ATI Leadership: Staffing, Resource Management & Supervision Exam 7
Questions |Answers |Rationales
1. A nurse manager is planning to implement a new staffing model on the unit.
Which of the following factors should the manager consider most critical when
determining staffing needs?
A. The educational level of the nursing staff
B. The geographic location of the hospital
C. Client acuity levels and care requirements
D. The preferences of the medical staff
Answer: C
Rationale: Staffing should primarily be based on client acuity and the complexity of care
required to ensure safety and quality of care.
2. An RN is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the RN to delegate?
A. Performing a sterile dressing change
B. Measuring vital signs on a stable client
C. Evaluating a client’s response to pain medication
D. Providing initial teaching on a new diagnosis
Answer: B
Rationale: Measuring vital signs on stable clients is within the scope of practice for an AP.
Assessment, evaluation, and teaching are nursing responsibilities.
,3. A nurse is supervising an LPN who is providing care to a group of clients.
Which of the following actions by the LPN requires intervention by the nurse?
A. Administering an oral antibiotic
B. Developing the initial plan of care for a new admission
C. Collecting a mid-stream urine specimen
D. Reinforcing teaching about insulin administration
Answer: B
Rationale: The RN is responsible for the initial assessment and the development of the
client’s plan of care. LPNs can contribute to and implement the plan.
4. A nurse manager is preparing the annual budget and needs to purchase three
new infusion pumps. Under which category of the budget should this purchase
be placed?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
Answer: D
Rationale: The capital budget involves the purchase of major equipment that lasts more
than a year and exceeds a specific dollar amount.
5. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right cost
B. Right documentation
C. Right supervision
D. Right sequence
Answer: C
Rationale: The Five Rights of Delegation are: right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation.
, 6. A charge nurse is making assignments for the next shift. Which client should
be assigned to a nurse who was floated from the surgical unit to the medical
unit?
A. A client who is 2 days postoperative following a cholecystectomy
B. A client with an acute exacerbation of heart failure
C. A client newly diagnosed with Type 1 Diabetes requiring education
D. A client receiving a continuous IV drip for cardiac arrhythmias
Answer: A
Rationale: A float nurse should be assigned clients who are stable and whose care
requirements match the nurse’s core competencies (in this case, surgical recovery).
7. A nurse manager uses a ‘laissez-faire’ leadership style. Which of the following
is a characteristic of this style?
A. The leader makes most of the decisions independently
B. The leader provides little direction and allows group members to make decisions
C. The leader motivates staff through rewards and punishments
D. The leader encourages group discussion and decision-making
Answer: B
Rationale: Laissez-faire leadership is passive; the leader provides minimal guidance and
allows the staff to function independently.
8. A nurse manager is evaluating a staff nurse’s performance. Which of the
following is the best method for the manager to gather objective data?
A. Observing the nurse’s practice over a period of time
B. Reviewing the nurse’s self-evaluation
C. Asking other nurses on the unit for their opinions
D. Checking the number of sick days the nurse has taken
Answer: A
Questions |Answers |Rationales
1. A nurse manager is planning to implement a new staffing model on the unit.
Which of the following factors should the manager consider most critical when
determining staffing needs?
A. The educational level of the nursing staff
B. The geographic location of the hospital
C. Client acuity levels and care requirements
D. The preferences of the medical staff
Answer: C
Rationale: Staffing should primarily be based on client acuity and the complexity of care
required to ensure safety and quality of care.
2. An RN is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the RN to delegate?
A. Performing a sterile dressing change
B. Measuring vital signs on a stable client
C. Evaluating a client’s response to pain medication
D. Providing initial teaching on a new diagnosis
Answer: B
Rationale: Measuring vital signs on stable clients is within the scope of practice for an AP.
Assessment, evaluation, and teaching are nursing responsibilities.
,3. A nurse is supervising an LPN who is providing care to a group of clients.
Which of the following actions by the LPN requires intervention by the nurse?
A. Administering an oral antibiotic
B. Developing the initial plan of care for a new admission
C. Collecting a mid-stream urine specimen
D. Reinforcing teaching about insulin administration
Answer: B
Rationale: The RN is responsible for the initial assessment and the development of the
client’s plan of care. LPNs can contribute to and implement the plan.
4. A nurse manager is preparing the annual budget and needs to purchase three
new infusion pumps. Under which category of the budget should this purchase
be placed?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
Answer: D
Rationale: The capital budget involves the purchase of major equipment that lasts more
than a year and exceeds a specific dollar amount.
5. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right cost
B. Right documentation
C. Right supervision
D. Right sequence
Answer: C
Rationale: The Five Rights of Delegation are: right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation.
, 6. A charge nurse is making assignments for the next shift. Which client should
be assigned to a nurse who was floated from the surgical unit to the medical
unit?
A. A client who is 2 days postoperative following a cholecystectomy
B. A client with an acute exacerbation of heart failure
C. A client newly diagnosed with Type 1 Diabetes requiring education
D. A client receiving a continuous IV drip for cardiac arrhythmias
Answer: A
Rationale: A float nurse should be assigned clients who are stable and whose care
requirements match the nurse’s core competencies (in this case, surgical recovery).
7. A nurse manager uses a ‘laissez-faire’ leadership style. Which of the following
is a characteristic of this style?
A. The leader makes most of the decisions independently
B. The leader provides little direction and allows group members to make decisions
C. The leader motivates staff through rewards and punishments
D. The leader encourages group discussion and decision-making
Answer: B
Rationale: Laissez-faire leadership is passive; the leader provides minimal guidance and
allows the staff to function independently.
8. A nurse manager is evaluating a staff nurse’s performance. Which of the
following is the best method for the manager to gather objective data?
A. Observing the nurse’s practice over a period of time
B. Reviewing the nurse’s self-evaluation
C. Asking other nurses on the unit for their opinions
D. Checking the number of sick days the nurse has taken
Answer: A
