ATI LEADERSHIP PROCTORED EXAM — STUDY
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL
EXAM | PRACTICE QUESTIONS AND ANSWERS |
EXAM REVIEW | 100% CORRECT ANSWERS |
VERIFIED SOLUTIONS
1.
A nurse manager is leading a team through a major change in
documentation software. Staff are resistant and anxious. Which
leadership style is most appropriate in this situation?
A) Laissez-faire
B) Transformational
C) Autocratic
D) Bureaucratic
Correct Answer: B
Transformational leadership inspires and motivates staff through
change by creating a shared vision, providing support, and empowering
team members. Laissez-faire offers too little direction; autocratic may
increase resistance; bureaucratic is rigid and rule-focused, which can
worsen anxiety during change.
2.
A charge nurse is making assignments for the next shift. Which client
should be assigned to an RN rather than a licensed practical nurse
(LPN)?
A) A client with stable vital signs who needs assistance with ambulation
B) A client newly admitted with unstable angina requiring ongoing
assessment
,C) A client receiving oral medications for a chronic condition
D) A client needing a routine dressing change
Correct Answer: B
Unstable clients requiring ongoing assessment, critical thinking, and
complex interventions must be assigned to an RN. LPNs can care for
stable clients with predictable outcomes, administer oral medications,
and perform routine dressings under supervision. The RN retains
accountability for all clients.
3.
A nurse receives a verbal order for a medication during a code situation.
What is the best action to ensure accuracy?
A) Repeat the order back to the provider and document it as soon as
possible
B) Administer the medication without repeating the order
C) Ask another nurse to write the order without verification
D) Refuse to accept verbal orders under any circumstances
Correct Answer: A
During emergency situations, verbal orders may be necessary. The nurse
should read back the order to verify accuracy and document it promptly
per facility policy. Refusing all verbal orders is impractical and unsafe in
emergencies; administering without read-back increases error risk.
4.
Which of the following is an example of a nurse demonstrating client
advocacy?
A) Following all provider orders without question
B) Speaking up when a client's needs are not being met or when unsafe
,practices are observed
C) Avoiding conflict with other team members
D) Completing tasks as quickly as possible without evaluating outcomes
Correct Answer: B
Advocacy involves identifying and addressing unmet client needs,
speaking up for safety, and ensuring the client's voice is heard. Blindly
following orders, avoiding conflict, or rushing tasks does not
demonstrate advocacy and may compromise care.
5.
A nurse manager is reviewing incident reports for the unit. What is the
primary purpose of incident reports?
A) To punish staff members involved in errors
B) To identify system failures and prevent future occurrences
C) To document evidence for legal action against nurses
D) To track employee productivity
Correct Answer: B
Incident reports are quality improvement tools used to identify root
causes and implement system changes to prevent recurrence. They are
nonpunitive and confidential. They are not intended to punish staff or
serve as legal evidence against individuals.
6.
Which of the following clients should the nurse assess first?
A) A client with a blood pressure of 100/60 mm Hg who is
asymptomatic
B) A client with a heart rate of 120 beats/min and reports chest pain
, C) A client with a temperature of 99.8°F
D) A client who needs assistance with bathing
Correct Answer: B
Chest pain with tachycardia indicates potential cardiac ischemia and
requires immediate assessment and intervention. Asymptomatic mild
hypotension, low-grade fever, and bathing assistance are less urgent.
Prioritization is based on physiological instability and ABCs.
7.
A nurse is delegating a task to unlicensed assistive personnel (UAP).
Which of the following tasks is appropriate to delegate?
A) Administering an enema
B) Measuring and recording intake and output
C) Performing a sterile dressing change
D) Evaluating a client's response to pain medication
Correct Answer: B
Measuring and recording intake and output is within the UAP scope of
practice. Enemas and sterile dressing changes require nursing judgment
and skill; evaluating a client's response to medication is an RN
responsibility. Delegation must match the delegate's training and
competency.
8.
A nurse manager uses a laissez-faire leadership style. Which
characteristic best describes this style?
A) The manager makes all decisions and expects compliance
B) The manager provides minimal direction and allows staff to work
independently
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL
EXAM | PRACTICE QUESTIONS AND ANSWERS |
EXAM REVIEW | 100% CORRECT ANSWERS |
VERIFIED SOLUTIONS
1.
A nurse manager is leading a team through a major change in
documentation software. Staff are resistant and anxious. Which
leadership style is most appropriate in this situation?
A) Laissez-faire
B) Transformational
C) Autocratic
D) Bureaucratic
Correct Answer: B
Transformational leadership inspires and motivates staff through
change by creating a shared vision, providing support, and empowering
team members. Laissez-faire offers too little direction; autocratic may
increase resistance; bureaucratic is rigid and rule-focused, which can
worsen anxiety during change.
2.
A charge nurse is making assignments for the next shift. Which client
should be assigned to an RN rather than a licensed practical nurse
(LPN)?
A) A client with stable vital signs who needs assistance with ambulation
B) A client newly admitted with unstable angina requiring ongoing
assessment
,C) A client receiving oral medications for a chronic condition
D) A client needing a routine dressing change
Correct Answer: B
Unstable clients requiring ongoing assessment, critical thinking, and
complex interventions must be assigned to an RN. LPNs can care for
stable clients with predictable outcomes, administer oral medications,
and perform routine dressings under supervision. The RN retains
accountability for all clients.
3.
A nurse receives a verbal order for a medication during a code situation.
What is the best action to ensure accuracy?
A) Repeat the order back to the provider and document it as soon as
possible
B) Administer the medication without repeating the order
C) Ask another nurse to write the order without verification
D) Refuse to accept verbal orders under any circumstances
Correct Answer: A
During emergency situations, verbal orders may be necessary. The nurse
should read back the order to verify accuracy and document it promptly
per facility policy. Refusing all verbal orders is impractical and unsafe in
emergencies; administering without read-back increases error risk.
4.
Which of the following is an example of a nurse demonstrating client
advocacy?
A) Following all provider orders without question
B) Speaking up when a client's needs are not being met or when unsafe
,practices are observed
C) Avoiding conflict with other team members
D) Completing tasks as quickly as possible without evaluating outcomes
Correct Answer: B
Advocacy involves identifying and addressing unmet client needs,
speaking up for safety, and ensuring the client's voice is heard. Blindly
following orders, avoiding conflict, or rushing tasks does not
demonstrate advocacy and may compromise care.
5.
A nurse manager is reviewing incident reports for the unit. What is the
primary purpose of incident reports?
A) To punish staff members involved in errors
B) To identify system failures and prevent future occurrences
C) To document evidence for legal action against nurses
D) To track employee productivity
Correct Answer: B
Incident reports are quality improvement tools used to identify root
causes and implement system changes to prevent recurrence. They are
nonpunitive and confidential. They are not intended to punish staff or
serve as legal evidence against individuals.
6.
Which of the following clients should the nurse assess first?
A) A client with a blood pressure of 100/60 mm Hg who is
asymptomatic
B) A client with a heart rate of 120 beats/min and reports chest pain
, C) A client with a temperature of 99.8°F
D) A client who needs assistance with bathing
Correct Answer: B
Chest pain with tachycardia indicates potential cardiac ischemia and
requires immediate assessment and intervention. Asymptomatic mild
hypotension, low-grade fever, and bathing assistance are less urgent.
Prioritization is based on physiological instability and ABCs.
7.
A nurse is delegating a task to unlicensed assistive personnel (UAP).
Which of the following tasks is appropriate to delegate?
A) Administering an enema
B) Measuring and recording intake and output
C) Performing a sterile dressing change
D) Evaluating a client's response to pain medication
Correct Answer: B
Measuring and recording intake and output is within the UAP scope of
practice. Enemas and sterile dressing changes require nursing judgment
and skill; evaluating a client's response to medication is an RN
responsibility. Delegation must match the delegate's training and
competency.
8.
A nurse manager uses a laissez-faire leadership style. Which
characteristic best describes this style?
A) The manager makes all decisions and expects compliance
B) The manager provides minimal direction and allows staff to work
independently
