ATI NursINg LeAdershIp ANd MANAgeMeNT – 20 exAM-sTyLe
QuesTIoNs wITh ANswers ANd rATIoNALes | 100% VerIfIed – pAss
guArANTeed – A+ grAded
1. A charge nurse is assigning clients to a team consisting of an RN and an LPN. Which client should the
charge nurse assign to the LPN?
A) A client who is 1 hour post-cardiac catheterization with a bleeding risk
B) A client with pneumonia who requires IV antibiotics every 6 hours
C) A client with new-onset confusion and a change in level of consciousness
D) A client requiring discharge teaching about warfarin
Answer: B) A client with pneumonia who requires IV antibiotics every 6 hours
rATIoNALe: The LPN can administer IV antibiotics to a stable client with pneumonia. The post-cath
client (A) is unstable and requires frequent assessment. The confused client (C) requires complex
assessment and safety monitoring. Discharge teaching (D) is an RN responsibility requiring evaluation of
learning.
2. A nurse manager is implementing a new electronic health record system. Which leadership style is
most effective during this planned change?
A) Laissez-faire
B) Autocratic
C) Transformational
D) Passive management by exception
Answer: C) Transformational
rATIoNALe: Transformational leadership inspires and motivates staff to embrace change through
vision, communication, and support. Laissez-faire (A) provides no direction. Autocratic (B) may increase
resistance. Passive management (D) intervenes only after problems occur.
3. A nurse on a medical-surgical unit is faced with a sudden increase in patient acuity and staff call-offs.
Which action demonstrates effective prioritization?
, A) Calling the nursing supervisor to request additional staff
B) Completing morning assessments on all assigned clients first
C) Delegating vital signs to the UAP and focusing on unstable clients
D) Working through the lunch break to finish tasks
Answer: C) Delegating vital signs to the UAP and focusing on unstable clients
rATIoNALe: The nurse should delegate appropriate tasks and prioritize unstable clients first. Calling
the supervisor (A) may be needed later but is not the first action. Completing all assessments first (B)
delays care for unstable clients. Working through lunch (D) leads to burnout and errors.
4. A nurse overhears another nurse telling a client, "If you don't take your medication, I will restrain you."
What is the appropriate initial action?
A) Report the nurse to the state board of nursing
B) Confront the nurse privately about the threatening statement
C) Document the incident in the client's medical record
D) Ignore the statement because it was not directed at the observing nurse
Answer: B) Confront the nurse privately about the threatening statement
rATIoNALe: Threatening a client constitutes verbal abuse and is unethical. The observing nurse should
first address the issue directly with the colleague. Reporting to the board (A) is premature.
Documentation (C) happens after addressing the issue. Ignoring (D) condones abuse.
5. A nurse manager is reviewing a staff nurse's documentation. Which entry indicates the need for
additional education?
A) "Client reports pain 8/10, given morphine 2 mg IV at 0900"
B) "Client appears comfortable and resting quietly"
C) "Client refused breakfast, notified provider"
D) "Client ambulated 50 feet with walker, no shortness of breath"
Answer: B) "Client appears comfortable and resting quietly"
rATIoNALe: Documentation must be objective and factual. "Appears comfortable" is subjective and
vague. The other options provide objective, measurable, or specific data including client quotes, actions
taken, and notifications.
QuesTIoNs wITh ANswers ANd rATIoNALes | 100% VerIfIed – pAss
guArANTeed – A+ grAded
1. A charge nurse is assigning clients to a team consisting of an RN and an LPN. Which client should the
charge nurse assign to the LPN?
A) A client who is 1 hour post-cardiac catheterization with a bleeding risk
B) A client with pneumonia who requires IV antibiotics every 6 hours
C) A client with new-onset confusion and a change in level of consciousness
D) A client requiring discharge teaching about warfarin
Answer: B) A client with pneumonia who requires IV antibiotics every 6 hours
rATIoNALe: The LPN can administer IV antibiotics to a stable client with pneumonia. The post-cath
client (A) is unstable and requires frequent assessment. The confused client (C) requires complex
assessment and safety monitoring. Discharge teaching (D) is an RN responsibility requiring evaluation of
learning.
2. A nurse manager is implementing a new electronic health record system. Which leadership style is
most effective during this planned change?
A) Laissez-faire
B) Autocratic
C) Transformational
D) Passive management by exception
Answer: C) Transformational
rATIoNALe: Transformational leadership inspires and motivates staff to embrace change through
vision, communication, and support. Laissez-faire (A) provides no direction. Autocratic (B) may increase
resistance. Passive management (D) intervenes only after problems occur.
3. A nurse on a medical-surgical unit is faced with a sudden increase in patient acuity and staff call-offs.
Which action demonstrates effective prioritization?
, A) Calling the nursing supervisor to request additional staff
B) Completing morning assessments on all assigned clients first
C) Delegating vital signs to the UAP and focusing on unstable clients
D) Working through the lunch break to finish tasks
Answer: C) Delegating vital signs to the UAP and focusing on unstable clients
rATIoNALe: The nurse should delegate appropriate tasks and prioritize unstable clients first. Calling
the supervisor (A) may be needed later but is not the first action. Completing all assessments first (B)
delays care for unstable clients. Working through lunch (D) leads to burnout and errors.
4. A nurse overhears another nurse telling a client, "If you don't take your medication, I will restrain you."
What is the appropriate initial action?
A) Report the nurse to the state board of nursing
B) Confront the nurse privately about the threatening statement
C) Document the incident in the client's medical record
D) Ignore the statement because it was not directed at the observing nurse
Answer: B) Confront the nurse privately about the threatening statement
rATIoNALe: Threatening a client constitutes verbal abuse and is unethical. The observing nurse should
first address the issue directly with the colleague. Reporting to the board (A) is premature.
Documentation (C) happens after addressing the issue. Ignoring (D) condones abuse.
5. A nurse manager is reviewing a staff nurse's documentation. Which entry indicates the need for
additional education?
A) "Client reports pain 8/10, given morphine 2 mg IV at 0900"
B) "Client appears comfortable and resting quietly"
C) "Client refused breakfast, notified provider"
D) "Client ambulated 50 feet with walker, no shortness of breath"
Answer: B) "Client appears comfortable and resting quietly"
rATIoNALe: Documentation must be objective and factual. "Appears comfortable" is subjective and
vague. The other options provide objective, measurable, or specific data including client quotes, actions
taken, and notifications.
