ATI LEADERSHIP EXAM A ACTUAL PRACTICE EXAM
WITH WELL ELABORATED AND MOST TESTED REAL
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY 2026-2027 Q&A 100%
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Section 1: Delegation and Scope of Practice
1. A charge nurse is delegating tasks to an LPN and an AP. Which task should the
charge nurse assign to the LPN?
A) Obtain a clean-catch urine specimen from a patient with a UTI
B) Reinforce teaching about insulin self-administration to a patient with
diabetes
C) Ambulate a patient who had a stroke 2 days ago
D) Measure intake and output for a patient in stable condition
Rationale: Reinforcing teaching is within the LPN's scope of practice; initial
teaching is an RN responsibility. Obtaining a clean-catch urine specimen,
ambulating a stable patient, and measuring intake and output can be delegated
to AP.
2. Which task must be performed by the RN rather than delegated?
A) Obtaining a client's routine urinalysis sample
B) Completing the client's initial admission assessment
C) Assisting a client who requires help ambulating to the bathroom
D) Documenting routine intake and output measurements
Rationale: The RN must complete the initial admission assessment, which
involves critical thinking and clinical judgment. Routine tasks such as specimen
,collection, ambulation assistance, and documentation of intake and output can
be delegated to appropriate personnel.
3. A charge nurse is making client assignments for the upcoming shift. Which task
is most appropriate to delegate to an LPN/VN?
A) Admitting a new client with chest pain and completing the initial assessment
B) Performing a focused wound assessment and documenting the findings for
a stable post-op client
C) Developing the nursing care plan for a client newly diagnosed with diabetes
D) Teaching a client self-administration of insulin using a prefilled pen
Rationale: LPN/VNs can perform focused assessments and document stable
client findings within their scope. The RN retains responsibility for initial
comprehensive assessments, care planning, and patient education involving new
skills.
4. A nurse delegates vital signs and blood glucose monitoring for four clients to a
nursing assistant. Which statement by the nurse reflects the correct principle of
supervision?
A) "I will check on you at the end of the shift."
B) "Report back to me immediately if any blood glucose is below 70 mg/dL or
above 300 mg/dL."
C) "You do not need to tell me the results unless something looks wrong."
D) "Just document the results in the chart and I will review them later."
Rationale: Proper delegation requires clear parameters for reporting back,
including specific abnormal values requiring immediate RN attention. The RN
remains accountable for delegated tasks and must provide adequate supervision
and feedback.
5. Which client should the charge nurse assign to a new graduate RN who is on
orientation?
A) A client receiving a continuous heparin infusion
B) A stable client requiring a dressing change and routine assessment
C) A client who is 2 hours post cardiac catheterization
D) A client with new-onset chest pain requiring immediate evaluation
,Rationale: New graduate nurses should be assigned stable clients with
predictable outcomes. Clients requiring complex assessments, high-risk
medications, or acute evaluation should be assigned to experienced RNs.
6. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task
is appropriate for delegation?
A) Assessing a client's pain level
B) Obtaining a client's vital signs and reporting abnormal findings
C) Administering oral medications
D) Developing a client's plan of care
Rationale: UAP can perform routine tasks such as obtaining vital signs.
Assessment, medication administration, and care planning require the clinical
judgment of a licensed nurse.
7. Which action by the nurse manager demonstrates correct application of the Five
Rights of Delegation?
A) Delegating a task without providing clear instructions
B) Delegating a task that is within the delegatee's scope of practice, with clear
communication and supervision
C) Delegating a task to the person who is available, regardless of competency
D) Delegating a task and then assuming no further responsibility
Rationale: The Five Rights of Delegation include right task, right circumstance,
right person, right communication, and right supervision. The nurse retains
accountability for the delegated task.
8. A nurse is working with a float pool LPN who has not previously worked on the
unit. Which task is most appropriate to delegate to this LPN?
A) Administering a blood transfusion
B) Performing a routine dressing change on a stable wound
C) Assessing a client with new-onset shortness of breath
D) Titrating a continuous insulin infusion
Rationale: Float staff should be assigned tasks that are within their scope of
practice and do not require unit-specific competency. Routine dressing changes
and stable client care are appropriate. High-risk procedures and complex
assessments should be retained by the RN.
, 9. Which statement by the nurse indicates a correct understanding of delegation to
a nursing assistant?
A) "I'll have the nursing assistant assess the client's response to pain medication."
B) "The nursing assistant can assist the client with ambulation and report any
dizziness or shortness of breath."
C) "The nursing assistant can administer the client's scheduled medications."
D) "The nursing assistant can evaluate the client's understanding of discharge
instructions."
Rationale: Nursing assistants can assist with ambulation and report findings.
Assessment, medication administration, and evaluation of learning require a
licensed nurse.
10. A charge nurse observes a newly licensed nurse delegating a task to a UAP.
Which action requires immediate intervention by the charge nurse?
A) Asking the UAP to obtain vital signs on a stable client
B) Asking the UAP to administer a prescribed oral medication to a client
C) Asking the UAP to assist a client with a bed bath
D) Asking the UAP to document intake and output
Rationale: Medication administration is outside the scope of practice for UAP
and must be performed by a licensed nurse. Vital signs, bathing assistance, and
intake/output documentation are appropriate UAP tasks.
11. A nurse manager is evaluating a staff nurse's delegation skills. Which statement
by the staff nurse indicates a need for further teaching?
A) "I will delegate tasks based on the client's stability and the delegatee's
competency."
B) "I will delegate the initial assessment of a newly admitted client to the
LPN."
C) "I will provide clear instructions and expected outcomes when delegating."
D) "I will follow up with the delegatee to ensure tasks are completed correctly."
Rationale: The initial assessment of a newly admitted client requires RN-level
clinical judgment and cannot be delegated to an LPN. Delegation should be
based on client stability, delegatee competency, and clear communication.
WITH WELL ELABORATED AND MOST TESTED REAL
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY 2026-2027 Q&A 100%
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Section 1: Delegation and Scope of Practice
1. A charge nurse is delegating tasks to an LPN and an AP. Which task should the
charge nurse assign to the LPN?
A) Obtain a clean-catch urine specimen from a patient with a UTI
B) Reinforce teaching about insulin self-administration to a patient with
diabetes
C) Ambulate a patient who had a stroke 2 days ago
D) Measure intake and output for a patient in stable condition
Rationale: Reinforcing teaching is within the LPN's scope of practice; initial
teaching is an RN responsibility. Obtaining a clean-catch urine specimen,
ambulating a stable patient, and measuring intake and output can be delegated
to AP.
2. Which task must be performed by the RN rather than delegated?
A) Obtaining a client's routine urinalysis sample
B) Completing the client's initial admission assessment
C) Assisting a client who requires help ambulating to the bathroom
D) Documenting routine intake and output measurements
Rationale: The RN must complete the initial admission assessment, which
involves critical thinking and clinical judgment. Routine tasks such as specimen
,collection, ambulation assistance, and documentation of intake and output can
be delegated to appropriate personnel.
3. A charge nurse is making client assignments for the upcoming shift. Which task
is most appropriate to delegate to an LPN/VN?
A) Admitting a new client with chest pain and completing the initial assessment
B) Performing a focused wound assessment and documenting the findings for
a stable post-op client
C) Developing the nursing care plan for a client newly diagnosed with diabetes
D) Teaching a client self-administration of insulin using a prefilled pen
Rationale: LPN/VNs can perform focused assessments and document stable
client findings within their scope. The RN retains responsibility for initial
comprehensive assessments, care planning, and patient education involving new
skills.
4. A nurse delegates vital signs and blood glucose monitoring for four clients to a
nursing assistant. Which statement by the nurse reflects the correct principle of
supervision?
A) "I will check on you at the end of the shift."
B) "Report back to me immediately if any blood glucose is below 70 mg/dL or
above 300 mg/dL."
C) "You do not need to tell me the results unless something looks wrong."
D) "Just document the results in the chart and I will review them later."
Rationale: Proper delegation requires clear parameters for reporting back,
including specific abnormal values requiring immediate RN attention. The RN
remains accountable for delegated tasks and must provide adequate supervision
and feedback.
5. Which client should the charge nurse assign to a new graduate RN who is on
orientation?
A) A client receiving a continuous heparin infusion
B) A stable client requiring a dressing change and routine assessment
C) A client who is 2 hours post cardiac catheterization
D) A client with new-onset chest pain requiring immediate evaluation
,Rationale: New graduate nurses should be assigned stable clients with
predictable outcomes. Clients requiring complex assessments, high-risk
medications, or acute evaluation should be assigned to experienced RNs.
6. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task
is appropriate for delegation?
A) Assessing a client's pain level
B) Obtaining a client's vital signs and reporting abnormal findings
C) Administering oral medications
D) Developing a client's plan of care
Rationale: UAP can perform routine tasks such as obtaining vital signs.
Assessment, medication administration, and care planning require the clinical
judgment of a licensed nurse.
7. Which action by the nurse manager demonstrates correct application of the Five
Rights of Delegation?
A) Delegating a task without providing clear instructions
B) Delegating a task that is within the delegatee's scope of practice, with clear
communication and supervision
C) Delegating a task to the person who is available, regardless of competency
D) Delegating a task and then assuming no further responsibility
Rationale: The Five Rights of Delegation include right task, right circumstance,
right person, right communication, and right supervision. The nurse retains
accountability for the delegated task.
8. A nurse is working with a float pool LPN who has not previously worked on the
unit. Which task is most appropriate to delegate to this LPN?
A) Administering a blood transfusion
B) Performing a routine dressing change on a stable wound
C) Assessing a client with new-onset shortness of breath
D) Titrating a continuous insulin infusion
Rationale: Float staff should be assigned tasks that are within their scope of
practice and do not require unit-specific competency. Routine dressing changes
and stable client care are appropriate. High-risk procedures and complex
assessments should be retained by the RN.
, 9. Which statement by the nurse indicates a correct understanding of delegation to
a nursing assistant?
A) "I'll have the nursing assistant assess the client's response to pain medication."
B) "The nursing assistant can assist the client with ambulation and report any
dizziness or shortness of breath."
C) "The nursing assistant can administer the client's scheduled medications."
D) "The nursing assistant can evaluate the client's understanding of discharge
instructions."
Rationale: Nursing assistants can assist with ambulation and report findings.
Assessment, medication administration, and evaluation of learning require a
licensed nurse.
10. A charge nurse observes a newly licensed nurse delegating a task to a UAP.
Which action requires immediate intervention by the charge nurse?
A) Asking the UAP to obtain vital signs on a stable client
B) Asking the UAP to administer a prescribed oral medication to a client
C) Asking the UAP to assist a client with a bed bath
D) Asking the UAP to document intake and output
Rationale: Medication administration is outside the scope of practice for UAP
and must be performed by a licensed nurse. Vital signs, bathing assistance, and
intake/output documentation are appropriate UAP tasks.
11. A nurse manager is evaluating a staff nurse's delegation skills. Which statement
by the staff nurse indicates a need for further teaching?
A) "I will delegate tasks based on the client's stability and the delegatee's
competency."
B) "I will delegate the initial assessment of a newly admitted client to the
LPN."
C) "I will provide clear instructions and expected outcomes when delegating."
D) "I will follow up with the delegatee to ensure tasks are completed correctly."
Rationale: The initial assessment of a newly admitted client requires RN-level
clinical judgment and cannot be delegated to an LPN. Delegation should be
based on client stability, delegatee competency, and clear communication.
