RN VATI Leadership and Management Practice Exam with
actual questions & correct answers
Question 1
A nurse manager is considering changing the policy for administering medications to clients on a unit.
Which of the following actions should the nurse manager take first?
A. Implement the new policy immediately to ensure timely change
B. Announce the change to staff at the next staff meeting
C. Determine the unit staff's perception of the need for change
D. Evaluate outcomes after implementation of the new policy
Correct Answer: C
Rationale: The first action using the nursing process is assessment. By determining the unit staff's
perception of the need for change, the nurse manager will be able to implement effective change.
Resistance to change is an integral part of the process, and understanding staff perspectives helps
facilitate a smoother transition .
Question 2
A nurse is providing teaching for a client about advance directives. Which of the following client
statements indicates an understanding of the teaching?
A. "My health care proxy will make my health care decisions when I am no longer able."
B. "The advance directive is only valid if my family agrees with my wishes."
C. "I only need to discuss my advance directives with my doctor."
D. "Once I sign the advance directive, my wishes cannot be changed."
Correct Answer: A
Rationale: The health care proxy (also called a durable power of attorney for health care) makes health
care decisions when the client is no longer able to do so. The client should discuss health care wishes with
the proxy while still able. Advance directives can be updated or changed at any time, and discussing
them with family is encouraged but not required .
Question 3
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?
A. Autonomy
B. Justice
, C. Veracity
D. Beneficence
Correct Answer: C
Rationale: Veracity holds that one should tell the truth. Reporting a medication error demonstrates
honesty and transparency, which are essential for patient safety and trust. Autonomy refers to
respecting a patient's right to make their own decisions, justice refers to fairness, and beneficence refers
to doing good .
Question 4
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 manager implementing?
A. Avoidance
B. Competing
C. Collaboration
D. Accommodation
Correct Answer: C
Rationale: Collaboration involves both parties agreeing to work towards a common goal rather than
individual goals to find a mutually satisfying solution. The goal becomes what is best overall, rather than
what each individual wants or thinks is best. This approach preserves relationships and promotes long-
term resolution .
Question 5
A nurse is receiving change of shift report for a group of clients. Which of the following clients should
the nurse assess first?
A. A client who is postoperative and has a respiratory rate of 10/min
B. A client who is scheduled for discharge later in the day
C. A client who has requested pain medication for a headache
D. A client who has a new prescription for an antibiotic
Correct Answer: A
Rationale: A respiratory rate of 10/min is below the expected reference range of 12-20/min and can
indicate that the client is experiencing an adverse effect from anesthesia or pain medication. Using the
ABC (Airway, Breathing, Circulation) prioritization framework, respiratory compromise takes precedence
over other concerns .
actual questions & correct answers
Question 1
A nurse manager is considering changing the policy for administering medications to clients on a unit.
Which of the following actions should the nurse manager take first?
A. Implement the new policy immediately to ensure timely change
B. Announce the change to staff at the next staff meeting
C. Determine the unit staff's perception of the need for change
D. Evaluate outcomes after implementation of the new policy
Correct Answer: C
Rationale: The first action using the nursing process is assessment. By determining the unit staff's
perception of the need for change, the nurse manager will be able to implement effective change.
Resistance to change is an integral part of the process, and understanding staff perspectives helps
facilitate a smoother transition .
Question 2
A nurse is providing teaching for a client about advance directives. Which of the following client
statements indicates an understanding of the teaching?
A. "My health care proxy will make my health care decisions when I am no longer able."
B. "The advance directive is only valid if my family agrees with my wishes."
C. "I only need to discuss my advance directives with my doctor."
D. "Once I sign the advance directive, my wishes cannot be changed."
Correct Answer: A
Rationale: The health care proxy (also called a durable power of attorney for health care) makes health
care decisions when the client is no longer able to do so. The client should discuss health care wishes with
the proxy while still able. Advance directives can be updated or changed at any time, and discussing
them with family is encouraged but not required .
Question 3
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?
A. Autonomy
B. Justice
, C. Veracity
D. Beneficence
Correct Answer: C
Rationale: Veracity holds that one should tell the truth. Reporting a medication error demonstrates
honesty and transparency, which are essential for patient safety and trust. Autonomy refers to
respecting a patient's right to make their own decisions, justice refers to fairness, and beneficence refers
to doing good .
Question 4
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 manager implementing?
A. Avoidance
B. Competing
C. Collaboration
D. Accommodation
Correct Answer: C
Rationale: Collaboration involves both parties agreeing to work towards a common goal rather than
individual goals to find a mutually satisfying solution. The goal becomes what is best overall, rather than
what each individual wants or thinks is best. This approach preserves relationships and promotes long-
term resolution .
Question 5
A nurse is receiving change of shift report for a group of clients. Which of the following clients should
the nurse assess first?
A. A client who is postoperative and has a respiratory rate of 10/min
B. A client who is scheduled for discharge later in the day
C. A client who has requested pain medication for a headache
D. A client who has a new prescription for an antibiotic
Correct Answer: A
Rationale: A respiratory rate of 10/min is below the expected reference range of 12-20/min and can
indicate that the client is experiencing an adverse effect from anesthesia or pain medication. Using the
ABC (Airway, Breathing, Circulation) prioritization framework, respiratory compromise takes precedence
over other concerns .
