ATI RN Leadership 2026 Clinical
Rotation Review – NCLEX‑Style Ultimate
Bundle with Mnemonics & Exam
Readiness Guide
100 Questions
1. A nurse manager is implementing a new electronic health record system on a unit. Which leadership
style is most effective for facilitating this change?
💫ANSWER✔️✔️: Transformational leadership
💫RATIONALE✔️✔️: Transformational leadership inspires and motivates staff to embrace change by
creating a shared vision and fostering innovation. This style is ideal for implementing system-wide
changes and gaining staff buy-in.
2. A charge nurse is delegating tasks to the healthcare team. Which task can be delegated to a licensed
practical nurse (LPN)?
💫ANSWER✔️✔️: Administering a daily oral medication to a stable patient
💫RATIONALE✔️✔️: The LPN scope of practice includes administering oral and parenteral medications to
stable patients. Tasks like initial assessments, care plan development, and discharge teaching must be
performed by the RN.
3. A nurse is preparing to delegate a task to a nursing assistant. Which component of the five rights of
delegation is the nurse ensuring when confirming the assistant has the required skills?
💫ANSWER✔️✔️: Right person
💫RATIONALE✔️✔️: The right person means ensuring the delegatee has the appropriate knowledge, skills,
and training to perform the task safely. This is a critical step in the delegation process.
4. A unit manager is addressing a conflict between two staff members. Which conflict resolution
strategy is considered a win-win approach?
💫ANSWER✔️✔️: Collaboration
,💫RATIONALE✔️✔️: Collaboration involves working together to find a mutually agreeable solution that
satisfies both parties. This is the most effective and constructive approach to conflict resolution.
5. A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. What is the
nurse's primary legal and ethical responsibility?
💫ANSWER✔️✔️: Respect the patient's right to refuse treatment and document the decision.
💫RATIONALE✔️✔️: Informed consent includes the right to refuse treatment. The nurse must respect the
patient's autonomy, document the refusal, and notify the healthcare provider.
6. A charge nurse is evaluating the effectiveness of a new pain management protocol. Which type of
leadership power is the nurse demonstrating?
💫ANSWER✔️✔️: Expert power
💫RATIONALE✔️✔️: Expert power is derived from specialized knowledge, skills, or expertise. By
evaluating and improving the protocol, the charge nurse uses their clinical expertise to influence
practice.
7. A nurse manager is developing a budget for the next fiscal year. Which component of the budget
includes costs for supplies and equipment?
💫ANSWER✔️✔️: Operating budget
💫RATIONALE✔️✔️: The operating budget includes the day-to-day expenses of running a unit, such as
salaries, supplies, equipment, and utilities. It is distinct from the capital budget, which covers major
equipment purchases.
8. A nurse is prioritizing care for multiple patients. Which patient should the nurse assess first?
💫ANSWER✔️✔️: A patient with chest pain and diaphoresis
💫RATIONALE✔️✔️: Chest pain and diaphoresis are signs of an acute myocardial infarction, which is a life-
threatening emergency. This patient requires immediate assessment and intervention.
9. A nurse manager is using the PDCA (Plan-Do-Check-Act) cycle to improve patient satisfaction scores.
During the "Check" phase, what does the manager do?
💫ANSWER✔️✔️: Evaluate the outcome of the implemented change
, 💫RATIONALE✔️✔️: In the PDCA cycle, the "Check" phase involves evaluating the results of the
implemented changes to determine if the desired outcome was achieved. This is followed by the "Act"
phase, where modifications are made.
10. A charge nurse identifies that a staff nurse is consistently documenting incomplete assessments.
What is the most appropriate initial action?
💫ANSWER✔️✔️: Discuss the observations privately with the staff nurse.
💫RATIONALE✔️✔️: The initial action is to have a private, non-confrontational conversation with the staff
nurse to clarify expectations, identify barriers, and provide coaching. This approach respects the nurse's
dignity and fosters improvement.
11. A nurse is preparing to provide a handoff report using the SBAR communication tool. What does the
"B" in SBAR represent?
💫ANSWER✔️✔️: Background
💫RATIONALE✔️✔️: SBAR is a standardized communication tool for handoffs. It stands for Situation,
Background, Assessment, and Recommendation. This structure enhances clarity and reduces
miscommunication.
12. A nurse manager is implementing a shared governance model on the unit. What is the primary goal
of this model?
💫ANSWER✔️✔️: To empower staff nurses to participate in decision-making.
💫RATIONALE✔️✔️: Shared governance is a model where nurses have a voice in decisions affecting their
practice, working conditions, and patient care. This empowers staff and promotes professional
accountability.
13. A nurse is caring for a patient who is to undergo a surgical procedure. What is the nurse's role in
obtaining informed consent?
💫ANSWER✔️✔️: To witness the patient's signature and ensure the patient understands the procedure.
💫RATIONALE✔️✔️: The nurse's role in informed consent is to witness the patient's signature and to
verify that the patient understands the information provided by the provider. The provider is
responsible for providing the explanation.
Rotation Review – NCLEX‑Style Ultimate
Bundle with Mnemonics & Exam
Readiness Guide
100 Questions
1. A nurse manager is implementing a new electronic health record system on a unit. Which leadership
style is most effective for facilitating this change?
💫ANSWER✔️✔️: Transformational leadership
💫RATIONALE✔️✔️: Transformational leadership inspires and motivates staff to embrace change by
creating a shared vision and fostering innovation. This style is ideal for implementing system-wide
changes and gaining staff buy-in.
2. A charge nurse is delegating tasks to the healthcare team. Which task can be delegated to a licensed
practical nurse (LPN)?
💫ANSWER✔️✔️: Administering a daily oral medication to a stable patient
💫RATIONALE✔️✔️: The LPN scope of practice includes administering oral and parenteral medications to
stable patients. Tasks like initial assessments, care plan development, and discharge teaching must be
performed by the RN.
3. A nurse is preparing to delegate a task to a nursing assistant. Which component of the five rights of
delegation is the nurse ensuring when confirming the assistant has the required skills?
💫ANSWER✔️✔️: Right person
💫RATIONALE✔️✔️: The right person means ensuring the delegatee has the appropriate knowledge, skills,
and training to perform the task safely. This is a critical step in the delegation process.
4. A unit manager is addressing a conflict between two staff members. Which conflict resolution
strategy is considered a win-win approach?
💫ANSWER✔️✔️: Collaboration
,💫RATIONALE✔️✔️: Collaboration involves working together to find a mutually agreeable solution that
satisfies both parties. This is the most effective and constructive approach to conflict resolution.
5. A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. What is the
nurse's primary legal and ethical responsibility?
💫ANSWER✔️✔️: Respect the patient's right to refuse treatment and document the decision.
💫RATIONALE✔️✔️: Informed consent includes the right to refuse treatment. The nurse must respect the
patient's autonomy, document the refusal, and notify the healthcare provider.
6. A charge nurse is evaluating the effectiveness of a new pain management protocol. Which type of
leadership power is the nurse demonstrating?
💫ANSWER✔️✔️: Expert power
💫RATIONALE✔️✔️: Expert power is derived from specialized knowledge, skills, or expertise. By
evaluating and improving the protocol, the charge nurse uses their clinical expertise to influence
practice.
7. A nurse manager is developing a budget for the next fiscal year. Which component of the budget
includes costs for supplies and equipment?
💫ANSWER✔️✔️: Operating budget
💫RATIONALE✔️✔️: The operating budget includes the day-to-day expenses of running a unit, such as
salaries, supplies, equipment, and utilities. It is distinct from the capital budget, which covers major
equipment purchases.
8. A nurse is prioritizing care for multiple patients. Which patient should the nurse assess first?
💫ANSWER✔️✔️: A patient with chest pain and diaphoresis
💫RATIONALE✔️✔️: Chest pain and diaphoresis are signs of an acute myocardial infarction, which is a life-
threatening emergency. This patient requires immediate assessment and intervention.
9. A nurse manager is using the PDCA (Plan-Do-Check-Act) cycle to improve patient satisfaction scores.
During the "Check" phase, what does the manager do?
💫ANSWER✔️✔️: Evaluate the outcome of the implemented change
, 💫RATIONALE✔️✔️: In the PDCA cycle, the "Check" phase involves evaluating the results of the
implemented changes to determine if the desired outcome was achieved. This is followed by the "Act"
phase, where modifications are made.
10. A charge nurse identifies that a staff nurse is consistently documenting incomplete assessments.
What is the most appropriate initial action?
💫ANSWER✔️✔️: Discuss the observations privately with the staff nurse.
💫RATIONALE✔️✔️: The initial action is to have a private, non-confrontational conversation with the staff
nurse to clarify expectations, identify barriers, and provide coaching. This approach respects the nurse's
dignity and fosters improvement.
11. A nurse is preparing to provide a handoff report using the SBAR communication tool. What does the
"B" in SBAR represent?
💫ANSWER✔️✔️: Background
💫RATIONALE✔️✔️: SBAR is a standardized communication tool for handoffs. It stands for Situation,
Background, Assessment, and Recommendation. This structure enhances clarity and reduces
miscommunication.
12. A nurse manager is implementing a shared governance model on the unit. What is the primary goal
of this model?
💫ANSWER✔️✔️: To empower staff nurses to participate in decision-making.
💫RATIONALE✔️✔️: Shared governance is a model where nurses have a voice in decisions affecting their
practice, working conditions, and patient care. This empowers staff and promotes professional
accountability.
13. A nurse is caring for a patient who is to undergo a surgical procedure. What is the nurse's role in
obtaining informed consent?
💫ANSWER✔️✔️: To witness the patient's signature and ensure the patient understands the procedure.
💫RATIONALE✔️✔️: The nurse's role in informed consent is to witness the patient's signature and to
verify that the patient understands the information provided by the provider. The provider is
responsible for providing the explanation.
