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# ATI NURSING LEADERSHIP PRACTICE
QUESTION BANK
## 2026-2027 ACADEMIC YEAR
# TABLE OF CONTENTS
| Section | Topic Area | Question Numbers | Page |
|---------|-----------|------------------|------|
| **1** | **Management of Care** | 1 – 40 | 1 |
| **2** | **Delegation & Supervision** | 41 – 75 | 8 |
| **3** | **Prioritization & Triage** | 76 – 110 | 15 |
| **4** | **Leadership Theories & Styles** | 111 – 140 | 22 |
| **5** | **Conflict Resolution** | 141 – 170 | 29 |
| **6** | **Legal & Ethical Issues** | 171 – 205 | 36 |
| **7** | **Quality Improvement & Safety** | 206 – 240 | 43 |
| **8** | **Staff Development & Management** | 241 – 270 | 50 |
| **9** | **Resource & Financial Management** | 271 – 295 | 57 |
| **10** | **Comprehensive Integrative Questions** | 296 – 320 | 64 |
---
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# SECTION 1: MANAGEMENT OF CARE
### Question 1
A charge nurse is planning daily assignments on a medical-surgical unit. Which of
the following is the priority activity when organizing the unit's daily work?
A) Assign client care to staff based on acuity and competency
B) Coordinate staff breaks throughout the shift
C) Organize daily meetings using an appointment book
D) Review long-term unit goals for the month
**Correct Answer: A**
**Rationale:** Assigning client care based on client acuity and staff competency
ensures clients receive timely treatment and that staff workload is balanced. This
directly impacts patient safety and quality of care, making it the highest priority for
the nurse manager .
**Why B is incorrect:** Coordinating staff breaks is important for staff
satisfaction and preventing fatigue but is not the priority over client care
assignments.
**Why C is incorrect:** Organizing meetings is a management task but does not
directly impact client care delivery.
**Why D is incorrect:** Reviewing long-term goals is important for strategic
planning but is not the priority for daily operations.
,3|Page
### Question 2
A nurse manager is implementing a new electronic health record (EHR) system on
the unit. Which of the following actions should the nurse manager take first?
A) Schedule training sessions for all staff members
B) Identify the unit's specific needs and workflow requirements
C) Purchase the most advanced system available
D) Assign a staff member to manage the implementation
**Correct Answer: B**
**Rationale:** Identifying the unit's specific needs and workflow requirements is
the essential first step before implementing any new system. This ensures the
chosen system meets the unit's needs and will be adopted by staff.
**Why A is incorrect:** Training should occur after system selection and needs
assessment.
**Why C is incorrect:** Purchasing an advanced system without assessing needs
may result in a system that does not fit the unit's requirements.
**Why D is incorrect:** Assigning a staff member is important but should occur
after the needs assessment.
---
, 4|Page
### Question 3
A nurse is providing client education about advance directives. Which of the
following statements by the client indicates an accurate understanding?
A) "I can't make any changes to my advance directives once they're signed."
B) "These documents will describe my preferences for treatments such as
medications and procedures."
C) "My partner must be present if I become unresponsive to guide my care."
D) "My provider will decide on my care if I can't speak for myself."
**Correct Answer: B**
**Rationale:** Advance directives outline the client's wishes for medical
treatments, including medications, procedures, and other interventions. This is the
purpose of these legal documents .
**Why A is incorrect:** Clients can revise their advance directives at any time
they wish.
**Why C is incorrect:** A partner does not need to be physically present for
advance directives to be honored; the directives should be in the client's chart.
**Why D is incorrect:** The provider must follow the client's directives and
cannot unilaterally make decisions.
---
# ATI NURSING LEADERSHIP PRACTICE
QUESTION BANK
## 2026-2027 ACADEMIC YEAR
# TABLE OF CONTENTS
| Section | Topic Area | Question Numbers | Page |
|---------|-----------|------------------|------|
| **1** | **Management of Care** | 1 – 40 | 1 |
| **2** | **Delegation & Supervision** | 41 – 75 | 8 |
| **3** | **Prioritization & Triage** | 76 – 110 | 15 |
| **4** | **Leadership Theories & Styles** | 111 – 140 | 22 |
| **5** | **Conflict Resolution** | 141 – 170 | 29 |
| **6** | **Legal & Ethical Issues** | 171 – 205 | 36 |
| **7** | **Quality Improvement & Safety** | 206 – 240 | 43 |
| **8** | **Staff Development & Management** | 241 – 270 | 50 |
| **9** | **Resource & Financial Management** | 271 – 295 | 57 |
| **10** | **Comprehensive Integrative Questions** | 296 – 320 | 64 |
---
,2|Page
# SECTION 1: MANAGEMENT OF CARE
### Question 1
A charge nurse is planning daily assignments on a medical-surgical unit. Which of
the following is the priority activity when organizing the unit's daily work?
A) Assign client care to staff based on acuity and competency
B) Coordinate staff breaks throughout the shift
C) Organize daily meetings using an appointment book
D) Review long-term unit goals for the month
**Correct Answer: A**
**Rationale:** Assigning client care based on client acuity and staff competency
ensures clients receive timely treatment and that staff workload is balanced. This
directly impacts patient safety and quality of care, making it the highest priority for
the nurse manager .
**Why B is incorrect:** Coordinating staff breaks is important for staff
satisfaction and preventing fatigue but is not the priority over client care
assignments.
**Why C is incorrect:** Organizing meetings is a management task but does not
directly impact client care delivery.
**Why D is incorrect:** Reviewing long-term goals is important for strategic
planning but is not the priority for daily operations.
,3|Page
### Question 2
A nurse manager is implementing a new electronic health record (EHR) system on
the unit. Which of the following actions should the nurse manager take first?
A) Schedule training sessions for all staff members
B) Identify the unit's specific needs and workflow requirements
C) Purchase the most advanced system available
D) Assign a staff member to manage the implementation
**Correct Answer: B**
**Rationale:** Identifying the unit's specific needs and workflow requirements is
the essential first step before implementing any new system. This ensures the
chosen system meets the unit's needs and will be adopted by staff.
**Why A is incorrect:** Training should occur after system selection and needs
assessment.
**Why C is incorrect:** Purchasing an advanced system without assessing needs
may result in a system that does not fit the unit's requirements.
**Why D is incorrect:** Assigning a staff member is important but should occur
after the needs assessment.
---
, 4|Page
### Question 3
A nurse is providing client education about advance directives. Which of the
following statements by the client indicates an accurate understanding?
A) "I can't make any changes to my advance directives once they're signed."
B) "These documents will describe my preferences for treatments such as
medications and procedures."
C) "My partner must be present if I become unresponsive to guide my care."
D) "My provider will decide on my care if I can't speak for myself."
**Correct Answer: B**
**Rationale:** Advance directives outline the client's wishes for medical
treatments, including medications, procedures, and other interventions. This is the
purpose of these legal documents .
**Why A is incorrect:** Clients can revise their advance directives at any time
they wish.
**Why C is incorrect:** A partner does not need to be physically present for
advance directives to be honored; the directives should be in the client's chart.
**Why D is incorrect:** The provider must follow the client's directives and
cannot unilaterally make decisions.
---
