, ATI Leadership Proctored Exam – Study Guide Framework
Core Leadership & Management Concepts
1. Question: What is the primary difference between leadership and management?
Answer:
• Leadership: Focuses on inspiring, motivating, and influencing others toward a shared
vision.
• Management: Involves planning, organizing, staffing, directing, and controlling resources
to achieve organizational goals.
Rationale: Leaders empower and innovate; managers maintain stability and efficiency.
2. Question: Which leadership style is most effective in an emergency situation?
Answer: Autocratic/Directive
Rationale: In emergencies, quick decision-making is critical, and one person must direct actions
without extended discussion.
3. Question: A nurse manager notices conflicts between day and night shift regarding
incomplete tasks. Which approach should be used first?
Answer: Facilitate a collaborative meeting to discuss concerns and develop a shared solution.
Rationale: Collaboration promotes ownership and improves team communication.
Delegation & Supervision
4. Question: An RN can delegate to a Licensed Practical Nurse (LPN) which of the following
tasks?
Answer: Administering oral medications, dressing changes (stable wounds), and monitoring
stable patients.
Rationale: LPNs work under RN supervision and can perform tasks within their scope of
practice.
5. Question: What task should never be delegated to unlicensed assistive personnel (UAP)?
Answer: Nursing judgment, assessment, evaluation, patient education, or sterile procedures.
Rationale: These require professional nursing knowledge and skill.
6. Question: Which principle guides delegation according to the National Council of State
Boards of Nursing (NCSBN)?
Answer: Right Task, Right Circumstance, Right Person, Right Direction, Right Supervision.
Rationale: These “Five Rights” ensure safe delegation.
Core Leadership & Management Concepts
1. Question: What is the primary difference between leadership and management?
Answer:
• Leadership: Focuses on inspiring, motivating, and influencing others toward a shared
vision.
• Management: Involves planning, organizing, staffing, directing, and controlling resources
to achieve organizational goals.
Rationale: Leaders empower and innovate; managers maintain stability and efficiency.
2. Question: Which leadership style is most effective in an emergency situation?
Answer: Autocratic/Directive
Rationale: In emergencies, quick decision-making is critical, and one person must direct actions
without extended discussion.
3. Question: A nurse manager notices conflicts between day and night shift regarding
incomplete tasks. Which approach should be used first?
Answer: Facilitate a collaborative meeting to discuss concerns and develop a shared solution.
Rationale: Collaboration promotes ownership and improves team communication.
Delegation & Supervision
4. Question: An RN can delegate to a Licensed Practical Nurse (LPN) which of the following
tasks?
Answer: Administering oral medications, dressing changes (stable wounds), and monitoring
stable patients.
Rationale: LPNs work under RN supervision and can perform tasks within their scope of
practice.
5. Question: What task should never be delegated to unlicensed assistive personnel (UAP)?
Answer: Nursing judgment, assessment, evaluation, patient education, or sterile procedures.
Rationale: These require professional nursing knowledge and skill.
6. Question: Which principle guides delegation according to the National Council of State
Boards of Nursing (NCSBN)?
Answer: Right Task, Right Circumstance, Right Person, Right Direction, Right Supervision.
Rationale: These “Five Rights” ensure safe delegation.
