ATI PN Online Practice Assessment: 100-Question
Section 1: Management of Care (Q1–Q14)
Q1. A charge nurse on a medical-surgical unit is planning client
assignments for the shift. Which of the following clients should the
charge nurse assign to the LPN?
A. A client newly admitted with acute GI bleeding requiring fluid
resuscitation
B. A client who is 2 days post-op from a hip replacement needing routine
wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for lymphoma
D. A client with new-onset chest pain requiring STAT cardiac enzymes and
telemetry
Answer: B
Rationale: The LPN scope of practice includes caring for stable clients with
predictable outcomes, performing routine wound care, and reinforcing
teaching. A 2-day post-op hip replacement client with routine needs fits this
scope. Clients with acute GI bleeding (unstable, fluid resuscitation), first-
dose IV chemotherapy, and new-onset chest pain require RN assessment
and intervention.
Q2. A PN is caring for four clients. Which task should the PN perform
first?
A. Reinforce teaching on insulin administration to a newly diagnosed
diabetic client
B. Obtain a stool sample for occult blood from a stable client
C. Check the restraints on a confused client who is attempting to pull out
their NG tube
D. Ambulate a postoperative day 2 client who is ready for discharge
Answer: C
Rationale: Safety first. Restraints require frequent checks; a client
attempting to remove an NG tube is at risk for aspiration or injury. This is
,the highest priority using the ABC and safety frameworks. The other tasks
can wait.
Q3. Which task is MOST appropriate to delegate to a UAP (Unlicensed
Assistive Personnel)?
A. Administering oral medications to stable patients
B. Assessing a patient's post-operative pain level
C. Assisting a patient with ambulation to the bathroom
D. Teaching a patient about diabetic foot care
Answer: C
Rationale: The UAP scope of practice includes basic patient care activities
such as ambulation, bathing, and vital signs. Medication administration,
patient assessment, and patient teaching are within the RN/LPN scope of
practice per the Nurse Practice Act and ATI delegation guidelines.
Q4. A client refuses a scheduled enema. Which action by the PN
demonstrates respect for client autonomy?
A. Explain the risks of not completing the procedure
B. Document the refusal and notify the RN
C. Ask the family to encourage the client
D. Reschedule the enema for later in the shift
Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN
must document refusal and report to the RN. Explaining risks is appropriate
but the priority is respecting the client's decision and documenting.
Q5. The PN observes a UAP measuring a client's blood pressure
using a cuff that is too small. What should the PN do first?
A. Report the UAP to the nurse manager
B. Instruct the UAP to use the correct cuff size immediately
,C. Document the incident in the UAP's file
D. Take over the task without comment
Answer: B
Rationale: Immediate correction prevents harm. Teaching is within PN
scope. The PN should intervene to ensure client safety and provide on-the-
spot education to the UAP.
Q6. Using the Five Rights of Delegation, which element is MOST
important when delegating a task to UAP?
A. Right medication
B. Right circumstance
C. Right documentation
D. Right equipment
Answer: B
Rationale: The Five Rights of Delegation are: Right Task, Right
Circumstance, Right Person, Right Direction/Communication, and Right
Supervision. Right circumstance ensures the patient's condition is stable
and appropriate for delegation.
Q7. A PN is caring for a client who is 2 days postoperative following
abdominal surgery. The client reports shortness of breath and has an
oxygen saturation of 89% on room air. What is the PN's PRIORITY
action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Notify the RN or provider immediately
C. Assist the client into a high Fowler's position
D. Encourage the client to use the incentive spirometer
Answer: C
Rationale: Using the ABC framework, the first action is to position the
client to improve oxygenation (high Fowler's position). While administering
, oxygen and notifying the provider are appropriate, positioning is the
immediate priority to address the airway/breathing issue.
Q8. An LPN is working under the supervision of an RN. Which activity
is within the LPN's scope of practice?
A. Developing a plan of care for a newly admitted patient
B. Administering enteral feedings via NG tube
C. Assessing a patient's response to a new medication
D. Initiating discharge teaching for a patient going home
Answer: B
Rationale: LPNs can perform procedures such as enteral feedings, wound
care, and medication administration for stable patients. Care planning,
comprehensive assessment, and initial teaching require RN judgment and
scope.
Q9. A PN is delegating to an LPN. Which task is APPROPRIATE for the
LPN?
A. Administering IV push medications
B. Performing an initial assessment on a new admission
C. Administering oral medications to a stable client
D. Developing the plan of care for a client with complex needs
Answer: C
Rationale: LPNs can administer oral medications to stable clients. IV push
medications, initial assessments, and care plan development require RN
scope of practice.
Q10. A PN is caring for a client who has just returned from surgery.
Which finding requires IMMEDIATE intervention?
A. Blood pressure of 118/76 mm Hg
B. Respiratory rate of 10/min and shallow
Section 1: Management of Care (Q1–Q14)
Q1. A charge nurse on a medical-surgical unit is planning client
assignments for the shift. Which of the following clients should the
charge nurse assign to the LPN?
A. A client newly admitted with acute GI bleeding requiring fluid
resuscitation
B. A client who is 2 days post-op from a hip replacement needing routine
wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for lymphoma
D. A client with new-onset chest pain requiring STAT cardiac enzymes and
telemetry
Answer: B
Rationale: The LPN scope of practice includes caring for stable clients with
predictable outcomes, performing routine wound care, and reinforcing
teaching. A 2-day post-op hip replacement client with routine needs fits this
scope. Clients with acute GI bleeding (unstable, fluid resuscitation), first-
dose IV chemotherapy, and new-onset chest pain require RN assessment
and intervention.
Q2. A PN is caring for four clients. Which task should the PN perform
first?
A. Reinforce teaching on insulin administration to a newly diagnosed
diabetic client
B. Obtain a stool sample for occult blood from a stable client
C. Check the restraints on a confused client who is attempting to pull out
their NG tube
D. Ambulate a postoperative day 2 client who is ready for discharge
Answer: C
Rationale: Safety first. Restraints require frequent checks; a client
attempting to remove an NG tube is at risk for aspiration or injury. This is
,the highest priority using the ABC and safety frameworks. The other tasks
can wait.
Q3. Which task is MOST appropriate to delegate to a UAP (Unlicensed
Assistive Personnel)?
A. Administering oral medications to stable patients
B. Assessing a patient's post-operative pain level
C. Assisting a patient with ambulation to the bathroom
D. Teaching a patient about diabetic foot care
Answer: C
Rationale: The UAP scope of practice includes basic patient care activities
such as ambulation, bathing, and vital signs. Medication administration,
patient assessment, and patient teaching are within the RN/LPN scope of
practice per the Nurse Practice Act and ATI delegation guidelines.
Q4. A client refuses a scheduled enema. Which action by the PN
demonstrates respect for client autonomy?
A. Explain the risks of not completing the procedure
B. Document the refusal and notify the RN
C. Ask the family to encourage the client
D. Reschedule the enema for later in the shift
Answer: B
Rationale: Competent adults have the right to refuse treatment. The PN
must document refusal and report to the RN. Explaining risks is appropriate
but the priority is respecting the client's decision and documenting.
Q5. The PN observes a UAP measuring a client's blood pressure
using a cuff that is too small. What should the PN do first?
A. Report the UAP to the nurse manager
B. Instruct the UAP to use the correct cuff size immediately
,C. Document the incident in the UAP's file
D. Take over the task without comment
Answer: B
Rationale: Immediate correction prevents harm. Teaching is within PN
scope. The PN should intervene to ensure client safety and provide on-the-
spot education to the UAP.
Q6. Using the Five Rights of Delegation, which element is MOST
important when delegating a task to UAP?
A. Right medication
B. Right circumstance
C. Right documentation
D. Right equipment
Answer: B
Rationale: The Five Rights of Delegation are: Right Task, Right
Circumstance, Right Person, Right Direction/Communication, and Right
Supervision. Right circumstance ensures the patient's condition is stable
and appropriate for delegation.
Q7. A PN is caring for a client who is 2 days postoperative following
abdominal surgery. The client reports shortness of breath and has an
oxygen saturation of 89% on room air. What is the PN's PRIORITY
action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Notify the RN or provider immediately
C. Assist the client into a high Fowler's position
D. Encourage the client to use the incentive spirometer
Answer: C
Rationale: Using the ABC framework, the first action is to position the
client to improve oxygenation (high Fowler's position). While administering
, oxygen and notifying the provider are appropriate, positioning is the
immediate priority to address the airway/breathing issue.
Q8. An LPN is working under the supervision of an RN. Which activity
is within the LPN's scope of practice?
A. Developing a plan of care for a newly admitted patient
B. Administering enteral feedings via NG tube
C. Assessing a patient's response to a new medication
D. Initiating discharge teaching for a patient going home
Answer: B
Rationale: LPNs can perform procedures such as enteral feedings, wound
care, and medication administration for stable patients. Care planning,
comprehensive assessment, and initial teaching require RN judgment and
scope.
Q9. A PN is delegating to an LPN. Which task is APPROPRIATE for the
LPN?
A. Administering IV push medications
B. Performing an initial assessment on a new admission
C. Administering oral medications to a stable client
D. Developing the plan of care for a client with complex needs
Answer: C
Rationale: LPNs can administer oral medications to stable clients. IV push
medications, initial assessments, and care plan development require RN
scope of practice.
Q10. A PN is caring for a client who has just returned from surgery.
Which finding requires IMMEDIATE intervention?
A. Blood pressure of 118/76 mm Hg
B. Respiratory rate of 10/min and shallow
