ATI Leadership Proctored Exam – 2025-2026 Full Review Guide
with Summaries, NCLEX-Style Practice Content, and Detailed
Rationales||Latest Question and Answers !!Graded A+
”1. A nurse is observing a newly licensed nurse prepare a medication
from an ampule for a client's injection. For which of the following
actions by the newly licensed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous
needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration. - Answer-
Withdraws the medication from the ampule using a subcutaneous
needle.
2. A nurse manager observes an assistive personal (AP) incorrectly
transferring a client to the bedside commode. Which of the following
actions should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual. - Answer-Help the AP
assist the client with the transfer.
3. A nurse is participating in the development of a disaster
management plan for a hospital. The nurse should recognize that
which of the following resources is the highest priority to have
available in response to a bioterrorism event?
o A sufficient supply of personal protective equipment
o A system for tracking client information
o A mental health specialist on the response team
pg. 1
,o A network for communication between staff members families. -
Answer-A sufficient supply of personal protective equipment
4. A charge nurse observes a client fall while ambulating with an
assistive personnel and notes that the client's gait belt was not in
place. When reviewing the incident report, the charge nurse finds that
the report does not mention the gait belt. Which of the following
ethical principles should the charge nurse follow?
o Veracity
o Fidelity
o Beneficence
o Nonmaleficence - Answer-Veracity
5. A charge nurse is evaluating a newly licensed nurse and presents a
performance improvement plan to the nurse for remediation. Which of
the following outcomes should indicate to the charge nurse that the
plan has been effective?
o The nurse shares their performance plan with another nurse.
o The nurse attends a critical thinking class.
o The nurse verbalizes their understanding of the plan.
o The nurse performs all tasks as specified. - Answer-The nurse
performs all tasks as specified
6. A nurse manager is discussing responsibilities of the nurse manager
role with a group of newly licensed nurses. Which of the following
responsibilities should the nurse include? (Select all that apply)
o Make decisions on the unit.
o Delegate tasks to assistive personal.
o Monitor overall functions of the unit.
o Reward and discipline staff as necessary.
o Ensure goals of the facility are being met. - Answer-
pg. 2
,Make decisions on the unit.
Monitor overall functions of the unit.
Reward and discipline staff as necessary.
Ensure goals of the facility are being met
7. A nurse is preparing a client for a cardiac catheterization. Just
before the procedure, the client asks the nurse about the risks of the
procedure. Which of the following actions should the nurse take?
o Check to see if the medical record indicates the provider explained
the procedure to the client.
o Explain the risks of the procedure to the client.
o Convey the client's request to the nurse who witnessed the consent.
o Notify the provider about the client 's concerns. - Answer-Notify the
provider about the client's concerns.
8. A nurse in a rehabilitation facility is administering medications to a
client who was admitted earlier that day. The client refuses two of the
medications, stating, "I've never taken these before.". Which of the
following actions should the nurse take first?
o Compare the client's medication administration record with the
prescriptions of the transfer order.
o Call the provider to clarify the client's prescribed medications.
o Review the intended purpose of the prescribed medications with the
client.
o Consult the pharmacist about the client's prescribed medications. -
Answer-Compare the client's medication administration record with
the prescriptions of the transfer order.
9. A nurse is providing discharge teaching to the parent of a toddler
who has a new diagnosis of asthma. The parent states she is unable to
afford the nebulizer prescribed for the child. Which of the following
referrals should the nurse recommend?
pg. 3
, o Child protective services
o Pharmacist
o Respiratory therapist
o Social Worker - Answer-Social worker
10. A charge nurse witnesses assistive personnel (AP) failing to
follow facility protocol when discarding contaminated linens. Which
of the following actions should the nurse take first?
o Reinforce facility protocols at the next staff meeting.
o Alert the infection control department.
o Discuss the issue with the AP.
o Notify the unit manager about the incident. - Answer-Discuss the
issue with the AP.
11. While auditing the medical records of clients currently on an
oncology unit, the nurse manager finds that six of the 15 records lack
documentation regarding advance directives. Which of the following
is the priority action for the nurse to take?
o Meet with nursing staff to review the policy regarding advance
directives.
o Ask nurses who are caring for clients without this information in the
medical record to obtain it.
o Reinforce the potential consequences of not having this information
on record to the nursing staff.
o Remind nurses to obtain this information during the admission
process. - Answer-Meet with nursing staff to review the policy
regarding advance directives.
12. A charge nurse observes a licensed practical nurse (LPN) tell a
client that she will return with a medication to help relive the client's
nausea. The LPN does not return with the medication. The charge
pg. 4
with Summaries, NCLEX-Style Practice Content, and Detailed
Rationales||Latest Question and Answers !!Graded A+
”1. A nurse is observing a newly licensed nurse prepare a medication
from an ampule for a client's injection. For which of the following
actions by the newly licensed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous
needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration. - Answer-
Withdraws the medication from the ampule using a subcutaneous
needle.
2. A nurse manager observes an assistive personal (AP) incorrectly
transferring a client to the bedside commode. Which of the following
actions should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual. - Answer-Help the AP
assist the client with the transfer.
3. A nurse is participating in the development of a disaster
management plan for a hospital. The nurse should recognize that
which of the following resources is the highest priority to have
available in response to a bioterrorism event?
o A sufficient supply of personal protective equipment
o A system for tracking client information
o A mental health specialist on the response team
pg. 1
,o A network for communication between staff members families. -
Answer-A sufficient supply of personal protective equipment
4. A charge nurse observes a client fall while ambulating with an
assistive personnel and notes that the client's gait belt was not in
place. When reviewing the incident report, the charge nurse finds that
the report does not mention the gait belt. Which of the following
ethical principles should the charge nurse follow?
o Veracity
o Fidelity
o Beneficence
o Nonmaleficence - Answer-Veracity
5. A charge nurse is evaluating a newly licensed nurse and presents a
performance improvement plan to the nurse for remediation. Which of
the following outcomes should indicate to the charge nurse that the
plan has been effective?
o The nurse shares their performance plan with another nurse.
o The nurse attends a critical thinking class.
o The nurse verbalizes their understanding of the plan.
o The nurse performs all tasks as specified. - Answer-The nurse
performs all tasks as specified
6. A nurse manager is discussing responsibilities of the nurse manager
role with a group of newly licensed nurses. Which of the following
responsibilities should the nurse include? (Select all that apply)
o Make decisions on the unit.
o Delegate tasks to assistive personal.
o Monitor overall functions of the unit.
o Reward and discipline staff as necessary.
o Ensure goals of the facility are being met. - Answer-
pg. 2
,Make decisions on the unit.
Monitor overall functions of the unit.
Reward and discipline staff as necessary.
Ensure goals of the facility are being met
7. A nurse is preparing a client for a cardiac catheterization. Just
before the procedure, the client asks the nurse about the risks of the
procedure. Which of the following actions should the nurse take?
o Check to see if the medical record indicates the provider explained
the procedure to the client.
o Explain the risks of the procedure to the client.
o Convey the client's request to the nurse who witnessed the consent.
o Notify the provider about the client 's concerns. - Answer-Notify the
provider about the client's concerns.
8. A nurse in a rehabilitation facility is administering medications to a
client who was admitted earlier that day. The client refuses two of the
medications, stating, "I've never taken these before.". Which of the
following actions should the nurse take first?
o Compare the client's medication administration record with the
prescriptions of the transfer order.
o Call the provider to clarify the client's prescribed medications.
o Review the intended purpose of the prescribed medications with the
client.
o Consult the pharmacist about the client's prescribed medications. -
Answer-Compare the client's medication administration record with
the prescriptions of the transfer order.
9. A nurse is providing discharge teaching to the parent of a toddler
who has a new diagnosis of asthma. The parent states she is unable to
afford the nebulizer prescribed for the child. Which of the following
referrals should the nurse recommend?
pg. 3
, o Child protective services
o Pharmacist
o Respiratory therapist
o Social Worker - Answer-Social worker
10. A charge nurse witnesses assistive personnel (AP) failing to
follow facility protocol when discarding contaminated linens. Which
of the following actions should the nurse take first?
o Reinforce facility protocols at the next staff meeting.
o Alert the infection control department.
o Discuss the issue with the AP.
o Notify the unit manager about the incident. - Answer-Discuss the
issue with the AP.
11. While auditing the medical records of clients currently on an
oncology unit, the nurse manager finds that six of the 15 records lack
documentation regarding advance directives. Which of the following
is the priority action for the nurse to take?
o Meet with nursing staff to review the policy regarding advance
directives.
o Ask nurses who are caring for clients without this information in the
medical record to obtain it.
o Reinforce the potential consequences of not having this information
on record to the nursing staff.
o Remind nurses to obtain this information during the admission
process. - Answer-Meet with nursing staff to review the policy
regarding advance directives.
12. A charge nurse observes a licensed practical nurse (LPN) tell a
client that she will return with a medication to help relive the client's
nausea. The LPN does not return with the medication. The charge
pg. 4
