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ATI RN LEADERSHIP AND MANAGEMENT
PROCTORED EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2025 Q&A | INSTANT DOWNLOAD PDF
- A nurse manager is reviewing the concept of time management with the staff. Which of the following activities should the manager recommend completing first? a. Documenting client care b. Responding to a client’s call light c. Administering scheduled medications d. Participating in a team meeting Administering medications is a priority task because it is time-sensitive and can impact client safety.
- A charge nurse is assigning tasks to a licensed practical nurse (LPN). Which of the following tasks is appropriate for the charge nurse to assign? a. Admitting a new client b. Monitoring a client 2 days post-op with stable vitals c. Developing a discharge plan d. Teaching a client about a new diagnosis
LPNs can monitor stable clients, but cannot perform initial assessments, admissions, or client education.
- A client is unhappy with their care and tells the nurse they want to file a grievance. What should the nurse do first? a. Inform the charge nurse b. Document the complaint c. Provide the client with information about the grievance process d. Contact the hospital administrator The first step is to support the client's right to file a grievance and inform them how to do so.
- A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign? a. Administering a tube feeding b. Measuring and recording intake and output c. Performing a sterile dressing change d. Giving a bed bath to a client with unstable vitals APs can measure I&O but cannot perform sterile procedures or care for unstable clients.
- Which of the following statements by a newly licensed nurse indicates understanding of professional boundaries?
- A nurse is floating to a new unit. Which of the following clients is most appropriate for the nurse to care for? a. A client requiring central line dressing changes b. A newly admitted client with chest pain c. A client post-appendectomy with stable vitals d. A client requiring IV push medications The nurse should be assigned stable clients whose care is within their scope and experience.
- A nurse receives a report on four clients. Which client should the nurse assess first? a. A client with COPD and a pulse oximeter reading of 92% b. A client with postoperative bleeding and a heart rate of 120 bpm c. A client scheduled for discharge d. A client reporting pain level of 4/ A client with signs of bleeding and tachycardia is the highest priority due to potential shock. 10.Which of the following actions represents effective advocacy by the nurse? a. Encouraging the client to defer decisions to the family b. Telling the client what the nurse would do in the same situation
c. Supporting the client's right to refuse treatment d. Asking the provider to speak directly to the client's family Advocacy means supporting the client’s autonomy and informed choices. 11.A nurse manager is addressing conflict between two staff nurses. What is the best approach? a. Postpone the meeting until tensions decrease b. Facilitate a meeting to mediate the discussion c. Give each nurse a written warning d. Reassign one of the nurses to another shift Mediation supports open communication and resolution, which is a key leadership role. 12.A nurse is prioritizing care. Which of the following should be addressed first? a. A client scheduled for physical therapy b. A client who needs discharge teaching c. A client with wheezing and shortness of breath d. A client requesting assistance to the restroom Airway concerns always take top priority according to ABCs (Airway, Breathing, Circulation).
c. Read back the prescription to the provider d. Ask another nurse to verify it Reading back verbal orders ensures accuracy and is a safety requirement. 16.A nurse is preparing to transfer a client to a long-term care facility. What information should the nurse include in the report? a. Marital status b. Current medications c. Insurance information d. Next of kin Medication reconciliation is essential to ensure safe continuity of care during transfer. 17.What is the primary purpose of continuous quality improvement (CQI)? a. Decrease staff workload b. Improve client outcomes c. Increase profit margins d. Meet accreditation standards CQI focuses on improving systems and outcomes in patient care. 18.Which behavior by a nurse requires intervention?
a. Reporting a medication error b. Sharing a client’s diagnosis with a visitor c. Assisting another nurse with a procedure d. Delegating tasks to assistive personnel Sharing private information violates HIPAA and patient confidentiality. 19.A nurse is planning client assignments for the shift. Which of the following clients is appropriate for a licensed practical nurse (LPN)? a. A client receiving IV chemotherapy b. A client with a pressure ulcer requiring dressing changes c. A client with unstable blood glucose d. A newly admitted client with sepsis LPNs can perform wound care and dressing changes on stable clients. 20.A nurse preceptor is evaluating a new nurse's time management. Which action demonstrates effective use of time? a. Documenting all care at the end of the shift b. Grouping activities to complete them in one client visit c. Asking others to complete assignments d. Responding to each task as it arises without prioritizing Bundling tasks improves efficiency and reduces wasted time. 21.What should a nurse do when a client refuses a treatment?
24.A nurse notices that a staff member is not following protocol. What is the appropriate response? a. Report the staff member to the board b. Discuss the observation privately with the staff member c. Document the issue in the client’s chart d. Ignore it unless an error occurs Professional communication starts with addressing concerns directly and respectfully. 25.A nurse manager is reviewing client rights. Which action violates a client’s rights? a. Explaining a procedure b. Applying restraints without a prescription c. Providing an interpreter d. Allowing access to medical records Restraints must be used only with appropriate provider orders and indications. 26.What is the nurse manager’s responsibility during a staff conflict? a. Choose a side b. Facilitate open communication and resolution c. Avoid involvement d. Report to human resources immediately
Nurse managers must promote conflict resolution and maintain a healthy work environment. 27.A client with tuberculosis requires transfer to another facility. Which team member should coordinate the transfer? a. Infection control nurse b. Case manager c. Charge nurse d. Unit clerk The case manager arranges transfers and ensures continuity of care. 28.Which client should the nurse assess first? a. Client awaiting a wound dressing change b. Client requesting PRN pain medication c. Client reporting difficulty breathing d. Client who needs assistance to ambulate Respiratory issues are always top priority due to potential airway compromise. 29.A nurse is supervising an AP. Which of the following actions by the AP requires intervention? a. Ambulating a stable client b. Checking a client's IV insertion site
c. Giving a follow-up appointment d. Explaining the billing process Client safety is the priority—understanding medications prevents readmission. 33.A nurse working a double shift is fatigued. What is the best action? a. Notify the supervisor and request relief b. Continue working to avoid burdening coworkers c. Drink coffee to stay awake d. Take a short nap during shift Fatigue increases the risk for errors; reporting the issue is a professional responsibility. 34.A nurse notes an increase in client falls on the unit. What should be done first? a. Complete an incident report b. Analyze the data for patterns c. Educate staff on fall prevention d. Assign sitters for all clients Identifying patterns helps determine the root cause before implementing changes. 35.A nurse assigns a task to an AP. Which of the following requires follow-up?
a. The AP does not document task completion b. The AP asks for clarification c. The AP completes the task and reports back d. The AP asks for assistance with the task The nurse must ensure tasks are completed and documented accurately. 36.What should the nurse do if a provider writes an unclear medication order? a. Ask another nurse for interpretation b. Contact the pharmacy c. Call the provider for clarification d. Administer the usual dose Clarifying unclear orders with the provider is essential for safe practice. 37.A client threatens to leave against medical advice. What is the nurse's priority? a. Call security b. Notify the family c. Inform the client of the risks of leaving d. Tell the client their insurance won’t pay Educating the client supports informed decision-making while respecting autonomy.
41.Which staff member should be assigned to care for a client in restraints? a. Experienced RN b. LPN c. Student nurse d. AP Clients in restraints require frequent assessment, which must be done by an RN. 42.What is the purpose of root cause analysis? a. To punish staff b. To identify underlying system failures c. To reduce costs d. To reinforce hospital policies Root cause analysis focuses on understanding and preventing future errors. 43.Which situation requires an incident report? a. A client vomits after a meal b. A client refuses a medication c. A client receives the wrong medication d. A client misses a meal Medication errors require incident reporting to improve safety systems. 44.Which behavior requires intervention?
a. Nurse calls in sick b. Nurse volunteers for overtime c. Nurse accepts a gift from a client d. Nurse asks to trade assignments Accepting gifts can compromise professional boundaries. 45.A nurse is evaluating the effectiveness of delegation. What indicates success? a. The task was completed correctly and on time b. The nurse has less work c. The client did not complain d. The manager praised the team Successful delegation means the task was completed appropriately. 46.What is the priority during staff education? a. Assessing learner readiness b. Completing materials quickly c. Avoiding questions d. Using medical jargon Assessing readiness ensures that the learning will be effective and retained. 47.A nurse is participating in a performance improvement plan. What action supports this?
a. Completing staff evaluations b. Organizing shift assignments c. Inspiring team members toward a shared goal d. Enforcing policies Leadership focuses on motivating and guiding others, while management deals with tasks and structure. 51.A nurse is caring for a client who speaks a different language. What is the most appropriate action? a. Use family to interpret b. Use a hospital-approved medical interpreter c. Speak louder and slowly d. Write instructions in English Only trained medical interpreters ensure accurate and ethical communication. 52.A nurse manager is addressing staff about a new policy. What is the best way to promote adherence? a. Post the policy on a bulletin board b. Distribute copies and move on c. Involve staff in the development and implementation d. Enforce disciplinary action Involving staff increases buy-in and promotes successful implementation.
53.Which of the following is a violation of informed consent? a. The client signs the form without coercion b. The provider explains the procedure c. The nurse explains the risks instead of the provider d. The client is mentally competent Only the provider can explain procedures, risks, and alternatives to obtain valid consent. 54.Which action by a nurse requires immediate intervention by the charge nurse? a. Asking for assistance with a new skill b. Delegating a task to an AP c. Leaving the unit without notifying anyone d. Taking a scheduled break Leaving the unit without notifying staff is a patient safety and professionalism issue. 55.What is the priority action when a fire is discovered in a client room? a. Pull the alarm b. Close all doors c. Move the client to safety d. Attempt to extinguish the fire Follow RACE: Rescue, Alarm, Confine, Extinguish. Always rescue first.
