ATI RN LEADERSHIP & MANAGEMENT PROCTORED EXAM V2 2026/2027 - 400 VERIFIED
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V2 2026/2027 | 400Q Mixed: A=96 B=88 C=111 D=105 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V2] Case management role? - Scenario 1 2026/2027
A. Only give meds
B. Coordinate care across continuum, cost-effective, quality outcomes
C. Only chart
D. Ignore
Answer: B
Rationale: Case manager coordinates. - V2
2. [Leadership V2] Management style - democratic? - Scenario 2 2026/2027
A. Autocratic decision only leader
B. No style
C. Democratic - team input, collaboration, shared decision
D. Laissez-faire no direction
Answer: C
Rationale: Democratic participative. - V2
3. [Leadership V2] UAP reports client chest pain - RN first? - Scenario 3 2026/2027
A. Ask UAP to give nitro
B. Assess client immediately - ABCs
C. Ignore
D. Chart
Answer: B
Rationale: RN must assess chest pain immediately. - V2
4. [Leadership V2] Delegation - LPN asks RN to give IV push - RN should? - Scenario 4 2026/2027
A. Delegate to UAP
B. Allow LPN to give
C. Ignore scope
D. Explain LPN cannot give IV push, RN will give
Answer: D
Rationale: IV push is RN only. - V2
5. [Leadership V2] Nursing process - ADPIE - D is? - Scenario 5 2026/2027
A. Diagnosis - NANDA based on assessment data
B. Drugs
C. Doing
D. Discharge
Answer: A
Rationale: ADPIE Diagnosis. - V2
6. [Leadership V2] Can RN delegate to UAP? - Scenario 6 2026/2027
A. Interpret labs
B. Assess lung sounds
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. - V2
7. [Leadership V2] Incident report after fall - action? - Scenario 7 2026/2027
A. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
B. Ignore
C. Punish staff
D. Document incident report in chart
Answer: A
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V2
8. [Leadership V2] Performance appraisal - best? - Scenario 8 2026/2027
A. Objective, ongoing feedback, specific examples, goals
B. Annual only blame
C. Only negative
, D. No feedback
Answer: A
Rationale: Appraisal objective ongoing. - V2
9. [Leadership V2] Staffing - acuity vs numbers? - Scenario 9 2026/2027
A. Acuity based on client needs, unstable needs more staff
B. Ignore acuity
C. Only numbers
D. Same assignment always
Answer: A
Rationale: Acuity staffing matches needs. - V2
10. [Leadership V2] Chain of command - provider not responding to critical lab - next? - Scenario 10 2026/2027
A. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
B. Yell
C. Ignore
D. Document only
Answer: A
Rationale: Chain: charge, supervisor, provider supervisor. - V2
11. [Leadership V2] Infection control - which requires private room? - Scenario 11 2026/2027
A. MRSA colonized - contact
B. All clients private
C. No isolation needs private
D. Active TB - airborne private negative pressure
Answer: D
Rationale: TB needs private negative pressure. - V2
12. [Leadership V2] HIPAA violation - which? - Scenario 12 2026/2027
A. Reporting abuse
B. Discussing client in private room with care team
C. Discussing client in elevator with visitors
D. Reporting communicable disease
Answer: C
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V2
13. [Leadership V2] PASS for extinguisher? - Scenario 13 2026/2027
A. Push, Aim, Squeeze, Sweep
B. No acronym
C. Run
D. Pull pin, Aim at base, Squeeze handle, Sweep side to side
Answer: D
Rationale: PASS correct. - V2
14. [Leadership V2] Whistleblower - when? - Scenario 14 2026/2027
A. Report unsafe practice to protect clients per chain and agency policy
B. Gossip
C. Ignore
D. Never report
Answer: A
Rationale: Whistleblower protects reporting unsafe. - V2
15. [Leadership V2] Prioritization - fire on unit - first? - Scenario 15 2026/2027
A. Open all doors
B. Hide
C. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
D. Gather belongings
Answer: C
Rationale: RACE first rescue. - V2
16. [Leadership V2] Provider order unclear - what to do? - Scenario 16 2026/2027
A. Ask UAP
B. Guess
C. Clarify with provider, do not implement unclear order
D. Carry out
Answer: C
Rationale: Clarify unclear orders. - V2
17. [Leadership V2] Medication error - first action? - Scenario 17 2026/2027
, A. Document only
B. Blame
C. Assess client safety, check vitals, notify provider, report per policy
D. Hide
Answer: C
Rationale: Med error: assess client first, then report. - V2
18. [Leadership V2] Budget - fixed vs variable costs? - Scenario 18 2026/2027
A. No budget
B. Only fixed
C. Both same
D. Fixed same each month - rent, Variable changes with census - supplies
Answer: D
Rationale: Fixed rent, variable supplies. - V2
19. [Leadership V2] Client assignment - which to float RN from med-surg to ICU? - Scenario 19 2026/2027
A. Stable ICU client transferring to step-down
B. Unstable coding client
C. Charge role
D. New ICU admission intubated
Answer: A
Rationale: Float to stable clients, not most unstable or charge. - V2
20. [Leadership V2] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 20 2026/2027
A. Force transfusion
B. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
C. Call security
D. Ignore
Answer: B
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V2
21. [Leadership V2] Which task can charge RN delegate to experienced RN? - Scenario 21 2026/2027
A. Diagnose
B. Care for unstable new admission with chest pain
C. Make assignment
D. Order meds
Answer: B
Rationale: Experienced RN gets unstable. - V2
22. [Leadership V2] Conflict - nurse to nurse bullying - first? - Scenario 22 2026/2027
A. Retaliate
B. Address directly, use assertive communication, document, report to manager if continues
C. Quit
D. Ignore
Answer: B
Rationale: Address bullying assertively, report. - V2
23. [Leadership V2] Conflict resolution first step? - Scenario 23 2026/2027
A. Ignore
B. Identify problem, gather data, consider options, choose best, evaluate
C. Argue
D. Blame
Answer: B
Rationale: Problem-solving process. - V2
24. [Leadership V2] Legal - malpractice requires? - Scenario 24 2026/2027
A. No duty
B. Duty, breach, causation, damages
C. Only error
D. No damages
Answer: B
Rationale: Malpractice 4 elements. - V2
25. [Leadership V2] Informed consent - nurse role? - Scenario 25 2026/2027
A. Witness signature, ensure competent, understands, voluntary, provider explained
B. Obtain consent
C. Force client
D. Explain surgery risks
, Answer: A
Rationale: Provider explains. Nurse witnesses competence and understanding. - V2
26. [Leadership V2] Client requests to leave AMA - first? - Scenario 26 2026/2027
A. Ignore
B. Restrain
C. Force stay
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. - V2
27. [Leadership V2] Time management best? - Scenario 27 2026/2027
A. Prioritize ABCs, unstable, use delegation, cluster care, plan day
B. Do all tasks at once
C. Procrastinate
D. Do easiest first only
Answer: A
Rationale: Prioritize, delegate, cluster care, plan. - V2
28. [Leadership V2] Disaster triage - START - black tag? - Scenario 28 2026/2027
A. Deceased or expectant - no respirations after airway reposition
B. Immediate
C. Minor
D. Delayed
Answer: A
Rationale: Black = deceased/expectant. - V2
29. [Leadership V2] Charge nurse receives report - which client assigned to LPN? - Scenario 29 2026/2027
A. New admission with chest pain unstable
B. New onset confusion
C. Septic shock on vasopressors
D. Stable COPD awaiting meds, chronic wound care
Answer: D
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V2
30. [Leadership V2] Quality improvement - example? - Scenario 30 2026/2027
A. No QI needed
B. Ignore data
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. Blame nurse
Answer: C
Rationale: QI: measure, intervene, re-measure. - V2
31. [Leadership V2] Prioritization - Maslow - physiological first? - Scenario 31 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. - V2
32. [Leadership V2] Change theory - Lewin stages? - Scenario 32 2026/2027
A. No stages
B. Only freezing
C. Unfreezing, moving, refreezing
D. Only moving
Answer: C
Rationale: Lewin change model. - V2
33. [Leadership V2] Client rights - restraints require? - Scenario 33 2026/2027
A. No order
B. Staff convenience
C. Family request only
D. Provider order, least restrictive, renewal q24h, assess q15min-2h
Answer: D
Rationale: Restraints need order, least restrictive. - V2
34. [Leadership V2] RN delegates to LPN - which task? - Scenario 34 2026/2027
A. Develop care plan
QUESTIONS WITH MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | A+ GRADED
Course: ATI RN Leadership & Management Proctored V2 2026/2027 | 400Q Mixed: A=96 B=88 C=111 D=105 | 2026/2027
Edition
2026/2027 Edition - Delegation, Prioritization, Management, Ethics, Legal - NGN Format. Mixed answer keys.
1. [Leadership V2] Case management role? - Scenario 1 2026/2027
A. Only give meds
B. Coordinate care across continuum, cost-effective, quality outcomes
C. Only chart
D. Ignore
Answer: B
Rationale: Case manager coordinates. - V2
2. [Leadership V2] Management style - democratic? - Scenario 2 2026/2027
A. Autocratic decision only leader
B. No style
C. Democratic - team input, collaboration, shared decision
D. Laissez-faire no direction
Answer: C
Rationale: Democratic participative. - V2
3. [Leadership V2] UAP reports client chest pain - RN first? - Scenario 3 2026/2027
A. Ask UAP to give nitro
B. Assess client immediately - ABCs
C. Ignore
D. Chart
Answer: B
Rationale: RN must assess chest pain immediately. - V2
4. [Leadership V2] Delegation - LPN asks RN to give IV push - RN should? - Scenario 4 2026/2027
A. Delegate to UAP
B. Allow LPN to give
C. Ignore scope
D. Explain LPN cannot give IV push, RN will give
Answer: D
Rationale: IV push is RN only. - V2
5. [Leadership V2] Nursing process - ADPIE - D is? - Scenario 5 2026/2027
A. Diagnosis - NANDA based on assessment data
B. Drugs
C. Doing
D. Discharge
Answer: A
Rationale: ADPIE Diagnosis. - V2
6. [Leadership V2] Can RN delegate to UAP? - Scenario 6 2026/2027
A. Interpret labs
B. Assess lung sounds
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. - V2
7. [Leadership V2] Incident report after fall - action? - Scenario 7 2026/2027
A. Complete report factually, notify provider, implement fall precautions, do NOT chart that report filed
B. Ignore
C. Punish staff
D. Document incident report in chart
Answer: A
Rationale: Incident report is QA, not in chart. Document fall, assessment, provider notified, interventions in chart. - V2
8. [Leadership V2] Performance appraisal - best? - Scenario 8 2026/2027
A. Objective, ongoing feedback, specific examples, goals
B. Annual only blame
C. Only negative
, D. No feedback
Answer: A
Rationale: Appraisal objective ongoing. - V2
9. [Leadership V2] Staffing - acuity vs numbers? - Scenario 9 2026/2027
A. Acuity based on client needs, unstable needs more staff
B. Ignore acuity
C. Only numbers
D. Same assignment always
Answer: A
Rationale: Acuity staffing matches needs. - V2
10. [Leadership V2] Chain of command - provider not responding to critical lab - next? - Scenario 10 2026/2027
A. Notify charge nurse, then nursing supervisor, then provider's supervisor per policy
B. Yell
C. Ignore
D. Document only
Answer: A
Rationale: Chain: charge, supervisor, provider supervisor. - V2
11. [Leadership V2] Infection control - which requires private room? - Scenario 11 2026/2027
A. MRSA colonized - contact
B. All clients private
C. No isolation needs private
D. Active TB - airborne private negative pressure
Answer: D
Rationale: TB needs private negative pressure. - V2
12. [Leadership V2] HIPAA violation - which? - Scenario 12 2026/2027
A. Reporting abuse
B. Discussing client in private room with care team
C. Discussing client in elevator with visitors
D. Reporting communicable disease
Answer: C
Rationale: HIPAA: no PHI in public areas, elevator, cafeteria. - V2
13. [Leadership V2] PASS for extinguisher? - Scenario 13 2026/2027
A. Push, Aim, Squeeze, Sweep
B. No acronym
C. Run
D. Pull pin, Aim at base, Squeeze handle, Sweep side to side
Answer: D
Rationale: PASS correct. - V2
14. [Leadership V2] Whistleblower - when? - Scenario 14 2026/2027
A. Report unsafe practice to protect clients per chain and agency policy
B. Gossip
C. Ignore
D. Never report
Answer: A
Rationale: Whistleblower protects reporting unsafe. - V2
15. [Leadership V2] Prioritization - fire on unit - first? - Scenario 15 2026/2027
A. Open all doors
B. Hide
C. RACE: Rescue clients in danger, Alarm, Contain, Extinguish/Evacuate
D. Gather belongings
Answer: C
Rationale: RACE first rescue. - V2
16. [Leadership V2] Provider order unclear - what to do? - Scenario 16 2026/2027
A. Ask UAP
B. Guess
C. Clarify with provider, do not implement unclear order
D. Carry out
Answer: C
Rationale: Clarify unclear orders. - V2
17. [Leadership V2] Medication error - first action? - Scenario 17 2026/2027
, A. Document only
B. Blame
C. Assess client safety, check vitals, notify provider, report per policy
D. Hide
Answer: C
Rationale: Med error: assess client first, then report. - V2
18. [Leadership V2] Budget - fixed vs variable costs? - Scenario 18 2026/2027
A. No budget
B. Only fixed
C. Both same
D. Fixed same each month - rent, Variable changes with census - supplies
Answer: D
Rationale: Fixed rent, variable supplies. - V2
19. [Leadership V2] Client assignment - which to float RN from med-surg to ICU? - Scenario 19 2026/2027
A. Stable ICU client transferring to step-down
B. Unstable coding client
C. Charge role
D. New ICU admission intubated
Answer: A
Rationale: Float to stable clients, not most unstable or charge. - V2
20. [Leadership V2] Ethics - autonomy vs beneficence - client refuses life-saving transfusion? - Scenario 20 2026/2027
A. Force transfusion
B. Respect autonomy if competent adult, explore beliefs, ensure informed refusal
C. Call security
D. Ignore
Answer: B
Rationale: Autonomy respects competent refusal even if beneficence suggests treatment. - V2
21. [Leadership V2] Which task can charge RN delegate to experienced RN? - Scenario 21 2026/2027
A. Diagnose
B. Care for unstable new admission with chest pain
C. Make assignment
D. Order meds
Answer: B
Rationale: Experienced RN gets unstable. - V2
22. [Leadership V2] Conflict - nurse to nurse bullying - first? - Scenario 22 2026/2027
A. Retaliate
B. Address directly, use assertive communication, document, report to manager if continues
C. Quit
D. Ignore
Answer: B
Rationale: Address bullying assertively, report. - V2
23. [Leadership V2] Conflict resolution first step? - Scenario 23 2026/2027
A. Ignore
B. Identify problem, gather data, consider options, choose best, evaluate
C. Argue
D. Blame
Answer: B
Rationale: Problem-solving process. - V2
24. [Leadership V2] Legal - malpractice requires? - Scenario 24 2026/2027
A. No duty
B. Duty, breach, causation, damages
C. Only error
D. No damages
Answer: B
Rationale: Malpractice 4 elements. - V2
25. [Leadership V2] Informed consent - nurse role? - Scenario 25 2026/2027
A. Witness signature, ensure competent, understands, voluntary, provider explained
B. Obtain consent
C. Force client
D. Explain surgery risks
, Answer: A
Rationale: Provider explains. Nurse witnesses competence and understanding. - V2
26. [Leadership V2] Client requests to leave AMA - first? - Scenario 26 2026/2027
A. Ignore
B. Restrain
C. Force stay
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. - V2
27. [Leadership V2] Time management best? - Scenario 27 2026/2027
A. Prioritize ABCs, unstable, use delegation, cluster care, plan day
B. Do all tasks at once
C. Procrastinate
D. Do easiest first only
Answer: A
Rationale: Prioritize, delegate, cluster care, plan. - V2
28. [Leadership V2] Disaster triage - START - black tag? - Scenario 28 2026/2027
A. Deceased or expectant - no respirations after airway reposition
B. Immediate
C. Minor
D. Delayed
Answer: A
Rationale: Black = deceased/expectant. - V2
29. [Leadership V2] Charge nurse receives report - which client assigned to LPN? - Scenario 29 2026/2027
A. New admission with chest pain unstable
B. New onset confusion
C. Septic shock on vasopressors
D. Stable COPD awaiting meds, chronic wound care
Answer: D
Rationale: Assign stable chronic clients to LPN. Unstable, new admissions, new changes to RN. - V2
30. [Leadership V2] Quality improvement - example? - Scenario 30 2026/2027
A. No QI needed
B. Ignore data
C. Audit hand hygiene compliance 60%, educate, re-audit to 90%
D. Blame nurse
Answer: C
Rationale: QI: measure, intervene, re-measure. - V2
31. [Leadership V2] Prioritization - Maslow - physiological first? - Scenario 31 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. - V2
32. [Leadership V2] Change theory - Lewin stages? - Scenario 32 2026/2027
A. No stages
B. Only freezing
C. Unfreezing, moving, refreezing
D. Only moving
Answer: C
Rationale: Lewin change model. - V2
33. [Leadership V2] Client rights - restraints require? - Scenario 33 2026/2027
A. No order
B. Staff convenience
C. Family request only
D. Provider order, least restrictive, renewal q24h, assess q15min-2h
Answer: D
Rationale: Restraints need order, least restrictive. - V2
34. [Leadership V2] RN delegates to LPN - which task? - Scenario 34 2026/2027
A. Develop care plan
