Good luck in your exams, happy studying.
ATI Nursing Leadership and Management
Section 1: Prioritization and Management of Care
1. A nurse is reviewing the laboratory results for four clients. Which client should the
nurse see first?
A) A client with a fasting blood glucose of 140 mg/dL.
B) A client with a serum potassium level of 2.8 mEq/L.
C) A client with a white blood cell count of 12,000/mm³.
D) A client with a hemoglobin level of 11 g/dL.
Elaboration: A potassium level of 2.8 is critically low (hypokalemia) and poses an
immediate risk for life-threatening cardiac dysrhythmias. This takes priority over
stable elevations in glucose or WBC.
2. Which prioritization framework is the nurse using when attending to a client with
a compromised airway before a client with a fractured limb?
A) Maslow’s Hierarchy of Needs
B) ABC (Airway, Breathing, Circulation)
C) Least Restrictive/Least Invasive
D) Survival Potential
Elaboration: The ABC framework dictates that respiratory and circulatory stability
must be addressed before musculoskeletal issues to ensure systemic perfusion.
3. A nurse manager is implementing a "Laissez-faire" leadership style. Which action
is consistent with this style?
A) Making all decisions for the unit independently.
B) Allowing the staff to self-schedule and make decisions with minimal
direction.
C) Facilitating a group discussion to reach a consensus.
D) Providing a strict list of rules for every procedure.
Elaboration: Laissez-faire leadership is "hands-off," granting the team high
autonomy, which is effective only with highly experienced and motivated staff.
4. A nurse is caring for a client who is post-operative. Which task should be
categorized as "Urgent" rather than "Routine"?
, A) Assessing the surgical site for drainage.
B) Administering a stat dose of IV glucose to a client who is symptomatic
and hypoglycemic.
C) Providing discharge instructions to a stable client.
D) Documentation of the morning vital signs.
Elaboration: Urgent tasks are those that require immediate intervention to
prevent clinical deterioration.
5. When a nurse uses "Systemic before Local" prioritization, which client is the
priority?
A) A client with a localized skin infection.
B) A client who is in septic shock with a core temperature of 102.2°F.
C) A client with an ingrown toenail.
D) A client with a small laceration on the arm.
Elaboration: Systemic issues (sepsis/shock) affect the entire body and are life-
threatening, whereas local issues are confined to one area.
6. A nurse manager is using "Transformational Leadership." This is characterized
by:
A) Focusing on day-to-day operations.
B) Empowering staff to share the vision and participate in organizational
change.
C) Using a system of rewards for completed tasks.
D) Avoiding decision-making.
Elaboration: Transformational leaders inspire and motivate followers to innovate
and create change that will help grow and shape the future of the organization.
7. Which client should be assigned to an experienced nurse rather than a new
graduate?
A) A client with a stable hip fracture.
B) A client who is being admitted with an unstable dysrhythmia and
requires a titration of lidocaine.
C) A client who is 3 days post-op from an appendectomy.
D) A client with a routine pneumonia diagnosis.
, Elaboration: Complex, unstable patients requiring high-acuity interventions (like
titrating IV medications) require the advanced clinical judgment of an experienced
nurse.
8. "Time Management" for a nurse involves:
A) Doing the easiest tasks first.
B) Prioritizing tasks based on client needs and clustering care to minimize
interruptions.
C) Ignoring documentation until the end of the shift.
D) Asking others to do all the work.
Elaboration: Efficient time management includes setting goals, prioritizing, and
organizing care (clustering) to increase productivity and safety.
9. A nurse is using the "Acute before Chronic" framework. Which client is the
priority?
A) A client with a 10-year history of COPD and $O_2$ sat of 90%.
B) A client with a new onset of sudden chest pain and diaphoresis.
C) A client with chronic osteoarthritis.
D) A client with stable heart failure.
Elaboration: New or sudden (acute) changes in status take precedence over
stable, long-term (chronic) conditions.
10. What is the primary purpose of an "Incident Report"?
A) To punish the nurse who made a mistake.
B) To identify risks and improve systems to prevent future occurrences.
C) To provide evidence for a lawsuit.
D) To satisfy the patient's family.
Elaboration: Incident reports are internal documents used for quality
improvement and risk management, not for disciplinary action.
Section 2: Delegation and Supervision
11. An RN is delegating to a Licensed Practical Nurse (LPN). Which task is
appropriate?
A) Admission assessment of a new client.
B) Reinforcing teaching for a client about their new diabetic diet.
ATI Nursing Leadership and Management
Section 1: Prioritization and Management of Care
1. A nurse is reviewing the laboratory results for four clients. Which client should the
nurse see first?
A) A client with a fasting blood glucose of 140 mg/dL.
B) A client with a serum potassium level of 2.8 mEq/L.
C) A client with a white blood cell count of 12,000/mm³.
D) A client with a hemoglobin level of 11 g/dL.
Elaboration: A potassium level of 2.8 is critically low (hypokalemia) and poses an
immediate risk for life-threatening cardiac dysrhythmias. This takes priority over
stable elevations in glucose or WBC.
2. Which prioritization framework is the nurse using when attending to a client with
a compromised airway before a client with a fractured limb?
A) Maslow’s Hierarchy of Needs
B) ABC (Airway, Breathing, Circulation)
C) Least Restrictive/Least Invasive
D) Survival Potential
Elaboration: The ABC framework dictates that respiratory and circulatory stability
must be addressed before musculoskeletal issues to ensure systemic perfusion.
3. A nurse manager is implementing a "Laissez-faire" leadership style. Which action
is consistent with this style?
A) Making all decisions for the unit independently.
B) Allowing the staff to self-schedule and make decisions with minimal
direction.
C) Facilitating a group discussion to reach a consensus.
D) Providing a strict list of rules for every procedure.
Elaboration: Laissez-faire leadership is "hands-off," granting the team high
autonomy, which is effective only with highly experienced and motivated staff.
4. A nurse is caring for a client who is post-operative. Which task should be
categorized as "Urgent" rather than "Routine"?
, A) Assessing the surgical site for drainage.
B) Administering a stat dose of IV glucose to a client who is symptomatic
and hypoglycemic.
C) Providing discharge instructions to a stable client.
D) Documentation of the morning vital signs.
Elaboration: Urgent tasks are those that require immediate intervention to
prevent clinical deterioration.
5. When a nurse uses "Systemic before Local" prioritization, which client is the
priority?
A) A client with a localized skin infection.
B) A client who is in septic shock with a core temperature of 102.2°F.
C) A client with an ingrown toenail.
D) A client with a small laceration on the arm.
Elaboration: Systemic issues (sepsis/shock) affect the entire body and are life-
threatening, whereas local issues are confined to one area.
6. A nurse manager is using "Transformational Leadership." This is characterized
by:
A) Focusing on day-to-day operations.
B) Empowering staff to share the vision and participate in organizational
change.
C) Using a system of rewards for completed tasks.
D) Avoiding decision-making.
Elaboration: Transformational leaders inspire and motivate followers to innovate
and create change that will help grow and shape the future of the organization.
7. Which client should be assigned to an experienced nurse rather than a new
graduate?
A) A client with a stable hip fracture.
B) A client who is being admitted with an unstable dysrhythmia and
requires a titration of lidocaine.
C) A client who is 3 days post-op from an appendectomy.
D) A client with a routine pneumonia diagnosis.
, Elaboration: Complex, unstable patients requiring high-acuity interventions (like
titrating IV medications) require the advanced clinical judgment of an experienced
nurse.
8. "Time Management" for a nurse involves:
A) Doing the easiest tasks first.
B) Prioritizing tasks based on client needs and clustering care to minimize
interruptions.
C) Ignoring documentation until the end of the shift.
D) Asking others to do all the work.
Elaboration: Efficient time management includes setting goals, prioritizing, and
organizing care (clustering) to increase productivity and safety.
9. A nurse is using the "Acute before Chronic" framework. Which client is the
priority?
A) A client with a 10-year history of COPD and $O_2$ sat of 90%.
B) A client with a new onset of sudden chest pain and diaphoresis.
C) A client with chronic osteoarthritis.
D) A client with stable heart failure.
Elaboration: New or sudden (acute) changes in status take precedence over
stable, long-term (chronic) conditions.
10. What is the primary purpose of an "Incident Report"?
A) To punish the nurse who made a mistake.
B) To identify risks and improve systems to prevent future occurrences.
C) To provide evidence for a lawsuit.
D) To satisfy the patient's family.
Elaboration: Incident reports are internal documents used for quality
improvement and risk management, not for disciplinary action.
Section 2: Delegation and Supervision
11. An RN is delegating to a Licensed Practical Nurse (LPN). Which task is
appropriate?
A) Admission assessment of a new client.
B) Reinforcing teaching for a client about their new diabetic diet.
