ATI Leadership & Management Review Practice Exam 2026
|Questions |Answers |Rationales
1. A nurse manager is promoting a staff nurse who consistently demonstrates
high-level clinical skills and empowers other team members. Which leadership
style is this manager identifying?
A. Transformational
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: A
Rationale: Transformational leaders empower followers to assume responsibility for a
communal vision, and personal development is a secondary outcome.
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Developing a plan of care for a new admission
C. Assisting a client with a sitz bath
D. Teaching a client how to use an incentive spirometer
Answer: C
Rationale: Assisting a client with a sitz bath is within the scope of practice for an AP
because it is a routine, non-invasive task.
,3. A nurse manager is resolving a conflict between two staff nurses by asking
them to focus on areas of agreement rather than differences. Which conflict
resolution strategy is being used?
A. Avoiding
B. Compromising
C. Smoothing
D. Collaborating
Answer: C
Rationale: Smoothing is a strategy where one party attempts to ‘smooth’ the another party
by focusing on areas of agreement rather than disagreement.
4. A nurse is witnessing a client sign an informed consent form for surgery.
Which of the following is the nurse’s primary responsibility?
A. Explaining the risks and benefits of the procedure
B. Ensuring the client is competent to give consent
C. Describing alternative treatments available
D. Verifying the surgeon discussed the procedure with the client
Answer: B
Rationale: The nurse’s role in witnessing informed consent is to verify that the client is
competent and that the signature is authentic.
5. A nurse is using the SBAR communication tool to report a change in a client’s
condition to a provider. Which of the following statements should the nurse
include in the ‘B’ (Background) portion?
A. ‘The client’s heart rate is 110 beats per minute.’
B. ‘I recommend the client receive a bolus of IV fluids.’
C. ‘The client is experiencing shortness of breath.’
D. ‘The client has a history of congestive heart failure.’
Answer: D
, Rationale: Background includes pertinent information such as medical history, allergies,
and recent treatments related to the current situation.
6. Which of the following is an example of an ethical principle where the nurse
acts in the best interest of the client?
A. Autonomy
B. Fidelity
C. Justice
D. Beneficence
Answer: D
Rationale: Beneficence is the ethical principle of doing good and acting in the best interest
of the client.
7. A charge nurse is making assignments for the upcoming shift. Which client
should be assigned to an LPN?
A. A client who just returned from a cardiac catheterization
B. A client who is being admitted with chest pain
C. A client who requires a sterile dressing change on a stable wound
D. A client who needs discharge teaching about insulin
Answer: C
Rationale: LPNs can perform sterile procedures on stable clients; complex assessments
and initial teaching are the responsibility of the RN.
8. A nurse manager is implementing a new EHR system. Which stage of Lewin’s
Change Theory involves creating the motivation to change?
A. Unfreezing
B. Moving
C. Refreezing
D. Evaluating
Answer: A
|Questions |Answers |Rationales
1. A nurse manager is promoting a staff nurse who consistently demonstrates
high-level clinical skills and empowers other team members. Which leadership
style is this manager identifying?
A. Transformational
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: A
Rationale: Transformational leaders empower followers to assume responsibility for a
communal vision, and personal development is a secondary outcome.
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Developing a plan of care for a new admission
C. Assisting a client with a sitz bath
D. Teaching a client how to use an incentive spirometer
Answer: C
Rationale: Assisting a client with a sitz bath is within the scope of practice for an AP
because it is a routine, non-invasive task.
,3. A nurse manager is resolving a conflict between two staff nurses by asking
them to focus on areas of agreement rather than differences. Which conflict
resolution strategy is being used?
A. Avoiding
B. Compromising
C. Smoothing
D. Collaborating
Answer: C
Rationale: Smoothing is a strategy where one party attempts to ‘smooth’ the another party
by focusing on areas of agreement rather than disagreement.
4. A nurse is witnessing a client sign an informed consent form for surgery.
Which of the following is the nurse’s primary responsibility?
A. Explaining the risks and benefits of the procedure
B. Ensuring the client is competent to give consent
C. Describing alternative treatments available
D. Verifying the surgeon discussed the procedure with the client
Answer: B
Rationale: The nurse’s role in witnessing informed consent is to verify that the client is
competent and that the signature is authentic.
5. A nurse is using the SBAR communication tool to report a change in a client’s
condition to a provider. Which of the following statements should the nurse
include in the ‘B’ (Background) portion?
A. ‘The client’s heart rate is 110 beats per minute.’
B. ‘I recommend the client receive a bolus of IV fluids.’
C. ‘The client is experiencing shortness of breath.’
D. ‘The client has a history of congestive heart failure.’
Answer: D
, Rationale: Background includes pertinent information such as medical history, allergies,
and recent treatments related to the current situation.
6. Which of the following is an example of an ethical principle where the nurse
acts in the best interest of the client?
A. Autonomy
B. Fidelity
C. Justice
D. Beneficence
Answer: D
Rationale: Beneficence is the ethical principle of doing good and acting in the best interest
of the client.
7. A charge nurse is making assignments for the upcoming shift. Which client
should be assigned to an LPN?
A. A client who just returned from a cardiac catheterization
B. A client who is being admitted with chest pain
C. A client who requires a sterile dressing change on a stable wound
D. A client who needs discharge teaching about insulin
Answer: C
Rationale: LPNs can perform sterile procedures on stable clients; complex assessments
and initial teaching are the responsibility of the RN.
8. A nurse manager is implementing a new EHR system. Which stage of Lewin’s
Change Theory involves creating the motivation to change?
A. Unfreezing
B. Moving
C. Refreezing
D. Evaluating
Answer: A
