ATI Leadership
Practice
Assessment A:
Version 2.0 well
written one year
2025 /2026
updated graded A+
,Comprehensive 150-Question Examination Covering Advanced
Nursing Leadership, Management, Delegation, Prioritization, Clinical
Judgment, Ethical-Legal Decision Making, Conflict Resolution, Quality
Improvement, and Professional Role Transitions for RN Licensure and
Certification Preparation
Instructions
This examination consists of 150 multiple-choice questions designed to assess advanced knowledge
and application of nursing leadership and management principles. Each question has one correct
answer. Select the best response and review the accompanying rationale for comprehensive
understanding. This version (2.0) presents new questions covering additional content areas and clinical
scenarios.
Section 1: Leadership and Management Fundamentals (Questions 1–
20)
1. A nurse manager is implementing a shared governance model on a medical-surgical unit.
Which of the following best describes the primary purpose of shared governance?
A) To increase nurse manager control over unit operations
B) To empower staff nurses to participate in decision-making
C) To reduce the number of nursing staff required for the unit
D) To eliminate the need for nurse managers
- detailed answer 100% correct :-B
Rationale: Shared governance empowers staff nurses to participate in decision-making regarding
practice, quality, and professional development. It does not increase managerial control (A), reduce
staffing (C), or eliminate managers (D).
,2. A nurse is preparing to delegate a task to an assistive personnel (AP). Which of the following
statements by the nurse demonstrates an understanding of the delegation process?
A) "I will delegate this task and then check on the outcome when I have time."
B) "I am delegating this task to you because I trust your judgment completely."
C) "I will provide clear instructions and then evaluate your performance."
D) "Once I delegate this task, you are fully accountable for the outcome."
- detailed answer 100% correct :-C
Rationale: Effective delegation includes clear instructions, supervision, and evaluation. The delegating
nurse retains accountability (D). Checking when time permits (A) is not adequate supervision. Trusting
judgment completely (B) does not ensure competency verification.
3. A charge nurse is making assignments for the shift. Which of the following clients should be
assigned to the most experienced registered nurse?
A) A client with diabetes who requires insulin administration
B) A client with pneumonia who has stable vital signs
C) A client who is 2 hours post-lobectomy with a chest tube
D) A client who requires a sterile dressing change
- detailed answer 100% correct :-C
Rationale: The client who is 2 hours post-lobectomy with a chest tube is unstable and requires the
most experienced RN for assessment and management. Insulin administration (A), stable pneumonia
(B), and sterile dressing changes (D) can be managed by less experienced staff.
4. A nurse manager is evaluating staff performance. Which of the following actions by a staff
nurse indicates effective leadership?
A) The nurse completes all tasks assigned without question
B) The nurse mentors newly licensed nurses on the unit
C) The nurse avoids conflict with colleagues
D) The nurse focuses solely on personal performance
- detailed answer 100% correct :-B
Rationale: Mentoring new nurses demonstrates leadership by developing others. Completing tasks
without question (A) indicates compliance, not leadership. Avoiding conflict (C) is not leadership.
Focusing solely on personal performance (D) lacks team orientation.
, 5. A nurse is caring for a client who has a new diagnosis of heart failure. The provider has
prescribed a low-sodium diet. Which of the following actions should the nurse take first?
A) Provide the client with written dietary instructions
B) Assess the client's current dietary habits
C) Refer the client to a dietitian
D) Administer prescribed diuretics
- detailed answer 100% correct :-B
Rationale: Assessment is the first step of the nursing process. The nurse should assess current dietary
habits before providing instructions (A), referral (C), or medication administration (D).
6. A nurse manager is using situational leadership theory to guide staff development. Which of
the following best describes situational leadership?
A) Leaders use a single leadership style consistently
B) Leaders adapt their style based on the situation and follower readiness
C) Leaders follow the directives of upper management
D) Leaders focus on task completion above all else
- detailed answer 100% correct :-B
Rationale: Situational leadership involves adapting leadership style based on the situation and
follower readiness. It does not use a single style (A), only follow directives (C), or focus solely on tasks
(D).
7. A charge nurse is evaluating a newly licensed nurse's time management skills. Which of the
following actions by the new nurse indicates effective time management?
A) The nurse completes all charting at the end of the shift
B) The nurse prioritizes care based on client acuity
C) The nurse skips breaks to complete tasks
D) The nurse delegates all difficult tasks to others
- detailed answer 100% correct :-B
Rationale: Prioritizing care based on client acuity is an effective time management strategy. Delayed
charting (A), skipping breaks (C), and delegating all difficult tasks (D) are not effective.
Practice
Assessment A:
Version 2.0 well
written one year
2025 /2026
updated graded A+
,Comprehensive 150-Question Examination Covering Advanced
Nursing Leadership, Management, Delegation, Prioritization, Clinical
Judgment, Ethical-Legal Decision Making, Conflict Resolution, Quality
Improvement, and Professional Role Transitions for RN Licensure and
Certification Preparation
Instructions
This examination consists of 150 multiple-choice questions designed to assess advanced knowledge
and application of nursing leadership and management principles. Each question has one correct
answer. Select the best response and review the accompanying rationale for comprehensive
understanding. This version (2.0) presents new questions covering additional content areas and clinical
scenarios.
Section 1: Leadership and Management Fundamentals (Questions 1–
20)
1. A nurse manager is implementing a shared governance model on a medical-surgical unit.
Which of the following best describes the primary purpose of shared governance?
A) To increase nurse manager control over unit operations
B) To empower staff nurses to participate in decision-making
C) To reduce the number of nursing staff required for the unit
D) To eliminate the need for nurse managers
- detailed answer 100% correct :-B
Rationale: Shared governance empowers staff nurses to participate in decision-making regarding
practice, quality, and professional development. It does not increase managerial control (A), reduce
staffing (C), or eliminate managers (D).
,2. A nurse is preparing to delegate a task to an assistive personnel (AP). Which of the following
statements by the nurse demonstrates an understanding of the delegation process?
A) "I will delegate this task and then check on the outcome when I have time."
B) "I am delegating this task to you because I trust your judgment completely."
C) "I will provide clear instructions and then evaluate your performance."
D) "Once I delegate this task, you are fully accountable for the outcome."
- detailed answer 100% correct :-C
Rationale: Effective delegation includes clear instructions, supervision, and evaluation. The delegating
nurse retains accountability (D). Checking when time permits (A) is not adequate supervision. Trusting
judgment completely (B) does not ensure competency verification.
3. A charge nurse is making assignments for the shift. Which of the following clients should be
assigned to the most experienced registered nurse?
A) A client with diabetes who requires insulin administration
B) A client with pneumonia who has stable vital signs
C) A client who is 2 hours post-lobectomy with a chest tube
D) A client who requires a sterile dressing change
- detailed answer 100% correct :-C
Rationale: The client who is 2 hours post-lobectomy with a chest tube is unstable and requires the
most experienced RN for assessment and management. Insulin administration (A), stable pneumonia
(B), and sterile dressing changes (D) can be managed by less experienced staff.
4. A nurse manager is evaluating staff performance. Which of the following actions by a staff
nurse indicates effective leadership?
A) The nurse completes all tasks assigned without question
B) The nurse mentors newly licensed nurses on the unit
C) The nurse avoids conflict with colleagues
D) The nurse focuses solely on personal performance
- detailed answer 100% correct :-B
Rationale: Mentoring new nurses demonstrates leadership by developing others. Completing tasks
without question (A) indicates compliance, not leadership. Avoiding conflict (C) is not leadership.
Focusing solely on personal performance (D) lacks team orientation.
, 5. A nurse is caring for a client who has a new diagnosis of heart failure. The provider has
prescribed a low-sodium diet. Which of the following actions should the nurse take first?
A) Provide the client with written dietary instructions
B) Assess the client's current dietary habits
C) Refer the client to a dietitian
D) Administer prescribed diuretics
- detailed answer 100% correct :-B
Rationale: Assessment is the first step of the nursing process. The nurse should assess current dietary
habits before providing instructions (A), referral (C), or medication administration (D).
6. A nurse manager is using situational leadership theory to guide staff development. Which of
the following best describes situational leadership?
A) Leaders use a single leadership style consistently
B) Leaders adapt their style based on the situation and follower readiness
C) Leaders follow the directives of upper management
D) Leaders focus on task completion above all else
- detailed answer 100% correct :-B
Rationale: Situational leadership involves adapting leadership style based on the situation and
follower readiness. It does not use a single style (A), only follow directives (C), or focus solely on tasks
(D).
7. A charge nurse is evaluating a newly licensed nurse's time management skills. Which of the
following actions by the new nurse indicates effective time management?
A) The nurse completes all charting at the end of the shift
B) The nurse prioritizes care based on client acuity
C) The nurse skips breaks to complete tasks
D) The nurse delegates all difficult tasks to others
- detailed answer 100% correct :-B
Rationale: Prioritizing care based on client acuity is an effective time management strategy. Delayed
charting (A), skipping breaks (C), and delegating all difficult tasks (D) are not effective.
