RN VATI Leadership and Management
Actual Assessment 2026 – Verified
Questions and Correct Answers | Pass
Guaranteed
Question 1
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) "My family can override my advance directives at any time."
C) "Advance directives only apply if I am hospitalized."
D) "I don't need to discuss my wishes with my proxy."
Answer: A
Rationale: The client should discuss health care wishes with the health care proxy
while still able. The proxy makes decisions when the client is no longer able to do
so.
Question 2
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) Beneficence
B) Nonmaleficence
C) Veracity
D) Justice
Answer: C
Rationale: Veracity holds that one should tell the truth. Notifying the provider of a
medication error demonstrates honesty and transparency.
Question 3
A nurse is performing morning rounds for a client and finds the client's bedtime
medication sitting at the bedside in a medication cup. Which of the following
actions should the nurse take?
A) Administer the medication immediately
B) Discard the medication and document it as given
C) Document the missed medication administration in the client's medical record
D) Ask the client why they didn't take the medication
Answer: C
Rationale: It is the responsibility of the nurse to record the facts of the missed
medication administration in the client's medical record.
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 conflict resolution
strategy is the nurse manager implementing?
A) Compromise
B) Collaboration
C) Avoidance
D) Competition
Answer: B
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.
Question 5
A nurse in an acute care facility is caring for a client who is leaving against medical
advice (AMA). Which of the following actions should the nurse take? (Select all that
apply)
A) Request the client sign an AMA form
B) Notify the provider of client's intent
C) Advise the client about the dangers of leaving
D) Physically restrain the client from leaving
Answer: A, B, C
Rationale: A signed AMA form can assist with a counterclaim of negligence. The
nurse should immediately notify the provider and discuss the potential dangers of
leaving AMA, such as complications of the medical condition.
, Question 6
A nurse is developing a plan of care for a client who has chronic kidney disease. The
client gives the nurse copies of his advance directives which state that he does not
want to begin dialysis. Which of the following actions should the nurse take?
A) Respect the client's wishes and document them in the plan of care
B) Encourage the client to reconsider dialysis
C) Notify the provider to override the client's decision
D) Delay implementing the advance directives until family is consulted
Answer: A
Rationale: The nurse should respect the client's autonomy and document the
advance directives in the plan of care. Advance directives must be honored.
Question 7
A nurse manager is providing disciplinary action for a staff nurse who is claiming 1
hour of overtime every day for the past month to complete computer
documentation. Which action should the nurse manager take first?
A) Issue a written reprimand
B) Suspend the nurse without pay
C) Speak with the nurse regarding the incident
D) Terminate the nurse immediately
Answer: C
Rationale: Evidence-based practice indicates the nurse manager should first
provide a verbal warning as the initial step of the progressive disciplinary process.
This allows private discussion to address the behavior.
Actual Assessment 2026 – Verified
Questions and Correct Answers | Pass
Guaranteed
Question 1
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) "My family can override my advance directives at any time."
C) "Advance directives only apply if I am hospitalized."
D) "I don't need to discuss my wishes with my proxy."
Answer: A
Rationale: The client should discuss health care wishes with the health care proxy
while still able. The proxy makes decisions when the client is no longer able to do
so.
Question 2
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) Beneficence
B) Nonmaleficence
C) Veracity
D) Justice
Answer: C
Rationale: Veracity holds that one should tell the truth. Notifying the provider of a
medication error demonstrates honesty and transparency.
Question 3
A nurse is performing morning rounds for a client and finds the client's bedtime
medication sitting at the bedside in a medication cup. Which of the following
actions should the nurse take?
A) Administer the medication immediately
B) Discard the medication and document it as given
C) Document the missed medication administration in the client's medical record
D) Ask the client why they didn't take the medication
Answer: C
Rationale: It is the responsibility of the nurse to record the facts of the missed
medication administration in the client's medical record.
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 conflict resolution
strategy is the nurse manager implementing?
A) Compromise
B) Collaboration
C) Avoidance
D) Competition
Answer: B
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.
Question 5
A nurse in an acute care facility is caring for a client who is leaving against medical
advice (AMA). Which of the following actions should the nurse take? (Select all that
apply)
A) Request the client sign an AMA form
B) Notify the provider of client's intent
C) Advise the client about the dangers of leaving
D) Physically restrain the client from leaving
Answer: A, B, C
Rationale: A signed AMA form can assist with a counterclaim of negligence. The
nurse should immediately notify the provider and discuss the potential dangers of
leaving AMA, such as complications of the medical condition.
, Question 6
A nurse is developing a plan of care for a client who has chronic kidney disease. The
client gives the nurse copies of his advance directives which state that he does not
want to begin dialysis. Which of the following actions should the nurse take?
A) Respect the client's wishes and document them in the plan of care
B) Encourage the client to reconsider dialysis
C) Notify the provider to override the client's decision
D) Delay implementing the advance directives until family is consulted
Answer: A
Rationale: The nurse should respect the client's autonomy and document the
advance directives in the plan of care. Advance directives must be honored.
Question 7
A nurse manager is providing disciplinary action for a staff nurse who is claiming 1
hour of overtime every day for the past month to complete computer
documentation. Which action should the nurse manager take first?
A) Issue a written reprimand
B) Suspend the nurse without pay
C) Speak with the nurse regarding the incident
D) Terminate the nurse immediately
Answer: C
Rationale: Evidence-based practice indicates the nurse manager should first
provide a verbal warning as the initial step of the progressive disciplinary process.
This allows private discussion to address the behavior.
