VAT RN LEADERSHIP MANAGEMENT [ii] EXAM 2026 UPDATED QUESTIONS AND
ANSWERS WITH RATIONALES
A nurse is caring for a client when they erroneously administer a medication dosage that is
greater than the amount prescribed. Which of the following ethical principles is the nurse
demonstrating when they notify the provider of the medication error?
Veracity.
Holds that one should tell the truth.
A nurse is performing morning rounds for a client and finds the client's bedtime medication
sitting at the bedside in a medication cup. Which of the following actions should the nurse take?
Document the missed medication administration in the client's medical record.
It is the responsibility of the nurse to record the facts of the missed medication administration
in the clients medical record.
A nurse is providing teaching to a client's adult child regarding the clients discharge to home
with hospice care. Which of the following statements by the client's adult child indicates an
understanding of the teaching?
The hospice team will provide services for the entire family, not just my father.
Hospice services are provided by a team of health care professionals and nonprofessional that
offer a full range of services, supporting both the client and family through the dying process.
,A nurse manager is scheduling a meeting to address a conflict between staff members and a
client's family. In the meeting, staff and family members will identify common goals and express
their concerns. Which of the following conflict resolution strategies is the nurse manger
implementing?
Collaboration
Collaboration involves both parties agreeing to work towards a common goal rather than
individual goals to fins a mutually satisfying solution to the conflict. The goal becomes what is
best overall, rather than what each individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving against medical advice
(AMA). Which of the following actions should the nurse take? SATA
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as complications of the
clients medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses.
Which of the following examples should the charge nurse include in the teaching as a
demonstration of client advocacy? SATA
A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse.
A nurse arranges for an interpreter for a client who speaks a different language.
, The nurse should report improper completion of a procedure to the charge nurse and complete
an incident report describing the incident. Reporting to the charge nurse is an act of client
advocacy, which allows the charge nurse to further monitor the clients condition and prevent
negative outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse. An
interpreter will facilitate understanding of the teaching and allow the client to communicate
their needs to the nurse.
A nurse suspects a client is developing opioid use disorder and reduces the clients dosage of
pain medication by 50% without a prescription from the provider. The nurse checks on the client
1hr later and sees the client sitting up in a chair. The client tells the nurse, "I am in too much
pain to reach the nurse call button." The nurse is liable for which of the following legal
violations?
Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless disregard of
consequences. The nurse's actions were intentional and reckless, in opposition of the provider's
prescription, and placed the client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which of the following client
statements indicates an understanding of the teaching?
My health care proxy will make my health care decisions when I am no longer able.
The client should discuss her health care wishes with the health care proxy while she is able.
ANSWERS WITH RATIONALES
A nurse is caring for a client when they erroneously administer a medication dosage that is
greater than the amount prescribed. Which of the following ethical principles is the nurse
demonstrating when they notify the provider of the medication error?
Veracity.
Holds that one should tell the truth.
A nurse is performing morning rounds for a client and finds the client's bedtime medication
sitting at the bedside in a medication cup. Which of the following actions should the nurse take?
Document the missed medication administration in the client's medical record.
It is the responsibility of the nurse to record the facts of the missed medication administration
in the clients medical record.
A nurse is providing teaching to a client's adult child regarding the clients discharge to home
with hospice care. Which of the following statements by the client's adult child indicates an
understanding of the teaching?
The hospice team will provide services for the entire family, not just my father.
Hospice services are provided by a team of health care professionals and nonprofessional that
offer a full range of services, supporting both the client and family through the dying process.
,A nurse manager is scheduling a meeting to address a conflict between staff members and a
client's family. In the meeting, staff and family members will identify common goals and express
their concerns. Which of the following conflict resolution strategies is the nurse manger
implementing?
Collaboration
Collaboration involves both parties agreeing to work towards a common goal rather than
individual goals to fins a mutually satisfying solution to the conflict. The goal becomes what is
best overall, rather than what each individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving against medical advice
(AMA). Which of the following actions should the nurse take? SATA
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as complications of the
clients medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses.
Which of the following examples should the charge nurse include in the teaching as a
demonstration of client advocacy? SATA
A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse.
A nurse arranges for an interpreter for a client who speaks a different language.
, The nurse should report improper completion of a procedure to the charge nurse and complete
an incident report describing the incident. Reporting to the charge nurse is an act of client
advocacy, which allows the charge nurse to further monitor the clients condition and prevent
negative outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse. An
interpreter will facilitate understanding of the teaching and allow the client to communicate
their needs to the nurse.
A nurse suspects a client is developing opioid use disorder and reduces the clients dosage of
pain medication by 50% without a prescription from the provider. The nurse checks on the client
1hr later and sees the client sitting up in a chair. The client tells the nurse, "I am in too much
pain to reach the nurse call button." The nurse is liable for which of the following legal
violations?
Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless disregard of
consequences. The nurse's actions were intentional and reckless, in opposition of the provider's
prescription, and placed the client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which of the following client
statements indicates an understanding of the teaching?
My health care proxy will make my health care decisions when I am no longer able.
The client should discuss her health care wishes with the health care proxy while she is able.
