ATI Nursing Leadership and Management Exam Study
Guide 2026 | Complete Exam Test Bank with Actual
Exam Questions, Verified Correct Answers & Detailed
Explanations | Latest Update - Graded A+
Question 1
A nurse enters the room of a client who is on contact precautions and finds the client
lying on the floor. Which of the following actions should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed.
Correct Answer: C
Explanation: The first action is to inspect the client for injuries to determine the
extent of harm and provide immediate care.
Question 2
An RN on a medical surgical unit is making assignments at the beginning of the shift.
Which of the following tasks should the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
catheterization.
B. Administer a unit of packed red blood cells to a client who has cancer.
C. Instruct a client who is scheduled for discharge in the performance of one care.
D. Develop a plan of care for a newly admitted client who has pneumonia.
Correct Answer: A
Explanation: Obtaining vital signs is within the PN scope of practice. Blood
administration, discharge teaching, and care plan development are RN responsibilities.
Question 3
A PN ending her shift reports to the RN that a newly hired AP has not calculated the
intake and output for several clients. Which of the following actions should the RN take?
pg. 1
,A. Complete an incident report.
B. Delegate this task to the PN.
C. Ask the AP if she needs assistance.
D. Notify the nurse manager.
Correct Answer: C
Explanation: The RN should first determine if the AP needs assistance or education to
complete the task correctly.
Question 4
A nurse manager is developing an orientation plan for newly licensed nurses. Which of
the following information should the manager include in the plan? Select all that apply.
A. Skilled proficiency.
B. Assignment to a preceptor.
C. Budgetary principles.
D. Computerized charting.
E. Socialization into unit culture.
F. Facility policies and procedures.
Correct Answer: A, B, D, E, F
Explanation: Orientation should include skill proficiency, preceptor assignment,
computerized charting, socialization into unit culture, and facility policies.
Question 5
A nurse manager is providing information about the audit process to members of the
nursing team. Which of the following information should the nurse manager include?
Select all that apply.
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark.
Correct Answer: A, B, C, E
Explanation: Retrospective audits are conducted after care is provided, not during.
pg. 2
,Question 6
A nurse is participating in a quality improvement study of a procedure frequently
performed on the unit. Which of the following information will provide data regarding
the efficacy of the procedure?
A. Frequency with which procedure is performed.
B. Client satisfaction with performance of procedure.
C. Incidence of complications related to procedure.
D. Accurate documentation of how procedure was performed.
Correct Answer: C
Explanation: The incidence of complications indicates the effectiveness and safety of
the procedure.
Question 7
A nurse is hired to replace a staff member who has resigned. After working on the unit
for several weeks, the nurse notices that the unit manager does not intervene when there
is conflict between team members, even when it escalates. Which of the following
conflict resolution strategies is the unit manager demonstrating?
A. Avoidance.
B. Smoothing.
C. Cooperating.
D. Negotiating.
Correct Answer: A
Explanation: Avoidance is when a manager ignores or withdraws from conflict rather
than addressing it.
Question 8
A nurse is preparing to transfer an older adult client who is 72 hours postoperative to a
long-term care facility. Which of the following information should the nurse include in
the transfer report? Select all that apply.
A. Type of anesthesia used.
B. Advanced directive status.
C. Vital signs on day of admission.
D. Medical diagnoses.
E. Need for specific equipment.
pg. 3
, Correct Answer: B, D, E
Explanation: Advanced directive status, medical diagnoses, and need for equipment
are essential for continuity of care.
Question 9
A nurse is participating in an inter-professional conference for a client who has a recent
C6 spinal cord injury. The client worked as a construction worker prior to his injury.
Which of the following members of the interprofessional team should participate in
planning care for this client? Select all that apply.
A. Physical therapist.
B. Speech therapist.
C. Occupational therapist.
D. Psychologist.
E. Vocational counselor.
Correct Answer: A, C, D, E
Explanation: Physical therapy, occupational therapy, psychology, and vocational
counseling are needed. Speech therapy is not indicated for C6 injury.
Question 10
A nurse manager is working with a committee of nurses to update the policies for new
employee orientation. The nurse manager directs the team to collect as much data as
possible and recommend several options. Which of the following decision making styles
is the nurse manager demonstrating?
A. Decisive.
B. Flexible.
C. Hierarchical.
D. Integrative.
Correct Answer: D
Explanation: Integrative style uses a large amount of data and generates several
options.
Question 11
pg. 4
Guide 2026 | Complete Exam Test Bank with Actual
Exam Questions, Verified Correct Answers & Detailed
Explanations | Latest Update - Graded A+
Question 1
A nurse enters the room of a client who is on contact precautions and finds the client
lying on the floor. Which of the following actions should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if he needs to get out of bed.
Correct Answer: C
Explanation: The first action is to inspect the client for injuries to determine the
extent of harm and provide immediate care.
Question 2
An RN on a medical surgical unit is making assignments at the beginning of the shift.
Which of the following tasks should the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr post procedure following a cardiac
catheterization.
B. Administer a unit of packed red blood cells to a client who has cancer.
C. Instruct a client who is scheduled for discharge in the performance of one care.
D. Develop a plan of care for a newly admitted client who has pneumonia.
Correct Answer: A
Explanation: Obtaining vital signs is within the PN scope of practice. Blood
administration, discharge teaching, and care plan development are RN responsibilities.
Question 3
A PN ending her shift reports to the RN that a newly hired AP has not calculated the
intake and output for several clients. Which of the following actions should the RN take?
pg. 1
,A. Complete an incident report.
B. Delegate this task to the PN.
C. Ask the AP if she needs assistance.
D. Notify the nurse manager.
Correct Answer: C
Explanation: The RN should first determine if the AP needs assistance or education to
complete the task correctly.
Question 4
A nurse manager is developing an orientation plan for newly licensed nurses. Which of
the following information should the manager include in the plan? Select all that apply.
A. Skilled proficiency.
B. Assignment to a preceptor.
C. Budgetary principles.
D. Computerized charting.
E. Socialization into unit culture.
F. Facility policies and procedures.
Correct Answer: A, B, D, E, F
Explanation: Orientation should include skill proficiency, preceptor assignment,
computerized charting, socialization into unit culture, and facility policies.
Question 5
A nurse manager is providing information about the audit process to members of the
nursing team. Which of the following information should the nurse manager include?
Select all that apply.
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark.
Correct Answer: A, B, C, E
Explanation: Retrospective audits are conducted after care is provided, not during.
pg. 2
,Question 6
A nurse is participating in a quality improvement study of a procedure frequently
performed on the unit. Which of the following information will provide data regarding
the efficacy of the procedure?
A. Frequency with which procedure is performed.
B. Client satisfaction with performance of procedure.
C. Incidence of complications related to procedure.
D. Accurate documentation of how procedure was performed.
Correct Answer: C
Explanation: The incidence of complications indicates the effectiveness and safety of
the procedure.
Question 7
A nurse is hired to replace a staff member who has resigned. After working on the unit
for several weeks, the nurse notices that the unit manager does not intervene when there
is conflict between team members, even when it escalates. Which of the following
conflict resolution strategies is the unit manager demonstrating?
A. Avoidance.
B. Smoothing.
C. Cooperating.
D. Negotiating.
Correct Answer: A
Explanation: Avoidance is when a manager ignores or withdraws from conflict rather
than addressing it.
Question 8
A nurse is preparing to transfer an older adult client who is 72 hours postoperative to a
long-term care facility. Which of the following information should the nurse include in
the transfer report? Select all that apply.
A. Type of anesthesia used.
B. Advanced directive status.
C. Vital signs on day of admission.
D. Medical diagnoses.
E. Need for specific equipment.
pg. 3
, Correct Answer: B, D, E
Explanation: Advanced directive status, medical diagnoses, and need for equipment
are essential for continuity of care.
Question 9
A nurse is participating in an inter-professional conference for a client who has a recent
C6 spinal cord injury. The client worked as a construction worker prior to his injury.
Which of the following members of the interprofessional team should participate in
planning care for this client? Select all that apply.
A. Physical therapist.
B. Speech therapist.
C. Occupational therapist.
D. Psychologist.
E. Vocational counselor.
Correct Answer: A, C, D, E
Explanation: Physical therapy, occupational therapy, psychology, and vocational
counseling are needed. Speech therapy is not indicated for C6 injury.
Question 10
A nurse manager is working with a committee of nurses to update the policies for new
employee orientation. The nurse manager directs the team to collect as much data as
possible and recommend several options. Which of the following decision making styles
is the nurse manager demonstrating?
A. Decisive.
B. Flexible.
C. Hierarchical.
D. Integrative.
Correct Answer: D
Explanation: Integrative style uses a large amount of data and generates several
options.
Question 11
pg. 4
