Actual ATI RN Leadership
2026 NGN Proctored Exam
70 Questions and Answers
Pass Guaranteed
1. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Administering oral meds to a stable client
B. Obtaining vital signs on a stable postoperative client
C. Teaching a client about a new insulin regimen
D. Assessing a client's incision for signs of infection
Answer: B
Rationale: Vital signs on a stable client are within UAP scope. A, C, and D require
RN judgment (med administration, teaching, assessment).
2. Which client should the RN assign to an LPN?
A. Client on a ventilator requiring frequent suctioning
B. Client 2 days post-op with a stable dressing change
C. Client with new-onset chest pain
D. Client receiving a first blood transfusion
Answer: B
Rationale: Stable, predictable tasks are appropriate for LPN. A, C, and D require
RN assessment and monitoring.
3. The five rights of delegation include all EXCEPT:
A. Right task
B. Right circumstance
C. Right diagnosis
D. Right supervision
,Answer: C
Rationale: The five rights are task, circumstance, person, communication, and
supervision — not diagnosis.
4. An RN is assigning clients. Which is the priority?
A. Client requesting pain medication
B. Client with new dyspnea and O2 sat 88%
C. Client needing discharge teaching
D. Client refusing breakfast
Answer: B
Rationale: ABCs first — respiratory compromise is highest priority.
5. A UAP reports a client's BP is 88/50. The RN should:
A. Tell the UAP to recheck in 1 hour
B. Assess the client immediately
C. Document and continue with current tasks
D. Ask the LPN to check it
Answer: B
Rationale: Abnormal findings require immediate RN assessment.
6. Which task can be delegated to a UAP?
A. Ambulating a stable client
B. Inserting a urinary catheter
C. Administering a suppository
D. Performing a sterile dressing change
Answer: A
Rationale: Ambulation of a stable client is a UAP task. B, C, and D require licensed
personnel.
7. The RN is making assignments. Which client should the RN keep?
A. Stable client needing a bath
B. Client with a new colostomy needing teaching
C. Client needing vitals q4h
D. Client needing ambulation
, Answer: B
Rationale: Teaching is an RN responsibility and cannot be delegated.
8. A nurse delegates vital signs to a UAP. Which instruction is best?
A. "Check vitals on everyone."
B. "Take vitals on room 302 and report anything abnormal immediately."
C. "Take vitals whenever you can."
D. "Only check if the client looks sick."
Answer: B
Rationale: Delegation requires clear, specific communication with reporting
expectations.
9. Which is NOT a UAP responsibility?
A. Bathing a client
B. Feeding a client
C. Evaluating a client's response to pain meds
D. Making an occupied bed
Answer: C
Rationale: Evaluation is an RN responsibility.
10. An LPN can perform which of the following?
A. Initial assessment
B. Administering routine medications
C. Developing the care plan
D. Discharge teaching
Answer: B
Rationale: LPNs administer routine meds under RN supervision.
11. A nurse is delegating. Which is the "right person" consideration?
A. Matching the task to the person's skill level
B. Matching the task to the time of day
C. Matching the task to the client's room
D. Matching the task to the nurse's preference
2026 NGN Proctored Exam
70 Questions and Answers
Pass Guaranteed
1. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Administering oral meds to a stable client
B. Obtaining vital signs on a stable postoperative client
C. Teaching a client about a new insulin regimen
D. Assessing a client's incision for signs of infection
Answer: B
Rationale: Vital signs on a stable client are within UAP scope. A, C, and D require
RN judgment (med administration, teaching, assessment).
2. Which client should the RN assign to an LPN?
A. Client on a ventilator requiring frequent suctioning
B. Client 2 days post-op with a stable dressing change
C. Client with new-onset chest pain
D. Client receiving a first blood transfusion
Answer: B
Rationale: Stable, predictable tasks are appropriate for LPN. A, C, and D require
RN assessment and monitoring.
3. The five rights of delegation include all EXCEPT:
A. Right task
B. Right circumstance
C. Right diagnosis
D. Right supervision
,Answer: C
Rationale: The five rights are task, circumstance, person, communication, and
supervision — not diagnosis.
4. An RN is assigning clients. Which is the priority?
A. Client requesting pain medication
B. Client with new dyspnea and O2 sat 88%
C. Client needing discharge teaching
D. Client refusing breakfast
Answer: B
Rationale: ABCs first — respiratory compromise is highest priority.
5. A UAP reports a client's BP is 88/50. The RN should:
A. Tell the UAP to recheck in 1 hour
B. Assess the client immediately
C. Document and continue with current tasks
D. Ask the LPN to check it
Answer: B
Rationale: Abnormal findings require immediate RN assessment.
6. Which task can be delegated to a UAP?
A. Ambulating a stable client
B. Inserting a urinary catheter
C. Administering a suppository
D. Performing a sterile dressing change
Answer: A
Rationale: Ambulation of a stable client is a UAP task. B, C, and D require licensed
personnel.
7. The RN is making assignments. Which client should the RN keep?
A. Stable client needing a bath
B. Client with a new colostomy needing teaching
C. Client needing vitals q4h
D. Client needing ambulation
, Answer: B
Rationale: Teaching is an RN responsibility and cannot be delegated.
8. A nurse delegates vital signs to a UAP. Which instruction is best?
A. "Check vitals on everyone."
B. "Take vitals on room 302 and report anything abnormal immediately."
C. "Take vitals whenever you can."
D. "Only check if the client looks sick."
Answer: B
Rationale: Delegation requires clear, specific communication with reporting
expectations.
9. Which is NOT a UAP responsibility?
A. Bathing a client
B. Feeding a client
C. Evaluating a client's response to pain meds
D. Making an occupied bed
Answer: C
Rationale: Evaluation is an RN responsibility.
10. An LPN can perform which of the following?
A. Initial assessment
B. Administering routine medications
C. Developing the care plan
D. Discharge teaching
Answer: B
Rationale: LPNs administer routine meds under RN supervision.
11. A nurse is delegating. Which is the "right person" consideration?
A. Matching the task to the person's skill level
B. Matching the task to the time of day
C. Matching the task to the client's room
D. Matching the task to the nurse's preference
