. - V3
33. [Leadership V3] Client rights - restraints require? - Scenario 33 2026/2027
A. Staff convenience
B. Family request only
C. Provider order, least restrictive, renewal q24h, assess q15min-2h
D. No order
Answer: C
Rationale: Restraints need order, least restrictive. - V3
34. [Leadership V3] Disaster triage - START - black tag? - Scenario 34 2026/2027
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V3 2026/2027 | 400Q Mixed: A=100 B=92 C=117 D=91 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V3] Management style - democratic? - Scenario 1 2026/2027
A. Democratic - team input, collaboration, shared decision
B. Laissez-faire no direction
C. No style
D. Autocratic decision only leader
Answer: A
Rationale: Democratic participative. - V3
2. [Leadership V3] Nursing process - ADPIE - D is? - Scenario 2 2026/2027
A. Discharge
B. Drugs
C. Doing
D. Diagnosis - NANDA based on assessment data
Answer: D
Rationale: ADPIE Diagnosis. - V3
3. [Leadership V3] Conflict - nurse to nurse bullying - first? - Scenario 3 2026/2027
A. Quit
B. Address directly, use assertive communication, document, report to manager if continues
C. Retaliate
D. Ignore
Answer: B
Rationale: Address bullying assertively, report. - V3
4. [Leadership V3] Whistleblower - when? - Scenario 4 2026/2027
A. Report unsafe practice to protect clients per chain and agency policy
B. Ignore
C. Never report
D. Gossip
Answer: A
Rationale: Whistleblower protects reporting unsafe. - V3
5. [Leadership V3] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 5 2026/2027
A. Ignore
B. Force transfusion
C. Call security
D. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
Answer: D
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V3
6. [Leadership V3] Can RN delegate to UAP? - Scenario 6 2026/2027
A. Vital signs stable, ADLs, ambulation, I&O;, hygiene, feeding stable
B. Assess lung sounds
C. Teach new diabetic
D. Interpret labs
Answer: A
Rationale: UAP: vitals stable, ADLs, hygiene, ambulation, I&O;, feeding (not dysphagia). Cannot assess, teach, medicate, unstable. - V3
7. [Leadership V3] Informed consent - nurse role? - Scenario 7 2026/2027
A. Force client
B. Obtain consent
C. Witness signature, ensure competent, understands, voluntary, provider explained
D. Explain surgery risks
Answer: C
Rationale: Provider explains. Nurse witnesses competence and understanding. - V3
8. [Leadership V3] Quality improvement - example? - Scenario 8 2026/2027
A. No QI needed
B. Ignore data
C. Blame nurse
, D. Audit hand hygiene compliance 60%, educate, re-audit to 90%
Answer: D
Rationale: QI: measure, intervene, re-measure. - V3
9. [Leadership V3] Charge nurse receives report - which client assigned to LPN? - Scenario 9 2026/2027
A. New admission with chest pain unstable
B. Stable COPD awaiting meds, chronic wound care
C. New onset confusion
D. Septic shock on vasopressors
Answer: B
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V3
10. [Leadership V3] RN delegates to LPN - which task? - Scenario 10 2026/2027
A. Initial assessment of new admission
B. IV push morphine
C. Administer PO meds, wound care, Foley, NG feeding, reinforce teaching
D. Develop care plan
Answer: C
Rationale: LPN: PO meds, wound care, Foley, NG tube feeding, reinforce teaching. RN: initial assessment, care planning, teaching, IV push,
unstable. - V3
11. [Leadership V3] Medication error - first action? - Scenario 11 2026/2027
A. Assess client safety, check vitals, notify provider, report per policy
B. Blame
C. Hide
D. Document only
Answer: A
Rationale: Med error: assess client first, then report. - V3
12. [Leadership V3] Incident report after fall - action? - Scenario 12 2026/2027
A. Punish staff
B. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
C. Document incident report in chart
D. Ignore
Answer: B
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V3
13. [Leadership V3] Prioritization - fire on unit - first? - Scenario 13 2026/2027
A. Hide
B. Open all doors
C. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
D. Gather belongings
Answer: C
Rationale: RACE first rescue. - V3
14. [Leadership V3] Infection control - which requires private room? - Scenario 14 2026/2027
A. Active TB - airborne private negative pressure
B. MRSA colonized - contact
C. No isolation needs private
D. All clients private
Answer: A
Rationale: TB needs private negative pressure. - V3
15. [Leadership V3] Provider order unclear - what to do? - Scenario 15 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. - V3
16. [Leadership V3] Staffing - acuity vs numbers? - Scenario 16 2026/2027
A. Only numbers
B. Ignore acuity
C. Same assignment always
D. Acuity based on client needs, unstable needs more staff
Answer: D
Rationale: Acuity staffing matches needs. - V3
,17. [Leadership V3] Prioritization - Maslow - physiological first? - Scenario 17 2026/2027
A. Love first
B. Self-actualization first
C. Esteem first
D. Physiological: airway, breathing, circulation, food, fluids, elimination before safety, love, esteem
Answer: D
Rationale: Maslow physiological first. - V3
18. [Leadership V3] Which client should RN see first? - Scenario 18 2026/2027
A. Client asking for blanket
B. Chest pain radiating to jaw with diaphoresis, SpO2 88%
C. Constipation chronic
D. Stable post-op day 3 awaiting discharge
Answer: B
Rationale: ABCs - chest pain, low O2 unstable first. - V3
19. [Leadership V3] Case management role? - Scenario 19 2026/2027
A. Ignore
B. Only give meds
C. Only chart
D. Coordinate care across continuum, cost-effective, quality outcomes
Answer: D
Rationale: Case manager coordinates. - V3
20. [Leadership V3] UAP reports client chest pain - RN first? - Scenario 20 2026/2027
A. Chart
B. Ignore
C. Ask UAP to give nitro
D. Assess client immediately - ABCs
Answer: D
Rationale: RN must assess chest pain immediately. - V3
21. [Leadership V3] Performance appraisal - best? - Scenario 21 2026/2027
A. Objective, ongoing feedback, specific examples, goals
B. Annual only blame
C. No feedback
D. Only negative
Answer: A
Rationale: Appraisal objective ongoing. - V3
22. [Leadership V3] PASS for extinguisher? - Scenario 22 2026/2027
A. Push, Aim, Squeeze, Sweep
B. Run
C. Pull pin, Aim at base, Squeeze handle, Sweep side to side
D. No acronym
Answer: C
Rationale: PASS correct. - V3
23. [Leadership V3] Client requests to leave AMA - first? - Scenario 23 2026/2027
A. Force stay
B. Restrain
C. Ignore
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. - V3
24. [Leadership V3] Budget - fixed vs variable costs? - Scenario 24 2026/2027
A. Both same
B. Fixed same each month - rent, Variable changes with census - supplies
C. Only fixed
D. No budget
Answer: B
Rationale: Fixed rent, variable supplies. - V3
25. [Leadership V3] Conflict resolution first step? - Scenario 25 2026/2027
A. Argue
B. Blame
C. Identify problem, gather data, consider options, choose best, evaluate
, D. Ignore
Answer: C
Rationale: Problem-solving process. - V3
26. [Leadership V3] Time management best? - Scenario 26 2026/2027
A. Procrastinate
B. Do easiest first only
C. Prioritize ABCs, unstable, use delegation, cluster care, plan day
D. Do all tasks at once
Answer: C
Rationale: Prioritize, delegate, cluster care, plan. - V3
27. [Leadership V3] HIPAA violation - which? - Scenario 27 2026/2027
A. Reporting communicable disease
B. Reporting abuse
C. Discussing client in elevator with visitors
D. Discussing client in private room with care team
Answer: C
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V3
28. [Leadership V3] Client assignment - which to float RN from med-surg to ICU? - Scenario 28 2026/2027
A. New ICU admission intubated
B. Charge role
C. Stable ICU client transferring to step-down
D. Unstable coding client
Answer: C
Rationale: Float to stable clients, not most unstable or charge. - V3
29. [Leadership V3] Which task can charge RN delegate to experienced RN? - Scenario 29 2026/2027
A. Diagnose
B. Make assignment
C. Care for unstable new admission with chest pain
D. Order meds
Answer: C
Rationale: Experienced RN gets unstable. - V3
30. [Leadership V3] Delegation - LPN asks RN to give IV push - RN should? - Scenario 30 2026/2027
A. Delegate to UAP
B. Explain LPN cannot give IV push, RN will give
C. Ignore scope
D. Allow LPN to give
Answer: B
Rationale: IV push is RN only. - V3
31. [Leadership V3] SBAR communication - S stands for? - Scenario 31 2026/2027
A. Sympathy
B. Suggestion
C. Situation - what is happening now
D. Summary
Answer: C
Rationale: SBAR: Situation, Background, Assessment, Recommendation. - V3
32. [Leadership V3] Change theory - Lewin stages? - Scenario 32 2026/2027
A. No stages
B. Unfreezing, moving, refreezing
C. Only freezing
D. Only moving
Answer: B
Rationale: Lewin change model. - V3
33. [Leadership V3] Client rights - restraints require? - Scenario 33 2026/2027
A. Staff convenience
B. Family request only
C. Provider order, least restrictive, renewal q24h, assess q15min-2h
D. No order
Answer: C
Rationale: Restraints need order, least restrictive. - V3
34. [Leadership V3] Disaster triage - START - black tag? - Scenario 34 2026/2027
