1
RN ATI Leadership Proctored Exam
2025/2026 – All Actual Exam Questions
with Correct Answers (Graded A+, Latest
Update)
Delegation (20 Questions)
Question 1
A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is appropriate?
A) Developing a client care plan
B) Administering IV push medication
C) Monitoring vital signs
D) Performing a sterile dressing change
Answer: C) Monitoring vital signs
Rationale: Monitoring vital signs is within the LPN’s scope of practice, as it involves
collecting data without requiring advanced nursing judgment. Developing care plans,
administering IV push medications, and performing sterile procedures typically require RN
oversight due to their complexity.
Question 2
A nurse delegates a task to an unlicensed assistive personnel (UAP). Which task is appropriate?
A) Administering oral medications
B) Assisting with ambulation
C) Assessing pain levels
D) Developing a discharge plan
Answer: B) Assisting with ambulation
Rationale: Assisting with ambulation is within the UAP’s scope, focusing on non-invasive
support tasks. Administering medications, assessing pain, and developing discharge plans require
licensed nursing judgment and are outside the UAP’s scope.
Question 3
A nurse is delegating to a certified nursing assistant (CNA). Which task is appropriate?
A) Inserting a urinary catheter
, 2
B) Measuring and recording intake and output
C) Administering subcutaneous insulin
D) Evaluating client response to therapy
Answer: B) Measuring and recording intake and output
Rationale: Measuring and recording intake and output is a data collection task within the
CNA’s scope. Inserting catheters, administering medications, and evaluating therapy require RN
or LPN skills due to their invasive or analytical nature.
Question 4
A charge nurse delegates client hygiene care to a UAP. Which instruction is most appropriate?
A) Bathe the client and assess skin integrity
B) Bathe the client and report any skin abnormalities
C) Bathe the client and apply prescribed topical medications
D) Bathe the client and document the procedure
Answer: B) Bathe the client and report any skin abnormalities
Rationale: UAPs can perform hygiene tasks and report observations like skin abnormalities
to the RN, but assessing skin integrity, applying medications, or documenting care requires
nursing judgment or licensure.
Question 5
A nurse is delegating to an LPN. Which task is appropriate for the LPN to perform?
A) Creating a teaching plan for a diabetic client
B) Administering oral antibiotics
C) Adjusting IV fluid rates
D) Performing a central line dressing change
Answer: B) Administering oral antibiotics
Rationale: Administering oral medications is within the LPN’s scope in most settings.
Creating teaching plans, adjusting IV fluids, and performing central line care typically require
RN-level judgment and skills.
Question 6
Which task can an RN delegate to a UAP for a stable postoperative client?
A) Monitoring surgical site drainage
B) Assisting with turning and repositioning
C) Administering pain medication
D) Assessing incision healing
, 3
Answer: B) Assisting with turning and repositioning
Rationale: Turning and repositioning are within the UAP’s scope, promoting client comfort
and preventing pressure injuries. Monitoring drainage, administering medications, and assessing
healing require RN expertise.
Question 7
A nurse is delegating to an LPN for a client with a nasogastric tube. Which task is appropriate?
A) Verifying tube placement
B) Administering tube feedings
C) Developing a nutritional plan
D) Assessing gastrointestinal function
Answer: B) Administering tube feedings
Rationale: Administering tube feedings is within the LPN’s scope, provided tube placement
is verified by an RN. Verifying placement, developing plans, and assessing function require RN-
level skills.
Question 8
A nurse delegates a task to a UAP for a client with diabetes. Which task is appropriate?
A) Checking blood glucose levels
B) Assisting with meal tray setup
C) Administering insulin
D) Teaching foot care
Answer: B) Assisting with meal tray setup
Rationale: Assisting with meal tray setup is a supportive task within the UAP’s scope.
Checking blood glucose, administering insulin, and teaching require licensed nursing skills.
Question 9
A charge nurse is delegating tasks during a busy shift. Which task should the RN perform?
A) Administering routine oral medications
B) Evaluating a client’s response to a new medication
C) Assisting a client with activities of daily living
D) Taking routine vital signs
Answer: B) Evaluating a client’s response to a new medication
Rationale: Evaluating a client’s response to medication requires RN judgment to assess
efficacy and side effects. Routine medication administration, ADLs, and vital signs can be
delegated to LPNs or UAPs.
RN ATI Leadership Proctored Exam
2025/2026 – All Actual Exam Questions
with Correct Answers (Graded A+, Latest
Update)
Delegation (20 Questions)
Question 1
A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is appropriate?
A) Developing a client care plan
B) Administering IV push medication
C) Monitoring vital signs
D) Performing a sterile dressing change
Answer: C) Monitoring vital signs
Rationale: Monitoring vital signs is within the LPN’s scope of practice, as it involves
collecting data without requiring advanced nursing judgment. Developing care plans,
administering IV push medications, and performing sterile procedures typically require RN
oversight due to their complexity.
Question 2
A nurse delegates a task to an unlicensed assistive personnel (UAP). Which task is appropriate?
A) Administering oral medications
B) Assisting with ambulation
C) Assessing pain levels
D) Developing a discharge plan
Answer: B) Assisting with ambulation
Rationale: Assisting with ambulation is within the UAP’s scope, focusing on non-invasive
support tasks. Administering medications, assessing pain, and developing discharge plans require
licensed nursing judgment and are outside the UAP’s scope.
Question 3
A nurse is delegating to a certified nursing assistant (CNA). Which task is appropriate?
A) Inserting a urinary catheter
, 2
B) Measuring and recording intake and output
C) Administering subcutaneous insulin
D) Evaluating client response to therapy
Answer: B) Measuring and recording intake and output
Rationale: Measuring and recording intake and output is a data collection task within the
CNA’s scope. Inserting catheters, administering medications, and evaluating therapy require RN
or LPN skills due to their invasive or analytical nature.
Question 4
A charge nurse delegates client hygiene care to a UAP. Which instruction is most appropriate?
A) Bathe the client and assess skin integrity
B) Bathe the client and report any skin abnormalities
C) Bathe the client and apply prescribed topical medications
D) Bathe the client and document the procedure
Answer: B) Bathe the client and report any skin abnormalities
Rationale: UAPs can perform hygiene tasks and report observations like skin abnormalities
to the RN, but assessing skin integrity, applying medications, or documenting care requires
nursing judgment or licensure.
Question 5
A nurse is delegating to an LPN. Which task is appropriate for the LPN to perform?
A) Creating a teaching plan for a diabetic client
B) Administering oral antibiotics
C) Adjusting IV fluid rates
D) Performing a central line dressing change
Answer: B) Administering oral antibiotics
Rationale: Administering oral medications is within the LPN’s scope in most settings.
Creating teaching plans, adjusting IV fluids, and performing central line care typically require
RN-level judgment and skills.
Question 6
Which task can an RN delegate to a UAP for a stable postoperative client?
A) Monitoring surgical site drainage
B) Assisting with turning and repositioning
C) Administering pain medication
D) Assessing incision healing
, 3
Answer: B) Assisting with turning and repositioning
Rationale: Turning and repositioning are within the UAP’s scope, promoting client comfort
and preventing pressure injuries. Monitoring drainage, administering medications, and assessing
healing require RN expertise.
Question 7
A nurse is delegating to an LPN for a client with a nasogastric tube. Which task is appropriate?
A) Verifying tube placement
B) Administering tube feedings
C) Developing a nutritional plan
D) Assessing gastrointestinal function
Answer: B) Administering tube feedings
Rationale: Administering tube feedings is within the LPN’s scope, provided tube placement
is verified by an RN. Verifying placement, developing plans, and assessing function require RN-
level skills.
Question 8
A nurse delegates a task to a UAP for a client with diabetes. Which task is appropriate?
A) Checking blood glucose levels
B) Assisting with meal tray setup
C) Administering insulin
D) Teaching foot care
Answer: B) Assisting with meal tray setup
Rationale: Assisting with meal tray setup is a supportive task within the UAP’s scope.
Checking blood glucose, administering insulin, and teaching require licensed nursing skills.
Question 9
A charge nurse is delegating tasks during a busy shift. Which task should the RN perform?
A) Administering routine oral medications
B) Evaluating a client’s response to a new medication
C) Assisting a client with activities of daily living
D) Taking routine vital signs
Answer: B) Evaluating a client’s response to a new medication
Rationale: Evaluating a client’s response to medication requires RN judgment to assess
efficacy and side effects. Routine medication administration, ADLs, and vital signs can be
delegated to LPNs or UAPs.
