ATI Leadership | Comprehensive Leadership & Management Review |
Exam 9 Practice Questions 2026 |Answers |Rationales
1. A nurse manager is discussing the characteristics of a democratic leadership
style with a group of newly licensed nurses. Which of the following should the
manager include?
A. The leader makes decisions independently without group input.
B. The leader provides little to no direction to the staff.
C. Communication occurs up and down the chain of command.
D. The leader relies on threats of punishment to motivate staff.
Answer: C
Rationale: Democratic leadership involves the group in decision-making and fosters
communication both up and down the chain of command, encouraging cooperation and
collaboration.
2. An RN is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the RN to delegate?
A. Performing an initial admission assessment on a new client.
B. Assisting a client with a bath and hair care.
C. Developing a plan of care for a client with diabetes.
D. Evaluating a client’s response to pain medication.
Answer: B
Rationale: The RN can delegate activities of daily living (ADLs), such as bathing, to APs.
Assessments, care planning, and evaluations require nursing judgment and cannot be
delegated.
,3. A nurse is caring for a client who is requesting more information about an
advance directive. Which of the following actions should the nurse take?
A. Inform the client that advance directives are only for the elderly.
B. Provide the client with written information about advance directives.
C. Tell the client that a lawyer must be present to sign the document.
D. Advise the client that they cannot change their mind once it is signed.
Answer: B
Rationale: Under the Patient Self-Determination Act, healthcare facilities must provide
written information to clients regarding their rights to make medical decisions and
formulate advance directives.
4. A nurse is using the SBAR communication tool to report a client’s condition to
a provider. Which of the following information should the nurse include in the
‘B’ (Background) portion of the report?
A. The reason for the current admission and medical history.
B. A recommendation for a change in treatment.
C. The client’s current vital signs.
D. The nurse’s assessment of the client’s current status.
Answer: A
Rationale: Background (B) includes the client’s medical history, admission diagnosis, and
the context leading up to the current situation.
, 5. A charge nurse is managing a conflict between two staff nurses regarding
holiday scheduling. The charge nurse asks both nurses to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Competing
B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves both parties giving up something of equal value to
reach a settlement.
6. A nurse is planning to delegate tasks to a Licensed Practical Nurse (LPN).
Which of the following tasks should be assigned to the LPN?
A. Creating a teaching plan for a client with a new ostomy.
B. Conducting the first post-operative assessment.
C. Administering a dose of oral medication.
D. Providing discharge instructions to a complex client.
Answer: C
Rationale: LPNs can perform tasks such as administering medications (with exceptions in
some states), performing sterile dressing changes, and gathering data, but the RN is
responsible for assessment and teaching plans.
7. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who has a temperature of 101.2 F (38.4 C) 4 hours post-op.
B. A client who has a new onset of shortness of breath.
C. A client reporting 5/10 pain after taking an oral analgesic.
D. A client who needs a dressing change before physical therapy.
Answer: B
Exam 9 Practice Questions 2026 |Answers |Rationales
1. A nurse manager is discussing the characteristics of a democratic leadership
style with a group of newly licensed nurses. Which of the following should the
manager include?
A. The leader makes decisions independently without group input.
B. The leader provides little to no direction to the staff.
C. Communication occurs up and down the chain of command.
D. The leader relies on threats of punishment to motivate staff.
Answer: C
Rationale: Democratic leadership involves the group in decision-making and fosters
communication both up and down the chain of command, encouraging cooperation and
collaboration.
2. An RN is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the RN to delegate?
A. Performing an initial admission assessment on a new client.
B. Assisting a client with a bath and hair care.
C. Developing a plan of care for a client with diabetes.
D. Evaluating a client’s response to pain medication.
Answer: B
Rationale: The RN can delegate activities of daily living (ADLs), such as bathing, to APs.
Assessments, care planning, and evaluations require nursing judgment and cannot be
delegated.
,3. A nurse is caring for a client who is requesting more information about an
advance directive. Which of the following actions should the nurse take?
A. Inform the client that advance directives are only for the elderly.
B. Provide the client with written information about advance directives.
C. Tell the client that a lawyer must be present to sign the document.
D. Advise the client that they cannot change their mind once it is signed.
Answer: B
Rationale: Under the Patient Self-Determination Act, healthcare facilities must provide
written information to clients regarding their rights to make medical decisions and
formulate advance directives.
4. A nurse is using the SBAR communication tool to report a client’s condition to
a provider. Which of the following information should the nurse include in the
‘B’ (Background) portion of the report?
A. The reason for the current admission and medical history.
B. A recommendation for a change in treatment.
C. The client’s current vital signs.
D. The nurse’s assessment of the client’s current status.
Answer: A
Rationale: Background (B) includes the client’s medical history, admission diagnosis, and
the context leading up to the current situation.
, 5. A charge nurse is managing a conflict between two staff nurses regarding
holiday scheduling. The charge nurse asks both nurses to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Competing
B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves both parties giving up something of equal value to
reach a settlement.
6. A nurse is planning to delegate tasks to a Licensed Practical Nurse (LPN).
Which of the following tasks should be assigned to the LPN?
A. Creating a teaching plan for a client with a new ostomy.
B. Conducting the first post-operative assessment.
C. Administering a dose of oral medication.
D. Providing discharge instructions to a complex client.
Answer: C
Rationale: LPNs can perform tasks such as administering medications (with exceptions in
some states), performing sterile dressing changes, and gathering data, but the RN is
responsible for assessment and teaching plans.
7. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who has a temperature of 101.2 F (38.4 C) 4 hours post-op.
B. A client who has a new onset of shortness of breath.
C. A client reporting 5/10 pain after taking an oral analgesic.
D. A client who needs a dressing change before physical therapy.
Answer: B
