RN VATI Leadership and Management Actual Assessment 2026 – Verified
Questions and Correct Answers
Questions 1–200
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
Answer C: Determine the unit staff's perception of the need for change
,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.
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."
Answer A: "My health care proxy will make my health care decisions when I
am no longer able."
Rationale: The health care proxy (durable power of attorney for health care)
makes health care decisions when the client is no longer able to do so.
Advance directives can be updated at any time.
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
Answer C: Veracity
Rationale: Veracity holds that one should tell the truth. Notifying the provider
of a medication error demonstrates honesty and transparency.
4. A nurse manager witnesses an assistive personnel (AP) using incorrect
procedure when transferring a client using a mechanical lift. After
reinforcing proper procedure, which of the following methods should the
nurse manager use to evaluate the AP's understanding of the teaching?
A) Ask the AP to verbalize the steps of the procedure
B) Have the AP complete a written test
C) Observe the AP's technique with the lift at random times throughout the
day
D) Ask the AP if they understand the procedure
Answer C: Observe the AP's technique with the lift at random times
throughout the day
, Rationale: Direct observation of technique is the most reliable method to
evaluate competency and determine the need for further education.
5. A nurse manager calls a staff nurse to come in and work due to staffing
shortage on several units. The staff nurse is at home and has influenza.
Which of the following actions by the staff nurse demonstrates the ethical
principle of nonmaleficence?
A) Come to work because the unit is short-staffed
B) Decline because nurses should not work when ill
C) Come to work but wear a mask
D) Offer to work but only for a partial shift
Answer B: Decline because nurses should not work when ill
Rationale: Nonmaleficence holds that one should do no harm. Coming to
work while ill with influenza can place clients and other staff at risk for
developing influenza.
6. A nurse is assessing a client who is 4 hours postoperative following an
open appendectomy. Which of the following manifestations should indicate
to the nurse that the client requires a nasogastric tube with low intermittent
suction?
A) Nausea
Questions and Correct Answers
Questions 1–200
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
Answer C: Determine the unit staff's perception of the need for change
,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.
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."
Answer A: "My health care proxy will make my health care decisions when I
am no longer able."
Rationale: The health care proxy (durable power of attorney for health care)
makes health care decisions when the client is no longer able to do so.
Advance directives can be updated at any time.
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
Answer C: Veracity
Rationale: Veracity holds that one should tell the truth. Notifying the provider
of a medication error demonstrates honesty and transparency.
4. A nurse manager witnesses an assistive personnel (AP) using incorrect
procedure when transferring a client using a mechanical lift. After
reinforcing proper procedure, which of the following methods should the
nurse manager use to evaluate the AP's understanding of the teaching?
A) Ask the AP to verbalize the steps of the procedure
B) Have the AP complete a written test
C) Observe the AP's technique with the lift at random times throughout the
day
D) Ask the AP if they understand the procedure
Answer C: Observe the AP's technique with the lift at random times
throughout the day
, Rationale: Direct observation of technique is the most reliable method to
evaluate competency and determine the need for further education.
5. A nurse manager calls a staff nurse to come in and work due to staffing
shortage on several units. The staff nurse is at home and has influenza.
Which of the following actions by the staff nurse demonstrates the ethical
principle of nonmaleficence?
A) Come to work because the unit is short-staffed
B) Decline because nurses should not work when ill
C) Come to work but wear a mask
D) Offer to work but only for a partial shift
Answer B: Decline because nurses should not work when ill
Rationale: Nonmaleficence holds that one should do no harm. Coming to
work while ill with influenza can place clients and other staff at risk for
developing influenza.
6. A nurse is assessing a client who is 4 hours postoperative following an
open appendectomy. Which of the following manifestations should indicate
to the nurse that the client requires a nasogastric tube with low intermittent
suction?
A) Nausea
