ATI LEADERSHIP AND MANAGEMENT
STUDY GUIDE 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ Delegation Decisions are Based on:. Answer: -individual client needs
-facility policies
-job descriptions
-state nurse practice act
-professional standards
◉ Can LPN's delegate to other LPN's or AP?. Answer: Yes
◉ Five Rights of Delegation. Answer: -Right Task
-Right Circumstance
-Right Person
-Right Direction/Communication
-Right Supervision/Evaluation
◉ Right Task. Answer: -repetitive
-requires little supervision
-relatively noninvasive for the client
◉ Right Circumstance. Answer: -consider the team members workload
,-match the complexity of care demands to the skill level of the heath
care team member
◉ Right Person. Answer: -assess and verify the competency of the
health care member
-must be within the team members scope of practice and must have the
necessary competence/training
-continually review the performance and determine care competency
-assess performance based on standards and IF NECESSARY take steps
to remediate a failure to meet standards
◉ Right Direction/Communication. Answer: Communicate either in
writing or orally:
-data that needs to be collected
-method and time line for reporting (including when to report
concerns/assessment findings)
-specific tasks to be performed
-client specific instructions
-expected results, time lines and expectations for follow up
communication
◉ Right Supervision/Evaluation. Answer: -provide supervision either
directly or indirectly (can assign supervision to another licensed nurse)
-provide clear directions and expectations
-monitor performance
, -provide feedback
-intervene if necessary
-evaluate the client and if outcomes were met
-evaluate client care tasks and identify needs for improvement/additional
resources
◉ When does supervision occur?. Answer: AFTER delegation
◉ A supervisor oversees a staff's performance of delegated activities and
determines if:. Answer: -completion of tasks is on schedule
-performance was at satisfactory level
-abnormal/unexpected finding were documented/reported
-assistance is needed to complete assigned tasks in a timely manner
-assignment should be re-evaluated and possible changed
◉ What things can be delegated LPNs?. Answer: -Monitoring client
findings (ongoing assessment)
-Reinforcement of client teaching from a standard care plan
-Trach care
-Suctioning
-Checking NG tube patency
-Administering enteral feedings
-Inserting urinary catheter
-Med administration (excluding IV in some states)
STUDY GUIDE 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ Delegation Decisions are Based on:. Answer: -individual client needs
-facility policies
-job descriptions
-state nurse practice act
-professional standards
◉ Can LPN's delegate to other LPN's or AP?. Answer: Yes
◉ Five Rights of Delegation. Answer: -Right Task
-Right Circumstance
-Right Person
-Right Direction/Communication
-Right Supervision/Evaluation
◉ Right Task. Answer: -repetitive
-requires little supervision
-relatively noninvasive for the client
◉ Right Circumstance. Answer: -consider the team members workload
,-match the complexity of care demands to the skill level of the heath
care team member
◉ Right Person. Answer: -assess and verify the competency of the
health care member
-must be within the team members scope of practice and must have the
necessary competence/training
-continually review the performance and determine care competency
-assess performance based on standards and IF NECESSARY take steps
to remediate a failure to meet standards
◉ Right Direction/Communication. Answer: Communicate either in
writing or orally:
-data that needs to be collected
-method and time line for reporting (including when to report
concerns/assessment findings)
-specific tasks to be performed
-client specific instructions
-expected results, time lines and expectations for follow up
communication
◉ Right Supervision/Evaluation. Answer: -provide supervision either
directly or indirectly (can assign supervision to another licensed nurse)
-provide clear directions and expectations
-monitor performance
, -provide feedback
-intervene if necessary
-evaluate the client and if outcomes were met
-evaluate client care tasks and identify needs for improvement/additional
resources
◉ When does supervision occur?. Answer: AFTER delegation
◉ A supervisor oversees a staff's performance of delegated activities and
determines if:. Answer: -completion of tasks is on schedule
-performance was at satisfactory level
-abnormal/unexpected finding were documented/reported
-assistance is needed to complete assigned tasks in a timely manner
-assignment should be re-evaluated and possible changed
◉ What things can be delegated LPNs?. Answer: -Monitoring client
findings (ongoing assessment)
-Reinforcement of client teaching from a standard care plan
-Trach care
-Suctioning
-Checking NG tube patency
-Administering enteral feedings
-Inserting urinary catheter
-Med administration (excluding IV in some states)
