2026ATI LEADERSHIP PROCTORED VERSION B LATEST 2026-
2027CTUAL EXAM ALL 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+.
A nurse is caring for a group of clients on a medical-surgical unit. Which of the
following tasks should the nurse delegate to the assistive personnel (AP)?
Select all that apply.
A. Collecting a stool specimen
B. Providing instructions about using a spirometer
C. Measuring oral intake
D. Providing postmortem care
E. Changing a dressing
CORRECT ANS: A, C, D
Expert Rationale
Delegation is the process of transferring authority to perform a selected nursing
task to a competent individual while retaining accountability for the outcome.
The nurse must consider the state's Nurse Practice Act, the facility's policies,
and the five rights of delegation (right task, right circumstance, right person,
right direction/communication, right supervision/evaluation). Assistive
personnel (AP) are trained to perform tasks that do not require nursing
judgment, such as collecting stool specimens (Option A), measuring and
documenting oral intake (Option C), and providing postmortem care (Option D).
These tasks are routine, have predictable outcomes, and do not require
assessment or clinical decision-making. Option B is incorrect; providing
instructions about using a spirometer requires client education and assessment
of understanding, which falls within the scope of licensed nursing practice.
Option E is incorrect; changing a sterile or non-sterile dressing requires
assessment of the wound, knowledge of aseptic technique, and clinical
judgment to evaluate wound healing, which cannot be delegated to AP.
,DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse on a medical-surgical unit is planning care of assigned clients. Which of
the following clients should the nurse assess first?
A. A client who is newly admitted and is to have an indwelling urinary catheter
inserted
B. A client who has kidney stones and reports flank pain 6 out of 10
C. A client diagnosed with early-stage chronic kidney disease with a serum
creatinine level of 2.0 mg/dL
D. A client who has a cast newly applied on his forearm and reports tingling of
his fingers
CORRECT ANS: D
Expert Rationale
When prioritizing client care, the nurse should use the ABC (airway, breathing,
circulation) framework and the acute versus chronic approach. A client with a
newly applied forearm cast who reports tingling fingers is exhibiting signs of
neurovascular compromise, which could indicate compartment syndrome.
Compartment syndrome is a medical emergency that can lead to permanent
nerve damage, muscle necrosis, and loss of limb if not treated promptly. The
nurse should assess this client first to evaluate circulation, sensation, and
motor function. Option A is incorrect; while the newly admitted client requires
assessment, this is not an urgent priority. Option B is incorrect; flank pain rated
6 out of 10 is significant but not immediately life-threatening. Option C is
incorrect; a serum creatinine of 2.0 mg/dL in early-stage chronic kidney disease
is expected and does not require immediate intervention.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment
,An RN working with an LPN is planning client care assignments. Which of the
following tasks should the nurse delegate to the LPN?
A. Performing tracheostomy suctioning for a stable client
B. Performing an admission assessment of a client who is preoperative
C. Initiating the referral of a client to hospice
D. Interpreting a client's digoxin level
CORRECT ANS: A
Expert Rationale
Licensed practical nurses (LPNs) are licensed healthcare professionals who can
perform tasks that require technical skills and clinical knowledge for stable
clients with predictable outcomes. Tracheostomy suctioning for a stable client
is within the scope of practice for an LPN, as it is a technical skill that does not
require comprehensive nursing assessment or judgment. Option B is incorrect;
performing an admission assessment requires comprehensive data collection,
analysis, and nursing judgment, which is the responsibility of the RN. Option C
is incorrect; initiating a hospice referral requires complex decision-making,
assessment of the client's end-of-life needs, and collaboration with the
interprofessional team, which falls within the RN's scope. Option D is incorrect;
interpreting diagnostic lab values (such as digoxin levels) requires advanced
nursing knowledge and clinical judgment to determine the need for
intervention, which is the responsibility of the RN.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A client is prescribed morphine sulfate IM. Which of the following should the
nurse recognize as a requirement for governing controlled substances?
A. Delegate medication administration to an RN
B. Ask another nurse to observe disposal of unused medication
, C. Request another nurse to validate administration of the medication
D. Observe the LPN administer the medication
CORRECT ANS: B
Expert Rationale
Morphine sulfate is a Schedule II controlled substance, and the administration
and disposal of controlled substances are strictly regulated by federal and state
laws. When a portion of a controlled substance is wasted (e.g., leftover
medication after administering a partial dose), two licensed nurses must
witness and sign the disposal. This requirement ensures accountability and
prevents diversion of controlled substances. Option B correctly identifies the
requirement for a second nurse to observe the disposal of unused medication.
Option A is incorrect; morphine sulfate can be administered by an RN or LPN if
within their scope of practice and facility policy. Option C is incorrect; while a
second nurse may verify the medication, the specific requirement is for
witnessing waste, not validating administration. Option D is incorrect; the RN
does not need to observe the LPN administering the medication unless
required by facility policy.
DIF: Cognitive Level: Understand
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
An older adult client who has early Alzheimer's disease is living with an adult
child who is employed part-time but is committed to keeping her parent at
home. Which of the following options is appropriate for the nurse to discuss
with the client and family at this time?
A. Hospice care
B. Adult day care
C. An assisted-living facility
D. Long-term care facility
CORRECT ANS: B
2027CTUAL EXAM ALL 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+.
A nurse is caring for a group of clients on a medical-surgical unit. Which of the
following tasks should the nurse delegate to the assistive personnel (AP)?
Select all that apply.
A. Collecting a stool specimen
B. Providing instructions about using a spirometer
C. Measuring oral intake
D. Providing postmortem care
E. Changing a dressing
CORRECT ANS: A, C, D
Expert Rationale
Delegation is the process of transferring authority to perform a selected nursing
task to a competent individual while retaining accountability for the outcome.
The nurse must consider the state's Nurse Practice Act, the facility's policies,
and the five rights of delegation (right task, right circumstance, right person,
right direction/communication, right supervision/evaluation). Assistive
personnel (AP) are trained to perform tasks that do not require nursing
judgment, such as collecting stool specimens (Option A), measuring and
documenting oral intake (Option C), and providing postmortem care (Option D).
These tasks are routine, have predictable outcomes, and do not require
assessment or clinical decision-making. Option B is incorrect; providing
instructions about using a spirometer requires client education and assessment
of understanding, which falls within the scope of licensed nursing practice.
Option E is incorrect; changing a sterile or non-sterile dressing requires
assessment of the wound, knowledge of aseptic technique, and clinical
judgment to evaluate wound healing, which cannot be delegated to AP.
,DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A nurse on a medical-surgical unit is planning care of assigned clients. Which of
the following clients should the nurse assess first?
A. A client who is newly admitted and is to have an indwelling urinary catheter
inserted
B. A client who has kidney stones and reports flank pain 6 out of 10
C. A client diagnosed with early-stage chronic kidney disease with a serum
creatinine level of 2.0 mg/dL
D. A client who has a cast newly applied on his forearm and reports tingling of
his fingers
CORRECT ANS: D
Expert Rationale
When prioritizing client care, the nurse should use the ABC (airway, breathing,
circulation) framework and the acute versus chronic approach. A client with a
newly applied forearm cast who reports tingling fingers is exhibiting signs of
neurovascular compromise, which could indicate compartment syndrome.
Compartment syndrome is a medical emergency that can lead to permanent
nerve damage, muscle necrosis, and loss of limb if not treated promptly. The
nurse should assess this client first to evaluate circulation, sensation, and
motor function. Option A is incorrect; while the newly admitted client requires
assessment, this is not an urgent priority. Option B is incorrect; flank pain rated
6 out of 10 is significant but not immediately life-threatening. Option C is
incorrect; a serum creatinine of 2.0 mg/dL in early-stage chronic kidney disease
is expected and does not require immediate intervention.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment
,An RN working with an LPN is planning client care assignments. Which of the
following tasks should the nurse delegate to the LPN?
A. Performing tracheostomy suctioning for a stable client
B. Performing an admission assessment of a client who is preoperative
C. Initiating the referral of a client to hospice
D. Interpreting a client's digoxin level
CORRECT ANS: A
Expert Rationale
Licensed practical nurses (LPNs) are licensed healthcare professionals who can
perform tasks that require technical skills and clinical knowledge for stable
clients with predictable outcomes. Tracheostomy suctioning for a stable client
is within the scope of practice for an LPN, as it is a technical skill that does not
require comprehensive nursing assessment or judgment. Option B is incorrect;
performing an admission assessment requires comprehensive data collection,
analysis, and nursing judgment, which is the responsibility of the RN. Option C
is incorrect; initiating a hospice referral requires complex decision-making,
assessment of the client's end-of-life needs, and collaboration with the
interprofessional team, which falls within the RN's scope. Option D is incorrect;
interpreting diagnostic lab values (such as digoxin levels) requires advanced
nursing knowledge and clinical judgment to determine the need for
intervention, which is the responsibility of the RN.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
A client is prescribed morphine sulfate IM. Which of the following should the
nurse recognize as a requirement for governing controlled substances?
A. Delegate medication administration to an RN
B. Ask another nurse to observe disposal of unused medication
, C. Request another nurse to validate administration of the medication
D. Observe the LPN administer the medication
CORRECT ANS: B
Expert Rationale
Morphine sulfate is a Schedule II controlled substance, and the administration
and disposal of controlled substances are strictly regulated by federal and state
laws. When a portion of a controlled substance is wasted (e.g., leftover
medication after administering a partial dose), two licensed nurses must
witness and sign the disposal. This requirement ensures accountability and
prevents diversion of controlled substances. Option B correctly identifies the
requirement for a second nurse to observe the disposal of unused medication.
Option A is incorrect; morphine sulfate can be administered by an RN or LPN if
within their scope of practice and facility policy. Option C is incorrect; while a
second nurse may verify the medication, the specific requirement is for
witnessing waste, not validating administration. Option D is incorrect; the RN
does not need to observe the LPN administering the medication unless
required by facility policy.
DIF: Cognitive Level: Understand
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
An older adult client who has early Alzheimer's disease is living with an adult
child who is employed part-time but is committed to keeping her parent at
home. Which of the following options is appropriate for the nurse to discuss
with the client and family at this time?
A. Hospice care
B. Adult day care
C. An assisted-living facility
D. Long-term care facility
CORRECT ANS: B
