,ATI End of Program Assessment (EOP) - PN Exam Questions And
Answers 2026/2027
1.** A charge nurse is making client assignments on a medical-surgical unit.
Which client should be assigned to the most experienced practical nurse
(PN)?
A) A client with diabetes requiring routine fingerstick blood glucose checks
B) A client with a new tracheostomy requiring initial teaching about
suctioning
C) A client with stable heart failure receiving daily oral medications
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:** Client education, especially initial teaching of a complex skill
like tracheostomy suctioning, requires advanced nursing knowledge and
should be assigned to the most experienced PN. Routine tasks can be
assigned to less experienced staff or delegated to AP with appropriate
supervision. Initial teaching is an RN responsibility, but in practical nursing,
the most experienced PN may reinforce teaching under RN 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:** UAP can perform routine hygiene and activities of daily living
for stable clients. Assessment (A), medication administration (B), and
evaluation (D) require nursing judgment and cannot be delegated.
**3.** A client is being discharged after a suicide attempt. Which instruction
should the nurse include in the discharge plan to promote safety?
A) "You can stop taking your medication when you feel better."
B) "Call the crisis hotline if you have thoughts of harming yourself."
C) "Avoid discussing your feelings with family members."
D) "You don't need to follow up with a therapist."
**Correct Answer:** B) "Call the crisis hotline if you have thoughts of
harming yourself."
**Rationale:** Providing the client with a crisis hotline number and
encouraging them to use it is essential for post-discharge safety. Clients
should continue medications (A) and follow-up appointments (D). Discussing
feelings with family (C) is encouraged.
**4.** 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.
**5.** A charge nurse is evaluating a new graduate's delegation practices.
Which action by the new graduate indicates appropriate delegation?
A) Delegating a task and then leaving the unit without supervision
B) Delegating a task and checking in periodically to ensure it was completed
C) Delegating a task without considering the delegatee's workload
D) Delegating a task to an AP that requires clinical judgment
**Correct Answer:** B) Delegating a task and checking in periodically to
ensure it was completed
**Rationale:** Appropriate delegation includes supervision and follow-up to
ensure tasks are completed safely and correctly. The nurse must remain
available for questions and provide ongoing supervision.
**6.** A nurse manager is reviewing the Five Rights of Delegation with staff.
Which of the following is one of the Five Rights?
A) Right Reason
B) Right Circumstance
C) Right Evaluation
Answers 2026/2027
1.** A charge nurse is making client assignments on a medical-surgical unit.
Which client should be assigned to the most experienced practical nurse
(PN)?
A) A client with diabetes requiring routine fingerstick blood glucose checks
B) A client with a new tracheostomy requiring initial teaching about
suctioning
C) A client with stable heart failure receiving daily oral medications
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:** Client education, especially initial teaching of a complex skill
like tracheostomy suctioning, requires advanced nursing knowledge and
should be assigned to the most experienced PN. Routine tasks can be
assigned to less experienced staff or delegated to AP with appropriate
supervision. Initial teaching is an RN responsibility, but in practical nursing,
the most experienced PN may reinforce teaching under RN 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:** UAP can perform routine hygiene and activities of daily living
for stable clients. Assessment (A), medication administration (B), and
evaluation (D) require nursing judgment and cannot be delegated.
**3.** A client is being discharged after a suicide attempt. Which instruction
should the nurse include in the discharge plan to promote safety?
A) "You can stop taking your medication when you feel better."
B) "Call the crisis hotline if you have thoughts of harming yourself."
C) "Avoid discussing your feelings with family members."
D) "You don't need to follow up with a therapist."
**Correct Answer:** B) "Call the crisis hotline if you have thoughts of
harming yourself."
**Rationale:** Providing the client with a crisis hotline number and
encouraging them to use it is essential for post-discharge safety. Clients
should continue medications (A) and follow-up appointments (D). Discussing
feelings with family (C) is encouraged.
**4.** 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.
**5.** A charge nurse is evaluating a new graduate's delegation practices.
Which action by the new graduate indicates appropriate delegation?
A) Delegating a task and then leaving the unit without supervision
B) Delegating a task and checking in periodically to ensure it was completed
C) Delegating a task without considering the delegatee's workload
D) Delegating a task to an AP that requires clinical judgment
**Correct Answer:** B) Delegating a task and checking in periodically to
ensure it was completed
**Rationale:** Appropriate delegation includes supervision and follow-up to
ensure tasks are completed safely and correctly. The nurse must remain
available for questions and provide ongoing supervision.
**6.** A nurse manager is reviewing the Five Rights of Delegation with staff.
Which of the following is one of the Five Rights?
A) Right Reason
B) Right Circumstance
C) Right Evaluation
