ATI Leadership: Staffing & Supervision Exam Prep 2026 |Questions
|Answers |Rationales
1. A nurse manager is planning to implement a new charting system. Which
action should the manager take first according to Lewin’s Change Theory?
A. Identify the resistance factors among the nursing staff
B. Provide training sessions for all staff members
C. Celebrate the successful implementation of the system
D. Develop a reward system for early adopters
Answer: A
Rationale: According to Lewin’s Change Theory, the first stage is ‘Unfreezing’, which
involves identifying the need for change and assessing the resistance factors before
implementation.
2. Which task is most appropriate for a registered nurse (RN) to delegate to an
assistive personnel (AP)?
A. Applying a sterile dressing to a pressure injury
B. Assessing a client’s level of pain after medication administration
C. Teaching a client how to use an incentive spirometer
D. Recording the intake and output for a client with heart failure
Answer: D
Rationale: Recording intake and output is a routine task within the scope of practice for
AP. Assessment, sterile procedures, and teaching require the judgment and skill of an RN.
,3. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client who is 2 days post-operative and reporting a pain level of 6/10
B. A client with a newly applied cast who reports itching under the cast
C. A client receiving a blood transfusion for 30 minutes with no reactions
D. A client who has a history of asthma and is reporting new onset of chest tightness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
asthma reporting chest tightness is at risk for respiratory distress and must be prioritized.
4. A charge nurse is managing a conflict between two nurses regarding the
holiday schedule. The charge nurse asks both parties to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Collaborating
B. Smoothing
C. Compromising
D. Avoiding
Answer: C
Rationale: Compromising involves both parties giving up something of value to reach a
mutually acceptable agreement.
5. An RN is supervising a Licensed Practical Nurse (LPN). Which action by the
LPN requires the RN to intervene?
A. Administering a subcutaneous insulin injection
B. Performing a tracheotomy suctioning on a stable client
C. Providing initial discharge teaching to a client with a new diagnosis
D. Updating the plan of care for a client who reached a goal
Answer: C
Rationale: Initial client teaching is the responsibility of the RN. LPNs can reinforce
teaching that has already been initiated by the RN.
, 6. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the group?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members.
7. A nurse manager is evaluating a staff nurse’s time management skills. Which
behavior indicates a need for further instruction?
A. Grouping activities together for a single client visit
B. Documenting client care at the end of the shift
C. Creating a ‘to-do’ list at the beginning of the shift
D. Completing high-priority tasks first
Answer: B
Rationale: Documentation should be performed as soon as possible after an intervention
to ensure accuracy and prevent errors. Waiting until the end of the shift increases the risk
of forgetting details.
8. A nurse is planning to delegate tasks to an LPN. Which client should the nurse
assign to the LPN?
A. A client who is being admitted for chest pain
B. A client who is 24 hours post-thyroidectomy and is stable
C. A client who just returned from a cardiac catheterization
D. A client who requires titration of a continuous IV infusion
Answer: B
|Answers |Rationales
1. A nurse manager is planning to implement a new charting system. Which
action should the manager take first according to Lewin’s Change Theory?
A. Identify the resistance factors among the nursing staff
B. Provide training sessions for all staff members
C. Celebrate the successful implementation of the system
D. Develop a reward system for early adopters
Answer: A
Rationale: According to Lewin’s Change Theory, the first stage is ‘Unfreezing’, which
involves identifying the need for change and assessing the resistance factors before
implementation.
2. Which task is most appropriate for a registered nurse (RN) to delegate to an
assistive personnel (AP)?
A. Applying a sterile dressing to a pressure injury
B. Assessing a client’s level of pain after medication administration
C. Teaching a client how to use an incentive spirometer
D. Recording the intake and output for a client with heart failure
Answer: D
Rationale: Recording intake and output is a routine task within the scope of practice for
AP. Assessment, sterile procedures, and teaching require the judgment and skill of an RN.
,3. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client who is 2 days post-operative and reporting a pain level of 6/10
B. A client with a newly applied cast who reports itching under the cast
C. A client receiving a blood transfusion for 30 minutes with no reactions
D. A client who has a history of asthma and is reporting new onset of chest tightness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
asthma reporting chest tightness is at risk for respiratory distress and must be prioritized.
4. A charge nurse is managing a conflict between two nurses regarding the
holiday schedule. The charge nurse asks both parties to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Collaborating
B. Smoothing
C. Compromising
D. Avoiding
Answer: C
Rationale: Compromising involves both parties giving up something of value to reach a
mutually acceptable agreement.
5. An RN is supervising a Licensed Practical Nurse (LPN). Which action by the
LPN requires the RN to intervene?
A. Administering a subcutaneous insulin injection
B. Performing a tracheotomy suctioning on a stable client
C. Providing initial discharge teaching to a client with a new diagnosis
D. Updating the plan of care for a client who reached a goal
Answer: C
Rationale: Initial client teaching is the responsibility of the RN. LPNs can reinforce
teaching that has already been initiated by the RN.
, 6. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the group?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members.
7. A nurse manager is evaluating a staff nurse’s time management skills. Which
behavior indicates a need for further instruction?
A. Grouping activities together for a single client visit
B. Documenting client care at the end of the shift
C. Creating a ‘to-do’ list at the beginning of the shift
D. Completing high-priority tasks first
Answer: B
Rationale: Documentation should be performed as soon as possible after an intervention
to ensure accuracy and prevent errors. Waiting until the end of the shift increases the risk
of forgetting details.
8. A nurse is planning to delegate tasks to an LPN. Which client should the nurse
assign to the LPN?
A. A client who is being admitted for chest pain
B. A client who is 24 hours post-thyroidectomy and is stable
C. A client who just returned from a cardiac catheterization
D. A client who requires titration of a continuous IV infusion
Answer: B
