ATI NURSING LEADERSHIP AND
MANAGEMENT ACTUAL EXAM PAPER 2026
COMPLETE QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 1. A nurse enters the room of a client
who is on contact precautions and
finds the client lying on the floor.
Which of the following actions
should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed.
Answer: A. The nurse should notify the provider to determine
whether
the client needs further examination and treatment, but
there is another action the nurse should take first.
B. The nurse should seek assistance in returning the
client to bed to prevent further harm to the client, but
,there is another action the nurse should take first.
C. CORRECT: The first action the nurse should take
using the nursing process is to assess the client.
D. The nurse should instruct the client to ask for help if he
needs to get out of bed to help prevent future falls, but
there is another action the nurse should take first.
◉ 2. An RN on a medical-surgical unit is making assignments at the
beginning of the shift. Which of the following tasks should the nurse
delegate to the PN?
A. Obtain vital signs for a client who is 2 hr postprocedure following
a cardiac catheterization.
B. Administer a unit of packed red blood cells (RBCs) to a client who
has cancer.
C. Instruct a client who is scheduled for discharge in the
performance of wound care.
D. Develop a plan of care for a newly admitted client who has
pneumonia.
Answer: A. CORRECT: It is within the scope of practice of the PN to
monitor a client who is 2 hr postprocedure for a cardiac
catheterization.
B. The RN is responsible for administering blood components
including
packed RBCs because this outside of the scope of practice for the PN.
,C. The RN is responsible for client education. It is within the scope of
practice of the PN to reinforce but not provide initial client
education.
D. The RN is responsible for developing a plan of care for a client. It
is within the scope of practice for the PN to suggest additions to but
not develop the plan of care.
NCLEX
◉ 3. A PN ending her shift reports to the RN that a newly hired AP
has not calculated the intake and output for several clients. Which of
the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN,
C. Ask the AP if she needs assistance.
D. Notify the nurse manager.
Answer: A. An incident report is indicated when a critical incident
has occurred. It is not necessary to complete an incident report in
this situation.
B. The nurse should not redelegate a task.
C. CORRECT: The nurse should find out what the AP knows about
performing the task and provide education for the AP if indicated.
D. The RN is capable of handling the situation. It is not necessary to
notify the nurse manager.
, ◉ 4. A nurse manager is developing an orientation plan for newly
licensed nurses. Which of the following information should the
manager include in the plan? (Select all that apply.)
A. Skill proficiency
B. Assignment to a preceptor
C.Budgetary principles
D.Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures
Answer: A. CORRECT: The purpose of orientation is to assist the
newly licensed nurse to transition from the role of student to the
role of employee and licensed nurse. The nurse manager should
include evaluation of skill proficiency and provide additional
instruction as indicated.
B. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
assignment of a preceptor to ease the transition of the newly
licensed nurse.
C. Budgetary principles are an administrative skill that is usually the
responsibility of the unit manager.
D. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
computerized charting, which is an essential skill for the newly
licensed nurse.
MANAGEMENT ACTUAL EXAM PAPER 2026
COMPLETE QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 1. A nurse enters the room of a client
who is on contact precautions and
finds the client lying on the floor.
Which of the following actions
should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed.
Answer: A. The nurse should notify the provider to determine
whether
the client needs further examination and treatment, but
there is another action the nurse should take first.
B. The nurse should seek assistance in returning the
client to bed to prevent further harm to the client, but
,there is another action the nurse should take first.
C. CORRECT: The first action the nurse should take
using the nursing process is to assess the client.
D. The nurse should instruct the client to ask for help if he
needs to get out of bed to help prevent future falls, but
there is another action the nurse should take first.
◉ 2. An RN on a medical-surgical unit is making assignments at the
beginning of the shift. Which of the following tasks should the nurse
delegate to the PN?
A. Obtain vital signs for a client who is 2 hr postprocedure following
a cardiac catheterization.
B. Administer a unit of packed red blood cells (RBCs) to a client who
has cancer.
C. Instruct a client who is scheduled for discharge in the
performance of wound care.
D. Develop a plan of care for a newly admitted client who has
pneumonia.
Answer: A. CORRECT: It is within the scope of practice of the PN to
monitor a client who is 2 hr postprocedure for a cardiac
catheterization.
B. The RN is responsible for administering blood components
including
packed RBCs because this outside of the scope of practice for the PN.
,C. The RN is responsible for client education. It is within the scope of
practice of the PN to reinforce but not provide initial client
education.
D. The RN is responsible for developing a plan of care for a client. It
is within the scope of practice for the PN to suggest additions to but
not develop the plan of care.
NCLEX
◉ 3. A PN ending her shift reports to the RN that a newly hired AP
has not calculated the intake and output for several clients. Which of
the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN,
C. Ask the AP if she needs assistance.
D. Notify the nurse manager.
Answer: A. An incident report is indicated when a critical incident
has occurred. It is not necessary to complete an incident report in
this situation.
B. The nurse should not redelegate a task.
C. CORRECT: The nurse should find out what the AP knows about
performing the task and provide education for the AP if indicated.
D. The RN is capable of handling the situation. It is not necessary to
notify the nurse manager.
, ◉ 4. A nurse manager is developing an orientation plan for newly
licensed nurses. Which of the following information should the
manager include in the plan? (Select all that apply.)
A. Skill proficiency
B. Assignment to a preceptor
C.Budgetary principles
D.Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures
Answer: A. CORRECT: The purpose of orientation is to assist the
newly licensed nurse to transition from the role of student to the
role of employee and licensed nurse. The nurse manager should
include evaluation of skill proficiency and provide additional
instruction as indicated.
B. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
assignment of a preceptor to ease the transition of the newly
licensed nurse.
C. Budgetary principles are an administrative skill that is usually the
responsibility of the unit manager.
D. CORRECT: The purpose of orientation is to assist the newly
licensed nurse to transition from the role of student to the role of
employee and licensed nurse. The nurse manager should include
computerized charting, which is an essential skill for the newly
licensed nurse.
