ATI Leadership and Management Proctored Exam (9
New Latest Versions, 2024/2025) with All Questions
from Actual Past Exam and 100% Correct Answers
VERSION 1
A school-aged was taken to the received a laceration on his forearm while playing
soccer. His coach and a friend's parent took him to the ER. The nurse should expect to
obtain informed consent from which person? - answers-The parent or legal guardian are
authorized
What is the age range for school aged children? - answers-6-12 years
Why do nurse case managers use critical pathways in the planning of patient care? -
answers-They are used to implement evidence-based strategies for patients with a
common diagnosis to promote cost-effective care.
Can student nurses photocopy part of a client's chart? - answers-Photocopying part of
the client's chart is a breach of confidentiality and privacy
What type of strategy is being used during collaboration, mediation and negotiation? -
answers-All three are conflict resolution strategies
A nurse manager is presenting an in-service about preventing readmission of clients
due to complications after joint replacement surgery. Which leadership task is the nurse
performing? - answers-Advocacy: The nurse acts as an advocate by promoting and
protecting safety for staff and clients by providing information that allows staff to act
autonomously.
Who is responsible to review a surgical procedure with a client? - answers-The provider
, this action is not within the nurse's scope of practice.
A client has questions about alternative treatments regarding an upcoming procedure.
What is the nurses response to the client? - answers-Notify the provider, discussing
alternative treatments is not in a nurse's scope of practice.
Is it appropriate for an RN to assign routine wound irrigation to an AP? - answers-
Wound irrigation is not in the AP's scope of practice.
The RN has assigned an LPN to perform routine wound irrigation, is this appropriate? -
answers-Routine wound irrigation is in an LPN's scope of practice
,Is it appropriate for a nurse manager to assign LPN's to initiate care to class II (yellow
tag) patients? - answers-No - Class II clients require treatment within 30min - 2 hours.
These patients also need an initial assessment which is not with an LPN's scope of
practice. LPN's are allowed to provide care for class III (green tag) patients who have
non-urgent and minor injuries.
VERSION 2
A nurse is caring for a client who is 3 days postop following open heart surgery and is to
transfer to the medical-surgical unit. Which of the following should the nurse plan to
include in the verbal report? - answers-The client's LOC
A nurse case manager is planning a teaching session on use of critical pathways with a
group of newly licensed nurses. The nurse should include which of the following in the
teaching about critical pathways - answers-Critical pathways prevent unnecessary
expense.
Nurses use ___ to implement evidence-based strategies for clients who have a specific,
common diagnosis. - answers-critical pathways
A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The
nurse manager should instruct the staff to expect the stages of the conflict to occur in
what
order? (Order the steps of the process by placing the letters in the correct sequence.)
1. The conflict process is latent conflict, which involves awareness of potential situations
that can create conflict.
2. Conflict aftermath, where those involved recognize the positive and negative
outcomes in how the situation was managed.
3. Felt conflict, where those affected become personally involved.
4. Manifest conflict, where those involved begin to take action
5. Perceived conflict, where those affected are discussing the situation, but in an
impersonal manner. - answers-1. The conflict process is latent conflict, which involves
awareness of potential situations that can create conflict.
2. Perceived conflict, where those affected are discussing the situation, but in an
impersonal manner.
3. Felt conflict, where those affected become personally involved.
4. Manifest conflict, where those involved begin to take action
5. conflict aftermath, where those involved recognize the positive and negative
outcomes in how the situation was managed.
,Management - answers-Process of planning, organizing, directing, and coordinating the
work within an organization
Leadership - answers-Ability to inspire others to achieve a desired outcome
Authoritative leadership - answers-makes decisions for the group
motivates by coercion
Good for crisis situations and bureaucratic settings
effective for employees with little or no formal education
Democratic leadership - answers-Includes the group
motivates by supporting staff achievements
good when cooperation and collaboration are necessary
Laissez-faire - answers-Makes very few decisions
effective with professional employees
Contemporary leadership theory - answers-supports the belief that leaders can develop
the necessary skills
Transformational leaders - answers-empowers followers to assume responsibility for a
communal vision and personal development is a secondary outcome
Transactional leaders - answers-focus on immediate problems, maintaining status Quo
and using rewards to motivate followers
Emotional intelligence - answers-ability of an individual to perceive and manage the
emotions of self and others
5 management functions - answers-Planning
Organizing
staffing
directing
Controlling
clinical reasoning - answers-mental process used when analyzing the elements of a
clinical situation and using analysis to make a decision
prioritization - answers-Systemic before local
Acute before chronic
actual before potential
Maslows heirarchy - answers-Self actualization
self esteem
love and belonging
safety and security
, physiological
Priority interventions - answers-Airway
Breathing
Circulation
Disability
Exposure
Assigning - answers-process of transferring the authority, accountability, and
responsibility of a client care to another member of the health care team
Delegating - answers-process of transferring of authority and responsibility ti another
team member to complete a task
Supervising - answers-process of directing, monitoring, and evaluating the performance
of tasks by another member of health care
5 rights of delegation - answers-Right task
Right circumstance
Right person
Right direction and communication
Right supervision and evaluation
Socialization - answers-person learns a new role and the values and culture of the
group within which that role is implemented
Novice nurse - answers-students or newly licensed nurse with minimal clinical
experience
theoretical perspective
Advance beginner - answers-Most new nurses
practice independently
can make some clinical judgements
Competent nurse - answers-2-3 years
increasing levels of skills and proficiency
ability to organize and plan care using abstract and analytical thinking
anticipate long term outcomes
proficient nurse - answers-significant amount of experience
conceptualizes situations more holistically
recognize and respond to unexpected changes
Expert nurse - answers-view situations holistically and process information efficiently
do not need to rely on rules to comprehend a situation and take action
New Latest Versions, 2024/2025) with All Questions
from Actual Past Exam and 100% Correct Answers
VERSION 1
A school-aged was taken to the received a laceration on his forearm while playing
soccer. His coach and a friend's parent took him to the ER. The nurse should expect to
obtain informed consent from which person? - answers-The parent or legal guardian are
authorized
What is the age range for school aged children? - answers-6-12 years
Why do nurse case managers use critical pathways in the planning of patient care? -
answers-They are used to implement evidence-based strategies for patients with a
common diagnosis to promote cost-effective care.
Can student nurses photocopy part of a client's chart? - answers-Photocopying part of
the client's chart is a breach of confidentiality and privacy
What type of strategy is being used during collaboration, mediation and negotiation? -
answers-All three are conflict resolution strategies
A nurse manager is presenting an in-service about preventing readmission of clients
due to complications after joint replacement surgery. Which leadership task is the nurse
performing? - answers-Advocacy: The nurse acts as an advocate by promoting and
protecting safety for staff and clients by providing information that allows staff to act
autonomously.
Who is responsible to review a surgical procedure with a client? - answers-The provider
, this action is not within the nurse's scope of practice.
A client has questions about alternative treatments regarding an upcoming procedure.
What is the nurses response to the client? - answers-Notify the provider, discussing
alternative treatments is not in a nurse's scope of practice.
Is it appropriate for an RN to assign routine wound irrigation to an AP? - answers-
Wound irrigation is not in the AP's scope of practice.
The RN has assigned an LPN to perform routine wound irrigation, is this appropriate? -
answers-Routine wound irrigation is in an LPN's scope of practice
,Is it appropriate for a nurse manager to assign LPN's to initiate care to class II (yellow
tag) patients? - answers-No - Class II clients require treatment within 30min - 2 hours.
These patients also need an initial assessment which is not with an LPN's scope of
practice. LPN's are allowed to provide care for class III (green tag) patients who have
non-urgent and minor injuries.
VERSION 2
A nurse is caring for a client who is 3 days postop following open heart surgery and is to
transfer to the medical-surgical unit. Which of the following should the nurse plan to
include in the verbal report? - answers-The client's LOC
A nurse case manager is planning a teaching session on use of critical pathways with a
group of newly licensed nurses. The nurse should include which of the following in the
teaching about critical pathways - answers-Critical pathways prevent unnecessary
expense.
Nurses use ___ to implement evidence-based strategies for clients who have a specific,
common diagnosis. - answers-critical pathways
A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The
nurse manager should instruct the staff to expect the stages of the conflict to occur in
what
order? (Order the steps of the process by placing the letters in the correct sequence.)
1. The conflict process is latent conflict, which involves awareness of potential situations
that can create conflict.
2. Conflict aftermath, where those involved recognize the positive and negative
outcomes in how the situation was managed.
3. Felt conflict, where those affected become personally involved.
4. Manifest conflict, where those involved begin to take action
5. Perceived conflict, where those affected are discussing the situation, but in an
impersonal manner. - answers-1. The conflict process is latent conflict, which involves
awareness of potential situations that can create conflict.
2. Perceived conflict, where those affected are discussing the situation, but in an
impersonal manner.
3. Felt conflict, where those affected become personally involved.
4. Manifest conflict, where those involved begin to take action
5. conflict aftermath, where those involved recognize the positive and negative
outcomes in how the situation was managed.
,Management - answers-Process of planning, organizing, directing, and coordinating the
work within an organization
Leadership - answers-Ability to inspire others to achieve a desired outcome
Authoritative leadership - answers-makes decisions for the group
motivates by coercion
Good for crisis situations and bureaucratic settings
effective for employees with little or no formal education
Democratic leadership - answers-Includes the group
motivates by supporting staff achievements
good when cooperation and collaboration are necessary
Laissez-faire - answers-Makes very few decisions
effective with professional employees
Contemporary leadership theory - answers-supports the belief that leaders can develop
the necessary skills
Transformational leaders - answers-empowers followers to assume responsibility for a
communal vision and personal development is a secondary outcome
Transactional leaders - answers-focus on immediate problems, maintaining status Quo
and using rewards to motivate followers
Emotional intelligence - answers-ability of an individual to perceive and manage the
emotions of self and others
5 management functions - answers-Planning
Organizing
staffing
directing
Controlling
clinical reasoning - answers-mental process used when analyzing the elements of a
clinical situation and using analysis to make a decision
prioritization - answers-Systemic before local
Acute before chronic
actual before potential
Maslows heirarchy - answers-Self actualization
self esteem
love and belonging
safety and security
, physiological
Priority interventions - answers-Airway
Breathing
Circulation
Disability
Exposure
Assigning - answers-process of transferring the authority, accountability, and
responsibility of a client care to another member of the health care team
Delegating - answers-process of transferring of authority and responsibility ti another
team member to complete a task
Supervising - answers-process of directing, monitoring, and evaluating the performance
of tasks by another member of health care
5 rights of delegation - answers-Right task
Right circumstance
Right person
Right direction and communication
Right supervision and evaluation
Socialization - answers-person learns a new role and the values and culture of the
group within which that role is implemented
Novice nurse - answers-students or newly licensed nurse with minimal clinical
experience
theoretical perspective
Advance beginner - answers-Most new nurses
practice independently
can make some clinical judgements
Competent nurse - answers-2-3 years
increasing levels of skills and proficiency
ability to organize and plan care using abstract and analytical thinking
anticipate long term outcomes
proficient nurse - answers-significant amount of experience
conceptualizes situations more holistically
recognize and respond to unexpected changes
Expert nurse - answers-view situations holistically and process information efficiently
do not need to rely on rules to comprehend a situation and take action
