ATI NURSING LEADERSHIP AND MANAGEMENT NEWEST 2025/2026
TEST BANK ACTUAL EXAM
Question 1
A nurse enters the room of a client who is on contact precautions and finds the client lying on the
floor. Which of the following actions should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed.
Correct Answer: C) Inspect the client for injuries.
Rationale: The nursing process dictates that the nurse should assess the client first. Before
taking any other action, the nurse must inspect the client for injuries to determine their physical
status and identify any immediate harm that may have occurred from the fall. Calling the
provider, getting assistance, and providing education are all appropriate steps, but they must be
done after the initial assessment.
Question 2
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of
the following tasks should the nurse delegate to the licensed practical nurse (LPN/PN)?
A. Administering a unit of packed red blood cells to a client who has cancer.
B. Instructing a client who is scheduled for discharge on the performance of wound care.
C. Developing a plan of care for a newly admitted client who has pneumonia.
D. Reinforcing teaching with a client about how to use an incentive spirometer.
Correct Answer: D) Reinforcing teaching with a client about how to use an incentive
spirometer.
Rationale: Reinforcing teaching that was initially provided by the RN is within the scope of
practice for an LPN. Administering blood products, performing initial client education, and
developing the initial plan of care are complex tasks that require the assessment and judgment of
an RN and cannot be delegated.
Question 3
An LPN ending her shift reports to the RN that a newly hired assistive personnel (AP) has not
calculated the intake and output for several clients. Which of the following actions should the
, RN take?
A. Complete an incident report.
B. Delegate this task to the LPN.
C. Ask the AP if she needs assistance.
D. Notify the nurse manager.
Correct Answer: C) Ask the AP if she needs assistance.
Rationale: The first step should be to directly address the issue with the AP. As a newly hired
employee, the AP may not be familiar with the procedure or may be feeling overwhelmed.
Offering assistance is a supportive and educational approach that can resolve the issue promptly.
This is a learning opportunity, not an immediate cause for discipline or formal reporting.
Question 4
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the
following components are essential to include in the plan? (Select all that apply)
A. Skill proficiency check-offs.
B. Assignment to a preceptor.
C. Advanced budgetary principles.
D. Training on the electronic health record.
E. Socialization into unit culture.
F. Information on facility policies and procedures.
Correct Answer: A, B, D, E, F
Rationale: A comprehensive orientation aims to transition a new nurse from student to
employee. This includes verifying clinical skills (A), providing a supportive guide (B), teaching
essential documentation (D), helping them acclimate to the team and environment (E), and
explaining institutional rules (F). Advanced budgetary principles (C) are typically a
management-level concern, not an immediate need for a new staff nurse.
Question 5
A nurse manager is providing information about the audit process. Which of the following
statements should the nurse manager include? (Select all that apply)
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided.
TEST BANK ACTUAL EXAM
Question 1
A nurse enters the room of a client who is on contact precautions and finds the client lying on the
floor. Which of the following actions should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed.
Correct Answer: C) Inspect the client for injuries.
Rationale: The nursing process dictates that the nurse should assess the client first. Before
taking any other action, the nurse must inspect the client for injuries to determine their physical
status and identify any immediate harm that may have occurred from the fall. Calling the
provider, getting assistance, and providing education are all appropriate steps, but they must be
done after the initial assessment.
Question 2
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of
the following tasks should the nurse delegate to the licensed practical nurse (LPN/PN)?
A. Administering a unit of packed red blood cells to a client who has cancer.
B. Instructing a client who is scheduled for discharge on the performance of wound care.
C. Developing a plan of care for a newly admitted client who has pneumonia.
D. Reinforcing teaching with a client about how to use an incentive spirometer.
Correct Answer: D) Reinforcing teaching with a client about how to use an incentive
spirometer.
Rationale: Reinforcing teaching that was initially provided by the RN is within the scope of
practice for an LPN. Administering blood products, performing initial client education, and
developing the initial plan of care are complex tasks that require the assessment and judgment of
an RN and cannot be delegated.
Question 3
An LPN ending her shift reports to the RN that a newly hired assistive personnel (AP) has not
calculated the intake and output for several clients. Which of the following actions should the
, RN take?
A. Complete an incident report.
B. Delegate this task to the LPN.
C. Ask the AP if she needs assistance.
D. Notify the nurse manager.
Correct Answer: C) Ask the AP if she needs assistance.
Rationale: The first step should be to directly address the issue with the AP. As a newly hired
employee, the AP may not be familiar with the procedure or may be feeling overwhelmed.
Offering assistance is a supportive and educational approach that can resolve the issue promptly.
This is a learning opportunity, not an immediate cause for discipline or formal reporting.
Question 4
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the
following components are essential to include in the plan? (Select all that apply)
A. Skill proficiency check-offs.
B. Assignment to a preceptor.
C. Advanced budgetary principles.
D. Training on the electronic health record.
E. Socialization into unit culture.
F. Information on facility policies and procedures.
Correct Answer: A, B, D, E, F
Rationale: A comprehensive orientation aims to transition a new nurse from student to
employee. This includes verifying clinical skills (A), providing a supportive guide (B), teaching
essential documentation (D), helping them acclimate to the team and environment (E), and
explaining institutional rules (F). Advanced budgetary principles (C) are typically a
management-level concern, not an immediate need for a new staff nurse.
Question 5
A nurse manager is providing information about the audit process. Which of the following
statements should the nurse manager include? (Select all that apply)
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided.
