ATI RN LEADERSHIP & MANAGEMENT EXAM
NEWEST EVALUATED PRACTICE EXAM 100
QUESTIONS 2026-2027|ORIGINAL QUESTIONS &
ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A nurse manager is assigning clients to staff members. Which client
should the RN care for?
A. A client who requires routine oral medications
B. A stable client needing assistance with bathing
C. A client receiving a continuous IV heparin infusion
D. A client awaiting discharge instructions
Answer: C. A client receiving a continuous IV heparin infusion
Rationale: Continuous IV anticoagulant therapy requires RN-level
assessment, monitoring, and clinical judgment because of the risk for
bleeding and dosage-related complications.
2. Which task is appropriate for an RN to delegate to an experienced
LPN/LVN?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Administration of oral medications to a stable client
D. Teaching a client about a newly prescribed medication
Answer: C. Administration of oral medications to a stable client
,Rationale: An LPN/LVN can provide care to stable clients and
administer medications within the scope of practice. Initial
assessments, care planning, and initial teaching require an RN.
3. Which task is appropriate for an RN to delegate to assistive
personnel (AP)?
A. Assessing a client's pain
B. Teaching incentive spirometer use
C. Measuring urine output for a stable client
D. Evaluating a client's response to medication
Answer: C. Measuring urine output for a stable client
Rationale: AP can perform routine, predictable tasks such as
measuring and recording urine output. Assessment, teaching, and
evaluation cannot be delegated.
4. A nurse is delegating a task to AP. Which action is most important?
A. Tell the AP how to perform every nursing intervention.
B. Verify that the AP understands the assigned task.
C. Ask another AP to supervise the task.
D. Allow the AP to determine whether the task is appropriate.
Answer: B. Verify that the AP understands the assigned task.
Rationale: The nurse must provide clear instructions and verify that
the delegate understands the task, expected outcomes, and when to
report findings.
,5. Which client should the charge nurse assign to the most experienced
RN?
A. A client with stable hypertension
B. A client requiring routine wound care
C. A client experiencing acute respiratory distress
D. A client awaiting transport home
Answer: C. A client experiencing acute respiratory distress
Rationale: An unstable client with an airway or breathing problem
requires an experienced RN capable of rapid assessment and
intervention.
6. A nurse receives four client reports. Which client should the nurse
assess first?
A. A client reporting incisional pain of 6/10
B. A client with oxygen saturation of 86%
C. A client requesting assistance to the bathroom
D. A client who needs a scheduled dressing change
Answer: B. A client with oxygen saturation of 86%
Rationale: An oxygen saturation of 86% indicates impaired
oxygenation and requires immediate assessment and intervention
according to ABC priorities.
7. A nurse manager observes a staff nurse making repeated medication
errors. What is the manager's priority action?
A. Immediately terminate the nurse
B. Ignore the errors unless a client is harmed
, C. Investigate the circumstances surrounding the errors
D. Report the nurse to the state board immediately
Answer: C. Investigate the circumstances surrounding the errors
Rationale: The manager should first determine the nature, frequency,
causes, and circumstances of the errors before determining
appropriate corrective action.
8. Which action by a nurse demonstrates effective conflict resolution?
A. Avoiding the conflict
B. Addressing the issue privately with the coworker
C. Discussing the coworker's behavior with other staff
D. Sending an anonymous complaint to management
Answer: B. Addressing the issue privately with the coworker
Rationale: Direct, respectful communication in a private setting
promotes collaboration and allows the parties to work toward a
solution.
9. A nurse is using the chain of command after identifying a client
safety concern. Which action is appropriate?
A. Post the concern on social media
B. Discuss the issue with the client's family first
C. Report the concern to the immediate supervisor
D. Wait until the end of the shift
Answer: C. Report the concern to the immediate supervisor
Rationale: The chain of command provides a structured method for
escalating unresolved safety or clinical concerns.
NEWEST EVALUATED PRACTICE EXAM 100
QUESTIONS 2026-2027|ORIGINAL QUESTIONS &
ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A nurse manager is assigning clients to staff members. Which client
should the RN care for?
A. A client who requires routine oral medications
B. A stable client needing assistance with bathing
C. A client receiving a continuous IV heparin infusion
D. A client awaiting discharge instructions
Answer: C. A client receiving a continuous IV heparin infusion
Rationale: Continuous IV anticoagulant therapy requires RN-level
assessment, monitoring, and clinical judgment because of the risk for
bleeding and dosage-related complications.
2. Which task is appropriate for an RN to delegate to an experienced
LPN/LVN?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Administration of oral medications to a stable client
D. Teaching a client about a newly prescribed medication
Answer: C. Administration of oral medications to a stable client
,Rationale: An LPN/LVN can provide care to stable clients and
administer medications within the scope of practice. Initial
assessments, care planning, and initial teaching require an RN.
3. Which task is appropriate for an RN to delegate to assistive
personnel (AP)?
A. Assessing a client's pain
B. Teaching incentive spirometer use
C. Measuring urine output for a stable client
D. Evaluating a client's response to medication
Answer: C. Measuring urine output for a stable client
Rationale: AP can perform routine, predictable tasks such as
measuring and recording urine output. Assessment, teaching, and
evaluation cannot be delegated.
4. A nurse is delegating a task to AP. Which action is most important?
A. Tell the AP how to perform every nursing intervention.
B. Verify that the AP understands the assigned task.
C. Ask another AP to supervise the task.
D. Allow the AP to determine whether the task is appropriate.
Answer: B. Verify that the AP understands the assigned task.
Rationale: The nurse must provide clear instructions and verify that
the delegate understands the task, expected outcomes, and when to
report findings.
,5. Which client should the charge nurse assign to the most experienced
RN?
A. A client with stable hypertension
B. A client requiring routine wound care
C. A client experiencing acute respiratory distress
D. A client awaiting transport home
Answer: C. A client experiencing acute respiratory distress
Rationale: An unstable client with an airway or breathing problem
requires an experienced RN capable of rapid assessment and
intervention.
6. A nurse receives four client reports. Which client should the nurse
assess first?
A. A client reporting incisional pain of 6/10
B. A client with oxygen saturation of 86%
C. A client requesting assistance to the bathroom
D. A client who needs a scheduled dressing change
Answer: B. A client with oxygen saturation of 86%
Rationale: An oxygen saturation of 86% indicates impaired
oxygenation and requires immediate assessment and intervention
according to ABC priorities.
7. A nurse manager observes a staff nurse making repeated medication
errors. What is the manager's priority action?
A. Immediately terminate the nurse
B. Ignore the errors unless a client is harmed
, C. Investigate the circumstances surrounding the errors
D. Report the nurse to the state board immediately
Answer: C. Investigate the circumstances surrounding the errors
Rationale: The manager should first determine the nature, frequency,
causes, and circumstances of the errors before determining
appropriate corrective action.
8. Which action by a nurse demonstrates effective conflict resolution?
A. Avoiding the conflict
B. Addressing the issue privately with the coworker
C. Discussing the coworker's behavior with other staff
D. Sending an anonymous complaint to management
Answer: B. Addressing the issue privately with the coworker
Rationale: Direct, respectful communication in a private setting
promotes collaboration and allows the parties to work toward a
solution.
9. A nurse is using the chain of command after identifying a client
safety concern. Which action is appropriate?
A. Post the concern on social media
B. Discuss the issue with the client's family first
C. Report the concern to the immediate supervisor
D. Wait until the end of the shift
Answer: C. Report the concern to the immediate supervisor
Rationale: The chain of command provides a structured method for
escalating unresolved safety or clinical concerns.
