ATI Leadership | Final Exam Version 2 Practice Questions |Answers
|Rationales
1. A nurse manager is discussing the role of a nurse as a client advocate. Which
of the following examples should the nurse manager include in the teaching?
A. Explaining the risks and benefits of a procedure before a client signs a consent form.
B. Suggesting a client choose a specific treatment option based on the nurse’s experience.
C. Assisting a client to make a list of questions to ask the provider.
D. Informing the family of a client’s diagnosis before telling the client.
Answer: C
Rationale: Advocacy involves supporting the client’s own decisions and helping them
communicate their needs. Assisting with a list of questions empowers the client to
participate in their own care.
2. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the AP?
A. Updating a client’s plan of care.
B. Performing post-mortem care.
C. Providing discharge instructions to a client.
D. Assessing a client’s pain level.
Answer: B
Rationale: Post-mortem care is within the scope of practice for an AP. Assessment, care
planning, and teaching require the skills and knowledge of a licensed nurse.
,3. A nurse is caring for a client who has a prescription for a clear liquid diet.
Which of the following actions should the nurse take to ensure the client’s
safety?
A. Verify the client’s identity using two identifiers.
B. Check the client’s gag reflex before giving liquids.
C. Monitor the client’s intake and output.
D. Ask the client’s family to bring in clear liquids from home.
Answer: A
Rationale: The first priority for safety in any intervention is ensuring the right client
receives the right care by using at least two identifiers.
4. A nurse is planning care for a group of clients. Which of the following clients
should the nurse see first?
A. A client who has a pressure injury and needs a dressing change.
B. A client who is scheduled for physical therapy in 30 minutes.
C. A client who has a respiratory rate of 28/min and is restless.
D. A client who requested a PRN pain medication 15 minutes ago.
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
tachypnea and restlessness (signs of potential hypoxia) should be prioritized.
5. A nurse is reviewing the Code of Ethics for Nurses. Which of the following
principles is the nurse practicing when they keep their promise to return to a
client’s room at a specific time?
A. Beneficence
B. Justice
C. Fidelity
D. Nonmaleficence
Answer: C
, Rationale: Fidelity is the ethical principle of keeping promises and being faithful to
commitments made to others.
6. A nurse manager is implementing a new policy for documentations. Which of
the following styles of leadership involves the manager making all the decisions
without consulting the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership is characterized by the leader making decisions
independently without input from the group.
7. A nurse is caring for a client who is terminally ill. The client’s family disagrees
about the client’s end-of-life care. Which of the following actions should the
nurse take?
A. Tell the family that the provider will make the final decision.
B. Ask the family to leave the room until they can agree.
C. Request a consult for the ethics committee.
D. Decide on a plan based on the nurse’s own values.
Answer: C
Rationale: The ethics committee is a resource for resolving conflicts related to moral
dilemmas and end-of-life decisions.
|Rationales
1. A nurse manager is discussing the role of a nurse as a client advocate. Which
of the following examples should the nurse manager include in the teaching?
A. Explaining the risks and benefits of a procedure before a client signs a consent form.
B. Suggesting a client choose a specific treatment option based on the nurse’s experience.
C. Assisting a client to make a list of questions to ask the provider.
D. Informing the family of a client’s diagnosis before telling the client.
Answer: C
Rationale: Advocacy involves supporting the client’s own decisions and helping them
communicate their needs. Assisting with a list of questions empowers the client to
participate in their own care.
2. A charge nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the AP?
A. Updating a client’s plan of care.
B. Performing post-mortem care.
C. Providing discharge instructions to a client.
D. Assessing a client’s pain level.
Answer: B
Rationale: Post-mortem care is within the scope of practice for an AP. Assessment, care
planning, and teaching require the skills and knowledge of a licensed nurse.
,3. A nurse is caring for a client who has a prescription for a clear liquid diet.
Which of the following actions should the nurse take to ensure the client’s
safety?
A. Verify the client’s identity using two identifiers.
B. Check the client’s gag reflex before giving liquids.
C. Monitor the client’s intake and output.
D. Ask the client’s family to bring in clear liquids from home.
Answer: A
Rationale: The first priority for safety in any intervention is ensuring the right client
receives the right care by using at least two identifiers.
4. A nurse is planning care for a group of clients. Which of the following clients
should the nurse see first?
A. A client who has a pressure injury and needs a dressing change.
B. A client who is scheduled for physical therapy in 30 minutes.
C. A client who has a respiratory rate of 28/min and is restless.
D. A client who requested a PRN pain medication 15 minutes ago.
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
tachypnea and restlessness (signs of potential hypoxia) should be prioritized.
5. A nurse is reviewing the Code of Ethics for Nurses. Which of the following
principles is the nurse practicing when they keep their promise to return to a
client’s room at a specific time?
A. Beneficence
B. Justice
C. Fidelity
D. Nonmaleficence
Answer: C
, Rationale: Fidelity is the ethical principle of keeping promises and being faithful to
commitments made to others.
6. A nurse manager is implementing a new policy for documentations. Which of
the following styles of leadership involves the manager making all the decisions
without consulting the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership is characterized by the leader making decisions
independently without input from the group.
7. A nurse is caring for a client who is terminally ill. The client’s family disagrees
about the client’s end-of-life care. Which of the following actions should the
nurse take?
A. Tell the family that the provider will make the final decision.
B. Ask the family to leave the room until they can agree.
C. Request a consult for the ethics committee.
D. Decide on a plan based on the nurse’s own values.
Answer: C
Rationale: The ethics committee is a resource for resolving conflicts related to moral
dilemmas and end-of-life decisions.
