Graded A+ Multiple-Choice Questions for Proctored
Exam Success
80 Unique Multiple-Choice Questions for ATI Leadership and Management
Assessment Designed to align with core topics: Delegation, Supervision, Conflict
Resolution, Quality Improvement, and Time Management
Leadership and Management Practice Questions
Question 1: A nurse manager is delegating tasks on a medical-surgical unit. Which task is most
appropriate to delegate to a licensed practical nurse (LPN)?
A Administering oral medications to a stable client
B Performing an initial client assessment
C Developing a care plan for a newly admitted client
D Administering IV push medications
Question 2: A charge nurse is supervising a new graduate nurse. Which action by the new nurse
requires immediate intervention?
A Documenting vital signs after taking them
B Administering medication without verifying the client’s identity
C Asking a colleague for clarification on a procedure
D Reporting a change in client condition to the charge nurse
Question 3: A nurse overhears two nursing assistants arguing about their assignments. What is
the nurse’s best initial action to resolve the conflict?
A Facilitate a private discussion between the assistants
B Reassign both assistants to different tasks
C Ignore the argument and monitor their work
D Report the conflict to the nurse manager
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,Question 4: A nurse manager is implementing a quality improvement project to reduce medi-
cation errors. Which step should be prioritized?
A Analyze data on error occurrences
B Train staff on new procedures immediately
C Change the medication administration schedule
D Purchase new medication dispensing equipment
Question 5: A nurse has multiple tasks to complete during a shift. Which task should the nurse
prioritize first?
A Administering pain medication to a client reporting severe pain
B Completing discharge teaching for a stable client
C Updating care plans for all assigned clients
D Restocking supplies in the medication room
Question 6: A charge nurse is assigning tasks for a busy emergency department. Which task is
appropriate to delegate to an unlicensed assistive personnel (UAP)?
A Transporting a stable client to radiology
B Performing a sterile dressing change
C Administering a nebulizer treatment
D Evaluating a client’s response to medication
Question 7: A nurse manager observes a staff nurse failing to follow hand hygiene protocols.
What is the best initial supervisory action?
A Provide immediate, private feedback to the nurse
B Document the incident in the nurse’s personnel file
C Suspend the nurse pending further review
D Address the issue at the next staff meeting
Question 8: A nurse and a physician disagree about a client’s discharge plan. What is the
nurse’s best approach to resolve the conflict?
A Use collaboration to discuss the client’s needs
B Defer to the physician’s decision
C Escalate the issue to the hospital administrator
D Avoid discussing the issue with the physician
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, Question 9: A unit has an increase in client falls. Which quality improvement strategy should
the nurse manager implement first?
A Conduct a root cause analysis of recent falls
B Install new bed alarms for all clients
C Increase staffing levels immediately
D Revise the fall prevention policy
Question 10: A charge nurse is managing a unit during a code blue. Which task should be
prioritized during the emergency?
A Assisting with chest compressions
B Updating the client’s chart
C Notifying the family of the situation
D Preparing discharge paperwork for another client
Question 11: A nurse is delegating tasks to a certified nursing assistant (CNA). Which task is
within the CNA’s scope of practice?
A Assisting a client with ambulation
B Administering insulin injections
C Interpreting a client’s laboratory results
D Teaching a client about a new medication
Question 12: A charge nurse notices an LPN struggling to prioritize client care. What is the
most appropriate supervisory action?
A Assist the LPN in creating a prioritized task list
B Reassign the LPN’s clients to another nurse
C Report the LPN’s performance to the manager
D Ignore the issue and monitor the LPN’s progress
Question 13: Two nurses are in conflict over scheduling preferences. What is the nurse manager’s
best initial action?
A Meet with both nurses to negotiate a solution
B Assign schedules without consulting the nurses
C Allow the nurses to resolve the issue independently
D Refer the conflict to human resources
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