ATI Capstone Leadership Exam Actual 2023/2024 with
Detailed Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
Section 1: Management of Care (15 Questions)
Q1: A nurse manager is assigning tasks for the shift. Which task is appropriate to
delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a post-operative client's incision for signs of infection
B. Administering oral antibiotics to a client with pneumonia
C. Obtaining vital signs on a stable client recovering from appendectomy [CORRECT]
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: C
Rationale: Correct because obtaining vital signs on a stable client is within the UAP's
scope of practice, whereas assessment, medication administration, and client
education require licensed nursing judgment.
Q2: The charge nurse has four clients and must determine priority. Which client
should the nurse see first?
A. A client requesting a PRN pain medication for a headache rated 3/10
B. A client with a new onset of chest pain and diaphoresis [CORRECT]
C. A client scheduled for discharge in 30 minutes who needs final education
D. A client with a stable blood pressure who needs a routine dressing change
,Correct Answer: B
Rationale: Correct because chest pain with diaphoresis may indicate acute cardiac
compromise requiring immediate assessment and intervention using the ABCs and
safety-first prioritization framework.
Q3: A nurse is supervising a licensed practical nurse (LPN) who has been asked to
administer a subcutaneous heparin injection. The LPN states they have never given
this injection before. What is the nurse's best action?
A. Allow the LPN to administer the injection and evaluate afterward
B. Delegate the task to another LPN who has experience with heparin
C. Provide instruction and supervise the LPN during the procedure [CORRECT]
D. Complete the injection independently and document the LPN attempted it
Correct Answer: C
Rationale: Correct because the nurse retains accountability for delegation and must
ensure proper supervision, which includes teaching and overseeing a task that is
within the LPN's scope but new to the individual.
Q4: A client is scheduled for surgery and states they do not understand the
procedure after the surgeon explained it. What is the nurse's appropriate action?
A. Explain the procedure to the client since the surgeon is unavailable
B. Notify the surgeon that the client requires further clarification [CORRECT]
C. Have the client sign the consent form and document their understanding
D. Ask the client to watch an educational video about the procedure
Correct Answer: B
, Rationale: Correct because the nurse advocates for the client by ensuring informed
consent is obtained; only the provider performing the procedure can legally provide
the necessary explanation for valid consent.
Q5: A nurse discovers that a colleague documented a medication administration that
was not actually given. What is the nurse's first action?
A. Confront the colleague and demand they correct the documentation immediately
B. Report the incident to the state board of nursing before investigating further
C. Follow the facility's policy for reporting errors and unsafe practice [CORRECT]
D. Document the discrepancy in the client's chart without speaking to the colleague
Correct Answer: C
Rationale: Correct because nurses are obligated to follow the chain of command and
institutional policies when addressing potential documentation errors or unsafe
practices to ensure client safety and proper process.
Q6: During a code blue, the nurse manager notices that team members are not
following proper resuscitation protocols. What leadership style is most appropriate
in this situation?
A. Democratic, allowing the team to vote on the next intervention
B. Laissez-faire, permitting experienced nurses to lead independently
C. Autocratic, providing direct orders and clear instructions [CORRECT]
D. Transformational, inspiring the team to improve their performance
Correct Answer: C
Detailed Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
Section 1: Management of Care (15 Questions)
Q1: A nurse manager is assigning tasks for the shift. Which task is appropriate to
delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a post-operative client's incision for signs of infection
B. Administering oral antibiotics to a client with pneumonia
C. Obtaining vital signs on a stable client recovering from appendectomy [CORRECT]
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: C
Rationale: Correct because obtaining vital signs on a stable client is within the UAP's
scope of practice, whereas assessment, medication administration, and client
education require licensed nursing judgment.
Q2: The charge nurse has four clients and must determine priority. Which client
should the nurse see first?
A. A client requesting a PRN pain medication for a headache rated 3/10
B. A client with a new onset of chest pain and diaphoresis [CORRECT]
C. A client scheduled for discharge in 30 minutes who needs final education
D. A client with a stable blood pressure who needs a routine dressing change
,Correct Answer: B
Rationale: Correct because chest pain with diaphoresis may indicate acute cardiac
compromise requiring immediate assessment and intervention using the ABCs and
safety-first prioritization framework.
Q3: A nurse is supervising a licensed practical nurse (LPN) who has been asked to
administer a subcutaneous heparin injection. The LPN states they have never given
this injection before. What is the nurse's best action?
A. Allow the LPN to administer the injection and evaluate afterward
B. Delegate the task to another LPN who has experience with heparin
C. Provide instruction and supervise the LPN during the procedure [CORRECT]
D. Complete the injection independently and document the LPN attempted it
Correct Answer: C
Rationale: Correct because the nurse retains accountability for delegation and must
ensure proper supervision, which includes teaching and overseeing a task that is
within the LPN's scope but new to the individual.
Q4: A client is scheduled for surgery and states they do not understand the
procedure after the surgeon explained it. What is the nurse's appropriate action?
A. Explain the procedure to the client since the surgeon is unavailable
B. Notify the surgeon that the client requires further clarification [CORRECT]
C. Have the client sign the consent form and document their understanding
D. Ask the client to watch an educational video about the procedure
Correct Answer: B
, Rationale: Correct because the nurse advocates for the client by ensuring informed
consent is obtained; only the provider performing the procedure can legally provide
the necessary explanation for valid consent.
Q5: A nurse discovers that a colleague documented a medication administration that
was not actually given. What is the nurse's first action?
A. Confront the colleague and demand they correct the documentation immediately
B. Report the incident to the state board of nursing before investigating further
C. Follow the facility's policy for reporting errors and unsafe practice [CORRECT]
D. Document the discrepancy in the client's chart without speaking to the colleague
Correct Answer: C
Rationale: Correct because nurses are obligated to follow the chain of command and
institutional policies when addressing potential documentation errors or unsafe
practices to ensure client safety and proper process.
Q6: During a code blue, the nurse manager notices that team members are not
following proper resuscitation protocols. What leadership style is most appropriate
in this situation?
A. Democratic, allowing the team to vote on the next intervention
B. Laissez-faire, permitting experienced nurses to lead independently
C. Autocratic, providing direct orders and clear instructions [CORRECT]
D. Transformational, inspiring the team to improve their performance
Correct Answer: C
