ATI RN Leadership Proctored
Exam: 100 Practice Questions and
Answer Explanations
Part One: Delegation, Assignment, and Scope of Practice (1–25)
1. A nurse is preparing to delegate a task to unlicensed assistive personnel (UAP). Which
element must the nurse evaluate FIRST according to the Five Rights of Delegation?
A. Right circumstance
B. Right person
C. Right task
D. Right direction/communication
Answer: C
Explanation: The Five Rights begin with determining whether the task itself is legally and
organizationally delegable (right task), which gates all subsequent rights. Right circumstance,
person, and direction are evaluated only after the task is determined to be delegable .
2. A nurse manager needs to decide which tasks to delegate to an LPN. Which of the
following tasks is appropriate for an LPN?
A. Administer IV push morphine to a stable post-op patient
B. Perform an initial admission assessment of a new patient
C. Change a sterile dressing on a surgical wound (established, non-complicated)
D. Develop the nursing care plan for a patient with diabetes
Answer: C
Explanation: LPNs can perform sterile dressing changes and insert urinary catheters under
RN supervision in many states. IV push medications, initial assessments, and care plan
development require RN education and scope .
3. Which task is outside the LPN/LVN scope of practice in most states?
A. Administering oral medications
B. Performing the initial admission assessment
C. Inserting a urinary catheter
D. Monitoring a blood transfusion
Answer: B
Explanation: Initial assessments, discharge planning, and evaluation of patient responses to
interventions require RN-level assessment and clinical judgment .
4. The RN retains which of the following even after delegating a task to another healthcare
team member?
A. The task itself
,B. The authority to perform the task
C. Accountability for the outcome
D. Responsibility for completing the task personally
Answer: C
Explanation: The RN maintains accountability and must follow up to ensure tasks are
completed safely. The RN must provide ongoing supervision after delegation .
5. Which principle should guide delegation to APs?
A. APs can perform any task if properly trained
B. APs can perform routine, repetitive tasks that do not require nursing judgment
C. APs can perform initial patient assessments
D. APs can independently make decisions about patient care
Answer: B
Explanation: APs are limited to routine, predictable tasks with expected outcomes that do
not require nursing judgment or clinical decision-making .
6. A nurse is caring for a patient with dysphagia and swallowing precautions. Who should
feed this patient?
A. The AP can feed the patient as usual
B. The RN must feed this patient or assign to another licensed nurse
C. The patient's family member
D. No one; the patient should not eat
Answer: B
Explanation: Patients with swallowing precautions require skilled assessment and
monitoring during feeding to prevent aspiration. This task requires nursing judgment and
cannot be delegated to APs .
7. When delegating to an LPN, the RN should consider which of the following?
A. Only the LPN's years of experience
B. The LPN's scope of practice, competency, and the stability of the patient
C. The LPN's personal preference for assignments
D. Only the time available to complete the task
Answer: B
Explanation: Safe delegation requires consideration of the delegatee's legal scope of
practice, demonstrated competency, the complexity and stability of the patient's condition,
and the predictability of outcomes .
8. An RN delegates vital sign collection to a UAP. The RN's responsibility includes:
A. No further action after delegation
B. Following up to ensure vital signs are obtained accurately and reported
C. Assuming the vital signs are correct without verification
D. Having the LPN supervise the UAP
Answer: B
, Explanation: The RN must provide appropriate supervision, follow up to verify task
completion, ensure accuracy, and be available to respond to any abnormal findings .
9. Which of the following is an example of appropriate delegation to an AP?
A. Administering oral medications to a stable patient
B. Performing a patient assessment
C. Obtaining routine vital signs on a stable patient
D. Teaching a patient about post-operative exercises
Answer: C
Explanation: APs can obtain vital signs on stable patients as this is a routine, predictable task
that does not require nursing judgment .
10. A charge nurse is planning assignments for the upcoming shift. Which of the following
tasks should the charge nurse delegate to an AP?
A. Assisting a client who had a hip arthroplasty to a chair
B. Administering oral medications
C. Performing an admission assessment
D. Developing a care plan
Answer: A
Explanation: Assisting a stable client with mobility is a routine task appropriate for AP
delegation .
11. A nurse is caring for four clients. Which of the following tasks can the nurse assign to
an AP?
A. Perform chest compressions on a client who is in cardiac arrest
B. Administer IV push medication
C. Perform an initial assessment
D. Develop a nursing care plan
Answer: A
Explanation: Performing basic CPR is within an AP's range of function. The AP should contact
the nurse for further assessment whenever a client's condition does not meet expected
findings .
12. A nurse on a medical-surgical unit is making assignments. Which task should the RN
delegate to the PN?
A. Obtain vital signs for a client who is 2 hr post-procedure following a cardiac
catheterization
B. Perform the initial assessment
C. Develop the care plan
D. Evaluate the client's response to medication
Answer: A
Explanation: The PN can obtain vital signs for a stable post-procedure client. Initial
assessments and care plan development require RN scope .
Exam: 100 Practice Questions and
Answer Explanations
Part One: Delegation, Assignment, and Scope of Practice (1–25)
1. A nurse is preparing to delegate a task to unlicensed assistive personnel (UAP). Which
element must the nurse evaluate FIRST according to the Five Rights of Delegation?
A. Right circumstance
B. Right person
C. Right task
D. Right direction/communication
Answer: C
Explanation: The Five Rights begin with determining whether the task itself is legally and
organizationally delegable (right task), which gates all subsequent rights. Right circumstance,
person, and direction are evaluated only after the task is determined to be delegable .
2. A nurse manager needs to decide which tasks to delegate to an LPN. Which of the
following tasks is appropriate for an LPN?
A. Administer IV push morphine to a stable post-op patient
B. Perform an initial admission assessment of a new patient
C. Change a sterile dressing on a surgical wound (established, non-complicated)
D. Develop the nursing care plan for a patient with diabetes
Answer: C
Explanation: LPNs can perform sterile dressing changes and insert urinary catheters under
RN supervision in many states. IV push medications, initial assessments, and care plan
development require RN education and scope .
3. Which task is outside the LPN/LVN scope of practice in most states?
A. Administering oral medications
B. Performing the initial admission assessment
C. Inserting a urinary catheter
D. Monitoring a blood transfusion
Answer: B
Explanation: Initial assessments, discharge planning, and evaluation of patient responses to
interventions require RN-level assessment and clinical judgment .
4. The RN retains which of the following even after delegating a task to another healthcare
team member?
A. The task itself
,B. The authority to perform the task
C. Accountability for the outcome
D. Responsibility for completing the task personally
Answer: C
Explanation: The RN maintains accountability and must follow up to ensure tasks are
completed safely. The RN must provide ongoing supervision after delegation .
5. Which principle should guide delegation to APs?
A. APs can perform any task if properly trained
B. APs can perform routine, repetitive tasks that do not require nursing judgment
C. APs can perform initial patient assessments
D. APs can independently make decisions about patient care
Answer: B
Explanation: APs are limited to routine, predictable tasks with expected outcomes that do
not require nursing judgment or clinical decision-making .
6. A nurse is caring for a patient with dysphagia and swallowing precautions. Who should
feed this patient?
A. The AP can feed the patient as usual
B. The RN must feed this patient or assign to another licensed nurse
C. The patient's family member
D. No one; the patient should not eat
Answer: B
Explanation: Patients with swallowing precautions require skilled assessment and
monitoring during feeding to prevent aspiration. This task requires nursing judgment and
cannot be delegated to APs .
7. When delegating to an LPN, the RN should consider which of the following?
A. Only the LPN's years of experience
B. The LPN's scope of practice, competency, and the stability of the patient
C. The LPN's personal preference for assignments
D. Only the time available to complete the task
Answer: B
Explanation: Safe delegation requires consideration of the delegatee's legal scope of
practice, demonstrated competency, the complexity and stability of the patient's condition,
and the predictability of outcomes .
8. An RN delegates vital sign collection to a UAP. The RN's responsibility includes:
A. No further action after delegation
B. Following up to ensure vital signs are obtained accurately and reported
C. Assuming the vital signs are correct without verification
D. Having the LPN supervise the UAP
Answer: B
, Explanation: The RN must provide appropriate supervision, follow up to verify task
completion, ensure accuracy, and be available to respond to any abnormal findings .
9. Which of the following is an example of appropriate delegation to an AP?
A. Administering oral medications to a stable patient
B. Performing a patient assessment
C. Obtaining routine vital signs on a stable patient
D. Teaching a patient about post-operative exercises
Answer: C
Explanation: APs can obtain vital signs on stable patients as this is a routine, predictable task
that does not require nursing judgment .
10. A charge nurse is planning assignments for the upcoming shift. Which of the following
tasks should the charge nurse delegate to an AP?
A. Assisting a client who had a hip arthroplasty to a chair
B. Administering oral medications
C. Performing an admission assessment
D. Developing a care plan
Answer: A
Explanation: Assisting a stable client with mobility is a routine task appropriate for AP
delegation .
11. A nurse is caring for four clients. Which of the following tasks can the nurse assign to
an AP?
A. Perform chest compressions on a client who is in cardiac arrest
B. Administer IV push medication
C. Perform an initial assessment
D. Develop a nursing care plan
Answer: A
Explanation: Performing basic CPR is within an AP's range of function. The AP should contact
the nurse for further assessment whenever a client's condition does not meet expected
findings .
12. A nurse on a medical-surgical unit is making assignments. Which task should the RN
delegate to the PN?
A. Obtain vital signs for a client who is 2 hr post-procedure following a cardiac
catheterization
B. Perform the initial assessment
C. Develop the care plan
D. Evaluate the client's response to medication
Answer: A
Explanation: The PN can obtain vital signs for a stable post-procedure client. Initial
assessments and care plan development require RN scope .
