ATI Leadership: Delegation Mastery (RN vs LPN vs UAP) Exam 2026
|Questions |Answers |Rationales
1. Which of the following tasks is most appropriate for a Registered Nurse (RN)
to perform rather than an LPN or UAP?
A. Assisting a patient with a bed bath and oral care.
B. Administering oral medications to a stable patient.
C. Performing routine dressing changes on a chronic wound.
D. Developing a plan of care for a newly admitted patient.
Answer: D
Rationale: Developing a plan of care involves nursing judgment, assessment, and planning,
which is the sole responsibility of the RN.
2. A nurse is caring for a client who is 1-day postoperative following a total hip
arthroplasty. Which task should the nurse delegate to a UAP?
A. Evaluating the client’s pain level after medication.
B. Teaching the client how to use an incentive spirometer.
C. Assisting the client to use a bedside commode.
D. Monitoring the surgical site for signs of infection.
Answer: C
Rationale: UAPs can assist stable clients with activities of daily living (ADLs), including
mobility and toileting.
,3. Which task is within the scope of practice for a Licensed Practical Nurse
(LPN)?
A. Administering an IV bolus of potassium chloride.
B. Providing nasogastric tube feedings to a stable client.
C. Conducting the initial admission assessment.
D. Completing a discharge teaching plan for a diabetic client.
Answer: B
Rationale: LPNs can perform routine tasks for stable clients, including tube feedings. IV
bolus meds and initial assessments require RN expertise.
4. The nurse is delegating tasks to a UAP. Which of the following ‘Five Rights of
Delegation’ is the nurse following when ensuring the UAP has the skills to
perform a fingerstick blood glucose test?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction
Answer: C
Rationale: The ‘Right Person’ ensures that the individual being delegated the task has the
necessary competence and training to perform it.
5. Which client should the charge nurse assign to a Licensed Practical Nurse
(LPN)?
A. A client with a chronic pressure injury requiring daily sterile dressing changes.
B. A client who is 2 hours postoperative and requires frequent vital sign checks.
C. A client with an evolving myocardial infarction.
D. A client who was just admitted with suspected sepsis.
Answer: A
, Rationale: LPNs are best assigned to stable clients with predictable outcomes. A client
with a chronic wound is stable compared to the other high-acuity options.
6. A Registered Nurse is delegating vital signs to a UAP for a client who just
returned from a cardiac catheterization. Which action should the RN take?
A. Allow the UAP to interpret the results of the vital signs.
B. Ask the UAP to assess the pedal pulses as well.
C. Assume the UAP knows to report any abnormal findings immediately.
D. Perform the first set of vital signs and assessment personally.
Answer: D
Rationale: Post-procedure clients are considered unstable. The RN must perform the
initial assessment and vital signs before delegating further monitoring to others.
7. Which task can be safely delegated to an LPN?
A. Titrating a heparin infusion based on aPTT results.
B. Updating the nursing diagnosis in the care plan.
C. Assessing a client’s lung sounds for the first time after surgery.
D. Administering an IM injection of an antibiotic.
Answer: D
Rationale: LPNs can administer medications via the IM route. Assessment, titration of
high-risk meds, and care plan updates are RN responsibilities.
8. A UAP reports to the RN that a client’s blood pressure is 190/110 mmHg.
What is the priority action for the RN?
A. Tell the UAP to retake the blood pressure in 15 minutes.
B. Instruct the LPN to administer the PRN antihypertensive medication.
C. Document the blood pressure in the electronic health record.
D. Reassess the client’s blood pressure and clinical status.
Answer: D
|Questions |Answers |Rationales
1. Which of the following tasks is most appropriate for a Registered Nurse (RN)
to perform rather than an LPN or UAP?
A. Assisting a patient with a bed bath and oral care.
B. Administering oral medications to a stable patient.
C. Performing routine dressing changes on a chronic wound.
D. Developing a plan of care for a newly admitted patient.
Answer: D
Rationale: Developing a plan of care involves nursing judgment, assessment, and planning,
which is the sole responsibility of the RN.
2. A nurse is caring for a client who is 1-day postoperative following a total hip
arthroplasty. Which task should the nurse delegate to a UAP?
A. Evaluating the client’s pain level after medication.
B. Teaching the client how to use an incentive spirometer.
C. Assisting the client to use a bedside commode.
D. Monitoring the surgical site for signs of infection.
Answer: C
Rationale: UAPs can assist stable clients with activities of daily living (ADLs), including
mobility and toileting.
,3. Which task is within the scope of practice for a Licensed Practical Nurse
(LPN)?
A. Administering an IV bolus of potassium chloride.
B. Providing nasogastric tube feedings to a stable client.
C. Conducting the initial admission assessment.
D. Completing a discharge teaching plan for a diabetic client.
Answer: B
Rationale: LPNs can perform routine tasks for stable clients, including tube feedings. IV
bolus meds and initial assessments require RN expertise.
4. The nurse is delegating tasks to a UAP. Which of the following ‘Five Rights of
Delegation’ is the nurse following when ensuring the UAP has the skills to
perform a fingerstick blood glucose test?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction
Answer: C
Rationale: The ‘Right Person’ ensures that the individual being delegated the task has the
necessary competence and training to perform it.
5. Which client should the charge nurse assign to a Licensed Practical Nurse
(LPN)?
A. A client with a chronic pressure injury requiring daily sterile dressing changes.
B. A client who is 2 hours postoperative and requires frequent vital sign checks.
C. A client with an evolving myocardial infarction.
D. A client who was just admitted with suspected sepsis.
Answer: A
, Rationale: LPNs are best assigned to stable clients with predictable outcomes. A client
with a chronic wound is stable compared to the other high-acuity options.
6. A Registered Nurse is delegating vital signs to a UAP for a client who just
returned from a cardiac catheterization. Which action should the RN take?
A. Allow the UAP to interpret the results of the vital signs.
B. Ask the UAP to assess the pedal pulses as well.
C. Assume the UAP knows to report any abnormal findings immediately.
D. Perform the first set of vital signs and assessment personally.
Answer: D
Rationale: Post-procedure clients are considered unstable. The RN must perform the
initial assessment and vital signs before delegating further monitoring to others.
7. Which task can be safely delegated to an LPN?
A. Titrating a heparin infusion based on aPTT results.
B. Updating the nursing diagnosis in the care plan.
C. Assessing a client’s lung sounds for the first time after surgery.
D. Administering an IM injection of an antibiotic.
Answer: D
Rationale: LPNs can administer medications via the IM route. Assessment, titration of
high-risk meds, and care plan updates are RN responsibilities.
8. A UAP reports to the RN that a client’s blood pressure is 190/110 mmHg.
What is the priority action for the RN?
A. Tell the UAP to retake the blood pressure in 15 minutes.
B. Instruct the LPN to administer the PRN antihypertensive medication.
C. Document the blood pressure in the electronic health record.
D. Reassess the client’s blood pressure and clinical status.
Answer: D
