ATI RN LEADERSHIP PROCTORED
ASSESSMENT 2026 QUESTIONS AND
ANSWERS
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which of the following actions should the nurse manager take first to facilitate the change
process?
A. Distribute the new policy to all staff members via email.
B. Identify staff members who will act as ‘change agents’ during the transition.
C. Assess the staff’s readiness for the upcoming change.
D. Provide incentives for staff who adhere to the new protocol.
Answer: C
Conceptual Explanation: According to Lewin’s Change Theory, the first stage is
‘unfreezing,’ which involves identifying the problem and assessing the readiness and
motivation of others for change.
2. A registered nurse (RN) is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the RN to delegate?
A. Performing a simple dressing change on a stable surgical wound.
,B. Providing discharge instructions to a client who had a laparoscopic cholecystectomy.
C. Assisting a client who is 24 hours postoperative with initial ambulation.
D. Evaluating a client’s response to pain medication.
Answer: A
Conceptual Explanation: RNs can delegate tasks that are repetitive, non-invasive, and
have predictable outcomes. Simple dressing changes on stable wounds fall within the AP’s
scope of practice in many facilities, whereas evaluation, education, and initial ambulation of
a post-op patient require clinical judgment.
3. A nurse is caring for a client who is scheduled for an elective surgery. The client tells the
nurse, ‘I am not sure if I want to go through with this procedure anymore.’ Which of the
following actions should the nurse take?
A. Reassure the client that the surgeon is highly skilled and the procedure is safe.
B. Inform the client that they have already signed the consent form.
C. Ask the client’s family to help convince the client to proceed.
D. Notify the surgeon that the client is expressing doubts about the procedure.
Answer: D
Conceptual Explanation: The nurse acts as a client advocate. If a client expresses doubt or
lacks understanding after signing consent, the nurse must notify the provider to clarify the
situation and ensure informed consent is maintained.
, 4. A nurse manager is resolving a conflict between two staff nurses regarding holiday
scheduling. The manager decides to use a ‘win-win’ strategy. Which of the following conflict
resolution techniques is the manager using?
A. Avoiding
B. Collaborating
C. Compromising
D. Smoothing
Answer: B
Conceptual Explanation: Collaboration is a win-win approach where both parties set
aside original goals to work together to find a solution that satisfies everyone’s needs.
5. A charge nurse is planning the assignments for the next shift. Which of the following clients
should the charge nurse assign to a nurse who is floated from the pediatric unit to the adult
medical-surgical unit?
A. A 68-year-old client who is 12 hours postoperative following a total hip arthroplasty.
B. A 30-year-old client who has a fracture and requires frequent neurovascular checks.
C. A 52-year-old client who is being admitted with acute exacerbation of Crohn’s disease.
D. A 45-year-old client who has a new diagnosis of type 1 diabetes mellitus and requires
education.
Answer: B
ASSESSMENT 2026 QUESTIONS AND
ANSWERS
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which of the following actions should the nurse manager take first to facilitate the change
process?
A. Distribute the new policy to all staff members via email.
B. Identify staff members who will act as ‘change agents’ during the transition.
C. Assess the staff’s readiness for the upcoming change.
D. Provide incentives for staff who adhere to the new protocol.
Answer: C
Conceptual Explanation: According to Lewin’s Change Theory, the first stage is
‘unfreezing,’ which involves identifying the problem and assessing the readiness and
motivation of others for change.
2. A registered nurse (RN) is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the RN to delegate?
A. Performing a simple dressing change on a stable surgical wound.
,B. Providing discharge instructions to a client who had a laparoscopic cholecystectomy.
C. Assisting a client who is 24 hours postoperative with initial ambulation.
D. Evaluating a client’s response to pain medication.
Answer: A
Conceptual Explanation: RNs can delegate tasks that are repetitive, non-invasive, and
have predictable outcomes. Simple dressing changes on stable wounds fall within the AP’s
scope of practice in many facilities, whereas evaluation, education, and initial ambulation of
a post-op patient require clinical judgment.
3. A nurse is caring for a client who is scheduled for an elective surgery. The client tells the
nurse, ‘I am not sure if I want to go through with this procedure anymore.’ Which of the
following actions should the nurse take?
A. Reassure the client that the surgeon is highly skilled and the procedure is safe.
B. Inform the client that they have already signed the consent form.
C. Ask the client’s family to help convince the client to proceed.
D. Notify the surgeon that the client is expressing doubts about the procedure.
Answer: D
Conceptual Explanation: The nurse acts as a client advocate. If a client expresses doubt or
lacks understanding after signing consent, the nurse must notify the provider to clarify the
situation and ensure informed consent is maintained.
, 4. A nurse manager is resolving a conflict between two staff nurses regarding holiday
scheduling. The manager decides to use a ‘win-win’ strategy. Which of the following conflict
resolution techniques is the manager using?
A. Avoiding
B. Collaborating
C. Compromising
D. Smoothing
Answer: B
Conceptual Explanation: Collaboration is a win-win approach where both parties set
aside original goals to work together to find a solution that satisfies everyone’s needs.
5. A charge nurse is planning the assignments for the next shift. Which of the following clients
should the charge nurse assign to a nurse who is floated from the pediatric unit to the adult
medical-surgical unit?
A. A 68-year-old client who is 12 hours postoperative following a total hip arthroplasty.
B. A 30-year-old client who has a fracture and requires frequent neurovascular checks.
C. A 52-year-old client who is being admitted with acute exacerbation of Crohn’s disease.
D. A 45-year-old client who has a new diagnosis of type 1 diabetes mellitus and requires
education.
Answer: B
