Master Nursing Leadership: VATI RN
Leadership and Management 2019 Q&A Test
Bank (Updated 2025/2026 Edition by ATI) -
Your Key to First-Time Pass!
The nurse who exhibits transactional leadership will meet
the targets within the deadline given by the organization.
The nurse will also follow the rules of an organization and
will correct the errors of an employee in a reactive manner.
Motivating or inspiring the employees and increasing
employee commitment are the characteristics of
transformational leadership. The unit nurse manager
comes to work obviously intoxicated. Which action is the
staff nurse ethically obligated to take? 1 Call the security
guard. 2 Tell the nurse manager to go home. 3 Have the
supervisor validate the observation. 4 Offer the nurse
manager a large cup of coffee - ANSWER//3 Have the
supervisor validate the observation. The staff nurse should
call the hospital supervisor to confirm and handle the
problem. The security guard has no authority in this
situation. Although sending the nurse manager home
removes the nurse manager from the clinical setting, this
action misses an opportunity for documenting the situation
and the nurse manager is in no condition to drive safely.
Drinking coffee does not make a person less intoxicated.
Which aspects are considered when determining the
willingness of a nursing assistant before delegating a task?
Select all that apply. 1 Ability 2 Attitude 3 Personality 4
Confidence 5 Commitment - ANSWER//2, 4, 5 An
individual's willingness is related to attitude, confidence,
and commitment. Ability is related to knowledge and skills
in a specific situation. Personality characteristics can
influence the effectiveness of the delegator. Which
performance appraisal method is used by nurse managers
to measure the performance of the nurse both qualitatively
and quantitatively? 1 Narrative method 2 Critical incidents
,method 3 Graphic rating scale form 4 Behaviorally
anchored rating scales - ANSWER//4 The behaviorally
anchored rating scale is a performance appraisal method
that provides an overview of nursing standards by
determining performance both qualitatively and
quantitatively. The narrative method requires a manager
to write a statement about the nurse's performance. The
critical incidents type is a performance appraisal method
in which a manager keeps a written record of positive and
negative performance. The graphic rating scale form is a
performance appraisal checklist on which a manager rates
the nurse's performance on a continuum such as excellent,
good, average, and poor. The healthcare team is caring
for clients in an emergency department. How soon should
the clients triaged as an emergency severity index-3 (ESI-
3) be seen by the physician according to the five level
triage system? 1 Immediately 2 Within 1 hour 3 Could be
delayed 4 Within 10 minutes - ANSWER//2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the
physician within an hour. The clients with life-threatening
problems are triaged as ESI-1, and they should be
provided with immediate care. The care of the clients in
ESI-4 and ESI-5 can be delayed for some time because
the condition of the clients in this level is stable. Clients
with major injuries are triaged as an ESI-2 and require
treatment within 10 minutes. Which question does the
registered nurse recognize as related to the right of
circumstance when delegating? 1 "Is the delegation
appropriate to the situation?" 2 "Is the task within the
delegatee's scope of practice?" 3 "Is the prospective
delegate a willing and able employee?" 4 "Is the delegator
able to monitor and evaluate the client appropriately?" -
ANSWER//1 "Is the delegation appropriate to the
situation?" The question, "Is the delegation appropriate to
the situation?" is related to right circumstance. The
question, "Is the task within the delegatee's scope of
practice?" is related to right task. The question, "Is the
,prospective delegate a willing and able employee?" is
related to right person. The question, "Is the delegator
able to monitor and evaluate the client appropriately?" is
related to right supervision. Which factors does the
registered nurse consider in the decision to delegate
process? Select all that apply. 1 Evaluation 2 Nursing
judgment 3 Predictability of outcomes 4 Pervasive
functions of assessment 5 Complexity of the task to be
performed - ANSWER//3, 5 Two factors responsible for
the decision to delegate process are predictability of
outcomes and complexity of the task to be performed.
Evaluation, nursing judgment, and pervasive functions are
not factors in the decision to delegate process. Under a
leader, a team of followers has failed to achieve success
in conducting research. What does an effective leader do
in this situation? 1 Criticizes the team members for failure
2 Provides excuses for the negative outcome 3 Refuses to
take the responsibility for failure 4 Accepts failure and
gains experience from it - ANSWER//4 Accepts failure and
gains experience from it An effective leader should accept
the failure and gain experience from it to avoid repetition
of the same errors. The effective leader should counsel
and motivate the team members for future success and
should not criticize them. Making excuses for the negative
outcome is not the correct action of the effective leader.
The effective leader should take responsibility for the
failure and the growth he or she will gain from it. The
nursing manager wants to implement transformational
leadership qualities. Which actions best describe this style
of leadership? Select all that apply. 1 Providing intellectual
stimulation 2 Intervening only when problems exist 3
Performing experiments with system redesign 4 Using
motivator factors to inspire work performance 5 Monitoring
performance and taking action to correct - ANSWER//1, 3,
4 Transformational leaders provide intellectual stimulation
and encourage follower creativity. They experiment with
systems redesign, empower staff, create enthusiasm for
, practice, and promote scholarship of practice in client care.
They use motivator factors liberally to inspire work
performance. Intervening only when problems exist is a
behavior related to transactional leadership. Monitoring
performance and taking corrective action is a transactional
leadership quality. Which component of delegation is
defined as the ability to perform duties in a specific role? 1
Authority 2 Supervision 3 Responsibility 4 Accountability -
ANSWER//1 Authority is the ability to perform duties in a
specific role. Supervision is the provision of guidance and
oversight of a delegated task. Responsibility refers to
reliability, dependability, and obligation to accomplish work.
Accountability involves determining whether the actions
are appropriate and providing a detailed explanation of
what has occurred. The healthcare team is caring for a
client with neutropenia. Which task is delegated to
unlicensed assistive personnel? 1 Administering
antibiotics 2 Assisting with personal hygiene 3 Monitoring
for signs and symptoms of infection 4 Teaching the client
and caregivers about how to avoid infection - ANSWER//2
Unlicensed assistive personnel assisting with the client's
personal hygiene. The licensed practical nurse
administers antibiotics. Monitoring for signs and symptoms
is performed by the licensed practical nurse. The
registered nurse teaches the client and caregivers how to
avoid infection. A client's serum potassium level has
increased to 5.8 mEq/L (5.8 mmol/L). What action should
the nurse implement first? 1 Call the laboratory to repeat
the test. 2 Take vital signs and notify the healthcare
provider. 3 Inform the cardiac arrest team to place them
on alert. 4 Take an electrocardiogram and have lidocaine
available. - ANSWER//2 Vital signs monitor
cardiorespiratory status; hyperkalemia causes cardiac
dysrhythmias. The healthcare provider should be notified
because medical intervention may be necessary. A repeat
laboratory test will take time and probably reaffirm the
original results; the client needs immediate attention. The
Leadership and Management 2019 Q&A Test
Bank (Updated 2025/2026 Edition by ATI) -
Your Key to First-Time Pass!
The nurse who exhibits transactional leadership will meet
the targets within the deadline given by the organization.
The nurse will also follow the rules of an organization and
will correct the errors of an employee in a reactive manner.
Motivating or inspiring the employees and increasing
employee commitment are the characteristics of
transformational leadership. The unit nurse manager
comes to work obviously intoxicated. Which action is the
staff nurse ethically obligated to take? 1 Call the security
guard. 2 Tell the nurse manager to go home. 3 Have the
supervisor validate the observation. 4 Offer the nurse
manager a large cup of coffee - ANSWER//3 Have the
supervisor validate the observation. The staff nurse should
call the hospital supervisor to confirm and handle the
problem. The security guard has no authority in this
situation. Although sending the nurse manager home
removes the nurse manager from the clinical setting, this
action misses an opportunity for documenting the situation
and the nurse manager is in no condition to drive safely.
Drinking coffee does not make a person less intoxicated.
Which aspects are considered when determining the
willingness of a nursing assistant before delegating a task?
Select all that apply. 1 Ability 2 Attitude 3 Personality 4
Confidence 5 Commitment - ANSWER//2, 4, 5 An
individual's willingness is related to attitude, confidence,
and commitment. Ability is related to knowledge and skills
in a specific situation. Personality characteristics can
influence the effectiveness of the delegator. Which
performance appraisal method is used by nurse managers
to measure the performance of the nurse both qualitatively
and quantitatively? 1 Narrative method 2 Critical incidents
,method 3 Graphic rating scale form 4 Behaviorally
anchored rating scales - ANSWER//4 The behaviorally
anchored rating scale is a performance appraisal method
that provides an overview of nursing standards by
determining performance both qualitatively and
quantitatively. The narrative method requires a manager
to write a statement about the nurse's performance. The
critical incidents type is a performance appraisal method
in which a manager keeps a written record of positive and
negative performance. The graphic rating scale form is a
performance appraisal checklist on which a manager rates
the nurse's performance on a continuum such as excellent,
good, average, and poor. The healthcare team is caring
for clients in an emergency department. How soon should
the clients triaged as an emergency severity index-3 (ESI-
3) be seen by the physician according to the five level
triage system? 1 Immediately 2 Within 1 hour 3 Could be
delayed 4 Within 10 minutes - ANSWER//2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the
physician within an hour. The clients with life-threatening
problems are triaged as ESI-1, and they should be
provided with immediate care. The care of the clients in
ESI-4 and ESI-5 can be delayed for some time because
the condition of the clients in this level is stable. Clients
with major injuries are triaged as an ESI-2 and require
treatment within 10 minutes. Which question does the
registered nurse recognize as related to the right of
circumstance when delegating? 1 "Is the delegation
appropriate to the situation?" 2 "Is the task within the
delegatee's scope of practice?" 3 "Is the prospective
delegate a willing and able employee?" 4 "Is the delegator
able to monitor and evaluate the client appropriately?" -
ANSWER//1 "Is the delegation appropriate to the
situation?" The question, "Is the delegation appropriate to
the situation?" is related to right circumstance. The
question, "Is the task within the delegatee's scope of
practice?" is related to right task. The question, "Is the
,prospective delegate a willing and able employee?" is
related to right person. The question, "Is the delegator
able to monitor and evaluate the client appropriately?" is
related to right supervision. Which factors does the
registered nurse consider in the decision to delegate
process? Select all that apply. 1 Evaluation 2 Nursing
judgment 3 Predictability of outcomes 4 Pervasive
functions of assessment 5 Complexity of the task to be
performed - ANSWER//3, 5 Two factors responsible for
the decision to delegate process are predictability of
outcomes and complexity of the task to be performed.
Evaluation, nursing judgment, and pervasive functions are
not factors in the decision to delegate process. Under a
leader, a team of followers has failed to achieve success
in conducting research. What does an effective leader do
in this situation? 1 Criticizes the team members for failure
2 Provides excuses for the negative outcome 3 Refuses to
take the responsibility for failure 4 Accepts failure and
gains experience from it - ANSWER//4 Accepts failure and
gains experience from it An effective leader should accept
the failure and gain experience from it to avoid repetition
of the same errors. The effective leader should counsel
and motivate the team members for future success and
should not criticize them. Making excuses for the negative
outcome is not the correct action of the effective leader.
The effective leader should take responsibility for the
failure and the growth he or she will gain from it. The
nursing manager wants to implement transformational
leadership qualities. Which actions best describe this style
of leadership? Select all that apply. 1 Providing intellectual
stimulation 2 Intervening only when problems exist 3
Performing experiments with system redesign 4 Using
motivator factors to inspire work performance 5 Monitoring
performance and taking action to correct - ANSWER//1, 3,
4 Transformational leaders provide intellectual stimulation
and encourage follower creativity. They experiment with
systems redesign, empower staff, create enthusiasm for
, practice, and promote scholarship of practice in client care.
They use motivator factors liberally to inspire work
performance. Intervening only when problems exist is a
behavior related to transactional leadership. Monitoring
performance and taking corrective action is a transactional
leadership quality. Which component of delegation is
defined as the ability to perform duties in a specific role? 1
Authority 2 Supervision 3 Responsibility 4 Accountability -
ANSWER//1 Authority is the ability to perform duties in a
specific role. Supervision is the provision of guidance and
oversight of a delegated task. Responsibility refers to
reliability, dependability, and obligation to accomplish work.
Accountability involves determining whether the actions
are appropriate and providing a detailed explanation of
what has occurred. The healthcare team is caring for a
client with neutropenia. Which task is delegated to
unlicensed assistive personnel? 1 Administering
antibiotics 2 Assisting with personal hygiene 3 Monitoring
for signs and symptoms of infection 4 Teaching the client
and caregivers about how to avoid infection - ANSWER//2
Unlicensed assistive personnel assisting with the client's
personal hygiene. The licensed practical nurse
administers antibiotics. Monitoring for signs and symptoms
is performed by the licensed practical nurse. The
registered nurse teaches the client and caregivers how to
avoid infection. A client's serum potassium level has
increased to 5.8 mEq/L (5.8 mmol/L). What action should
the nurse implement first? 1 Call the laboratory to repeat
the test. 2 Take vital signs and notify the healthcare
provider. 3 Inform the cardiac arrest team to place them
on alert. 4 Take an electrocardiogram and have lidocaine
available. - ANSWER//2 Vital signs monitor
cardiorespiratory status; hyperkalemia causes cardiac
dysrhythmias. The healthcare provider should be notified
because medical intervention may be necessary. A repeat
laboratory test will take time and probably reaffirm the
original results; the client needs immediate attention. The
