RN VATI Leadership and
Management
1. A nurse is preparing assignments for a team that includes an RN, an LPN, and an
assistive personnel (AP). Which of the following tasks should the nurse delegate to
the AP?
A. Administer oral medications to a client with pneumonia
B. Perform a sterile dressing change on a postoperative incision
C. Measure and record a client’s intake and output
D. Evaluate a client’s response to IV pain medication
Answer: C. Measure and record a client’s intake and output
,Rationale: APs can perform non-invasive, routine tasks such as intake/output and
vital signs. RNs and LPNs handle medication administration and sterile procedures.
2. A nurse is planning care for four clients. Which client should the nurse see first?
A. A client scheduled for discharge later today who requires teaching about wound
care
B. A client with type 1 diabetes who reports feeling shaky and sweaty
C. A client with COPD who requires assistance with morning hygiene
D. A client who needs preoperative teaching before an elective procedure
Answer: B. A client with type 1 diabetes who reports feeling shaky and sweaty
Rationale: The client shows signs of hypoglycemia, which is a priority because it is
life-threatening if untreated.
3. A nurse is reviewing the ethical principle of beneficence. Which of the following
actions reflects beneficence?
A. Telling the truth to a client about their diagnosis
B. Protecting a client’s privacy during procedures
C. Administering pain medication before ambulation
D. Allowing a competent client to refuse treatment
Answer: C. Administering pain medication before ambulation
Rationale: Beneficence means promoting good and preventing harm, such as
reducing pain before activity.
4. A nurse is supervising an AP who is preparing to assist a client with ambulation.
Which of the following observations requires intervention?
A. The AP places nonskid slippers on the client
B. The AP secures the gait belt snugly around the client’s waist
C. The AP holds the client by the arm during ambulation
D. The AP stands slightly behind and to one side of the client
,Answer: C. The AP holds the client by the arm during ambulation
Rationale: The correct technique is to use a gait belt, not by grasping the arm, which
increases fall risk.
5. A nurse is acting as a preceptor to a newly licensed nurse. The preceptor observes
the new nurse making a medication error but recognizing it immediately. What is the
appropriate action?
A. Report the error to the state board of nursing
B. Instruct the nurse to document the error in the incident report
C. Encourage the nurse to ignore the error since no harm occurred
D. Tell the nurse to inform the client’s family about the error
Answer: B. Instruct the nurse to document the error in the incident report
Rationale: Medication errors must be reported through facility policy (incident
report) and addressed for client safety. Not every error is reported to the board
unless significant harm or negligence occurs.
6. A nurse is caring for four clients. Which of the following tasks can be safely
delegated to the LPN?
A. Developing a teaching plan for a newly diagnosed diabetic client
B. Assessing a client admitted with chest pain
C. Administering subcutaneous heparin to a postoperative client
D. Evaluating a client’s understanding of discharge instructions
Answer: C. Administering subcutaneous heparin to a postoperative client
Rationale: LPNs can administer most medications, except IV push in some states, but
cannot perform initial assessments or client teaching.
7. A nurse is participating in quality improvement (QI). Which of the following actions
is part of the QI process?
A. Punishing staff for repeated documentation errors
B. Identifying a trend of increased infection rates on the surgical unit
, C. Assigning staff to mandatory overtime to reduce errors
D. Reporting concerns directly to the state board of nursing
Answer: B. Identifying a trend of increased infection rates on the surgical unit
Rationale: QI focuses on identifying patterns, implementing interventions, and
improving outcomes—not on individual blame.
8. A nurse is assisting with disaster planning. Which client should the nurse
recommend for discharge first during a mass casualty event?
A. A client receiving IV antibiotics for pneumonia
B. A client who is stable after an appendectomy performed 2 days ago
C. A client requiring oxygen for COPD exacerbation
D. A client with unstable vital signs following trauma
Answer: B. A client who is stable after an appendectomy performed 2 days ago
Rationale: During a disaster, stable clients who can safely continue recovery at home
are discharged first to free up hospital resources.
9. A nurse manager is reviewing the roles of leadership styles. Which of the following
actions reflects democratic leadership?
A. The manager makes decisions without staff input
B. The manager allows staff to make all decisions independently
C. The manager seeks staff input before making decisions
D. The manager avoids making decisions and delegates authority excessively
Answer: C. The manager seeks staff input before making decisions
Rationale: Democratic leadership involves shared decision-making while still
maintaining responsibility as the leader.
10. A nurse is teaching new nurses about the principles of case management. Which
of the following should be included?
A. Case management focuses on cost-effective client care coordination
Management
1. A nurse is preparing assignments for a team that includes an RN, an LPN, and an
assistive personnel (AP). Which of the following tasks should the nurse delegate to
the AP?
A. Administer oral medications to a client with pneumonia
B. Perform a sterile dressing change on a postoperative incision
C. Measure and record a client’s intake and output
D. Evaluate a client’s response to IV pain medication
Answer: C. Measure and record a client’s intake and output
,Rationale: APs can perform non-invasive, routine tasks such as intake/output and
vital signs. RNs and LPNs handle medication administration and sterile procedures.
2. A nurse is planning care for four clients. Which client should the nurse see first?
A. A client scheduled for discharge later today who requires teaching about wound
care
B. A client with type 1 diabetes who reports feeling shaky and sweaty
C. A client with COPD who requires assistance with morning hygiene
D. A client who needs preoperative teaching before an elective procedure
Answer: B. A client with type 1 diabetes who reports feeling shaky and sweaty
Rationale: The client shows signs of hypoglycemia, which is a priority because it is
life-threatening if untreated.
3. A nurse is reviewing the ethical principle of beneficence. Which of the following
actions reflects beneficence?
A. Telling the truth to a client about their diagnosis
B. Protecting a client’s privacy during procedures
C. Administering pain medication before ambulation
D. Allowing a competent client to refuse treatment
Answer: C. Administering pain medication before ambulation
Rationale: Beneficence means promoting good and preventing harm, such as
reducing pain before activity.
4. A nurse is supervising an AP who is preparing to assist a client with ambulation.
Which of the following observations requires intervention?
A. The AP places nonskid slippers on the client
B. The AP secures the gait belt snugly around the client’s waist
C. The AP holds the client by the arm during ambulation
D. The AP stands slightly behind and to one side of the client
,Answer: C. The AP holds the client by the arm during ambulation
Rationale: The correct technique is to use a gait belt, not by grasping the arm, which
increases fall risk.
5. A nurse is acting as a preceptor to a newly licensed nurse. The preceptor observes
the new nurse making a medication error but recognizing it immediately. What is the
appropriate action?
A. Report the error to the state board of nursing
B. Instruct the nurse to document the error in the incident report
C. Encourage the nurse to ignore the error since no harm occurred
D. Tell the nurse to inform the client’s family about the error
Answer: B. Instruct the nurse to document the error in the incident report
Rationale: Medication errors must be reported through facility policy (incident
report) and addressed for client safety. Not every error is reported to the board
unless significant harm or negligence occurs.
6. A nurse is caring for four clients. Which of the following tasks can be safely
delegated to the LPN?
A. Developing a teaching plan for a newly diagnosed diabetic client
B. Assessing a client admitted with chest pain
C. Administering subcutaneous heparin to a postoperative client
D. Evaluating a client’s understanding of discharge instructions
Answer: C. Administering subcutaneous heparin to a postoperative client
Rationale: LPNs can administer most medications, except IV push in some states, but
cannot perform initial assessments or client teaching.
7. A nurse is participating in quality improvement (QI). Which of the following actions
is part of the QI process?
A. Punishing staff for repeated documentation errors
B. Identifying a trend of increased infection rates on the surgical unit
, C. Assigning staff to mandatory overtime to reduce errors
D. Reporting concerns directly to the state board of nursing
Answer: B. Identifying a trend of increased infection rates on the surgical unit
Rationale: QI focuses on identifying patterns, implementing interventions, and
improving outcomes—not on individual blame.
8. A nurse is assisting with disaster planning. Which client should the nurse
recommend for discharge first during a mass casualty event?
A. A client receiving IV antibiotics for pneumonia
B. A client who is stable after an appendectomy performed 2 days ago
C. A client requiring oxygen for COPD exacerbation
D. A client with unstable vital signs following trauma
Answer: B. A client who is stable after an appendectomy performed 2 days ago
Rationale: During a disaster, stable clients who can safely continue recovery at home
are discharged first to free up hospital resources.
9. A nurse manager is reviewing the roles of leadership styles. Which of the following
actions reflects democratic leadership?
A. The manager makes decisions without staff input
B. The manager allows staff to make all decisions independently
C. The manager seeks staff input before making decisions
D. The manager avoids making decisions and delegates authority excessively
Answer: C. The manager seeks staff input before making decisions
Rationale: Democratic leadership involves shared decision-making while still
maintaining responsibility as the leader.
10. A nurse is teaching new nurses about the principles of case management. Which
of the following should be included?
A. Case management focuses on cost-effective client care coordination
