ATI RN LEADERSHIP LATEST 2023 FORM A & FORM B
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(ALL ANSWERS ARE CORRECT) | A GRADE — STUDY
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL EXAM |
PRACTICE QUESTIONS AND ANSWERS | EXAM
REVIEW | 100% CORRECT ANSWERS | VERIFIED
SOLUTIONS
FORM A
1.
A nurse manager is implementing a new policy on the unit. Which leadership style
is most effective when staff are experienced and highly motivated?
A) Autocratic
B) Laissez-faire
C) Democratic
D) Transactional
Correct Answer: C
Democratic leadership involves staff in decision-making and is most effective with
experienced, motivated teams because it builds ownership and engagement.
Autocratic is appropriate for crises; laissez-faire can lead to lack of direction;
transactional focuses on rewards and punishments rather than collaboration.
2.
A charge nurse is making assignments for the upcoming shift. Which client should
be assigned to an RN rather than a licensed practical nurse (LPN)?
A) A client with stable vital signs who needs ambulation
B) A client with a new tracheostomy requiring initial assessment and teaching
,C) A client receiving oral medications for chronic conditions
D) A client needing routine dressing change
Correct Answer: B
Initial assessment and teaching of a new tracheostomy require the knowledge and
skill of an RN. LPNs can perform stable tasks, medication administration, and
routine dressings under supervision. Options A, C, and D are within LPN scope.
3.
A nurse receives a telephone prescription for a medication. What is the best
action to ensure accuracy?
A) Repeat the prescription back to the provider
B) Ask another nurse to listen
C) Document the prescription after giving the medication
D) Refuse the verbal order
Correct Answer: A
Read-back of verbal or telephone orders is a safety strategy to confirm accuracy.
Documentation should be done before or after per policy but read-back is
essential. Asking another nurse or refusing is not required unless unclear.
4.
Which of the following is an example of a nurse demonstrating advocacy?
A) Following a provider's order without question
B) Reporting unsafe staffing levels to the nurse manager and administration
C) Avoiding conflict with other team members
D) Completing tasks as quickly as possible
Correct Answer: B
Advocacy involves speaking up for patient and staff safety, including reporting
unsafe staffing. Following orders without question, avoiding conflict, or rushing
tasks does not demonstrate advocacy.
5.
,A nurse manager is reviewing the unit's incident reports. The primary purpose of
an incident report is to:
A) Punish staff involved in errors
B) Identify system problems and prevent future occurrences
C) Document for legal action against the nurse
D) Track employee productivity
Correct Answer: B
Incident reports are quality improvement tools to identify root causes and prevent
recurrence, not to punish staff or support litigation. They are confidential and
nonpunitive.
6.
Which of the following clients should the nurse assess first?
A) A client with a blood pressure of 100/60 mm Hg who is asymptomatic
B) A client with a heart rate of 120 beats/min and reports chest pain
C) A client with a temperature of 99.6°F
D) A client who needs assistance with bathing
Correct Answer: B
Chest pain with tachycardia indicates potential cardiac ischemia and requires
immediate assessment. The other options are stable or nonurgent. ABCs and pain
assessment guide prioritization.
7.
A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which of
the following tasks is appropriate?
A) Administering an enema
B) Measuring and recording intake and output
C) Performing a sterile dressing change
D) Evaluating a client's response to pain medication
Correct Answer: B
Measuring and recording I&O is within UAP scope. Enemas and sterile dressings
, are nursing tasks; evaluating response is RN responsibility. Delegation must match
the delegate's training and scope.
8.
A nurse manager uses a democratic leadership style. Which characteristic best
describes this style?
A) The manager makes all decisions and expects compliance
B) The manager provides minimal direction and allows staff to work
independently
C) The manager seeks input from staff before making decisions
D) The manager focuses on rewards for performance
Correct Answer: C
Democratic leadership involves shared decision-making and staff input, promoting
collaboration and engagement. Autocratic is directive; laissez-faire is hands-off;
transactional uses rewards/consequences.
9.
A nurse is caring for a client who has a living will. What is the primary purpose of a
living will?
A) To appoint a healthcare proxy
B) To provide instructions for end-of-life care if the client becomes incapacitated
C) To ensure the client receives all possible treatments
D) To designate a financial power of attorney
Correct Answer: B
A living will expresses a client's wishes for medical treatment if they cannot make
decisions. A healthcare proxy is named in a durable power of attorney for health
care. Options A, C, and D are incorrect purposes.
10.
Which of the following is a violation of the Health Insurance Portability and
Accountability Act (HIPAA)?
A) Discussing a client's care with the assigned nurse
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(ALL ANSWERS ARE CORRECT) | A GRADE — STUDY
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL EXAM |
PRACTICE QUESTIONS AND ANSWERS | EXAM
REVIEW | 100% CORRECT ANSWERS | VERIFIED
SOLUTIONS
FORM A
1.
A nurse manager is implementing a new policy on the unit. Which leadership style
is most effective when staff are experienced and highly motivated?
A) Autocratic
B) Laissez-faire
C) Democratic
D) Transactional
Correct Answer: C
Democratic leadership involves staff in decision-making and is most effective with
experienced, motivated teams because it builds ownership and engagement.
Autocratic is appropriate for crises; laissez-faire can lead to lack of direction;
transactional focuses on rewards and punishments rather than collaboration.
2.
A charge nurse is making assignments for the upcoming shift. Which client should
be assigned to an RN rather than a licensed practical nurse (LPN)?
A) A client with stable vital signs who needs ambulation
B) A client with a new tracheostomy requiring initial assessment and teaching
,C) A client receiving oral medications for chronic conditions
D) A client needing routine dressing change
Correct Answer: B
Initial assessment and teaching of a new tracheostomy require the knowledge and
skill of an RN. LPNs can perform stable tasks, medication administration, and
routine dressings under supervision. Options A, C, and D are within LPN scope.
3.
A nurse receives a telephone prescription for a medication. What is the best
action to ensure accuracy?
A) Repeat the prescription back to the provider
B) Ask another nurse to listen
C) Document the prescription after giving the medication
D) Refuse the verbal order
Correct Answer: A
Read-back of verbal or telephone orders is a safety strategy to confirm accuracy.
Documentation should be done before or after per policy but read-back is
essential. Asking another nurse or refusing is not required unless unclear.
4.
Which of the following is an example of a nurse demonstrating advocacy?
A) Following a provider's order without question
B) Reporting unsafe staffing levels to the nurse manager and administration
C) Avoiding conflict with other team members
D) Completing tasks as quickly as possible
Correct Answer: B
Advocacy involves speaking up for patient and staff safety, including reporting
unsafe staffing. Following orders without question, avoiding conflict, or rushing
tasks does not demonstrate advocacy.
5.
,A nurse manager is reviewing the unit's incident reports. The primary purpose of
an incident report is to:
A) Punish staff involved in errors
B) Identify system problems and prevent future occurrences
C) Document for legal action against the nurse
D) Track employee productivity
Correct Answer: B
Incident reports are quality improvement tools to identify root causes and prevent
recurrence, not to punish staff or support litigation. They are confidential and
nonpunitive.
6.
Which of the following clients should the nurse assess first?
A) A client with a blood pressure of 100/60 mm Hg who is asymptomatic
B) A client with a heart rate of 120 beats/min and reports chest pain
C) A client with a temperature of 99.6°F
D) A client who needs assistance with bathing
Correct Answer: B
Chest pain with tachycardia indicates potential cardiac ischemia and requires
immediate assessment. The other options are stable or nonurgent. ABCs and pain
assessment guide prioritization.
7.
A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which of
the following tasks is appropriate?
A) Administering an enema
B) Measuring and recording intake and output
C) Performing a sterile dressing change
D) Evaluating a client's response to pain medication
Correct Answer: B
Measuring and recording I&O is within UAP scope. Enemas and sterile dressings
, are nursing tasks; evaluating response is RN responsibility. Delegation must match
the delegate's training and scope.
8.
A nurse manager uses a democratic leadership style. Which characteristic best
describes this style?
A) The manager makes all decisions and expects compliance
B) The manager provides minimal direction and allows staff to work
independently
C) The manager seeks input from staff before making decisions
D) The manager focuses on rewards for performance
Correct Answer: C
Democratic leadership involves shared decision-making and staff input, promoting
collaboration and engagement. Autocratic is directive; laissez-faire is hands-off;
transactional uses rewards/consequences.
9.
A nurse is caring for a client who has a living will. What is the primary purpose of a
living will?
A) To appoint a healthcare proxy
B) To provide instructions for end-of-life care if the client becomes incapacitated
C) To ensure the client receives all possible treatments
D) To designate a financial power of attorney
Correct Answer: B
A living will expresses a client's wishes for medical treatment if they cannot make
decisions. A healthcare proxy is named in a durable power of attorney for health
care. Options A, C, and D are incorrect purposes.
10.
Which of the following is a violation of the Health Insurance Portability and
Accountability Act (HIPAA)?
A) Discussing a client's care with the assigned nurse
