ATI Leadership Practice Assessment B 2026–2027 | Latest Version |
Comprehensive Practice Exam with NGN Questions, Detailed
Rationales, Leadership & Management Concepts, Delegation,
Prioritization, Clinical Judgment, Patient Safety, Communication
Strategies, Conflict Resolution, Time Management, Team
Collaboration, Evidence-Based Practice, NCLEX-RN Preparation &
Success Study Guide
SECTION 1: DELEGATION & ASSIGNMENT
1. Which of the following tasks CANNOT be delegated by an RN?
A. Measuring intake and output
B. Taking vital signs on a stable patient
C. Patient education and tasks requiring nursing judgment
D. Specimen collection
Answer: C. Patient education and tasks requiring nursing judgment
Rationale: Nurses cannot delegate the nursing process, patient education, or any
task requiring RN clinical judgment. These tasks require specialized knowledge
and assessment skills that only an RN possesses . Delegation involves transferring
authority and responsibility while the RN retains accountability .
2. Which of the following tasks is within the scope of practice for an LPN?
A. Developing the initial care plan independently
B. Administering IVPB medications
C. Performing initial nursing assessments
D. Making independent clinical judgments about patient care changes
Answer: B. Administering IVPB medications
Rationale: LPNs can administer IVPB medications, monitor IV fluids, perform trach
care, suctioning, check NG tube patency, administer enteral feedings, insert
urinary catheters, and reinforce teaching from a standard care plan . They cannot
perform initial assessments or develop care plans independently.
,3. Which of the following tasks can be appropriately delegated to an Assistive
Personnel (AP)?
A. Dressing changes
B. Patient education about medications
C. Ambulating a stable patient
D. Assessing a patient's response to a new medication
Answer: C. Ambulating a stable patient
Rationale: APs can assist with ADLs including ambulating, grooming, bathing,
dressing, toileting, feeding (without swallowing precautions), positioning, bed
making, specimen collection, I&O, and vital signs on stable patients . APs CANNOT
perform dressing changes, patient education, or assessments.
4. A charge nurse in the newborn nursery is delegating tasks to an AP. Which of
the following is an appropriate task for the AP?
A. Show a new mother how to change the newborn's diaper
B. Inspect the skin of a newborn who is receiving phototherapy
C. Obtain the weight of a newborn who is receiving formula
D. Answer the parents' questions about newborn circumcision
Answer: C. Obtain the weight of a newborn who is receiving formula
Rationale: Obtaining weight is a routine task within the AP scope of practice.
Teaching and inspection require nursing judgment and should be performed by
licensed nursing staff .
5. A charge nurse is planning the care of four newborns. An AP and LPN are
available. Which task should the nurse assign to the LPN?
A. Conduct the newborn hearing screening
B. Perform a New Ballard screening
C. Administer a hepatitis B vaccine
D. Obtain vital signs
Answer: C. Administer a hepatitis B vaccine
,Rationale: Medication administration, including vaccines, is within the LPN scope
of practice. New Ballard screening and hearing screening typically require
specialized training and are often performed by RNs .
6. A nurse is preparing to delegate bathing and turning of a newly admitted
client who has end-stage bone cancer to an experienced AP. Which assessment
should the nurse make before delegating care?
A. Does the AP have time to change the client's central IV-line dressing after
turning her?
B. Is the client's family present so the AP can show them how to turn the client?
C. Has the AP checked the client's pain level prior to turning her?
D. Has data been collected about specific client needs related to turning?
Answer: D. Has data been collected about specific client needs related to
turning?
Rationale: Before delegating, the nurse must assess the client's specific needs,
including mobility limitations, pain level, and any precautions related to turning.
The RN must provide appropriate direction and supervision .
7. An RN is assigning tasks to team members. Which task is appropriate to
delegate to an LPN?
A. Suction a client who has a chronic tracheostomy
B. Develop the initial plan of care
C. Perform the initial admission assessment
D. Provide discharge teaching
Answer: A. Suction a client who has a chronic tracheostomy
Rationale: Suctioning a client with a stable, chronic tracheostomy is within LPN
scope. Initial assessments, care plan development, and discharge teaching require
RN-level judgment .
, 8. Which of the following is NOT one of the Five Rights of Delegation?
A. Right Task
B. Right Person
C. Right Documentation
D. Right Supervision/Evaluation
Answer: C. Right Documentation
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation .
Documentation, while important, is not one of the Five Rights.
9. A charge nurse is making shift assignments. Which task is appropriate to
assign to an LPN?
A. Administer a nasogastric tube feeding
B. Pick up the meal trays after lunch
C. Determine adequacy of ventilator settings
D. Plan break times for assistive personnel
Answer: A. Administer a nasogastric tube feeding
Rationale: Administering enteral feedings is within LPN scope. Meal tray pickup is
an AP task. Ventilator setting assessment and break planning are RN/charge nurse
responsibilities .
10. A charge nurse is reviewing the plan of care for a client who has active
herpes simplex lesions. Which intervention is appropriate for the plan of care?
A. Wear a gown and gloves when caring for the client
B. Place the client in a negative pressure room
C. Use N95 respirator mask
D. Implement droplet precautions only
Answer: A. Wear a gown and gloves when caring for the client
Comprehensive Practice Exam with NGN Questions, Detailed
Rationales, Leadership & Management Concepts, Delegation,
Prioritization, Clinical Judgment, Patient Safety, Communication
Strategies, Conflict Resolution, Time Management, Team
Collaboration, Evidence-Based Practice, NCLEX-RN Preparation &
Success Study Guide
SECTION 1: DELEGATION & ASSIGNMENT
1. Which of the following tasks CANNOT be delegated by an RN?
A. Measuring intake and output
B. Taking vital signs on a stable patient
C. Patient education and tasks requiring nursing judgment
D. Specimen collection
Answer: C. Patient education and tasks requiring nursing judgment
Rationale: Nurses cannot delegate the nursing process, patient education, or any
task requiring RN clinical judgment. These tasks require specialized knowledge
and assessment skills that only an RN possesses . Delegation involves transferring
authority and responsibility while the RN retains accountability .
2. Which of the following tasks is within the scope of practice for an LPN?
A. Developing the initial care plan independently
B. Administering IVPB medications
C. Performing initial nursing assessments
D. Making independent clinical judgments about patient care changes
Answer: B. Administering IVPB medications
Rationale: LPNs can administer IVPB medications, monitor IV fluids, perform trach
care, suctioning, check NG tube patency, administer enteral feedings, insert
urinary catheters, and reinforce teaching from a standard care plan . They cannot
perform initial assessments or develop care plans independently.
,3. Which of the following tasks can be appropriately delegated to an Assistive
Personnel (AP)?
A. Dressing changes
B. Patient education about medications
C. Ambulating a stable patient
D. Assessing a patient's response to a new medication
Answer: C. Ambulating a stable patient
Rationale: APs can assist with ADLs including ambulating, grooming, bathing,
dressing, toileting, feeding (without swallowing precautions), positioning, bed
making, specimen collection, I&O, and vital signs on stable patients . APs CANNOT
perform dressing changes, patient education, or assessments.
4. A charge nurse in the newborn nursery is delegating tasks to an AP. Which of
the following is an appropriate task for the AP?
A. Show a new mother how to change the newborn's diaper
B. Inspect the skin of a newborn who is receiving phototherapy
C. Obtain the weight of a newborn who is receiving formula
D. Answer the parents' questions about newborn circumcision
Answer: C. Obtain the weight of a newborn who is receiving formula
Rationale: Obtaining weight is a routine task within the AP scope of practice.
Teaching and inspection require nursing judgment and should be performed by
licensed nursing staff .
5. A charge nurse is planning the care of four newborns. An AP and LPN are
available. Which task should the nurse assign to the LPN?
A. Conduct the newborn hearing screening
B. Perform a New Ballard screening
C. Administer a hepatitis B vaccine
D. Obtain vital signs
Answer: C. Administer a hepatitis B vaccine
,Rationale: Medication administration, including vaccines, is within the LPN scope
of practice. New Ballard screening and hearing screening typically require
specialized training and are often performed by RNs .
6. A nurse is preparing to delegate bathing and turning of a newly admitted
client who has end-stage bone cancer to an experienced AP. Which assessment
should the nurse make before delegating care?
A. Does the AP have time to change the client's central IV-line dressing after
turning her?
B. Is the client's family present so the AP can show them how to turn the client?
C. Has the AP checked the client's pain level prior to turning her?
D. Has data been collected about specific client needs related to turning?
Answer: D. Has data been collected about specific client needs related to
turning?
Rationale: Before delegating, the nurse must assess the client's specific needs,
including mobility limitations, pain level, and any precautions related to turning.
The RN must provide appropriate direction and supervision .
7. An RN is assigning tasks to team members. Which task is appropriate to
delegate to an LPN?
A. Suction a client who has a chronic tracheostomy
B. Develop the initial plan of care
C. Perform the initial admission assessment
D. Provide discharge teaching
Answer: A. Suction a client who has a chronic tracheostomy
Rationale: Suctioning a client with a stable, chronic tracheostomy is within LPN
scope. Initial assessments, care plan development, and discharge teaching require
RN-level judgment .
, 8. Which of the following is NOT one of the Five Rights of Delegation?
A. Right Task
B. Right Person
C. Right Documentation
D. Right Supervision/Evaluation
Answer: C. Right Documentation
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation .
Documentation, while important, is not one of the Five Rights.
9. A charge nurse is making shift assignments. Which task is appropriate to
assign to an LPN?
A. Administer a nasogastric tube feeding
B. Pick up the meal trays after lunch
C. Determine adequacy of ventilator settings
D. Plan break times for assistive personnel
Answer: A. Administer a nasogastric tube feeding
Rationale: Administering enteral feedings is within LPN scope. Meal tray pickup is
an AP task. Ventilator setting assessment and break planning are RN/charge nurse
responsibilities .
10. A charge nurse is reviewing the plan of care for a client who has active
herpes simplex lesions. Which intervention is appropriate for the plan of care?
A. Wear a gown and gloves when caring for the client
B. Place the client in a negative pressure room
C. Use N95 respirator mask
D. Implement droplet precautions only
Answer: A. Wear a gown and gloves when caring for the client
