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RN VATI Leadership and Management Actual Assessment
Study Guide | Comprehensive Practice Questions, Verified
Answers, Detailed Rationales & Latest Exam Preparation
(2026–2027)
1. A nurse is caring for a client when they erroneously administer a medication dosage that
is greater than the amount prescribed. Which of the following ethical principles is the nurse
demonstrating when they notify the provider of the medication error?
A) Justice
B) Veracity
C) Veracity
D) Fidelity
Rationale: The principle of veracity holds that one should tell the truth. By notifying the provider
of the error, the nurse is demonstrating honesty and transparency in professional practice.
2. A nurse is performing morning rounds for a client and finds the client's bedtime
medication sitting at the bedside in a medication cup. Which of the following actions should
the nurse take?
A) Dispose of the medication in the trash can.
B) Ask the client if they took the medication.
C) Document the missed medication administration in the client's medical record.
D) Document the missed medication administration in the client's medical record.
Rationale: It is the responsibility of the nurse to record the facts of the missed medication
administration in the client's medical record to maintain accurate documentation and ensure
continuity of care.
,2|Page
3. A nurse is providing teaching to a client's adult child regarding the client's discharge to
home with hospice care. Which of the following statements by the client's adult child
indicates an understanding of the teaching?
A) I will need to hire a private sitter to stay with my father at night.
B) My father can only receive care from a registered nurse.
C) The hospice team will provide services for the entire family, not just my father.
D) The hospice team will provide services for the entire family, not just my father.
Rationale: Hospice services are provided by a team of health care professionals and
nonprofessionals that offer a full range of services, supporting both the client and family through
the dying process.
4. A nurse manager is scheduling a meeting to address a conflict between staff members
and a client's family. In the meeting, staff and family members will identify common goals
and express their concerns. Which of the following conflict resolution strategies is the nurse
manager implementing?
A) Compromise
B) Smoothing
C) Collaboration
D) Collaboration
Rationale: Collaboration involves both parties agreeing to work towards a common goal rather
than individual goals to find a mutually satisfying solution to the conflict, making the goal what
is best overall.
5. A nurse in an acute care facility is caring for a client who is leaving against medical
advice (AMA). Which of the following actions should the nurse take? (Select all that apply)
A) Request the client sign an AMA form.
B) Notify the provider of client's intent.
C) Advise the client about the dangers of leaving.
D) Restrain the client to prevent them from leaving.
E) Request the client sign an AMA form. | Notify the provider of client's intent. | Advise the
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client about the dangers of leaving.
Rationale: A signed AMA form can assist with a counterclaim of negligence; the nurse must
immediately notify the provider; and the nurse should discuss the potential dangers of leaving,
such as complications of the medical condition.
6. A charge nurse is conducting an in-service on advocacy for a group of newly licensed
nurses. Which of the following examples should the charge nurse include in the teaching as
a demonstration of client advocacy? (Select all that apply)
A) A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse.
B) A nurse arranges for an interpreter for a client who speaks a different language.
C) A nurse documents client vital signs in the chart.
D) A nurse administers pain medication promptly.
E) A nurse reports a procedure was completed incorrectly by another nurse to the charge
nurse. | A nurse arranges for an interpreter for a client who speaks a different language.
Rationale: Reporting improper completion of a procedure is an act of advocacy that allows the
charge nurse to monitor the client and prevent negative outcomes. Requesting an interpreter
facilitates understanding and allows the client to communicate their needs.
7. A nurse manager is working with a team to resolve an ethical dilemma. Which of the
following steps should the team take to make an informed decision?
A) Identify and state the nature of the ethical dilemma.
B) List actions to take based on a list of alternatives.
C) Decide to select one alternative.
D) Communicate the justification for the decision.
E) Identify and state the nature of the ethical dilemma. | List actions to take based on a list
of alternatives. | Decide to select one alternative. | Communicate the justification for the
decision.
Rationale: The team should first identify the nature of the dilemma, then list actions based on
alternatives, select one alternative, and finally communicate the justification to ensure a
systematic approach to ethical problem-solving.
, 4|Page
8. A nurse suspects a client is developing opioid use disorder and reduces the client's dosage
of pain medication by 50% without a prescription from the provider. The nurse checks on
the client 1hr later and sees the client sitting up in a chair. The client tells the nurse, "I am
in too much pain to reach the nurse call button." The nurse is liable for which of the
following legal violations?
A) Malpractice
B) Assault
C) Gross negligence
D) Gross negligence
Rationale: Gross negligence is an extreme breach of care with intentional, reckless disregard of
consequences. The nurse's actions were intentional, in opposition to the provider's prescription,
and placed the client at risk for pain and injury.
9. A nurse is providing teaching for a client about advance directives. Which of the
following client statements indicates an understanding of the teaching?
A) My health care proxy will make my health care decisions when I am no longer able.
B) My family can override my advance directives if they disagree.
C) I only need to discuss this with my doctor, not my proxy.
D) I don't need to sign anything until I am hospitalized.
E) My health care proxy will make my health care decisions when I am no longer able.
Rationale: The client should discuss their health care wishes with the health care proxy while
they are able to ensure their preferences are known and respected when they can no longer make
decisions.
10. A nurse manager is providing disciplinary action for a staff nurse who is claiming 1hr of
overtime every day for the past month to complete computer documentation. Which of the
following actions should the nurse manager take first?
A) Suspend the nurse for one week.
RN VATI Leadership and Management Actual Assessment
Study Guide | Comprehensive Practice Questions, Verified
Answers, Detailed Rationales & Latest Exam Preparation
(2026–2027)
1. A nurse is caring for a client when they erroneously administer a medication dosage that
is greater than the amount prescribed. Which of the following ethical principles is the nurse
demonstrating when they notify the provider of the medication error?
A) Justice
B) Veracity
C) Veracity
D) Fidelity
Rationale: The principle of veracity holds that one should tell the truth. By notifying the provider
of the error, the nurse is demonstrating honesty and transparency in professional practice.
2. A nurse is performing morning rounds for a client and finds the client's bedtime
medication sitting at the bedside in a medication cup. Which of the following actions should
the nurse take?
A) Dispose of the medication in the trash can.
B) Ask the client if they took the medication.
C) Document the missed medication administration in the client's medical record.
D) Document the missed medication administration in the client's medical record.
Rationale: It is the responsibility of the nurse to record the facts of the missed medication
administration in the client's medical record to maintain accurate documentation and ensure
continuity of care.
,2|Page
3. A nurse is providing teaching to a client's adult child regarding the client's discharge to
home with hospice care. Which of the following statements by the client's adult child
indicates an understanding of the teaching?
A) I will need to hire a private sitter to stay with my father at night.
B) My father can only receive care from a registered nurse.
C) The hospice team will provide services for the entire family, not just my father.
D) The hospice team will provide services for the entire family, not just my father.
Rationale: Hospice services are provided by a team of health care professionals and
nonprofessionals that offer a full range of services, supporting both the client and family through
the dying process.
4. A nurse manager is scheduling a meeting to address a conflict between staff members
and a client's family. In the meeting, staff and family members will identify common goals
and express their concerns. Which of the following conflict resolution strategies is the nurse
manager implementing?
A) Compromise
B) Smoothing
C) Collaboration
D) Collaboration
Rationale: Collaboration involves both parties agreeing to work towards a common goal rather
than individual goals to find a mutually satisfying solution to the conflict, making the goal what
is best overall.
5. A nurse in an acute care facility is caring for a client who is leaving against medical
advice (AMA). Which of the following actions should the nurse take? (Select all that apply)
A) Request the client sign an AMA form.
B) Notify the provider of client's intent.
C) Advise the client about the dangers of leaving.
D) Restrain the client to prevent them from leaving.
E) Request the client sign an AMA form. | Notify the provider of client's intent. | Advise the
,3|Page
client about the dangers of leaving.
Rationale: A signed AMA form can assist with a counterclaim of negligence; the nurse must
immediately notify the provider; and the nurse should discuss the potential dangers of leaving,
such as complications of the medical condition.
6. A charge nurse is conducting an in-service on advocacy for a group of newly licensed
nurses. Which of the following examples should the charge nurse include in the teaching as
a demonstration of client advocacy? (Select all that apply)
A) A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse.
B) A nurse arranges for an interpreter for a client who speaks a different language.
C) A nurse documents client vital signs in the chart.
D) A nurse administers pain medication promptly.
E) A nurse reports a procedure was completed incorrectly by another nurse to the charge
nurse. | A nurse arranges for an interpreter for a client who speaks a different language.
Rationale: Reporting improper completion of a procedure is an act of advocacy that allows the
charge nurse to monitor the client and prevent negative outcomes. Requesting an interpreter
facilitates understanding and allows the client to communicate their needs.
7. A nurse manager is working with a team to resolve an ethical dilemma. Which of the
following steps should the team take to make an informed decision?
A) Identify and state the nature of the ethical dilemma.
B) List actions to take based on a list of alternatives.
C) Decide to select one alternative.
D) Communicate the justification for the decision.
E) Identify and state the nature of the ethical dilemma. | List actions to take based on a list
of alternatives. | Decide to select one alternative. | Communicate the justification for the
decision.
Rationale: The team should first identify the nature of the dilemma, then list actions based on
alternatives, select one alternative, and finally communicate the justification to ensure a
systematic approach to ethical problem-solving.
, 4|Page
8. A nurse suspects a client is developing opioid use disorder and reduces the client's dosage
of pain medication by 50% without a prescription from the provider. The nurse checks on
the client 1hr later and sees the client sitting up in a chair. The client tells the nurse, "I am
in too much pain to reach the nurse call button." The nurse is liable for which of the
following legal violations?
A) Malpractice
B) Assault
C) Gross negligence
D) Gross negligence
Rationale: Gross negligence is an extreme breach of care with intentional, reckless disregard of
consequences. The nurse's actions were intentional, in opposition to the provider's prescription,
and placed the client at risk for pain and injury.
9. A nurse is providing teaching for a client about advance directives. Which of the
following client statements indicates an understanding of the teaching?
A) My health care proxy will make my health care decisions when I am no longer able.
B) My family can override my advance directives if they disagree.
C) I only need to discuss this with my doctor, not my proxy.
D) I don't need to sign anything until I am hospitalized.
E) My health care proxy will make my health care decisions when I am no longer able.
Rationale: The client should discuss their health care wishes with the health care proxy while
they are able to ensure their preferences are known and respected when they can no longer make
decisions.
10. A nurse manager is providing disciplinary action for a staff nurse who is claiming 1hr of
overtime every day for the past month to complete computer documentation. Which of the
following actions should the nurse manager take first?
A) Suspend the nurse for one week.
