,ATI End of Program Assessment (EOP) - RN Exam Questions And
Answers 2026/2027
1.** A charge nurse is making client assignments on a busy medical-surgical
unit. Which client should be assigned to the most experienced RN?
A) A client with diabetes mellitus requiring a routine fingerstick blood glucose
check
B) A client with a new tracheostomy requiring initial teaching about
suctioning
C) A client with stable heart failure receiving daily oral furosemide
D) A client with an indwelling urinary catheter requiring routine care
**Correct Answer:** B) A client with a new tracheostomy requiring initial
teaching about suctioning
**Rationale:** Initial client education, especially of a complex skill like
tracheostomy suctioning, requires advanced nursing knowledge and must be
performed by an RN. Routine tasks such as fingerstick glucose checks (A),
stable medication administration (C), and catheter care (D) can be assigned
to LPNs or delegated to AP under appropriate supervision.
**2.** A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate to delegate?
A) Assessing a client's postoperative incision
B) Administering a PRN pain medication
C) Providing a bed bath to a stable client
D) Evaluating the effectiveness of client teaching
**Correct Answer:** C) Providing a bed bath to a stable client
,**Rationale:** AP can perform routine hygiene and activities of daily living for
stable clients. Assessment (A), medication administration (B), and evaluation
(D) require nursing judgment and clinical reasoning and cannot be
delegated.
**3.** A nurse manager is implementing a new evidence-based practice
protocol on the unit. According to Lewin's Change Theory, which action
should the manager take during the **refreezing** stage?
A) Establish a sense of urgency about the need for change
B) Provide training and resources for the new procedure
C) Reinforce the change and integrate it into daily practice
D) Evaluate the effectiveness of the change through audits
**Correct Answer:** C) Reinforce the change and integrate it into daily
practice
**Rationale:** Refreezing is the third stage of Lewin's Change Theory, where
the change is stabilized and integrated into practice. Establishing urgency
(A) is the unfreezing stage. Training (B) and evaluation (D) occur during the
moving and refreezing stages.
**4.** A nurse is preparing to discharge a client. Which information should
the nurse include in the discharge documentation? (Select all that apply.)
A) Laboratory test results
B) Reconciled medications
C) Do-not-resuscitate (DNR) status
D) Acuity level of client care
, E) Client's preferred language
**Correct Answer:** A, B, C, D, E
**Rationale:** Discharge documentation should include laboratory test
results, reconciled medications, DNR status, acuity level, and client
preferences such as language. All of these are essential for continuity of care
and safe transition.
**5.** A nurse is caring for a client who is refusing a prescribed blood
transfusion due to religious beliefs. Which action should the nurse take?
A) Administer the transfusion without the client's consent
B) Respect the client's decision and notify the healthcare provider
C) Ask the client's family to persuade the client
D) Explain the risks of refusing the transfusion
**Correct Answer:** B) Respect the client's decision and notify the healthcare
provider
**Rationale:** Clients have the right to refuse treatment based on their
religious beliefs. The nurse must respect autonomy and notify the provider.
Explaining risks (D) is appropriate, but the decision must be respected.
Administering without consent (A) is battery, and asking family to persuade
(C) violates autonomy.
**6.** A nurse manager is addressing a conflict between two staff nurses.
One staff member is openly hostile, and the other is passive. Which conflict
resolution strategy should the manager use first?
Answers 2026/2027
1.** A charge nurse is making client assignments on a busy medical-surgical
unit. Which client should be assigned to the most experienced RN?
A) A client with diabetes mellitus requiring a routine fingerstick blood glucose
check
B) A client with a new tracheostomy requiring initial teaching about
suctioning
C) A client with stable heart failure receiving daily oral furosemide
D) A client with an indwelling urinary catheter requiring routine care
**Correct Answer:** B) A client with a new tracheostomy requiring initial
teaching about suctioning
**Rationale:** Initial client education, especially of a complex skill like
tracheostomy suctioning, requires advanced nursing knowledge and must be
performed by an RN. Routine tasks such as fingerstick glucose checks (A),
stable medication administration (C), and catheter care (D) can be assigned
to LPNs or delegated to AP under appropriate supervision.
**2.** A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate to delegate?
A) Assessing a client's postoperative incision
B) Administering a PRN pain medication
C) Providing a bed bath to a stable client
D) Evaluating the effectiveness of client teaching
**Correct Answer:** C) Providing a bed bath to a stable client
,**Rationale:** AP can perform routine hygiene and activities of daily living for
stable clients. Assessment (A), medication administration (B), and evaluation
(D) require nursing judgment and clinical reasoning and cannot be
delegated.
**3.** A nurse manager is implementing a new evidence-based practice
protocol on the unit. According to Lewin's Change Theory, which action
should the manager take during the **refreezing** stage?
A) Establish a sense of urgency about the need for change
B) Provide training and resources for the new procedure
C) Reinforce the change and integrate it into daily practice
D) Evaluate the effectiveness of the change through audits
**Correct Answer:** C) Reinforce the change and integrate it into daily
practice
**Rationale:** Refreezing is the third stage of Lewin's Change Theory, where
the change is stabilized and integrated into practice. Establishing urgency
(A) is the unfreezing stage. Training (B) and evaluation (D) occur during the
moving and refreezing stages.
**4.** A nurse is preparing to discharge a client. Which information should
the nurse include in the discharge documentation? (Select all that apply.)
A) Laboratory test results
B) Reconciled medications
C) Do-not-resuscitate (DNR) status
D) Acuity level of client care
, E) Client's preferred language
**Correct Answer:** A, B, C, D, E
**Rationale:** Discharge documentation should include laboratory test
results, reconciled medications, DNR status, acuity level, and client
preferences such as language. All of these are essential for continuity of care
and safe transition.
**5.** A nurse is caring for a client who is refusing a prescribed blood
transfusion due to religious beliefs. Which action should the nurse take?
A) Administer the transfusion without the client's consent
B) Respect the client's decision and notify the healthcare provider
C) Ask the client's family to persuade the client
D) Explain the risks of refusing the transfusion
**Correct Answer:** B) Respect the client's decision and notify the healthcare
provider
**Rationale:** Clients have the right to refuse treatment based on their
religious beliefs. The nurse must respect autonomy and notify the provider.
Explaining risks (D) is appropriate, but the decision must be respected.
Administering without consent (A) is battery, and asking family to persuade
(C) violates autonomy.
**6.** A nurse manager is addressing a conflict between two staff nurses.
One staff member is openly hostile, and the other is passive. Which conflict
resolution strategy should the manager use first?
