ATI RN LEADERSHIP PROCTORED EXAM
PRACTICE QUESTIONS WITH CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
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1. A charge nurse is assigning client care to a licensed practical/vocational nurse
(LPN/LVN). Which client is appropriate to assign?
A. A client 1 day postoperative following a total hip replacement with stable vital signs
B. A client admitted with diabetic ketoacidosis requiring an insulin infusion
C. A client who developed chest pain 15 minutes ago
D. A client receiving a blood transfusion for the first time
CORRECT ANSWER: A — A client 1 day postoperative following a total hip replacement
with stable vital signs
RATIONALE: Stable clients with predictable outcomes can be assigned to the LPN/LVN. Initial
assessments, unstable clients, blood transfusions, and clients requiring complex clinical
judgment remain the responsibility of the RN.
2. Which task is appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
A. Obtain routine vital signs for a stable client
B. Teach a client how to self-administer insulin
C. Perform an initial pain assessment
D. Develop a nursing care plan
CORRECT ANSWER: A — Obtain routine vital signs for a stable client
RATIONALE: UAPs can perform routine, noninvasive tasks for stable clients. Assessment,
teaching, evaluation, and clinical judgment cannot be delegated.
3. A nurse is caring for four clients. Which client should the nurse assess first?
,A. A client with sudden onset of shortness of breath and oxygen saturation of 82%
B. A client requesting pain medication for incisional pain
C. A client awaiting discharge instructions
D. A client requesting assistance with bathing
CORRECT ANSWER: A — A client with sudden onset of shortness of breath and oxygen
saturation of 82%
RATIONALE: Using the ABC priority framework, airway and breathing problems require
immediate intervention.
4. A newly licensed nurse asks the charge nurse for help with time management.
Which recommendation is most appropriate?
A. Prioritize client care using acuity and anticipated needs
B. Complete the easiest tasks first
C. Delay documentation until the end of the shift
D. Accept all additional assignments immediately
CORRECT ANSWER: A — Prioritize client care using acuity and anticipated needs
RATIONALE: Effective prioritization improves safety, efficiency, and patient outcomes.
5. Which client is appropriate for assignment to a float nurse from the medical-
surgical unit?
A. A stable postoperative appendectomy client
B. A client receiving thrombolytic therapy for stroke
C. A client in active labor
D. A client with unstable ventricular tachycardia
CORRECT ANSWER: A — A stable postoperative appendectomy client
RATIONALE: Float nurses should receive assignments within their competence and involving
stable clients.
6. A nurse identifies a medication error after administering the wrong dose.
What should the nurse do first?
, A. Assess the client for adverse effects
B. Complete the incident report
C. Notify the pharmacy
D. Document the incident report in the medical record
CORRECT ANSWER: A — Assess the client for adverse effects
RATIONALE: The client's safety is always the priority. Assessment and appropriate
interventions come before reporting.
7. Which action by a nurse demonstrates effective advocacy?
A. Questioning a medication prescription that appears unsafe
B. Delegating all assessments to the LPN
C. Ignoring a client's request for additional information
D. Discussing confidential information in the hallway
CORRECT ANSWER: A — Questioning a medication prescription that appears unsafe
RATIONALE: Nurses advocate for clients by preventing harm and clarifying potentially unsafe
orders.
8. Which client should the nurse see first after receiving shift report?
A. A client with a blood glucose of 38 mg/dL who is confused
B. A client requesting a blanket
C. A client awaiting discharge prescriptions
D. A client requesting assistance with breakfast
CORRECT ANSWER: A — A client with a blood glucose of 38 mg/dL who is confused
RATIONALE: Severe hypoglycemia is life-threatening and requires immediate intervention.
9. Which statement by a newly licensed nurse indicates an understanding of
informed consent?
A. "The healthcare provider is responsible for obtaining informed consent."
B. "The nurse should explain the surgical risks in detail."
C. "The nurse signs the consent instead of the client."
D. "Family members may always sign for competent adults."
PRACTICE QUESTIONS WITH CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
1. A charge nurse is assigning client care to a licensed practical/vocational nurse
(LPN/LVN). Which client is appropriate to assign?
A. A client 1 day postoperative following a total hip replacement with stable vital signs
B. A client admitted with diabetic ketoacidosis requiring an insulin infusion
C. A client who developed chest pain 15 minutes ago
D. A client receiving a blood transfusion for the first time
CORRECT ANSWER: A — A client 1 day postoperative following a total hip replacement
with stable vital signs
RATIONALE: Stable clients with predictable outcomes can be assigned to the LPN/LVN. Initial
assessments, unstable clients, blood transfusions, and clients requiring complex clinical
judgment remain the responsibility of the RN.
2. Which task is appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
A. Obtain routine vital signs for a stable client
B. Teach a client how to self-administer insulin
C. Perform an initial pain assessment
D. Develop a nursing care plan
CORRECT ANSWER: A — Obtain routine vital signs for a stable client
RATIONALE: UAPs can perform routine, noninvasive tasks for stable clients. Assessment,
teaching, evaluation, and clinical judgment cannot be delegated.
3. A nurse is caring for four clients. Which client should the nurse assess first?
,A. A client with sudden onset of shortness of breath and oxygen saturation of 82%
B. A client requesting pain medication for incisional pain
C. A client awaiting discharge instructions
D. A client requesting assistance with bathing
CORRECT ANSWER: A — A client with sudden onset of shortness of breath and oxygen
saturation of 82%
RATIONALE: Using the ABC priority framework, airway and breathing problems require
immediate intervention.
4. A newly licensed nurse asks the charge nurse for help with time management.
Which recommendation is most appropriate?
A. Prioritize client care using acuity and anticipated needs
B. Complete the easiest tasks first
C. Delay documentation until the end of the shift
D. Accept all additional assignments immediately
CORRECT ANSWER: A — Prioritize client care using acuity and anticipated needs
RATIONALE: Effective prioritization improves safety, efficiency, and patient outcomes.
5. Which client is appropriate for assignment to a float nurse from the medical-
surgical unit?
A. A stable postoperative appendectomy client
B. A client receiving thrombolytic therapy for stroke
C. A client in active labor
D. A client with unstable ventricular tachycardia
CORRECT ANSWER: A — A stable postoperative appendectomy client
RATIONALE: Float nurses should receive assignments within their competence and involving
stable clients.
6. A nurse identifies a medication error after administering the wrong dose.
What should the nurse do first?
, A. Assess the client for adverse effects
B. Complete the incident report
C. Notify the pharmacy
D. Document the incident report in the medical record
CORRECT ANSWER: A — Assess the client for adverse effects
RATIONALE: The client's safety is always the priority. Assessment and appropriate
interventions come before reporting.
7. Which action by a nurse demonstrates effective advocacy?
A. Questioning a medication prescription that appears unsafe
B. Delegating all assessments to the LPN
C. Ignoring a client's request for additional information
D. Discussing confidential information in the hallway
CORRECT ANSWER: A — Questioning a medication prescription that appears unsafe
RATIONALE: Nurses advocate for clients by preventing harm and clarifying potentially unsafe
orders.
8. Which client should the nurse see first after receiving shift report?
A. A client with a blood glucose of 38 mg/dL who is confused
B. A client requesting a blanket
C. A client awaiting discharge prescriptions
D. A client requesting assistance with breakfast
CORRECT ANSWER: A — A client with a blood glucose of 38 mg/dL who is confused
RATIONALE: Severe hypoglycemia is life-threatening and requires immediate intervention.
9. Which statement by a newly licensed nurse indicates an understanding of
informed consent?
A. "The healthcare provider is responsible for obtaining informed consent."
B. "The nurse should explain the surgical risks in detail."
C. "The nurse signs the consent instead of the client."
D. "Family members may always sign for competent adults."
