ATI Leadership | Week 9 Study Guide (Comprehensive Review)
2026/2027 Questions |Answers |Rationales
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who had a stroke 2 days ago and has difficulty swallowing
B. A client who is 1 day postoperative and has a temperature of 37.2 C (99 F)
C. A client who has COPD and an oxygen saturation of 91%
D. A client who is reporting new onset chest pain and shortness of breath
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with new
onset chest pain and shortness of breath represents a potential life-threatening circulatory
or respiratory emergency and must be assessed first.
2. Which task can a registered nurse (RN) safely delegate to an assistive
personnel (AP)?
A. Providing post-mortem care to a client
B. Assessing a client’s surgical incision
C. Teaching a client how to use an incentive spirometer
D. Administering a nebulizer treatment
Answer: A
Rationale: Post-mortem care is within the scope of practice for AP. Assessment, teaching,
and medication administration (including nebulizers) require nursing judgment and
cannot be delegated to an AP.
,3. A nurse is caring for a client who is refusing a blood transfusion for religious
reasons. Which ethical principle is the nurse demonstrating by supporting this
decision?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy is the right of the client to make their own decisions about their
health care, even if those decisions conflict with the medical team’s recommendations.
4. A nurse manager is discussing the ‘unfreezing’ stage of Lewin’s change theory
with staff. Which of the following actions represents this stage?
A. Evaluating the success of the new policy
B. Stabilizing the new change into the routine
C. Implementing a new documentation system
D. Identifying a problem that needs to be changed
Answer: D
Rationale: The unfreezing stage involves creating awareness of the need for change and
identifying the problem. Implementation occurs in the moving stage, and stabilization
occurs in the refreezing stage.
5. A nurse is using the SBAR communication tool. Which information should the
nurse include in the ‘B’ (Background) section?
A. The client’s current vital signs
B. The nurse’s recommendation for a change in treatment
C. A description of the current situation and primary concern
D. The client’s medical history and reason for admission
Answer: D
, Rationale: Background (B) includes the client’s medical history, admitting diagnosis, and
relevant clinical data. Vital signs are usually part of the Situation or Assessment.
6. Which style of leadership involves the leader making decisions without
consulting the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members. It is often effective in emergency situations.
7. In a mass casualty incident, which color triage tag is assigned to a client who
has a sucking chest wound and requires immediate intervention?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: Red tags (Immediate) are assigned to clients who have life-threatening injuries
but a high possibility of survival if they receive immediate care, such as a sucking chest
wound.
2026/2027 Questions |Answers |Rationales
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who had a stroke 2 days ago and has difficulty swallowing
B. A client who is 1 day postoperative and has a temperature of 37.2 C (99 F)
C. A client who has COPD and an oxygen saturation of 91%
D. A client who is reporting new onset chest pain and shortness of breath
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with new
onset chest pain and shortness of breath represents a potential life-threatening circulatory
or respiratory emergency and must be assessed first.
2. Which task can a registered nurse (RN) safely delegate to an assistive
personnel (AP)?
A. Providing post-mortem care to a client
B. Assessing a client’s surgical incision
C. Teaching a client how to use an incentive spirometer
D. Administering a nebulizer treatment
Answer: A
Rationale: Post-mortem care is within the scope of practice for AP. Assessment, teaching,
and medication administration (including nebulizers) require nursing judgment and
cannot be delegated to an AP.
,3. A nurse is caring for a client who is refusing a blood transfusion for religious
reasons. Which ethical principle is the nurse demonstrating by supporting this
decision?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy is the right of the client to make their own decisions about their
health care, even if those decisions conflict with the medical team’s recommendations.
4. A nurse manager is discussing the ‘unfreezing’ stage of Lewin’s change theory
with staff. Which of the following actions represents this stage?
A. Evaluating the success of the new policy
B. Stabilizing the new change into the routine
C. Implementing a new documentation system
D. Identifying a problem that needs to be changed
Answer: D
Rationale: The unfreezing stage involves creating awareness of the need for change and
identifying the problem. Implementation occurs in the moving stage, and stabilization
occurs in the refreezing stage.
5. A nurse is using the SBAR communication tool. Which information should the
nurse include in the ‘B’ (Background) section?
A. The client’s current vital signs
B. The nurse’s recommendation for a change in treatment
C. A description of the current situation and primary concern
D. The client’s medical history and reason for admission
Answer: D
, Rationale: Background (B) includes the client’s medical history, admitting diagnosis, and
relevant clinical data. Vital signs are usually part of the Situation or Assessment.
6. Which style of leadership involves the leader making decisions without
consulting the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members. It is often effective in emergency situations.
7. In a mass casualty incident, which color triage tag is assigned to a client who
has a sucking chest wound and requires immediate intervention?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: Red tags (Immediate) are assigned to clients who have life-threatening injuries
but a high possibility of survival if they receive immediate care, such as a sucking chest
wound.
