ATI RN Leadership practice Exam Questions with
Answers
A nurse manager calls a meeting of the unit's staff members to discuss cost-containment
issues. The nurse manager has asked for staff input regarding strategies that might help
reduce costs. Which of the following types of leadership is the nurse manager using?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Moral - -Democratic
A democratic leader guides staff toward reaching an objective and shares responsibility
with the staff. this is the ideal type of leadership in this situation because a great amount of
creativity can occur and many strategies can be developed.
-Makes decisions independently and then notifies staff of the decisions made. Maintains a
high degree of control over the staff and allows little freedom of staff members - -
Autocratic
-Guides staff toward reaching an objective and shares responsibility with the staff. This is
an ideal type of leadership because a great amount of creativity can occur and many
strategies can be developed - -Democratic
-A home health nurse is caring for a client who asks what is included in a living will. Which
of the following statements should the nurse include in the teaching?
a. It establishes who will make health care decisions if the client is not able
b. It allows the client to express personal wishes regarding health care decisions
c. It serves as an informed consent for procedures - -b. It allows the client to express
personal wishes regarding health care decisions
-Using quality monitoring tools, a facility committee identifies that clients who have
congestive heart failure have an average length of stay that is 5 days instead of the
established standard of 3 days. Which of the following steps should the nurse implement
next in the quality improvement process?
a. educate staff members on shortening the length of stay for these patients
b. collect data regarding length of stay for these patients
c. determine which actions can be instituted to address this problem - -c. determine which
actions can be instituted to address this problem
-A nurse is working with an AP in a long term care facility. According to the five rights of
delegation, which of the following determinations should the nurse make prior to
assignment of tasks?
, a. whether the AP has consented to the performance of delegated tasks
b. the client's willingness to consent to the care of the AP
c. whether the task can be more efficiently completed by the nurse
d. the degree of supervision that the AP will require to complete the task - -d. the degree of
supervision that the AP will require to complete the task
-A charge nurse in an ER is making assignment for an AP for a shift with unexpected staff
absences. Which of the following assignments should the charge assign to a float AP from
the med surg unit?
a. escort clients from the ER to other areas of the facility for tests
b. sit at the reception desk answering and directing clients - -Escort clients from the ER to
other areas of the facility for tests.
-A charge nurse is making assignments for an oncoming shift. Which of the following
clients should the charge nurse assign to a LPN?
a. A client who is to be discharged with a PICC line
b. A client who is disoriented and awaiting transfer to a long term facility
c. A client who is 16 hr post op following a total larryngectomy - -b. A client who is
disoriented and awaiting transfer to a long term facility
-A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy.
Which of the following is an assertive statement that the charge nurse should use to initiate
discussion of the issue?
a. I understand that you are allowed to take scheduled breaks during each shift, but you are
taking more than the number allocated. Let's set a time when we can discuss this behavior
b. you are taking more breaks during each shift than hospital policy allows. You will need to
take only the number of breaks specified and be sure you are back on time - -a. I
understand that you are allowed to take scheduled breaks during each shift, but you are
taking more than the number allocated. Let's set a time when we can discuss this behavior
-A nurse is ambulating a client who has an IV with an infusion pump. Upon returning to the
client's room and plugging the infusion pump in, the client reports a slight tingling in his
hand. Which of the following actions should the nurse take?
a. plug the pump into a different outlet
b. place a service tag on the pump for a routine inspection
c. unplug the pump and plug it back into the same outlet to see if the sensation of tingling is
repeated
d. turn the pump off - -Turn the pump off
The pump must be turned off immediately to protect the client and the nurse from the risk
of electrical injury and fire.
Answers
A nurse manager calls a meeting of the unit's staff members to discuss cost-containment
issues. The nurse manager has asked for staff input regarding strategies that might help
reduce costs. Which of the following types of leadership is the nurse manager using?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Moral - -Democratic
A democratic leader guides staff toward reaching an objective and shares responsibility
with the staff. this is the ideal type of leadership in this situation because a great amount of
creativity can occur and many strategies can be developed.
-Makes decisions independently and then notifies staff of the decisions made. Maintains a
high degree of control over the staff and allows little freedom of staff members - -
Autocratic
-Guides staff toward reaching an objective and shares responsibility with the staff. This is
an ideal type of leadership because a great amount of creativity can occur and many
strategies can be developed - -Democratic
-A home health nurse is caring for a client who asks what is included in a living will. Which
of the following statements should the nurse include in the teaching?
a. It establishes who will make health care decisions if the client is not able
b. It allows the client to express personal wishes regarding health care decisions
c. It serves as an informed consent for procedures - -b. It allows the client to express
personal wishes regarding health care decisions
-Using quality monitoring tools, a facility committee identifies that clients who have
congestive heart failure have an average length of stay that is 5 days instead of the
established standard of 3 days. Which of the following steps should the nurse implement
next in the quality improvement process?
a. educate staff members on shortening the length of stay for these patients
b. collect data regarding length of stay for these patients
c. determine which actions can be instituted to address this problem - -c. determine which
actions can be instituted to address this problem
-A nurse is working with an AP in a long term care facility. According to the five rights of
delegation, which of the following determinations should the nurse make prior to
assignment of tasks?
, a. whether the AP has consented to the performance of delegated tasks
b. the client's willingness to consent to the care of the AP
c. whether the task can be more efficiently completed by the nurse
d. the degree of supervision that the AP will require to complete the task - -d. the degree of
supervision that the AP will require to complete the task
-A charge nurse in an ER is making assignment for an AP for a shift with unexpected staff
absences. Which of the following assignments should the charge assign to a float AP from
the med surg unit?
a. escort clients from the ER to other areas of the facility for tests
b. sit at the reception desk answering and directing clients - -Escort clients from the ER to
other areas of the facility for tests.
-A charge nurse is making assignments for an oncoming shift. Which of the following
clients should the charge nurse assign to a LPN?
a. A client who is to be discharged with a PICC line
b. A client who is disoriented and awaiting transfer to a long term facility
c. A client who is 16 hr post op following a total larryngectomy - -b. A client who is
disoriented and awaiting transfer to a long term facility
-A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy.
Which of the following is an assertive statement that the charge nurse should use to initiate
discussion of the issue?
a. I understand that you are allowed to take scheduled breaks during each shift, but you are
taking more than the number allocated. Let's set a time when we can discuss this behavior
b. you are taking more breaks during each shift than hospital policy allows. You will need to
take only the number of breaks specified and be sure you are back on time - -a. I
understand that you are allowed to take scheduled breaks during each shift, but you are
taking more than the number allocated. Let's set a time when we can discuss this behavior
-A nurse is ambulating a client who has an IV with an infusion pump. Upon returning to the
client's room and plugging the infusion pump in, the client reports a slight tingling in his
hand. Which of the following actions should the nurse take?
a. plug the pump into a different outlet
b. place a service tag on the pump for a routine inspection
c. unplug the pump and plug it back into the same outlet to see if the sensation of tingling is
repeated
d. turn the pump off - -Turn the pump off
The pump must be turned off immediately to protect the client and the nurse from the risk
of electrical injury and fire.
