ATI Leadership Final Exam Practice Questions |Answers |Rationales
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks should the nurse perform herself?
A. Providing discharge instructions to a client with a new prescription
B. Transporting a stable client to radiology
C. Performing a simple dressing change on a post-operative client
D. Measuring intake and output for a client on fluid restriction
Answer: A
Rationale: The nurse is responsible for assessment, education, and clinical judgment.
Providing discharge instructions requires teaching, which is outside the scope of practice
for an AP.
2. A nurse manager is discussing conflict resolution with staff. Which of the
following strategies involves both parties agreeing to give up something to
reach a solution?
A. Compromising
B. Collaborating
C. Smoothing
D. Avoiding
Answer: A
Rationale: Compromising involves both parties sacrificing something to reach a mutual
agreement. Collaboration involves a win-win where both parties work to find a new
solution.
,3. A nurse is triaging clients after a mass casualty incident. Which client should
receive a red tag?
A. A client with a closed fracture of the right ankle
B. A client with an obstructed airway and gasping respirations
C. A client with a large open abdominal wound and no pulse
D. A client with minor lacerations and a sprained wrist
Answer: B
Rationale: Red tags are given to clients who have life-threatening injuries but high chances
of survival with immediate intervention, such as an obstructed airway.
4. A nurse is planning care for a client who has a prescription for mechanical
restraints. Which action should the nurse include in the plan?
A. Check the client’s skin integrity and circulation every 15 minutes
B. Renew the restraint prescription every 48 hours
C. Apply the restraints to the side rails of the bed
D. Maintain the restraints for at least 8 hours regardless of behavior
Answer: A
Rationale: Clients in restraints require frequent monitoring (every 15-30 minutes) for
safety, circulation, and skin integrity to prevent injury.
5. Which of the following is an example of an ethical principle where the nurse
acts in the best interest of the client?
A. Justice
B. Autonomy
C. Fidelity
D. Beneficence
Answer: D
Rationale: Beneficence is the ethical principle of doing good and acting in the best interest
of the client.
, 6. 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. A suggestion for a change in the medication dose
C. The client’s medical history and admitting diagnosis
D. The specific reason the nurse is calling the provider
Answer: C
Rationale: The Background section (B) includes relevant historical information such as the
admission diagnosis and medical history.
7. A charge nurse is assigning tasks to a licensed practical nurse (LPN). Which of
the following is appropriate for the LPN?
A. Administering a scheduled intramuscular injection
B. Developing a nursing care plan for a new patient
C. Performing an initial admission assessment
D. Providing teaching on a newly diagnosed condition
Answer: A
Rationale: LPNs can perform tasks such as medication administration (excluding IV push
in some areas), but the RN is responsible for assessment, planning, and initial teaching.
8. A nurse discovers a medication error. Which of the following actions should
the nurse take first?
A. Complete an incident report
B. Assess the client’s condition
C. Notify the healthcare provider
D. Report the error to the nurse manager
Answer: B
Rationale: The first priority after a medication error is to assess the client for any adverse
effects and ensure their safety.
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks should the nurse perform herself?
A. Providing discharge instructions to a client with a new prescription
B. Transporting a stable client to radiology
C. Performing a simple dressing change on a post-operative client
D. Measuring intake and output for a client on fluid restriction
Answer: A
Rationale: The nurse is responsible for assessment, education, and clinical judgment.
Providing discharge instructions requires teaching, which is outside the scope of practice
for an AP.
2. A nurse manager is discussing conflict resolution with staff. Which of the
following strategies involves both parties agreeing to give up something to
reach a solution?
A. Compromising
B. Collaborating
C. Smoothing
D. Avoiding
Answer: A
Rationale: Compromising involves both parties sacrificing something to reach a mutual
agreement. Collaboration involves a win-win where both parties work to find a new
solution.
,3. A nurse is triaging clients after a mass casualty incident. Which client should
receive a red tag?
A. A client with a closed fracture of the right ankle
B. A client with an obstructed airway and gasping respirations
C. A client with a large open abdominal wound and no pulse
D. A client with minor lacerations and a sprained wrist
Answer: B
Rationale: Red tags are given to clients who have life-threatening injuries but high chances
of survival with immediate intervention, such as an obstructed airway.
4. A nurse is planning care for a client who has a prescription for mechanical
restraints. Which action should the nurse include in the plan?
A. Check the client’s skin integrity and circulation every 15 minutes
B. Renew the restraint prescription every 48 hours
C. Apply the restraints to the side rails of the bed
D. Maintain the restraints for at least 8 hours regardless of behavior
Answer: A
Rationale: Clients in restraints require frequent monitoring (every 15-30 minutes) for
safety, circulation, and skin integrity to prevent injury.
5. Which of the following is an example of an ethical principle where the nurse
acts in the best interest of the client?
A. Justice
B. Autonomy
C. Fidelity
D. Beneficence
Answer: D
Rationale: Beneficence is the ethical principle of doing good and acting in the best interest
of the client.
, 6. 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. A suggestion for a change in the medication dose
C. The client’s medical history and admitting diagnosis
D. The specific reason the nurse is calling the provider
Answer: C
Rationale: The Background section (B) includes relevant historical information such as the
admission diagnosis and medical history.
7. A charge nurse is assigning tasks to a licensed practical nurse (LPN). Which of
the following is appropriate for the LPN?
A. Administering a scheduled intramuscular injection
B. Developing a nursing care plan for a new patient
C. Performing an initial admission assessment
D. Providing teaching on a newly diagnosed condition
Answer: A
Rationale: LPNs can perform tasks such as medication administration (excluding IV push
in some areas), but the RN is responsible for assessment, planning, and initial teaching.
8. A nurse discovers a medication error. Which of the following actions should
the nurse take first?
A. Complete an incident report
B. Assess the client’s condition
C. Notify the healthcare provider
D. Report the error to the nurse manager
Answer: B
Rationale: The first priority after a medication error is to assess the client for any adverse
effects and ensure their safety.
