ATI Leadership Management
Proctored Exam (2 Versions) /
Leadership Management ATI
Proctored Exam / Leadership
Management ATI Proctored
Exam
VERSION 1: Questions 1-100
SECTION 1: Delegation & Staff Management (Questions 1-30)
Q001: Delegation to UAP
A charge nurse is making assignments on a 32-bed medical unit. Which
task is most appropriate to delegate to the UAP?
A. Insert a nasogastric tube for a newly admitted client
B. Perform a sterile dressing change on a post-op wound
C. Assist a client with a recent stroke to ambulate for the first time
D. Measure and record blood glucose for a stable client who received
insulin
Correct Answer: D
,Rationale: The Five Rights of Delegation allow delegation of stable,
routine tasks within UAP scope. Measuring blood glucose is repetitive
and does not require licensed nurse judgment once competency is
verified. Tasks requiring assessment (first-time ambulation) or sterile
technique (NG insertion, dressing changes) must be performed by
licensed nursing staff .
Q002: Delegation - LPN/LVN Scope
Which task is appropriate to delegate to an LPN/LVN?
A. Perform the initial assessment on a newly admitted patient
B. Monitor a patient's NG tube for patency
C. Develop the discharge teaching plan for a diabetic patient
D. Evaluate a patient's response to newly administered pain medication
Correct Answer: B
Rationale: LPNs can monitor NG tube patency, check placement, and
administer tube feedings. Initial assessments, discharge planning, and
evaluation of patient responses to interventions require RN-level
assessment and clinical judgment. The RN must consider the LPN's scope
of practice, competency, and patient stability when delegating tasks .
Q003: Delegation - AccountAbility
The RN retains which of the following even after delegating a task to
another healthcare team member?
,A. The task itself
B. The authority to perform the task
C. Accountability for the outcome
D. Responsibility for completing the task personally
Correct Answer: C
Rationale: The RN maintains accountability for the outcome after
delegation. The RN must provide ongoing supervision, which may be
direct or indirect depending on the task, delegatee competence, and
patient condition. The RN must follow up to ensure tasks are completed
safely .
Q004: Delegation to AP - Vital Signs
A nurse is caring for multiple patients. Which task can be delegated to
AP?
A. Administering oral medications to a stable patient
B. Performing a patient assessment
C. Obtaining routine vital signs on a stable patient
D. Teaching a patient about post-operative exercises
Correct Answer: C
Rationale: APs can obtain vital signs on stable patients as this is a
routine, predictable task that does not require nursing judgment. Vital
signs on unstable patients or those requiring interpretation may not be
appropriate. Teaching, assessment, and medication administration
require licensed personnel .
, Q005: RN Responsibility After Delegation
An RN delegates vital sign collection to a UAP. The RN's responsibility
includes:
A. No further action after delegation
B. Following up to ensure vital signs are obtained accurately and
reported
C. Assuming the vital signs are correct without verification
D. Having the LPN supervise the UAP
Correct Answer: B
Rationale: The RN must provide appropriate supervision, follow up to
verify task completion, ensure accuracy, and be available to respond to
any abnormal findings or questions from the delegatee. The RN remains
accountable for patient outcomes .
Q006: Dysphagia Patient Feeding
A nurse is caring for a patient with dysphagia and swallowing
precautions. Who should feed this patient?
A. The AP can feed the patient as usual
B. The RN must feed this patient or assign to another licensed nurse
C. The patient's family member
D. No one; the patient should not eat
Correct Answer: B
Proctored Exam (2 Versions) /
Leadership Management ATI
Proctored Exam / Leadership
Management ATI Proctored
Exam
VERSION 1: Questions 1-100
SECTION 1: Delegation & Staff Management (Questions 1-30)
Q001: Delegation to UAP
A charge nurse is making assignments on a 32-bed medical unit. Which
task is most appropriate to delegate to the UAP?
A. Insert a nasogastric tube for a newly admitted client
B. Perform a sterile dressing change on a post-op wound
C. Assist a client with a recent stroke to ambulate for the first time
D. Measure and record blood glucose for a stable client who received
insulin
Correct Answer: D
,Rationale: The Five Rights of Delegation allow delegation of stable,
routine tasks within UAP scope. Measuring blood glucose is repetitive
and does not require licensed nurse judgment once competency is
verified. Tasks requiring assessment (first-time ambulation) or sterile
technique (NG insertion, dressing changes) must be performed by
licensed nursing staff .
Q002: Delegation - LPN/LVN Scope
Which task is appropriate to delegate to an LPN/LVN?
A. Perform the initial assessment on a newly admitted patient
B. Monitor a patient's NG tube for patency
C. Develop the discharge teaching plan for a diabetic patient
D. Evaluate a patient's response to newly administered pain medication
Correct Answer: B
Rationale: LPNs can monitor NG tube patency, check placement, and
administer tube feedings. Initial assessments, discharge planning, and
evaluation of patient responses to interventions require RN-level
assessment and clinical judgment. The RN must consider the LPN's scope
of practice, competency, and patient stability when delegating tasks .
Q003: Delegation - AccountAbility
The RN retains which of the following even after delegating a task to
another healthcare team member?
,A. The task itself
B. The authority to perform the task
C. Accountability for the outcome
D. Responsibility for completing the task personally
Correct Answer: C
Rationale: The RN maintains accountability for the outcome after
delegation. The RN must provide ongoing supervision, which may be
direct or indirect depending on the task, delegatee competence, and
patient condition. The RN must follow up to ensure tasks are completed
safely .
Q004: Delegation to AP - Vital Signs
A nurse is caring for multiple patients. Which task can be delegated to
AP?
A. Administering oral medications to a stable patient
B. Performing a patient assessment
C. Obtaining routine vital signs on a stable patient
D. Teaching a patient about post-operative exercises
Correct Answer: C
Rationale: APs can obtain vital signs on stable patients as this is a
routine, predictable task that does not require nursing judgment. Vital
signs on unstable patients or those requiring interpretation may not be
appropriate. Teaching, assessment, and medication administration
require licensed personnel .
, Q005: RN Responsibility After Delegation
An RN delegates vital sign collection to a UAP. The RN's responsibility
includes:
A. No further action after delegation
B. Following up to ensure vital signs are obtained accurately and
reported
C. Assuming the vital signs are correct without verification
D. Having the LPN supervise the UAP
Correct Answer: B
Rationale: The RN must provide appropriate supervision, follow up to
verify task completion, ensure accuracy, and be available to respond to
any abnormal findings or questions from the delegatee. The RN remains
accountable for patient outcomes .
Q006: Dysphagia Patient Feeding
A nurse is caring for a patient with dysphagia and swallowing
precautions. Who should feed this patient?
A. The AP can feed the patient as usual
B. The RN must feed this patient or assign to another licensed nurse
C. The patient's family member
D. No one; the patient should not eat
Correct Answer: B
