ATI CMS LEADERSHIP PROCTORED EXAM
2026| QUESTIONS WITH 100% CORRECT
VERIFIED ANSWERS | GUARANTEED
PASS
SECTION 1: DELEGATION AND SUPERVISION (Questions 1-40)
Question 1
A charge nurse is delegating tasks to the healthcare team. Which task should the
nurse delegate to an AP (unlicensed assistive personnel)?
A) Administering a tube feeding to a client with a new gastrostomy tube
B) Ambulating a client who is 2 days post-operative following a hip arthroplasty
C) Suctioning a client's tracheostomy
D) Teaching a client how to use an incentive spirometer
Correct Answer: B) Ambulating a client who is 2 days post-operative following a
hip arthroplasty
,*Rationale: Ambulating a stable post-operative client is within the scope of practice for
AP. Tube feedings and tracheostomy suctioning require clinical assessment and skilled
nursing judgment—they are not appropriate for AP. Teaching is a nursing responsibility
that cannot be delegated.
Question 2
A nurse manager is observing a new RN delegate tasks to an LPN. Which
assignment demonstrates appropriate delegation?
A) The RN delegates the initial admission assessment to the LPN
B) The RN delegates the administration of IV antibiotics to the LPN
C) The RN delegates the administration of oral medications to a stable client to the LPN
D) The RN delegates the development of the nursing care plan to the LPN
Correct Answer: C) The RN delegates the administration of oral medications to a
stable client to the LPN
*Rationale: LPNs can administer oral medications to stable clients. Initial assessments, IV
medication administration (in many jurisdictions), and care plan development are RN
responsibilities. LPNs work under the supervision of an RN and cannot perform initial
assessments or develop care plans.
Question 3
An RN is working with an LPN who is pregnant. Which assignment should the RN
avoid giving to the pregnant LPN?
A) Administering oral pain medication
B) Caring for a client receiving radiation therapy
C) Providing wound care for a pressure injury
D) Assisting a client with ambulation
,Correct Answer: B) Caring for a client receiving radiation therapy
*Rationale: Pregnant staff should avoid direct care of clients receiving radiation therapy
due to potential risks to the fetus. The other tasks are within the scope of practice for an
LPN and do not pose specific risks to a pregnant caregiver.
Question 4
Which task is within the scope of practice for both the RN and the LPN, but should
generally be performed by the LPN to allow the RN to focus on complex care?
A) Routine medication administration
B) Initial client assessment
C) Development of the nursing care plan
D) Evaluation of client outcomes
Correct Answer: A) Routine medication administration
*Rationale: Routine medication administration is within both RN and LPN scopes of
practice. To use resources efficiently, the LPN should perform this task, allowing the RN to
focus on initial assessments, care plan development, and evaluation—tasks that require
RN-level judgment.
Question 5
Which statement by a staff nurse indicates understanding of delegation principles?
A) "I can delegate any task I don't have time for."
B) "I am responsible for client outcomes even after delegating tasks."
, C) "Once I delegate a task, it is no longer my responsibility."
D) "I can delegate assessment to the AP."
Correct Answer: B) "I am responsible for client outcomes even after delegating
tasks."
*Rationale: The RN retains accountability for client outcomes even after delegating tasks.
The RN must supervise, evaluate, and follow up on delegated tasks. Delegation does not
transfer accountability. Assessment and teaching cannot be delegated to AP.
Question 6
A charge nurse is making assignments during a disaster drill. Which client should
be assigned to the most novice nurse?
A) A client with a sucking chest wound
B) A client with a minor laceration awaiting stitches
C) A client in cardiac arrest
D) A client with anaphylaxis
Correct Answer: B) A client with a minor laceration awaiting stitches
*Rationale: In disaster triage, the least critically ill clients (Green tag) should be assigned
to the least experienced staff. The novice nurse can manage a stable client with a minor
laceration. Clients with chest wounds, cardiac arrest, or anaphylaxis require experienced
staff.
Question 7
2026| QUESTIONS WITH 100% CORRECT
VERIFIED ANSWERS | GUARANTEED
PASS
SECTION 1: DELEGATION AND SUPERVISION (Questions 1-40)
Question 1
A charge nurse is delegating tasks to the healthcare team. Which task should the
nurse delegate to an AP (unlicensed assistive personnel)?
A) Administering a tube feeding to a client with a new gastrostomy tube
B) Ambulating a client who is 2 days post-operative following a hip arthroplasty
C) Suctioning a client's tracheostomy
D) Teaching a client how to use an incentive spirometer
Correct Answer: B) Ambulating a client who is 2 days post-operative following a
hip arthroplasty
,*Rationale: Ambulating a stable post-operative client is within the scope of practice for
AP. Tube feedings and tracheostomy suctioning require clinical assessment and skilled
nursing judgment—they are not appropriate for AP. Teaching is a nursing responsibility
that cannot be delegated.
Question 2
A nurse manager is observing a new RN delegate tasks to an LPN. Which
assignment demonstrates appropriate delegation?
A) The RN delegates the initial admission assessment to the LPN
B) The RN delegates the administration of IV antibiotics to the LPN
C) The RN delegates the administration of oral medications to a stable client to the LPN
D) The RN delegates the development of the nursing care plan to the LPN
Correct Answer: C) The RN delegates the administration of oral medications to a
stable client to the LPN
*Rationale: LPNs can administer oral medications to stable clients. Initial assessments, IV
medication administration (in many jurisdictions), and care plan development are RN
responsibilities. LPNs work under the supervision of an RN and cannot perform initial
assessments or develop care plans.
Question 3
An RN is working with an LPN who is pregnant. Which assignment should the RN
avoid giving to the pregnant LPN?
A) Administering oral pain medication
B) Caring for a client receiving radiation therapy
C) Providing wound care for a pressure injury
D) Assisting a client with ambulation
,Correct Answer: B) Caring for a client receiving radiation therapy
*Rationale: Pregnant staff should avoid direct care of clients receiving radiation therapy
due to potential risks to the fetus. The other tasks are within the scope of practice for an
LPN and do not pose specific risks to a pregnant caregiver.
Question 4
Which task is within the scope of practice for both the RN and the LPN, but should
generally be performed by the LPN to allow the RN to focus on complex care?
A) Routine medication administration
B) Initial client assessment
C) Development of the nursing care plan
D) Evaluation of client outcomes
Correct Answer: A) Routine medication administration
*Rationale: Routine medication administration is within both RN and LPN scopes of
practice. To use resources efficiently, the LPN should perform this task, allowing the RN to
focus on initial assessments, care plan development, and evaluation—tasks that require
RN-level judgment.
Question 5
Which statement by a staff nurse indicates understanding of delegation principles?
A) "I can delegate any task I don't have time for."
B) "I am responsible for client outcomes even after delegating tasks."
, C) "Once I delegate a task, it is no longer my responsibility."
D) "I can delegate assessment to the AP."
Correct Answer: B) "I am responsible for client outcomes even after delegating
tasks."
*Rationale: The RN retains accountability for client outcomes even after delegating tasks.
The RN must supervise, evaluate, and follow up on delegated tasks. Delegation does not
transfer accountability. Assessment and teaching cannot be delegated to AP.
Question 6
A charge nurse is making assignments during a disaster drill. Which client should
be assigned to the most novice nurse?
A) A client with a sucking chest wound
B) A client with a minor laceration awaiting stitches
C) A client in cardiac arrest
D) A client with anaphylaxis
Correct Answer: B) A client with a minor laceration awaiting stitches
*Rationale: In disaster triage, the least critically ill clients (Green tag) should be assigned
to the least experienced staff. The novice nurse can manage a stable client with a minor
laceration. Clients with chest wounds, cardiac arrest, or anaphylaxis require experienced
staff.
Question 7
