Exam VATI RN Leadership & Management Practice Questions Exam (Latest
2026) Questions with Revised Answers, (A+ Guarantee) LATEST UPDATE
1. A nurse administers the wrong dose of medication to a client. Which ethical principle is
the nurse demonstrating when they immediately report the error?
a) Autonomy
b) Justice
c) Veracity
d) Beneficence
Rationale: Veracity means telling the truth and being transparent about errors.
2. A nurse manager is planning to change staffing ratios on a unit. Which step should the
manager do first?
a) Implement the new ratio immediately
b) Announce the change to staff
c) Assess staff perceptions and current workflow
d) Evaluate outcomes after implementation
Rationale: The first step in change management is assessment—understanding current
state and staff views. Docsity+2Stuvia+2
3. Which of the following tasks is appropriate to delegate to an assistive personnel (AP)?
a) Administering IV push medication
b) Helping a stable client with toileting
c) Developing a care plan
d) Performing client assessment
Rationale: APs may assist with basic care tasks under RN supervision; tasks requiring
nursing judgment must remain with the RN.
4. Which leadership style involves motivating staff by inspiring a shared vision and
encouraging innovation?
a) Autocratic
b) Laissez-faire
1
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c) Transactional
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, d) Transformational
Rationale: Transformational leaders focus on vision, change, and staff empowerment.
Docsity+1
5. A client with a DNR order is deteriorating. Family insists on full resuscitation. The nurse
supports the client’s decision and clarifies the DNR order. This is an example of which
role?
a) Case manager
b) Charge nurse
c) Client advocate
d) Delegator
Rationale: Advocacy involves supporting the client’s wishes even when others object.
6. A nurse manager uses data on falls, pressure ulcers, and infections to create unit goals.
Which process is the manager using?
a) Risk management
b) Staffing
c) Quality improvement (QI)
d) Performance appraisal
Rationale: Using outcome data to identify issues and set improvement goals is the core
of QI initiatives. Nursing Prep Exams+1
7. A nurse receives report about four clients. Which client should the nurse assess first?
a) Post-op day 3, stable vital signs
b) Client walking in hall with assistance
c) Client with newly inserted chest tube and fluctuating drainage
d) Client scheduled for discharge today
Rationale: The highest risk client needs first assessment—chest tube changes can
indicate serious complications.
8. A staff conflict arises between two nurses. The manager brings both together to identify
goals, exchange perspectives, and find a solution. Which conflict-resolution strategy is
this?
a) Avoidance
b) Forcing
c) Collaboration
d) Accommodation
Rationale: Collaboration involves working together toward a mutually acceptable
solution. Docsity+1
9. Which statement reflects the scope of practice for an RN in delegation?
a) RNs can delegate tasks that require nursing judgment
b) RNs cannot delegate any patient care
c) RNs remain accountable even when tasks are delegated
d) RNs may delegate medications to APs
Rationale: Delegation transfers task, not accountability; RNs always retain
responsibility.
10. A nurse determines priorities using the ABCs (Airway, Breathing, Circulation). This is an
example of which concept?
2
a) Ethical decision-making
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b) Performance improvement
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, c) Clinical prioritisation
d) Staffing plan
Rationale: Prioritisation ensures the most critical issues are addressed first.
11. A nurse manager is using a Gantt chart to schedule staff, track tasks, and monitor
timelines for a project. This is part of which function of management?
a) Organising
b) Planning
c) Controlling
d) Directing
Rationale: Planning involves developing timelines and assigning resources to meet
objectives.
12. Which legal principle is at play when a nurse ensures client confidentiality under
HIPAA?
a) Negligence
b) Malpractice
c) Privacy/Confidentiality
d) Battery
Rationale: Maintaining client privacy is a legal and ethical mandate.
13. On a 12-hour shift, a nurse manages care for 6 clients. At the briefing, the nurse asks
“What is the most important change in any of my clients?” This indicates the nurse is
using which leadership competency?
a) Budget management
b) Situational awareness
c) Resource allocation
d) Performance appraisal
Rationale: Situational awareness involves monitoring the environment for changes and
emerging issues.
14. A client in ICU has sudden drop in oxygen saturation and increased restlessness. Which
management action should the nurse take first?
a) Document findings
b) Increase the client's pain meds
c) Assess airway and breathing
d) Notify provider immediately
Rationale: The nurse must first complete assessment before further actions or
notifications.
15. The nurse manager is conducting performance evaluations. Which setting is most
appropriate for these meetings?
a) Open staff lounge
b) Staffing station
c) Private office, door closed
d) During shift change
Rationale: Performance appraisals are confidential and require private setting. Docsity
16. A new policy on medication reconciliation is to be implemented. Which step of change
management comes after planning?
3
a) Evaluation
Page
EXAMPREPMASTER
2026) Questions with Revised Answers, (A+ Guarantee) LATEST UPDATE
1. A nurse administers the wrong dose of medication to a client. Which ethical principle is
the nurse demonstrating when they immediately report the error?
a) Autonomy
b) Justice
c) Veracity
d) Beneficence
Rationale: Veracity means telling the truth and being transparent about errors.
2. A nurse manager is planning to change staffing ratios on a unit. Which step should the
manager do first?
a) Implement the new ratio immediately
b) Announce the change to staff
c) Assess staff perceptions and current workflow
d) Evaluate outcomes after implementation
Rationale: The first step in change management is assessment—understanding current
state and staff views. Docsity+2Stuvia+2
3. Which of the following tasks is appropriate to delegate to an assistive personnel (AP)?
a) Administering IV push medication
b) Helping a stable client with toileting
c) Developing a care plan
d) Performing client assessment
Rationale: APs may assist with basic care tasks under RN supervision; tasks requiring
nursing judgment must remain with the RN.
4. Which leadership style involves motivating staff by inspiring a shared vision and
encouraging innovation?
a) Autocratic
b) Laissez-faire
1
Page
c) Transactional
EXAMPREPMASTER
, d) Transformational
Rationale: Transformational leaders focus on vision, change, and staff empowerment.
Docsity+1
5. A client with a DNR order is deteriorating. Family insists on full resuscitation. The nurse
supports the client’s decision and clarifies the DNR order. This is an example of which
role?
a) Case manager
b) Charge nurse
c) Client advocate
d) Delegator
Rationale: Advocacy involves supporting the client’s wishes even when others object.
6. A nurse manager uses data on falls, pressure ulcers, and infections to create unit goals.
Which process is the manager using?
a) Risk management
b) Staffing
c) Quality improvement (QI)
d) Performance appraisal
Rationale: Using outcome data to identify issues and set improvement goals is the core
of QI initiatives. Nursing Prep Exams+1
7. A nurse receives report about four clients. Which client should the nurse assess first?
a) Post-op day 3, stable vital signs
b) Client walking in hall with assistance
c) Client with newly inserted chest tube and fluctuating drainage
d) Client scheduled for discharge today
Rationale: The highest risk client needs first assessment—chest tube changes can
indicate serious complications.
8. A staff conflict arises between two nurses. The manager brings both together to identify
goals, exchange perspectives, and find a solution. Which conflict-resolution strategy is
this?
a) Avoidance
b) Forcing
c) Collaboration
d) Accommodation
Rationale: Collaboration involves working together toward a mutually acceptable
solution. Docsity+1
9. Which statement reflects the scope of practice for an RN in delegation?
a) RNs can delegate tasks that require nursing judgment
b) RNs cannot delegate any patient care
c) RNs remain accountable even when tasks are delegated
d) RNs may delegate medications to APs
Rationale: Delegation transfers task, not accountability; RNs always retain
responsibility.
10. A nurse determines priorities using the ABCs (Airway, Breathing, Circulation). This is an
example of which concept?
2
a) Ethical decision-making
Page
b) Performance improvement
EXAMPREPMASTER
, c) Clinical prioritisation
d) Staffing plan
Rationale: Prioritisation ensures the most critical issues are addressed first.
11. A nurse manager is using a Gantt chart to schedule staff, track tasks, and monitor
timelines for a project. This is part of which function of management?
a) Organising
b) Planning
c) Controlling
d) Directing
Rationale: Planning involves developing timelines and assigning resources to meet
objectives.
12. Which legal principle is at play when a nurse ensures client confidentiality under
HIPAA?
a) Negligence
b) Malpractice
c) Privacy/Confidentiality
d) Battery
Rationale: Maintaining client privacy is a legal and ethical mandate.
13. On a 12-hour shift, a nurse manages care for 6 clients. At the briefing, the nurse asks
“What is the most important change in any of my clients?” This indicates the nurse is
using which leadership competency?
a) Budget management
b) Situational awareness
c) Resource allocation
d) Performance appraisal
Rationale: Situational awareness involves monitoring the environment for changes and
emerging issues.
14. A client in ICU has sudden drop in oxygen saturation and increased restlessness. Which
management action should the nurse take first?
a) Document findings
b) Increase the client's pain meds
c) Assess airway and breathing
d) Notify provider immediately
Rationale: The nurse must first complete assessment before further actions or
notifications.
15. The nurse manager is conducting performance evaluations. Which setting is most
appropriate for these meetings?
a) Open staff lounge
b) Staffing station
c) Private office, door closed
d) During shift change
Rationale: Performance appraisals are confidential and require private setting. Docsity
16. A new policy on medication reconciliation is to be implemented. Which step of change
management comes after planning?
3
a) Evaluation
Page
EXAMPREPMASTER
