ATI RN LEADERSHIP PROCTORED EXAM
QUESTIONS AND ANSWERS WITH RATIONALES
Question 1
What did motivational theorist Victor Vroom state?
A) Personal motivators could be separated from job satisfiers
B) People are motivated by three basic needs: achievement, affiliation, and power
C) A manager's assumptions about workers directly affect the intrinsic motivation of the
workers
D) Employees' expectations about their work environment or a certain event will affect their
behavior
Correct Answer
Ans: D
Feedback: This theory is called Vroom's expectancy model.
Question 2
What did Gellerman state about most managers in organizations?
A) They undermanage subordinates
B) They define responsibilities too broadly
C) They stretch employees' comfort levels too much
D) They fail to give employees sufficient decision-making power
Correct Answer
Ans: D
Feedback: Gellerman states that most managers in organizations over-manage, making the
responsibilities too narrow and failing to give employees any decision -making power or to
stretch them often enough.
Question 3
Which would suggest that flattening of the organization is occurring?
A) There is a collective spirit
B) There is reduction in the administration levels
,C) There are shared work goals across units
D) There are formal and informal systems are in place to address conflicts
Correct Answer
Ans: B
Feedback: Reducing the numbers of administration levels is called flattening the organization.
The remaining options are not related to organizational flattening.
Question 4
How is competency of an employee best determined?
A) An examination of patient records by a review team
B) Self-reporting on an administered skills checklist
C) Evidence of attendance in continuing education classes
D) Documentation of effectively meeting role demands
Correct Answer
Ans: D
Feedback: Competency relates to role and is determined by each role demand. None of the
other options are able to determine competency as effectively as documentation of
performance.
Question 5
What location of the SBAR charting tool states the patient's problem?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer
Ans: C
Feedback: Assessment is where the nurse states the patient's problem. The problem is not
documented in any of the other SBAR locations.
Question 6
,Gardner states that integrated leaders-managers distinguish themselves from more
traditional managers in six ways. Which is a distinguishing trait of a traditional manager
rather than an integrated leader-manager?
A) They are politically astute
B) They look outward, toward the larger organization
C) They extend influence only to their own group
D) They emphasize vision, values, and motivation
Correct Answer
Ans: C
Feedback:
Traditional managers influence those in their own groups while integrated leaders influence
others beyond their own group. The remaining options represent traits that may be shared by
both types.
Question 7
What is the value of using a structured approach to problem solving for the novice
nurse?
A) Facilitates effective time management
B) Supports the acquisition of clinical reasoning
C) Supplements the orientation process
D) Encourages professional autonomy
Correct Answer
Ans: B
Feedback:
A structured approach to problem solving and decision making increases clinical
reasoning and is the best way to learn how to make quality decisions because it
eliminates trial and error and focuses the learning on a proven process. This is
particularly helpful to the novice nurse with limited clinical experience and intuition.
The other options are outcomes of the possession of critical thinking skills and clinical
reasoning.
, Question 8
Which is the first step in the time management process?
A. Completing the highest priority task
B. Allowing enough time for sufficient daily planning
C. Reprioritizing based on new information received
D. Delegating work that cannot be accomplished in a day
Correct Answer
Ans: B
Feedback: Daily planning is essential if the manager is to manage by efficiency rather than by
crisis. The remaining options are steps that occur after that planning.
Question 9
The promise phase of career development typically reflects how many years of initial nursing
employment?
A) 1
B) 2
C) 5
D) 10
Correct Answer
Ans: D
Feedback: Promise is the earliest of the career phases and typically reflects the first 10 years
of nursing employment.
Question 10
One of the nurses on the unit said, "Male patients have a low threshold for pain." This is
an example of what type of illogical thinking?
A) Affirming the consequences
B) Arguing from analogy
C) Deductive reasoning
D) Overgeneralizing
Correct Answer
QUESTIONS AND ANSWERS WITH RATIONALES
Question 1
What did motivational theorist Victor Vroom state?
A) Personal motivators could be separated from job satisfiers
B) People are motivated by three basic needs: achievement, affiliation, and power
C) A manager's assumptions about workers directly affect the intrinsic motivation of the
workers
D) Employees' expectations about their work environment or a certain event will affect their
behavior
Correct Answer
Ans: D
Feedback: This theory is called Vroom's expectancy model.
Question 2
What did Gellerman state about most managers in organizations?
A) They undermanage subordinates
B) They define responsibilities too broadly
C) They stretch employees' comfort levels too much
D) They fail to give employees sufficient decision-making power
Correct Answer
Ans: D
Feedback: Gellerman states that most managers in organizations over-manage, making the
responsibilities too narrow and failing to give employees any decision -making power or to
stretch them often enough.
Question 3
Which would suggest that flattening of the organization is occurring?
A) There is a collective spirit
B) There is reduction in the administration levels
,C) There are shared work goals across units
D) There are formal and informal systems are in place to address conflicts
Correct Answer
Ans: B
Feedback: Reducing the numbers of administration levels is called flattening the organization.
The remaining options are not related to organizational flattening.
Question 4
How is competency of an employee best determined?
A) An examination of patient records by a review team
B) Self-reporting on an administered skills checklist
C) Evidence of attendance in continuing education classes
D) Documentation of effectively meeting role demands
Correct Answer
Ans: D
Feedback: Competency relates to role and is determined by each role demand. None of the
other options are able to determine competency as effectively as documentation of
performance.
Question 5
What location of the SBAR charting tool states the patient's problem?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer
Ans: C
Feedback: Assessment is where the nurse states the patient's problem. The problem is not
documented in any of the other SBAR locations.
Question 6
,Gardner states that integrated leaders-managers distinguish themselves from more
traditional managers in six ways. Which is a distinguishing trait of a traditional manager
rather than an integrated leader-manager?
A) They are politically astute
B) They look outward, toward the larger organization
C) They extend influence only to their own group
D) They emphasize vision, values, and motivation
Correct Answer
Ans: C
Feedback:
Traditional managers influence those in their own groups while integrated leaders influence
others beyond their own group. The remaining options represent traits that may be shared by
both types.
Question 7
What is the value of using a structured approach to problem solving for the novice
nurse?
A) Facilitates effective time management
B) Supports the acquisition of clinical reasoning
C) Supplements the orientation process
D) Encourages professional autonomy
Correct Answer
Ans: B
Feedback:
A structured approach to problem solving and decision making increases clinical
reasoning and is the best way to learn how to make quality decisions because it
eliminates trial and error and focuses the learning on a proven process. This is
particularly helpful to the novice nurse with limited clinical experience and intuition.
The other options are outcomes of the possession of critical thinking skills and clinical
reasoning.
, Question 8
Which is the first step in the time management process?
A. Completing the highest priority task
B. Allowing enough time for sufficient daily planning
C. Reprioritizing based on new information received
D. Delegating work that cannot be accomplished in a day
Correct Answer
Ans: B
Feedback: Daily planning is essential if the manager is to manage by efficiency rather than by
crisis. The remaining options are steps that occur after that planning.
Question 9
The promise phase of career development typically reflects how many years of initial nursing
employment?
A) 1
B) 2
C) 5
D) 10
Correct Answer
Ans: D
Feedback: Promise is the earliest of the career phases and typically reflects the first 10 years
of nursing employment.
Question 10
One of the nurses on the unit said, "Male patients have a low threshold for pain." This is
an example of what type of illogical thinking?
A) Affirming the consequences
B) Arguing from analogy
C) Deductive reasoning
D) Overgeneralizing
Correct Answer
