ATI RN Fundamentals Proctored Exam –
Comprehensive Practice Q&A
Course: ATI RN Fundamentals Proctored Exam (2025/2026 Update)
Format: Multiple Choice, NGN-Style, Select All That Apply
Question Format: Questions presented with answer choices; Correct
Answer indicated in bold; rationale provided in italics.
Focus Areas: Safety & Infection Control, Delegation, Medication
Administration, Legal/Ethical Practice, Patient Care, Nursing Process,
Prioritization
SECTION 1: Delegation & Assignment (Questions 1-10)
Q1. A nurse on a med-surg unit has received change-of-shift report and
will care for four clients. Which of the following client needs may the
nurse assign to an assistive personnel (AP)?
• A) Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
• B) Reinforcing teaching with a client who is learning to walk using a
quad cane
• C) Reapplying a condom catheter for a client who has urinary
incontinence
• D) Applying a sterile dressing to a pressure ulcer
Correct Answer: C – Application of a condom catheter is a noninvasive,
routine procedure that can be delegated to an AP. Feeding a client with
aspiration risk, reinforcing teaching, and sterile dressing changes require
nursing judgment and assessment.
Q2. A nurse is delegating the ambulation of a client who had a knee
arthroplasty 5 days ago to an AP. Which of the following information
should the nurse share with the AP? (Select All That Apply)
, • A) The roommate is up independently
• B) The client ambulates with his slippers on over his antiembolic
stockings
• C) The client uses a front-wheeled walker when ambulating
• D) The client had pain medication 30 minutes ago
• E) The client is allergic to codeine
• F) The client ate 50% of his breakfast this morning
Correct Answer: B, C, D – The AP needs to know mobility aids (walker),
footwear (slippers over stockings), and timing of pain medication to ensure
safe ambulation. Allergies and dietary intake are not immediately relevant
to the task of ambulation.
Q3. Can an RN delegate to the LPN to provide tracheostomy care to a
client with pneumonia?
• A) Yes
• B) No
Correct Answer: A – Tracheostomy care is within the scope of practice for
an LPN, provided the LPN has been trained and competency verified. The
RN is responsible for supervision and assessment.
Q4. A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired nurses. Which of
the following statements should the nurse plan to include?
• A) "Delirium does not affect a client's perception of her environment."
• B) "Delirium does not affect a client's sleep cycle."
• C) "Delirium has an abrupt onset."
• D) "Delirium has a slow progression."
,Correct Answer: C – Delirium is characterized by acute onset and
fluctuating levels of consciousness. It does affect perception and sleep-
wake cycles and is not slow in progression.
Q5. A nurse is planning care for a group of clients. Which of the
following tasks should the nurse delegate to an AP?
• A) Changing the dressing for a client who has a stage 3 pressure
injury
• B) Determining a client's response to a diuretic
• C) Comparing radial pulses for a client who is postoperative
• D) Providing postmortem care to a client
Correct Answer: D – Providing postmortem care is a routine, noninvasive
procedure that can be delegated to an AP. Dressing changes, determining
response to medications, and assessing pulses require nursing judgment.
Q6. A nurse manager is planning to observe a newly licensed nurse
perform a straight catheterization to ensure client safety. In which of
the following roles is the nurse manager functioning?
• A) Case manager
• B) Client educator
• C) Client care provider
• D) Client advocate
Correct Answer: D – By overseeing and ensuring safe care through direct
observation, the nurse manager acts as a client advocate, ensuring client
rights and safety during procedures.
Q7. A nurse is assigning tasks to an AP. Which of the following tasks is
within the AP's scope of practice?
, • A) Measuring intake and output
• B) Assisting a client with ambulation
• C) Administering oral medications
• D) Performing a sterile dressing change
Correct Answer: B – Assisting with ambulation is a routine activity of daily
living that can be delegated to an AP. Measuring I&O may also be delegated,
but the option specifically states ambulation.
Q8. Which of the following tasks is appropriate for the RN to delegate to
the LPN?
• A) Performing an admission assessment
• B) Administering enteral feedings to a stable client
• C) Creating the initial plan of care
• D) Evaluating client response to pain medication
Correct Answer: B – LPNs can administer enteral feedings to stable
clients. Admission assessment, care planning, and evaluation require RN-
level judgment and assessment skills.
Q9. A nurse is preparing to transfer a client who can bear weight on only
one leg from the bed to a chair. After ensuring the environment is safe,
which of the following actions should the nurse take next?
• A) Rock the client up to a standing position.
• B) Pivot on the foot farthest from the chair.
• C) Assess the client for orthostatic hypotension.
• D) Apply a gait belt to the client.
Correct Answer: C – Assessing for orthostatic hypotension is priority to
prevent dizziness or fainting during transfer. Applying a gait belt is
necessary but occurs after stability assessment.
Comprehensive Practice Q&A
Course: ATI RN Fundamentals Proctored Exam (2025/2026 Update)
Format: Multiple Choice, NGN-Style, Select All That Apply
Question Format: Questions presented with answer choices; Correct
Answer indicated in bold; rationale provided in italics.
Focus Areas: Safety & Infection Control, Delegation, Medication
Administration, Legal/Ethical Practice, Patient Care, Nursing Process,
Prioritization
SECTION 1: Delegation & Assignment (Questions 1-10)
Q1. A nurse on a med-surg unit has received change-of-shift report and
will care for four clients. Which of the following client needs may the
nurse assign to an assistive personnel (AP)?
• A) Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
• B) Reinforcing teaching with a client who is learning to walk using a
quad cane
• C) Reapplying a condom catheter for a client who has urinary
incontinence
• D) Applying a sterile dressing to a pressure ulcer
Correct Answer: C – Application of a condom catheter is a noninvasive,
routine procedure that can be delegated to an AP. Feeding a client with
aspiration risk, reinforcing teaching, and sterile dressing changes require
nursing judgment and assessment.
Q2. A nurse is delegating the ambulation of a client who had a knee
arthroplasty 5 days ago to an AP. Which of the following information
should the nurse share with the AP? (Select All That Apply)
, • A) The roommate is up independently
• B) The client ambulates with his slippers on over his antiembolic
stockings
• C) The client uses a front-wheeled walker when ambulating
• D) The client had pain medication 30 minutes ago
• E) The client is allergic to codeine
• F) The client ate 50% of his breakfast this morning
Correct Answer: B, C, D – The AP needs to know mobility aids (walker),
footwear (slippers over stockings), and timing of pain medication to ensure
safe ambulation. Allergies and dietary intake are not immediately relevant
to the task of ambulation.
Q3. Can an RN delegate to the LPN to provide tracheostomy care to a
client with pneumonia?
• A) Yes
• B) No
Correct Answer: A – Tracheostomy care is within the scope of practice for
an LPN, provided the LPN has been trained and competency verified. The
RN is responsible for supervision and assessment.
Q4. A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired nurses. Which of
the following statements should the nurse plan to include?
• A) "Delirium does not affect a client's perception of her environment."
• B) "Delirium does not affect a client's sleep cycle."
• C) "Delirium has an abrupt onset."
• D) "Delirium has a slow progression."
,Correct Answer: C – Delirium is characterized by acute onset and
fluctuating levels of consciousness. It does affect perception and sleep-
wake cycles and is not slow in progression.
Q5. A nurse is planning care for a group of clients. Which of the
following tasks should the nurse delegate to an AP?
• A) Changing the dressing for a client who has a stage 3 pressure
injury
• B) Determining a client's response to a diuretic
• C) Comparing radial pulses for a client who is postoperative
• D) Providing postmortem care to a client
Correct Answer: D – Providing postmortem care is a routine, noninvasive
procedure that can be delegated to an AP. Dressing changes, determining
response to medications, and assessing pulses require nursing judgment.
Q6. A nurse manager is planning to observe a newly licensed nurse
perform a straight catheterization to ensure client safety. In which of
the following roles is the nurse manager functioning?
• A) Case manager
• B) Client educator
• C) Client care provider
• D) Client advocate
Correct Answer: D – By overseeing and ensuring safe care through direct
observation, the nurse manager acts as a client advocate, ensuring client
rights and safety during procedures.
Q7. A nurse is assigning tasks to an AP. Which of the following tasks is
within the AP's scope of practice?
, • A) Measuring intake and output
• B) Assisting a client with ambulation
• C) Administering oral medications
• D) Performing a sterile dressing change
Correct Answer: B – Assisting with ambulation is a routine activity of daily
living that can be delegated to an AP. Measuring I&O may also be delegated,
but the option specifically states ambulation.
Q8. Which of the following tasks is appropriate for the RN to delegate to
the LPN?
• A) Performing an admission assessment
• B) Administering enteral feedings to a stable client
• C) Creating the initial plan of care
• D) Evaluating client response to pain medication
Correct Answer: B – LPNs can administer enteral feedings to stable
clients. Admission assessment, care planning, and evaluation require RN-
level judgment and assessment skills.
Q9. A nurse is preparing to transfer a client who can bear weight on only
one leg from the bed to a chair. After ensuring the environment is safe,
which of the following actions should the nurse take next?
• A) Rock the client up to a standing position.
• B) Pivot on the foot farthest from the chair.
• C) Assess the client for orthostatic hypotension.
• D) Apply a gait belt to the client.
Correct Answer: C – Assessing for orthostatic hypotension is priority to
prevent dizziness or fainting during transfer. Applying a gait belt is
necessary but occurs after stability assessment.
