ATI RN Leadership Proctored Exam 2023-2026 with NGN
(70 Real Exam Questions and Answers) - Complete
Actual Exam for RN Leadership 2025
ATI RN Leadership Proctored Exam – Original Practice (100 Questions)
Questions 1–20
Question 1
A charge nurse is delegating tasks on a medical-surgical unit. Which task should
be assigned to an LPN?
A) Initial assessment of a new admission with chest pain
B) Administration of IV push morphine to a postoperative patient
C) Routine tracheostomy care on a stable patient
D) Teaching a diabetic patient how to self-administer insulin
Correct Answer: C
Rationale: LPNs can perform stable, routine procedures like tracheostomy care.
Initial assessments (A), IV push meds (B), and patient teaching (D) are within RN
scope.
Question 2
A nurse manager notices increased staff conflict on the unit. Which conflict
resolution strategy is most effective long-term?
A) Avoiding the issue to maintain peace
B) Competing to enforce a quick decision
C) Collaborating to find a win-win solution
D) Accommodating to satisfy all complaints
Correct Answer: C
Rationale: Collaboration addresses root causes and builds team cohesion.
Avoiding (A) ignores the problem, competing (B) creates resentment,
accommodating (D) may not address all issues.
,Question 3 (NGN – Bowtie)
A nurse on a telemetry unit is assigned four clients. One client with heart failure
has crackles in lung bases, oxygen saturation 89%, and reports shortness of
breath.
Drag and drop the priority action, a potential complication, and a monitoring
parameter.
Priority Action Potential Complication Monitoring Parameter
A) Administer furosemide IV A) Pulmonary embolism A) Blood glucose
B) Raise head of bed to 90° B) Acute respiratory failure B) Daily weight
C) Call rapid response team C) Hyperkalemia C) Urine output
Correct Answer:
• Priority Action: B) Raise head of bed to 90° (immediate airway/breathing)
• Potential Complication: B) Acute respiratory failure
• Monitoring Parameter: C) Urine output (diuretic effect)
Rationale: Raising HOB improves oxygenation. Acute respiratory failure is a risk
with low SpO2. Urine output monitors response to diuresis.
Question 4
A nurse is preparing to delegate hygiene care to a UAP. Which statement by the
nurse demonstrates appropriate delegation?
A) "Give the patient a bath sometime this morning."
B) "Please bathe Mrs. Jones in room 210 before 9 AM and report any skin
redness."
C) "You know how to bathe patients, just do what you think is best."
D) "If you have time, please bathe the patient in 210."
,Correct Answer: B
Rationale: Effective delegation includes clear instructions, time frame, and
reporting expectations. Vague or optional directions (A, C, D) increase risk.
Question 5
A charge nurse is making assignments. Which client should be assigned to the
most experienced RN?
A) Client with pneumonia on oral antibiotics
B) Client with a hip fracture awaiting surgery
C) Client with unstable atrial fibrillation on a continuous heparin drip
D) Client with a urinary tract infection on IV fluids
Correct Answer: C
Rationale: Unstable atrial fibrillation and heparin drip require advanced
assessment and titration skills. Stable, predictable clients (A, B, D) can be assigned
to less experienced nurses.
Question 6
A nurse manager is implementing a new fall prevention protocol. Which action
best supports staff adoption?
A) Mandating compliance without explanation
B) Posting the protocol in the break room
C) Involving staff in protocol development and training
D) Threatening disciplinary action for noncompliance
Correct Answer: C
Rationale: Participative management increases buy-in and adherence. Mandates
without input (A, D) often fail. Passive posting (B) is ineffective.
Question 7
A nurse witnesses another nurse diverting narcotics. What is the nurse's legal
obligation?
A) Confront the nurse privately
, B) Ignore it unless a patient is harmed
C) Report to the nurse manager or state board of nursing
D) Document in the patient’s chart
Correct Answer: C
Rationale: Drug diversion is illegal and unsafe. Nurses have a legal and ethical
duty to report to a supervisor or BON. Confrontation (A) or ignoring (B) is not
appropriate.
Question 8
Which client should the charge nurse assign to a float RN from a postpartum unit?
A) Client on a ventilator with sedation
B) Client with chronic pain requesting PCA pump education
C) Client with stable cellulitis receiving oral antibiotics
D) Client in restraint for aggressive behavior
Correct Answer: C
Rationale: Float nurses should receive stable, predictable, low-acuity patients.
Ventilator (A), pain education (B), and restraints (D) require unit-specific
expertise.
Question 9
A nurse is using the SBAR tool to call a provider about a deteriorating patient.
What is the correct order?
A) Background, Situation, Assessment, Recommendation
B) Situation, Background, Assessment, Recommendation
C) Assessment, Situation, Background, Recommendation
D) Recommendation, Situation, Background, Assessment
Correct Answer: B
Rationale: SBAR standardizes communication: Situation (what’s happening now),
Background (relevant history), Assessment (what you found), Recommendation
(what you need).
(70 Real Exam Questions and Answers) - Complete
Actual Exam for RN Leadership 2025
ATI RN Leadership Proctored Exam – Original Practice (100 Questions)
Questions 1–20
Question 1
A charge nurse is delegating tasks on a medical-surgical unit. Which task should
be assigned to an LPN?
A) Initial assessment of a new admission with chest pain
B) Administration of IV push morphine to a postoperative patient
C) Routine tracheostomy care on a stable patient
D) Teaching a diabetic patient how to self-administer insulin
Correct Answer: C
Rationale: LPNs can perform stable, routine procedures like tracheostomy care.
Initial assessments (A), IV push meds (B), and patient teaching (D) are within RN
scope.
Question 2
A nurse manager notices increased staff conflict on the unit. Which conflict
resolution strategy is most effective long-term?
A) Avoiding the issue to maintain peace
B) Competing to enforce a quick decision
C) Collaborating to find a win-win solution
D) Accommodating to satisfy all complaints
Correct Answer: C
Rationale: Collaboration addresses root causes and builds team cohesion.
Avoiding (A) ignores the problem, competing (B) creates resentment,
accommodating (D) may not address all issues.
,Question 3 (NGN – Bowtie)
A nurse on a telemetry unit is assigned four clients. One client with heart failure
has crackles in lung bases, oxygen saturation 89%, and reports shortness of
breath.
Drag and drop the priority action, a potential complication, and a monitoring
parameter.
Priority Action Potential Complication Monitoring Parameter
A) Administer furosemide IV A) Pulmonary embolism A) Blood glucose
B) Raise head of bed to 90° B) Acute respiratory failure B) Daily weight
C) Call rapid response team C) Hyperkalemia C) Urine output
Correct Answer:
• Priority Action: B) Raise head of bed to 90° (immediate airway/breathing)
• Potential Complication: B) Acute respiratory failure
• Monitoring Parameter: C) Urine output (diuretic effect)
Rationale: Raising HOB improves oxygenation. Acute respiratory failure is a risk
with low SpO2. Urine output monitors response to diuresis.
Question 4
A nurse is preparing to delegate hygiene care to a UAP. Which statement by the
nurse demonstrates appropriate delegation?
A) "Give the patient a bath sometime this morning."
B) "Please bathe Mrs. Jones in room 210 before 9 AM and report any skin
redness."
C) "You know how to bathe patients, just do what you think is best."
D) "If you have time, please bathe the patient in 210."
,Correct Answer: B
Rationale: Effective delegation includes clear instructions, time frame, and
reporting expectations. Vague or optional directions (A, C, D) increase risk.
Question 5
A charge nurse is making assignments. Which client should be assigned to the
most experienced RN?
A) Client with pneumonia on oral antibiotics
B) Client with a hip fracture awaiting surgery
C) Client with unstable atrial fibrillation on a continuous heparin drip
D) Client with a urinary tract infection on IV fluids
Correct Answer: C
Rationale: Unstable atrial fibrillation and heparin drip require advanced
assessment and titration skills. Stable, predictable clients (A, B, D) can be assigned
to less experienced nurses.
Question 6
A nurse manager is implementing a new fall prevention protocol. Which action
best supports staff adoption?
A) Mandating compliance without explanation
B) Posting the protocol in the break room
C) Involving staff in protocol development and training
D) Threatening disciplinary action for noncompliance
Correct Answer: C
Rationale: Participative management increases buy-in and adherence. Mandates
without input (A, D) often fail. Passive posting (B) is ineffective.
Question 7
A nurse witnesses another nurse diverting narcotics. What is the nurse's legal
obligation?
A) Confront the nurse privately
, B) Ignore it unless a patient is harmed
C) Report to the nurse manager or state board of nursing
D) Document in the patient’s chart
Correct Answer: C
Rationale: Drug diversion is illegal and unsafe. Nurses have a legal and ethical
duty to report to a supervisor or BON. Confrontation (A) or ignoring (B) is not
appropriate.
Question 8
Which client should the charge nurse assign to a float RN from a postpartum unit?
A) Client on a ventilator with sedation
B) Client with chronic pain requesting PCA pump education
C) Client with stable cellulitis receiving oral antibiotics
D) Client in restraint for aggressive behavior
Correct Answer: C
Rationale: Float nurses should receive stable, predictable, low-acuity patients.
Ventilator (A), pain education (B), and restraints (D) require unit-specific
expertise.
Question 9
A nurse is using the SBAR tool to call a provider about a deteriorating patient.
What is the correct order?
A) Background, Situation, Assessment, Recommendation
B) Situation, Background, Assessment, Recommendation
C) Assessment, Situation, Background, Recommendation
D) Recommendation, Situation, Background, Assessment
Correct Answer: B
Rationale: SBAR standardizes communication: Situation (what’s happening now),
Background (relevant history), Assessment (what you found), Recommendation
(what you need).
