# ATI RN Leadership Proctored Exam 2019 – Combined Versions 1, 2 & 3
**200 Practice Questions with Answers & Rationales | Updated 2025/2026**
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## Section 1: Delegation and Assignment (Questions 1–25)
**1. A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?**
A) Reinforcing teaching with a client who is learning to self-administer insulin
B) Ambulating a client who is scheduled for discharge later in the day
C) Administering morphine IV bolus to a client who is postoperative
D) Admitting a new client who has chronic back pain to the unit
**Answer: A**
*Rationale:* LPNs can reinforce teaching for stable clients. IV bolus medications, admissions, and
initial teaching require RN assessment and judgment .
**2. A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive
personnel (AP)?**
A) Obtaining a stool sample from a client who has renal failure
B) Monitoring a client who has a fluid restriction
C) Assessing a client who just returned from hemodialysis
D) Reviewing dietary instructions for a client who has kidney stones
**Answer: A**
*Rationale:* Obtaining a stool sample is a non-invasive task within the AP scope. Monitoring,
assessing, and teaching require nursing judgment and are outside the AP scope of practice .
**3. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-
stage bone cancer to an experienced AP. Which assessment should the nurse make before delegating
care?**
A) Has the AP checked the client's pain level prior to turning her?
B) Is the client's family present so the AP can show them how to turn the client?
, C) Has data been collected about specific client needs related to turning?
D) Does the AP have the time to change the client's central IV line dressing after turning her?
**Answer: C**
*Rationale:* The RN must assess client-specific needs before delegating. Pain assessment and IV line
care require nursing judgment and cannot be delegated .
**4. An RN delegates the task of obtaining the BP of a client who is 2 hours post-op following a
cholecystectomy to an LPN. The LPN reports a BP that is significantly higher than the client's previous
reading. Which action should the RN take first?**
A) Increase the client's antihypertensive medication
B) Notify the provider immediately
C) Recheck the client's BP
D) Document the finding in the client's chart
**Answer: C**
*Rationale:* The RN must first validate the finding by reassessing the client's BP before taking further
action .
**5. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse (LPN)?**
A) Pick up the meal trays after lunch
B) Administer a nasogastric tube feeding
C) Plan break times for assistive personnel
D) Determine adequacy of ventilator settings
**Answer: B**
*Rationale:* LPNs can administer stable, predictable care such as NG tube feedings. Meal tray pickup
is an AP task, and ventilator assessment requires RN skill .
**6. What is the RN's role when delegating tasks?**
A) Transferring accountability to the delegatee
B) Maintaining accountability for client outcomes
C) Eliminating supervision after delegation
D) Delegating assessment to the AP
**200 Practice Questions with Answers & Rationales | Updated 2025/2026**
--
## Section 1: Delegation and Assignment (Questions 1–25)
**1. A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse
(LPN) and assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?**
A) Reinforcing teaching with a client who is learning to self-administer insulin
B) Ambulating a client who is scheduled for discharge later in the day
C) Administering morphine IV bolus to a client who is postoperative
D) Admitting a new client who has chronic back pain to the unit
**Answer: A**
*Rationale:* LPNs can reinforce teaching for stable clients. IV bolus medications, admissions, and
initial teaching require RN assessment and judgment .
**2. A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive
personnel (AP)?**
A) Obtaining a stool sample from a client who has renal failure
B) Monitoring a client who has a fluid restriction
C) Assessing a client who just returned from hemodialysis
D) Reviewing dietary instructions for a client who has kidney stones
**Answer: A**
*Rationale:* Obtaining a stool sample is a non-invasive task within the AP scope. Monitoring,
assessing, and teaching require nursing judgment and are outside the AP scope of practice .
**3. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-
stage bone cancer to an experienced AP. Which assessment should the nurse make before delegating
care?**
A) Has the AP checked the client's pain level prior to turning her?
B) Is the client's family present so the AP can show them how to turn the client?
, C) Has data been collected about specific client needs related to turning?
D) Does the AP have the time to change the client's central IV line dressing after turning her?
**Answer: C**
*Rationale:* The RN must assess client-specific needs before delegating. Pain assessment and IV line
care require nursing judgment and cannot be delegated .
**4. An RN delegates the task of obtaining the BP of a client who is 2 hours post-op following a
cholecystectomy to an LPN. The LPN reports a BP that is significantly higher than the client's previous
reading. Which action should the RN take first?**
A) Increase the client's antihypertensive medication
B) Notify the provider immediately
C) Recheck the client's BP
D) Document the finding in the client's chart
**Answer: C**
*Rationale:* The RN must first validate the finding by reassessing the client's BP before taking further
action .
**5. A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to
assign to a licensed practical nurse (LPN)?**
A) Pick up the meal trays after lunch
B) Administer a nasogastric tube feeding
C) Plan break times for assistive personnel
D) Determine adequacy of ventilator settings
**Answer: B**
*Rationale:* LPNs can administer stable, predictable care such as NG tube feedings. Meal tray pickup
is an AP task, and ventilator assessment requires RN skill .
**6. What is the RN's role when delegating tasks?**
A) Transferring accountability to the delegatee
B) Maintaining accountability for client outcomes
C) Eliminating supervision after delegation
D) Delegating assessment to the AP
