ATI LEADERSHIP AND MANAGEMENT
Exam LATEST VERSION / QUESTIONS
AND CORRECT ANSWERS / A GRADE
SCORE SOLUTION 2025.
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Assessing a client’s pain level
B. Administering a medication
C. Performing a bed bath
D. Evaluating a client’s nutritional status
✅ Correct Answer: C. Performing a bed bath
Rationale: APs can perform non-invasive, routine tasks such as hygiene.
Assessments, medication administration, and evaluations require an RN.
2. A nurse manager is reviewing the principles of time management. Which of
the following actions should the nurse identify as a priority?
A. Grouping client care tasks
B. Planning the day’s activities
,C. Responding to all call lights
D. Delegating documentation
✅ Correct Answer: B. Planning the day’s activities
Rationale: Effective time management starts with planning and prioritizing tasks
to reduce stress and improve productivity.
3. Which of the following actions demonstrates advocacy by a nurse?
A. Informing the client about a medication's adverse effects
B. Clarifying the provider's orders
C. Ensuring the client’s wishes are upheld during end-of-life care
D. Documenting a medication error
✅ Correct Answer: C. Ensuring the client’s wishes are upheld during end-of-life
care
Rationale: Advocacy involves supporting a client’s rights and decisions, especially
in sensitive situations like end-of-life care.
4. A client reports dissatisfaction with their care. What is the first action the
nurse should take?
A. Notify the charge nurse
B. Report the concern to the provider
C. Review the client’s chart
D. Listen to the client’s concerns
✅ Correct Answer: D. Listen to the client’s concerns
Rationale: Using therapeutic communication and active listening is the first step
in resolving client dissatisfaction.
5. A nurse is preparing to discharge a client who speaks a different language.
What should the nurse do?
,A. Use a family member as an interpreter
B. Use a certified medical interpreter
C. Provide written instructions in English
D. Ask another nurse to assist
✅ Correct Answer: B. Use a certified medical interpreter
Rationale: Only certified interpreters should be used for informed communication
and legal compliance.
6. A nurse observes a peer diverting narcotics. What is the nurse’s legal
responsibility?
A. Confront the peer directly
B. Notify the nurse manager immediately
C. Document the incident in the client’s record
D. Ignore unless it affects care
✅ Correct Answer: B. Notify the nurse manager immediately
Rationale: Suspected substance abuse must be reported according to facility
policy and legal obligations.
7. A nurse receives a new assignment. Which client should be seen first?
A. A client requesting PRN pain medication
B. A client who needs discharge teaching
C. A client with a blood glucose of 400 mg/dL
D. A client awaiting wound care
✅ Correct Answer: C. A client with a blood glucose of 400 mg/dL
Rationale: This client has a potentially life-threatening issue and requires
immediate attention.
8. Which of the following is an example of a sentinel event?
, A. A nurse arriving late to work
B. A client fall with no injury
C. Administering a wrong medication dose that leads to death
D. A delay in meal delivery
✅ Correct Answer: C. Administering a wrong medication dose that leads to
death
Rationale: Sentinel events involve unexpected death or serious harm and require
immediate investigation.
9. Which task should the nurse delegate to a licensed practical nurse (LPN)?
A. Administering IV push medication
B. Performing initial client assessment
C. Reinforcing teaching
D. Developing a care plan
✅ Correct Answer: C. Reinforcing teaching
Rationale: LPNs can reinforce teaching but not provide initial instruction or
perform high-level assessments.
10. What is the correct order of the nursing process?
A. Assessment, Planning, Diagnosis, Implementation, Evaluation
B. Diagnosis, Assessment, Planning, Implementation, Evaluation
C. Assessment, Diagnosis, Planning, Implementation, Evaluation
D. Planning, Implementation, Diagnosis, Assessment, Evaluation
✅ Correct Answer: C. Assessment, Diagnosis, Planning, Implementation,
Evaluation
Rationale: The correct sequence follows the ADPIE framework.
11. A nurse is precepting a new graduate. Which of the following behaviors
demonstrates appropriate time management?
Exam LATEST VERSION / QUESTIONS
AND CORRECT ANSWERS / A GRADE
SCORE SOLUTION 2025.
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Assessing a client’s pain level
B. Administering a medication
C. Performing a bed bath
D. Evaluating a client’s nutritional status
✅ Correct Answer: C. Performing a bed bath
Rationale: APs can perform non-invasive, routine tasks such as hygiene.
Assessments, medication administration, and evaluations require an RN.
2. A nurse manager is reviewing the principles of time management. Which of
the following actions should the nurse identify as a priority?
A. Grouping client care tasks
B. Planning the day’s activities
,C. Responding to all call lights
D. Delegating documentation
✅ Correct Answer: B. Planning the day’s activities
Rationale: Effective time management starts with planning and prioritizing tasks
to reduce stress and improve productivity.
3. Which of the following actions demonstrates advocacy by a nurse?
A. Informing the client about a medication's adverse effects
B. Clarifying the provider's orders
C. Ensuring the client’s wishes are upheld during end-of-life care
D. Documenting a medication error
✅ Correct Answer: C. Ensuring the client’s wishes are upheld during end-of-life
care
Rationale: Advocacy involves supporting a client’s rights and decisions, especially
in sensitive situations like end-of-life care.
4. A client reports dissatisfaction with their care. What is the first action the
nurse should take?
A. Notify the charge nurse
B. Report the concern to the provider
C. Review the client’s chart
D. Listen to the client’s concerns
✅ Correct Answer: D. Listen to the client’s concerns
Rationale: Using therapeutic communication and active listening is the first step
in resolving client dissatisfaction.
5. A nurse is preparing to discharge a client who speaks a different language.
What should the nurse do?
,A. Use a family member as an interpreter
B. Use a certified medical interpreter
C. Provide written instructions in English
D. Ask another nurse to assist
✅ Correct Answer: B. Use a certified medical interpreter
Rationale: Only certified interpreters should be used for informed communication
and legal compliance.
6. A nurse observes a peer diverting narcotics. What is the nurse’s legal
responsibility?
A. Confront the peer directly
B. Notify the nurse manager immediately
C. Document the incident in the client’s record
D. Ignore unless it affects care
✅ Correct Answer: B. Notify the nurse manager immediately
Rationale: Suspected substance abuse must be reported according to facility
policy and legal obligations.
7. A nurse receives a new assignment. Which client should be seen first?
A. A client requesting PRN pain medication
B. A client who needs discharge teaching
C. A client with a blood glucose of 400 mg/dL
D. A client awaiting wound care
✅ Correct Answer: C. A client with a blood glucose of 400 mg/dL
Rationale: This client has a potentially life-threatening issue and requires
immediate attention.
8. Which of the following is an example of a sentinel event?
, A. A nurse arriving late to work
B. A client fall with no injury
C. Administering a wrong medication dose that leads to death
D. A delay in meal delivery
✅ Correct Answer: C. Administering a wrong medication dose that leads to
death
Rationale: Sentinel events involve unexpected death or serious harm and require
immediate investigation.
9. Which task should the nurse delegate to a licensed practical nurse (LPN)?
A. Administering IV push medication
B. Performing initial client assessment
C. Reinforcing teaching
D. Developing a care plan
✅ Correct Answer: C. Reinforcing teaching
Rationale: LPNs can reinforce teaching but not provide initial instruction or
perform high-level assessments.
10. What is the correct order of the nursing process?
A. Assessment, Planning, Diagnosis, Implementation, Evaluation
B. Diagnosis, Assessment, Planning, Implementation, Evaluation
C. Assessment, Diagnosis, Planning, Implementation, Evaluation
D. Planning, Implementation, Diagnosis, Assessment, Evaluation
✅ Correct Answer: C. Assessment, Diagnosis, Planning, Implementation,
Evaluation
Rationale: The correct sequence follows the ADPIE framework.
11. A nurse is precepting a new graduate. Which of the following behaviors
demonstrates appropriate time management?
