ATI Leadership | Exam 2 Delegation and Management 2026
|Questions |Answers |Rationales
1. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right task
B. Right documentation
C. Right cost
D. Right diagnosis
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
2. Which task can a Registered Nurse (RN) appropriately delegate to an Assistive
Personnel (AP)?
A. Assessing a patient’s pain level
B. Providing discharge teaching
C. Feeding a patient with no swallowing precautions
D. Evaluating the effectiveness of a nebulizer treatment
Answer: C
Rationale: AP can perform non-invasive tasks such as activities of daily living (ADLs),
feeding (without precautions), and vital signs on stable patients. Assessment, teaching, and
evaluation are RN responsibilities.
,3. An RN is delegating a task to a Licensed Practical Nurse (LPN). Which client
should be assigned to the LPN?
A. A client requiring an initial admission assessment
B. A client with a new diagnosis of diabetes needing education
C. A client with a chronic, stable condition requiring a dressing change
D. A client who just returned from surgery and is hemodynamically unstable
Answer: C
Rationale: LPNs are assigned stable clients with predictable outcomes. RNs must handle
initial assessments, teaching, and unstable patients.
4. A nurse manager is resolving a conflict between two staff members who
disagree on the holiday schedule. Both members agree to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Avoiding
B. Competing
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
middle-ground solution.
5. Which of the following describes the leadership style where the leader makes
decisions for the group and uses coercion to motivate staff?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
, Rationale: Autocratic (or Authoritarian) leaders make decisions independently and
maintain high control over the group, often using rewards or coercion.
6. The nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a chronic headache requesting acetaminophen
B. A client with a history of heart failure and a 2 lb weight gain in a week
C. A client post-op day 2 with a clean, dry, and intact surgical dressing
D. A client reporting new-onset shortness of breath and chest tightness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with new-
onset shortness of breath is the highest priority.
7. When delegating to an AP, the RN says, ‘Please get the blood pressure for
Mr. Jones in room 412 and let me know if it’s over 140/90 by 10:00 AM.’ This
represents which of the Five Rights?
A. Right Person
B. Right Circumstance
C. Right Direction/Communication
D. Right Supervision
Answer: C
Rationale: This provides specific data to be collected, a specific timeframe, and
expectations for reporting, which constitutes Right Direction/Communication.
|Questions |Answers |Rationales
1. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right task
B. Right documentation
C. Right cost
D. Right diagnosis
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
2. Which task can a Registered Nurse (RN) appropriately delegate to an Assistive
Personnel (AP)?
A. Assessing a patient’s pain level
B. Providing discharge teaching
C. Feeding a patient with no swallowing precautions
D. Evaluating the effectiveness of a nebulizer treatment
Answer: C
Rationale: AP can perform non-invasive tasks such as activities of daily living (ADLs),
feeding (without precautions), and vital signs on stable patients. Assessment, teaching, and
evaluation are RN responsibilities.
,3. An RN is delegating a task to a Licensed Practical Nurse (LPN). Which client
should be assigned to the LPN?
A. A client requiring an initial admission assessment
B. A client with a new diagnosis of diabetes needing education
C. A client with a chronic, stable condition requiring a dressing change
D. A client who just returned from surgery and is hemodynamically unstable
Answer: C
Rationale: LPNs are assigned stable clients with predictable outcomes. RNs must handle
initial assessments, teaching, and unstable patients.
4. A nurse manager is resolving a conflict between two staff members who
disagree on the holiday schedule. Both members agree to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Avoiding
B. Competing
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
middle-ground solution.
5. Which of the following describes the leadership style where the leader makes
decisions for the group and uses coercion to motivate staff?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
, Rationale: Autocratic (or Authoritarian) leaders make decisions independently and
maintain high control over the group, often using rewards or coercion.
6. The nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a chronic headache requesting acetaminophen
B. A client with a history of heart failure and a 2 lb weight gain in a week
C. A client post-op day 2 with a clean, dry, and intact surgical dressing
D. A client reporting new-onset shortness of breath and chest tightness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with new-
onset shortness of breath is the highest priority.
7. When delegating to an AP, the RN says, ‘Please get the blood pressure for
Mr. Jones in room 412 and let me know if it’s over 140/90 by 10:00 AM.’ This
represents which of the Five Rights?
A. Right Person
B. Right Circumstance
C. Right Direction/Communication
D. Right Supervision
Answer: C
Rationale: This provides specific data to be collected, a specific timeframe, and
expectations for reporting, which constitutes Right Direction/Communication.
