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ATI PN Leadership Proctored Exam
2025 – 100 Verified Questions &
Correct Answers with Rationales | A+
Graded | Latest Update
Delegation and Prioritization (20 Questions)
1. An LPN is delegating tasks to a UAP. Which task is appropriate for the UAP?
A) Administer oral medications
B) Assist a client with ambulation
C) Perform a sterile dressing change
D) Assess a client’s pain level
Answer: B. Assist a client with ambulation
Rationale: Assisting with ambulation is within the UAP’s scope of practice, as it is a
non-invasive task. Administering medications, performing sterile procedures, and
assessing pain require licensed personnel, per PN delegation standards.
2. An LPN is prioritizing care for four clients. Which client should be assessed first?
A) A client requesting pain medication
B) A client with a new onset of shortness of breath
C) A client needing a dressing change
D) A client awaiting discharge teaching
Answer: B. A client with a new onset of shortness of breath
Rationale: Shortness of breath indicates a potential respiratory emergency, requiring
immediate assessment per ABC (airway, breathing, circulation) prioritization principles.
3. An LPN is assigning tasks to an LPN colleague. Which task is within the colleague’s
scope?
A) Develop a client care plan
B) Administer oral antibiotics
C) Perform an admission assessment
D) Interpret laboratory results
Answer: B. Administer oral antibiotics
Rationale: LPNs can administer oral medications within their scope. Developing care
plans, performing admission assessments, and interpreting lab results require RN
expertise.
4. An LPN observes a UAP incorrectly measuring vital signs. What is the first action?
A) Report the UAP to the supervisor
B) Correct the UAP privately and provide education
C) Ignore the error to avoid conflict
, 2
D) Take the vital signs in front of the client
Answer: B. Correct the UAP privately and provide education
Rationale: Correcting privately promotes learning and maintains professionalism while
ensuring accurate vital signs for client safety.
5. An LPN is prioritizing care during a busy shift. Which task should be completed first?
A) Administer a scheduled medication
B) Respond to a client with chest pain
C) Complete discharge paperwork
D) Assist with a bed bath
Answer: B. Respond to a client with chest pain
Rationale: Chest pain may indicate a cardiac emergency, requiring immediate
assessment per ABC prioritization principles.
6. An LPN is delegating tasks for a client with a tracheostomy. Which task is appropriate
for a UAP?
A) Suction the tracheostomy
B) Assist with repositioning
C) Assess respiratory status
D) Teach tracheostomy care
Answer: B. Assist with repositioning
Rationale: Repositioning is a non-invasive task within the UAP’s scope. Suctioning,
assessing, and teaching require licensed personnel.
7. An LPN is managing a unit with multiple clients. Which client should be seen first?
A) A client with a blood glucose of 50 mg/dL
B) A client needing a routine IV change
C) A client requesting a meal tray
D) A client with a scheduled dressing change
Answer: A. A client with a blood glucose of 50 mg/dL
Rationale: Hypoglycemia (blood glucose <70 mg/dL) is a life-threatening condition
requiring immediate intervention, per ABC principles.
8. An LPN is delegating tasks to a UAP. Which task is inappropriate?
A) Measure intake and output
B) Assist with feeding a stable client
C) Perform a sterile catheter insertion
D) Take vital signs on a stable client
Answer: C. Perform a sterile catheter insertion
Rationale: Sterile procedures like catheter insertion require licensed personnel.
Measuring intake/output, assisting with feeding, and taking vital signs are within the
UAP’s scope.
9. An LPN is prioritizing care during a code. Which task can be delegated to a UAP?
A) Administer epinephrine
B) Perform chest compressions
C) Interpret the ECG rhythm
D) Document the code events
Answer: B. Perform chest compressions
Rationale: UAPs can perform chest compressions under supervision during a code, as it
, 3
is a mechanical task. Medication administration, ECG interpretation, and documentation
require licensed personnel.
10. An LPN is assigning tasks for a client with diabetes. Which task is appropriate for an
LPN colleague?
A) Develop a teaching plan for insulin use
B) Reinforce teaching on foot care
C) Perform an initial assessment
D) Adjust insulin doses
Answer: B. Reinforce teaching on foot care
Rationale: LPNs can reinforce client teaching within their scope. Developing teaching
plans, initial assessments, and adjusting medications require RN expertise.
11. An LPN is prioritizing care for a client with a new colostomy. Which action is most
urgent?
A) Teach colostomy care
B) Assess the stoma for viability
C) Order a dietary consult
D) Document the procedure
Answer: B. Assess the stoma for viability
Rationale: Assessing stoma viability ensures no ischemia, a potential emergency, per
ABC prioritization principles.
12. An LPN is delegating tasks for a client post-surgery. Which task is appropriate for a
UAP?
A) Monitor the surgical site for infection
B) Assist with ambulation
C) Administer pain medication
D) Assess incision healing
Answer: B. Assist with ambulation
Rationale: Ambulation is a non-invasive task within the UAP’s scope. Monitoring,
administering medications, and assessing require licensed personnel.
13. An LPN is managing a unit during a staffing shortage. Which client should be assessed
first?
A) A client with a new onset of confusion
B) A client needing a routine medication
C) A client requesting a blanket
D) A client awaiting a dressing change
Answer: A. A client with a new onset of confusion
Rationale: New-onset confusion may indicate a neurological or metabolic emergency,
requiring immediate assessment per ABC principles.
14. An LPN is delegating tasks to a UAP for a client with heart failure. Which task is
appropriate?
A) Measure daily weights
B) Assess for edema
C) Administer diuretics
D) Teach about a low-sodium diet
Answer: A. Measure daily weights
ATI PN Leadership Proctored Exam
2025 – 100 Verified Questions &
Correct Answers with Rationales | A+
Graded | Latest Update
Delegation and Prioritization (20 Questions)
1. An LPN is delegating tasks to a UAP. Which task is appropriate for the UAP?
A) Administer oral medications
B) Assist a client with ambulation
C) Perform a sterile dressing change
D) Assess a client’s pain level
Answer: B. Assist a client with ambulation
Rationale: Assisting with ambulation is within the UAP’s scope of practice, as it is a
non-invasive task. Administering medications, performing sterile procedures, and
assessing pain require licensed personnel, per PN delegation standards.
2. An LPN is prioritizing care for four clients. Which client should be assessed first?
A) A client requesting pain medication
B) A client with a new onset of shortness of breath
C) A client needing a dressing change
D) A client awaiting discharge teaching
Answer: B. A client with a new onset of shortness of breath
Rationale: Shortness of breath indicates a potential respiratory emergency, requiring
immediate assessment per ABC (airway, breathing, circulation) prioritization principles.
3. An LPN is assigning tasks to an LPN colleague. Which task is within the colleague’s
scope?
A) Develop a client care plan
B) Administer oral antibiotics
C) Perform an admission assessment
D) Interpret laboratory results
Answer: B. Administer oral antibiotics
Rationale: LPNs can administer oral medications within their scope. Developing care
plans, performing admission assessments, and interpreting lab results require RN
expertise.
4. An LPN observes a UAP incorrectly measuring vital signs. What is the first action?
A) Report the UAP to the supervisor
B) Correct the UAP privately and provide education
C) Ignore the error to avoid conflict
, 2
D) Take the vital signs in front of the client
Answer: B. Correct the UAP privately and provide education
Rationale: Correcting privately promotes learning and maintains professionalism while
ensuring accurate vital signs for client safety.
5. An LPN is prioritizing care during a busy shift. Which task should be completed first?
A) Administer a scheduled medication
B) Respond to a client with chest pain
C) Complete discharge paperwork
D) Assist with a bed bath
Answer: B. Respond to a client with chest pain
Rationale: Chest pain may indicate a cardiac emergency, requiring immediate
assessment per ABC prioritization principles.
6. An LPN is delegating tasks for a client with a tracheostomy. Which task is appropriate
for a UAP?
A) Suction the tracheostomy
B) Assist with repositioning
C) Assess respiratory status
D) Teach tracheostomy care
Answer: B. Assist with repositioning
Rationale: Repositioning is a non-invasive task within the UAP’s scope. Suctioning,
assessing, and teaching require licensed personnel.
7. An LPN is managing a unit with multiple clients. Which client should be seen first?
A) A client with a blood glucose of 50 mg/dL
B) A client needing a routine IV change
C) A client requesting a meal tray
D) A client with a scheduled dressing change
Answer: A. A client with a blood glucose of 50 mg/dL
Rationale: Hypoglycemia (blood glucose <70 mg/dL) is a life-threatening condition
requiring immediate intervention, per ABC principles.
8. An LPN is delegating tasks to a UAP. Which task is inappropriate?
A) Measure intake and output
B) Assist with feeding a stable client
C) Perform a sterile catheter insertion
D) Take vital signs on a stable client
Answer: C. Perform a sterile catheter insertion
Rationale: Sterile procedures like catheter insertion require licensed personnel.
Measuring intake/output, assisting with feeding, and taking vital signs are within the
UAP’s scope.
9. An LPN is prioritizing care during a code. Which task can be delegated to a UAP?
A) Administer epinephrine
B) Perform chest compressions
C) Interpret the ECG rhythm
D) Document the code events
Answer: B. Perform chest compressions
Rationale: UAPs can perform chest compressions under supervision during a code, as it
, 3
is a mechanical task. Medication administration, ECG interpretation, and documentation
require licensed personnel.
10. An LPN is assigning tasks for a client with diabetes. Which task is appropriate for an
LPN colleague?
A) Develop a teaching plan for insulin use
B) Reinforce teaching on foot care
C) Perform an initial assessment
D) Adjust insulin doses
Answer: B. Reinforce teaching on foot care
Rationale: LPNs can reinforce client teaching within their scope. Developing teaching
plans, initial assessments, and adjusting medications require RN expertise.
11. An LPN is prioritizing care for a client with a new colostomy. Which action is most
urgent?
A) Teach colostomy care
B) Assess the stoma for viability
C) Order a dietary consult
D) Document the procedure
Answer: B. Assess the stoma for viability
Rationale: Assessing stoma viability ensures no ischemia, a potential emergency, per
ABC prioritization principles.
12. An LPN is delegating tasks for a client post-surgery. Which task is appropriate for a
UAP?
A) Monitor the surgical site for infection
B) Assist with ambulation
C) Administer pain medication
D) Assess incision healing
Answer: B. Assist with ambulation
Rationale: Ambulation is a non-invasive task within the UAP’s scope. Monitoring,
administering medications, and assessing require licensed personnel.
13. An LPN is managing a unit during a staffing shortage. Which client should be assessed
first?
A) A client with a new onset of confusion
B) A client needing a routine medication
C) A client requesting a blanket
D) A client awaiting a dressing change
Answer: A. A client with a new onset of confusion
Rationale: New-onset confusion may indicate a neurological or metabolic emergency,
requiring immediate assessment per ABC principles.
14. An LPN is delegating tasks to a UAP for a client with heart failure. Which task is
appropriate?
A) Measure daily weights
B) Assess for edema
C) Administer diuretics
D) Teach about a low-sodium diet
Answer: A. Measure daily weights
