ATI RN LEADERSHIP AND
MANAGEMENT EXAM 2026/2027
1. A nurse manager is utilizing the Lewin’s Change Theory to implement a new electronic
health record system. During the ‘unfreezing’ stage, which action should the manager take?
A. Provide ongoing support and training to staff members.
B. Establish a date for the new system to go live.
C. Identify stakeholders who are resistant to the change.
D. Create a sense of urgency by highlighting the deficiencies of the current system.
Answer: D
Conceptual Explanation: The unfreezing stage involves creating awareness of the need
for change and generating a sense of urgency or dissatisfaction with the status quo.
2. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate
to delegate to the AP?
A. Assessing a client’s skin integrity after a fall.
B. Performing post-mortem care on a deceased client.
C. Providing initial tracheostomy care for a stable client.
,D. Updating the family on the client’s surgical outcome.
Answer: B
Conceptual Explanation: Post-mortem care is a routine task within the scope of practice
for an AP. Assessment, specialized care, and teaching are roles of the licensed nurse.
3. A nurse is caring for a client who is requesting to leave the hospital against medical advice
(AMA). Which is the priority action for the nurse?
A. Request the client to sign the official AMA form.
B. Notify the provider immediately regarding the client’s intent.
C. Explain the potential physical risks associated with leaving early.
D. Remove the client’s IV catheter and provide discharge instructions.
Answer: C
Conceptual Explanation: The nurse’s priority is to ensure the client is informed of the
risks. While notifying the provider and getting the form signed are necessary, client
education regarding safety is the immediate nursing intervention.
4. During a mass casualty incident, which client should the nurse triage with a ‘Red’ tag?
A. A client with a simple fracture of the radius.
B. A client with an agonal respiratory pattern and fixed pupils.
C. A client with a minor laceration who is walking around the site.
D. A client with a sucking chest wound and respiratory distress.
, Answer: D
Conceptual Explanation: Red tags are for immediate threats to life that are treatable. A
sucking chest wound is life-threatening but salvageable. Agonal breaths are Black
(expectant).
5. A nurse is working with an LPN who consistently fails to complete assigned tasks on time.
Which conflict resolution strategy involves both parties giving up something to reach a
solution?
A. Collaborating
B. Compromising
C. Smoothing
D. Avoiding
Answer: B
Conceptual Explanation: Compromising is a ‘lose-lose’ or ‘win-lose’ hybrid where both
parties yield something to reach a middle ground.
6. Which leadership style is characterized by the leader making decisions independently
without input from the staff, often used during emergency situations?
A. Democratic
B. Laissez-faire
C. Autocratic
MANAGEMENT EXAM 2026/2027
1. A nurse manager is utilizing the Lewin’s Change Theory to implement a new electronic
health record system. During the ‘unfreezing’ stage, which action should the manager take?
A. Provide ongoing support and training to staff members.
B. Establish a date for the new system to go live.
C. Identify stakeholders who are resistant to the change.
D. Create a sense of urgency by highlighting the deficiencies of the current system.
Answer: D
Conceptual Explanation: The unfreezing stage involves creating awareness of the need
for change and generating a sense of urgency or dissatisfaction with the status quo.
2. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate
to delegate to the AP?
A. Assessing a client’s skin integrity after a fall.
B. Performing post-mortem care on a deceased client.
C. Providing initial tracheostomy care for a stable client.
,D. Updating the family on the client’s surgical outcome.
Answer: B
Conceptual Explanation: Post-mortem care is a routine task within the scope of practice
for an AP. Assessment, specialized care, and teaching are roles of the licensed nurse.
3. A nurse is caring for a client who is requesting to leave the hospital against medical advice
(AMA). Which is the priority action for the nurse?
A. Request the client to sign the official AMA form.
B. Notify the provider immediately regarding the client’s intent.
C. Explain the potential physical risks associated with leaving early.
D. Remove the client’s IV catheter and provide discharge instructions.
Answer: C
Conceptual Explanation: The nurse’s priority is to ensure the client is informed of the
risks. While notifying the provider and getting the form signed are necessary, client
education regarding safety is the immediate nursing intervention.
4. During a mass casualty incident, which client should the nurse triage with a ‘Red’ tag?
A. A client with a simple fracture of the radius.
B. A client with an agonal respiratory pattern and fixed pupils.
C. A client with a minor laceration who is walking around the site.
D. A client with a sucking chest wound and respiratory distress.
, Answer: D
Conceptual Explanation: Red tags are for immediate threats to life that are treatable. A
sucking chest wound is life-threatening but salvageable. Agonal breaths are Black
(expectant).
5. A nurse is working with an LPN who consistently fails to complete assigned tasks on time.
Which conflict resolution strategy involves both parties giving up something to reach a
solution?
A. Collaborating
B. Compromising
C. Smoothing
D. Avoiding
Answer: B
Conceptual Explanation: Compromising is a ‘lose-lose’ or ‘win-lose’ hybrid where both
parties yield something to reach a middle ground.
6. Which leadership style is characterized by the leader making decisions independently
without input from the staff, often used during emergency situations?
A. Democratic
B. Laissez-faire
C. Autocratic
