_________________________________________________________________
ATI Leadership Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
Pdf
___________________________________________________________________
1. A nurse manager is assigning tasks to members of the health care team.
Which task is appropriate for an assistive personnel (AP)?
A. Assessing a client who reports chest pain
B. Administering oral medications
C. Obtaining vital signs for a stable client
D. Teaching a client how to use an incentive spirometer
Answer: C. Obtaining vital signs for a stable client
Rationale: AP can obtain routine vital signs for stable clients. Assessment,
medication administration, and client teaching require nursing judgment and
should be performed by a licensed nurse.
2. A nurse is delegating care to an AP. Which action should the nurse take
first?
A. Evaluate the AP's performance
B. Determine whether the task can be delegated
C. Document the delegated task
D. Ask the AP to report completed tasks
Answer: B. Determine whether the task can be delegated
,Rationale: The nurse must first determine whether the activity is appropriate for
delegation based on client condition, task complexity, and the AP's competency.
3. Which client should the nurse assess first?
A. A client requesting pain medication for chronic back pain
B. A client with a blood pressure of 138/84 mm Hg
C. A client who suddenly developed shortness of breath
D. A client awaiting discharge instructions
Answer: C. A client who suddenly developed shortness of breath
Rationale: Sudden shortness of breath can indicate an airway or breathing
problem and requires immediate assessment according to the ABC priority
framework.
4. A nurse is caring for four clients. Which client should the nurse see first?
A. A client with a temperature of 38.1°C (100.6°F)
B. A client with new-onset confusion
C. A client requesting assistance with bathing
D. A client reporting pain of 6 on a scale of 0 to 10
Answer: B. A client with new-onset confusion
Rationale: Acute changes in mental status can indicate hypoxia, neurologic
deterioration, infection, or another serious condition and require prompt
assessment.
5. Which action demonstrates effective nursing delegation?
A. Delegating assessment of a newly admitted client
B. Giving an AP a task without explaining expectations
C. Matching the task with the AP's demonstrated competency
D. Delegating all care for one client to an AP
Answer: C. Matching the task with the AP's demonstrated competency
,Rationale: Safe delegation requires the nurse to consider the task, client,
circumstances, directions, and the delegatee's competency.
6. A nurse is caring for a client who has a prescription for a medication that
appears unusually high. What should the nurse do?
A. Administer the medication as prescribed
B. Ask another nurse to administer it
C. Clarify the prescription with the provider
D. Document that the medication was withheld
Answer: C. Clarify the prescription with the provider
Rationale: Nurses are responsible for identifying potentially unsafe prescriptions
and clarifying them before administration.
7. A nurse discovers that a medication error occurred. What is the nurse's
priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client
D. Document the error in the incident report
Answer: C. Assess the client
Rationale: The client's safety is the immediate priority after a medication error.
The nurse should assess the client, then notify the appropriate provider and
follow organizational reporting procedures.
8. Which statement by a nurse demonstrates appropriate use of an incident
report?
A. "I will document the incident report in the client's medical record."
B. "I will use the incident report to assign blame."
C. "I will complete the report according to facility policy."
D. "I will avoid reporting errors that did not harm the client."
, Answer: C. I will complete the report according to facility policy.
Rationale: Incident reports are used for quality improvement and risk
management. Errors and near misses should be reported according to facility
policy, even when no injury occurs.
9. A nurse is caring for a client who refuses a prescribed treatment. Which
ethical principle supports the client's right to refuse?
A. Beneficence
B. Autonomy
C. Fidelity
D. Justice
Answer: B. Autonomy
Rationale: Autonomy is the client's right to make informed decisions about their
own health care, including refusing treatment.
10.Which ethical principle requires the nurse to treat clients fairly?
A. Justice
B. Fidelity
C. Veracity
D. Autonomy
Answer: A. Justice
Rationale: Justice involves fairness and equitable distribution of health care
resources and treatment.
11.A nurse promises to return with pain medication at a specific time and does
so. Which ethical principle is demonstrated?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
ATI Leadership Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
___________________________________________________________________
1. A nurse manager is assigning tasks to members of the health care team.
Which task is appropriate for an assistive personnel (AP)?
A. Assessing a client who reports chest pain
B. Administering oral medications
C. Obtaining vital signs for a stable client
D. Teaching a client how to use an incentive spirometer
Answer: C. Obtaining vital signs for a stable client
Rationale: AP can obtain routine vital signs for stable clients. Assessment,
medication administration, and client teaching require nursing judgment and
should be performed by a licensed nurse.
2. A nurse is delegating care to an AP. Which action should the nurse take
first?
A. Evaluate the AP's performance
B. Determine whether the task can be delegated
C. Document the delegated task
D. Ask the AP to report completed tasks
Answer: B. Determine whether the task can be delegated
,Rationale: The nurse must first determine whether the activity is appropriate for
delegation based on client condition, task complexity, and the AP's competency.
3. Which client should the nurse assess first?
A. A client requesting pain medication for chronic back pain
B. A client with a blood pressure of 138/84 mm Hg
C. A client who suddenly developed shortness of breath
D. A client awaiting discharge instructions
Answer: C. A client who suddenly developed shortness of breath
Rationale: Sudden shortness of breath can indicate an airway or breathing
problem and requires immediate assessment according to the ABC priority
framework.
4. A nurse is caring for four clients. Which client should the nurse see first?
A. A client with a temperature of 38.1°C (100.6°F)
B. A client with new-onset confusion
C. A client requesting assistance with bathing
D. A client reporting pain of 6 on a scale of 0 to 10
Answer: B. A client with new-onset confusion
Rationale: Acute changes in mental status can indicate hypoxia, neurologic
deterioration, infection, or another serious condition and require prompt
assessment.
5. Which action demonstrates effective nursing delegation?
A. Delegating assessment of a newly admitted client
B. Giving an AP a task without explaining expectations
C. Matching the task with the AP's demonstrated competency
D. Delegating all care for one client to an AP
Answer: C. Matching the task with the AP's demonstrated competency
,Rationale: Safe delegation requires the nurse to consider the task, client,
circumstances, directions, and the delegatee's competency.
6. A nurse is caring for a client who has a prescription for a medication that
appears unusually high. What should the nurse do?
A. Administer the medication as prescribed
B. Ask another nurse to administer it
C. Clarify the prescription with the provider
D. Document that the medication was withheld
Answer: C. Clarify the prescription with the provider
Rationale: Nurses are responsible for identifying potentially unsafe prescriptions
and clarifying them before administration.
7. A nurse discovers that a medication error occurred. What is the nurse's
priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client
D. Document the error in the incident report
Answer: C. Assess the client
Rationale: The client's safety is the immediate priority after a medication error.
The nurse should assess the client, then notify the appropriate provider and
follow organizational reporting procedures.
8. Which statement by a nurse demonstrates appropriate use of an incident
report?
A. "I will document the incident report in the client's medical record."
B. "I will use the incident report to assign blame."
C. "I will complete the report according to facility policy."
D. "I will avoid reporting errors that did not harm the client."
, Answer: C. I will complete the report according to facility policy.
Rationale: Incident reports are used for quality improvement and risk
management. Errors and near misses should be reported according to facility
policy, even when no injury occurs.
9. A nurse is caring for a client who refuses a prescribed treatment. Which
ethical principle supports the client's right to refuse?
A. Beneficence
B. Autonomy
C. Fidelity
D. Justice
Answer: B. Autonomy
Rationale: Autonomy is the client's right to make informed decisions about their
own health care, including refusing treatment.
10.Which ethical principle requires the nurse to treat clients fairly?
A. Justice
B. Fidelity
C. Veracity
D. Autonomy
Answer: A. Justice
Rationale: Justice involves fairness and equitable distribution of health care
resources and treatment.
11.A nurse promises to return with pain medication at a specific time and does
so. Which ethical principle is demonstrated?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
