ATI Capstone Leadership – Actual Exam
Questions and Answers
1. Conflict Management
Q: A charge nurse allows two nurses arguing about lunch breaks to go together and
covers their patients. Which conflict management style is this?
A: Cooperating
2. Leadership Styles
Q: Which leadership style includes staff in decision-making, motivates by supporting
achievements, and uses two-way communication?
A: Democratic leadership
3. Delegation
Q: A nurse delegates vital signs collection to an unlicensed assistive personnel (UAP).
Which principle is applied?
A: Right task, right person, right circumstance, right communication, right supervision
(Five Rights of Delegation)
4. Respite Care
Q: A nurse suggests respite care for a family caring for a quadriplegic client. What is the
purpose of respite care?
A: Provides temporary relief for the primary caregiver
5. Ethical Principles
Q: A nurse respects a client’s decision to refuse treatment. Which ethical principle is
demonstrated?
A: Autonomy
6. Quality Improvement
Q: A unit identifies an increase in medication errors. What is the first step in quality
improvement?
A: Collect data to identify patterns and root causes
7. Time Management
Q: A nurse prioritizes care by addressing a client with airway obstruction before
administering routine meds. Which principle is applied?
A: Maslow’s hierarchy of needs (Airway = highest priority)
8. Change Theory
Q: According to Lewin’s Change Theory, what is the first stage in implementing
change?
A: Unfreezing (creating awareness of need for change)
, 9. Incident Reporting
Q: A nurse discovers a medication error but the client is unharmed. What should the
nurse do?
A: Complete an incident report immediately
10. Leadership in Crisis
Q: During a mass casualty event, which leadership approach is most effective?
A: Authoritative leadership (clear, direct commands)
11. Staff Development
Q: A nurse manager implements peer mentoring for new nurses. What is the primary
benefit?
A: Promotes professional growth and confidence
12. Advocacy
Q: A nurse speaks up to ensure a client receives culturally appropriate care. Which role
is demonstrated?
A: Client advocate
13. Communication
Q: A nurse uses SBAR (Situation, Background, Assessment, Recommendation) when
handing off a client. What is the purpose?
A: Standardized communication to ensure patient safety
14. Delegation Boundaries
Q: Which task should not be delegated to a UAP?
A: Teaching a client how to use an inhaler
15. Leadership Outcomes
Q: Which outcome indicates effective leadership in a nursing unit?
A: Improved patient satisfaction and reduced staff turnover
16. Delegation Safety
Q: Which task is appropriate to delegate to a UAP?
A: Assisting a client with ambulation
17. Leadership Styles
Q: A nurse manager makes decisions quickly during a code without consulting staff.
Which style is this?
A: Authoritative
18. Ethical Principles
Q: A nurse provides truthful information about a medication’s side effects. Which
principle is applied?
A: Veracity
Questions and Answers
1. Conflict Management
Q: A charge nurse allows two nurses arguing about lunch breaks to go together and
covers their patients. Which conflict management style is this?
A: Cooperating
2. Leadership Styles
Q: Which leadership style includes staff in decision-making, motivates by supporting
achievements, and uses two-way communication?
A: Democratic leadership
3. Delegation
Q: A nurse delegates vital signs collection to an unlicensed assistive personnel (UAP).
Which principle is applied?
A: Right task, right person, right circumstance, right communication, right supervision
(Five Rights of Delegation)
4. Respite Care
Q: A nurse suggests respite care for a family caring for a quadriplegic client. What is the
purpose of respite care?
A: Provides temporary relief for the primary caregiver
5. Ethical Principles
Q: A nurse respects a client’s decision to refuse treatment. Which ethical principle is
demonstrated?
A: Autonomy
6. Quality Improvement
Q: A unit identifies an increase in medication errors. What is the first step in quality
improvement?
A: Collect data to identify patterns and root causes
7. Time Management
Q: A nurse prioritizes care by addressing a client with airway obstruction before
administering routine meds. Which principle is applied?
A: Maslow’s hierarchy of needs (Airway = highest priority)
8. Change Theory
Q: According to Lewin’s Change Theory, what is the first stage in implementing
change?
A: Unfreezing (creating awareness of need for change)
, 9. Incident Reporting
Q: A nurse discovers a medication error but the client is unharmed. What should the
nurse do?
A: Complete an incident report immediately
10. Leadership in Crisis
Q: During a mass casualty event, which leadership approach is most effective?
A: Authoritative leadership (clear, direct commands)
11. Staff Development
Q: A nurse manager implements peer mentoring for new nurses. What is the primary
benefit?
A: Promotes professional growth and confidence
12. Advocacy
Q: A nurse speaks up to ensure a client receives culturally appropriate care. Which role
is demonstrated?
A: Client advocate
13. Communication
Q: A nurse uses SBAR (Situation, Background, Assessment, Recommendation) when
handing off a client. What is the purpose?
A: Standardized communication to ensure patient safety
14. Delegation Boundaries
Q: Which task should not be delegated to a UAP?
A: Teaching a client how to use an inhaler
15. Leadership Outcomes
Q: Which outcome indicates effective leadership in a nursing unit?
A: Improved patient satisfaction and reduced staff turnover
16. Delegation Safety
Q: Which task is appropriate to delegate to a UAP?
A: Assisting a client with ambulation
17. Leadership Styles
Q: A nurse manager makes decisions quickly during a code without consulting staff.
Which style is this?
A: Authoritative
18. Ethical Principles
Q: A nurse provides truthful information about a medication’s side effects. Which
principle is applied?
A: Veracity
