RN VATI Leadership and
Management Practice Assessment
2026: 350 Questions with Verified
Answers and
Explanations||GUARANTEED PASS
1. A charge nurse is assigning tasks for a group of clients.
Which of the following tasks should the nurse assign to an
assistive personnel (AP)?
• Correct Answer: Collect a urine sample for urinalysis.
• Rationale: Collecting a urine sample is a non-invasive, routine task
that is within the scope of practice for an AP. Tasks involving
assessment, planning, or evaluation are the responsibility of the
RN.
2. A charge nurse is walking outside on the facility's
grounds during break time and overhears two nurses
discussing the biopsy results of a client who is on the unit.
Which of the following actions should the nurse take?
(Select all that apply)
• Correct Answers:
o Plan an in-service program for the nurses about HIPAA
privacy rules.
o Ask the nurses to stop discussing the client's protected
health information.
o Inform the nurse manager about the confidentiality breach.
, • Rationale: This is a clear violation of the Health Insurance
Portability and Accountability Act (HIPAA). The charge nurse must
intervene immediately and take steps to prevent future
occurrences, including education and reporting.
3. A nurse is providing care to a group of clients. Which of
the following steps should the nurse plan to take to
manage time effectively? (Select all that apply)
• Correct Answers:
o Organize tasks around the priority needs of the clients.
o Create a list of all planned activities.
o Delegate tasks to assistive personnel.
• Rationale: Effective time management involves planning,
organizing tasks by priority, and delegating to ensure all client
needs are met efficiently.
4. A nurse is prioritizing care for four clients. Which of the
following clients is the nurse's priority?
• Correct Answer: A client who is postoperative following a
thyroidectomy and reports tingling around their mouth.
• Rationale: Tingling around the mouth is an early sign of
hypocalcemia, which can lead to life-threatening tetany and
respiratory distress. This is an urgent, unstable finding requiring
immediate assessment.
5. A charge nurse in an acute care facility is teaching a
newly licensed nurse about caring for an adult client who is
cognitively impaired. Which of the following statements by
the newly licensed nurse indicates an understanding of the
teaching?
, • Correct Answer: "I will assign the client to a room close to the
nurses' station."
• Rationale: Placing the client near the nurses' station allows for
closer monitoring, which promotes client safety.
6. A nurse in an emergency department is assessing an
adult client from a long-term care facility who has a
developmental disability. The nurse observes bruises in
various stages of healing. The client denies any abuse and
tells the nurse not to report the findings. Which of the
following actions should the nurse take?
• Correct Answer: Document the findings for the provider.
• Rationale: The nurse must document factual assessment findings
and notify the provider of unexpected findings. Suspected abuse
must be reported per protocol; the client's denial does not negate
this responsibility.
7. A charge nurse is planning an in-service for a group of
nurses about caring for clients who have active
tuberculosis. Which of the following information should the
charge nurse include in the in-service?
• Correct Answer: Place clients in a negative pressure room.
• Rationale: Active TB requires airborne precautions, which include a
private negative-pressure room with a minimum of six air
exchanges per hour and an N95 respirator for staff.
8. A nurse at a long-term care facility discovers flames
coming from a trash can in the day room. Which of the
following actions should the nurse take first?
• Correct Answer: Move the clients to an area of safety.
, • Rationale: In a fire, the priority is to rescue clients in immediate
danger (RACE: Rescue, Alarm, Contain, Extinguish).
9. A nurse manager is changing the ratio of registered
nurses (RNs) to licensed practical nurses (LPNs) on a unit to
decrease costs. Which of the following strategies should the
nurse manager implement to reduce resistance from the
staff?
• Correct Answer: Formulate a sample staffing schedule covering 1
month.
• Rationale: Involving staff in the planning process and allowing for
feedback addresses their fears, which reduces resistance to change.
10. A nurse is delegating client care on a labor and delivery
unit. Which of the following tasks should the nurse
delegate to assistive personnel (AP)?
• Correct Answer: Complete I&O on clients who are in active labor.
• Rationale: Measuring and recording intake and output is a routine,
non-invasive task within the AP's scope of practice.
11. A nurse manager on a maternal newborn unit is
completing a chart audit on discharged clients to evaluate
the success of breastfeeding education by a lactation
consultant. Which of the following types of audits is the
nurse manager utilizing?
• Correct Answer: Outcome audit.
• Rationale: An outcome audit measures whether the services
provided made a difference in a client's resulting health status.
Evaluating breastfeeding success after discharge measures the
outcome of the educational intervention.
Management Practice Assessment
2026: 350 Questions with Verified
Answers and
Explanations||GUARANTEED PASS
1. A charge nurse is assigning tasks for a group of clients.
Which of the following tasks should the nurse assign to an
assistive personnel (AP)?
• Correct Answer: Collect a urine sample for urinalysis.
• Rationale: Collecting a urine sample is a non-invasive, routine task
that is within the scope of practice for an AP. Tasks involving
assessment, planning, or evaluation are the responsibility of the
RN.
2. A charge nurse is walking outside on the facility's
grounds during break time and overhears two nurses
discussing the biopsy results of a client who is on the unit.
Which of the following actions should the nurse take?
(Select all that apply)
• Correct Answers:
o Plan an in-service program for the nurses about HIPAA
privacy rules.
o Ask the nurses to stop discussing the client's protected
health information.
o Inform the nurse manager about the confidentiality breach.
, • Rationale: This is a clear violation of the Health Insurance
Portability and Accountability Act (HIPAA). The charge nurse must
intervene immediately and take steps to prevent future
occurrences, including education and reporting.
3. A nurse is providing care to a group of clients. Which of
the following steps should the nurse plan to take to
manage time effectively? (Select all that apply)
• Correct Answers:
o Organize tasks around the priority needs of the clients.
o Create a list of all planned activities.
o Delegate tasks to assistive personnel.
• Rationale: Effective time management involves planning,
organizing tasks by priority, and delegating to ensure all client
needs are met efficiently.
4. A nurse is prioritizing care for four clients. Which of the
following clients is the nurse's priority?
• Correct Answer: A client who is postoperative following a
thyroidectomy and reports tingling around their mouth.
• Rationale: Tingling around the mouth is an early sign of
hypocalcemia, which can lead to life-threatening tetany and
respiratory distress. This is an urgent, unstable finding requiring
immediate assessment.
5. A charge nurse in an acute care facility is teaching a
newly licensed nurse about caring for an adult client who is
cognitively impaired. Which of the following statements by
the newly licensed nurse indicates an understanding of the
teaching?
, • Correct Answer: "I will assign the client to a room close to the
nurses' station."
• Rationale: Placing the client near the nurses' station allows for
closer monitoring, which promotes client safety.
6. A nurse in an emergency department is assessing an
adult client from a long-term care facility who has a
developmental disability. The nurse observes bruises in
various stages of healing. The client denies any abuse and
tells the nurse not to report the findings. Which of the
following actions should the nurse take?
• Correct Answer: Document the findings for the provider.
• Rationale: The nurse must document factual assessment findings
and notify the provider of unexpected findings. Suspected abuse
must be reported per protocol; the client's denial does not negate
this responsibility.
7. A charge nurse is planning an in-service for a group of
nurses about caring for clients who have active
tuberculosis. Which of the following information should the
charge nurse include in the in-service?
• Correct Answer: Place clients in a negative pressure room.
• Rationale: Active TB requires airborne precautions, which include a
private negative-pressure room with a minimum of six air
exchanges per hour and an N95 respirator for staff.
8. A nurse at a long-term care facility discovers flames
coming from a trash can in the day room. Which of the
following actions should the nurse take first?
• Correct Answer: Move the clients to an area of safety.
, • Rationale: In a fire, the priority is to rescue clients in immediate
danger (RACE: Rescue, Alarm, Contain, Extinguish).
9. A nurse manager is changing the ratio of registered
nurses (RNs) to licensed practical nurses (LPNs) on a unit to
decrease costs. Which of the following strategies should the
nurse manager implement to reduce resistance from the
staff?
• Correct Answer: Formulate a sample staffing schedule covering 1
month.
• Rationale: Involving staff in the planning process and allowing for
feedback addresses their fears, which reduces resistance to change.
10. A nurse is delegating client care on a labor and delivery
unit. Which of the following tasks should the nurse
delegate to assistive personnel (AP)?
• Correct Answer: Complete I&O on clients who are in active labor.
• Rationale: Measuring and recording intake and output is a routine,
non-invasive task within the AP's scope of practice.
11. A nurse manager on a maternal newborn unit is
completing a chart audit on discharged clients to evaluate
the success of breastfeeding education by a lactation
consultant. Which of the following types of audits is the
nurse manager utilizing?
• Correct Answer: Outcome audit.
• Rationale: An outcome audit measures whether the services
provided made a difference in a client's resulting health status.
Evaluating breastfeeding success after discharge measures the
outcome of the educational intervention.
