ATI RN Fundamentals Exam Actual
Exam 2026/2027 – 100% Verified |
Detailed Rationales – Pass Guaranteed
– A+ Graded INSTANT DOWNLOAD
Question 1 (Delegation – RN to LPN)
An RN is delegating tasks to an LPN on a medical-surgical unit.
Which task is appropriate to delegate to the LPN?
A) Performing the initial admission assessment on a new patient
B) Administering oral medications to a stable patient with
diabetes
C) Developing the nursing care plan for a patient with pneumonia
D) Discharging a patient with new heart failure teaching
Answer: B
Explanation: LPNs can administer oral medications to stable
patients. RNs cannot delegate initial assessment, care plan
development, or discharge teaching (requires RN-level judgment).
LPNs work under RN supervision.
Question 2 (Delegation – RN to UAP)
A nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A) Assessing a patient's lung sounds
B) Feeding a stable patient with dysphagia who has a prescribed
feeding plan
C) Evaluating the effectiveness of pain medication
D) Teaching a patient about insulin administration
,Answer: B
Explanation: UAP can perform basic care tasks including feeding
stable patients with established feeding plans. Assessment,
evaluation, and teaching require licensed nursing judgment.
Question 3 (Delegation – Five Rights)
The five rights of delegation include all of the following EXCEPT:
A) Right task
B) Right circumstances
C) Right patient
D) Right person
Answer: C
Explanation: The five rights of delegation are: right task, right
circumstances, right person, right direction/communication, and
right supervision/evaluation. "Right patient" is a right of
medication administration, not delegation.
Question 4 (Prioritization – Maslow)
A nurse is prioritizing care for four patients. Which patient should
the nurse see first?
A) A patient requesting pain medication
B) A patient with a respiratory rate of 7/min
C) A patient needing assistance with bathing
D) A patient ready for discharge
Answer: B
Explanation: Maslow's hierarchy: Physiological needs (ABCs)
always take priority. A respiratory rate of 7/min indicates
significant respiratory depression and requires immediate
assessment and intervention.
,Question 5 (Delegation – Condom Catheter)
A nurse on a med-surg unit has received change-of-shift report &
will care for 4 clients. Which of the following client's needs may
the nurse assign to an assistive personnel (AP)?
A) Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B) Reinforcing teaching w/a client who is learning to walk using a
quad cane
C) Reapplying a condom catheter for a client who has urinary
incontinence
D) Applying a sterile dressing to a pressure ulcer
Answer: C
Explanation: The application of a condom catheter is a
noninvasive, routine procedure that the nurse may delegate to the
AP. Feeding a client with aspiration pneumonia is not stable
enough for UAP, teaching and sterile dressings require licensed
nursing judgment.
Question 6 (Informed Consent – Nurse Role)
A patient is scheduled for a cardiac catheterization. The nurse's
responsibility regarding informed consent includes:
A) Explaining the risks and benefits of the procedure
B) Witnessing the patient's signature and ensuring the patient
understands the information provided by the physician
C) Deciding if the patient is competent to sign
D) Performing the procedure
Answer: B
Explanation: The physician is responsible for explaining risks,
benefits, and alternatives. The nurse witnesses the signature,
confirms understanding, and ensures consent was voluntary.
, Question 7 (Advance Directives)
A patient with terminal cancer has a living will stating no CPR or
intubation. The patient becomes unresponsive and stops
breathing. The nurse should:
A) Begin CPR immediately
B) Honor the living will and not initiate CPR, notify the provider
C) Call the family for permission
D) Intubate but not do chest compressions
Answer: B
Explanation: A living will is a legal document stating the patient's
wishes regarding life-sustaining treatment. The nurse must honor
the advance directive.
Question 8 (DNR Orders)
A patient has a Do Not Resuscitate (DNR) order but is choking on
food. The nurse should:
A) Do nothing because the patient is DNR
B) Perform the Heimlich maneuver (DNR does not apply to
choking)
C) Call the family to ask for permission
D) Page the physician for a new order
Answer: B
Explanation: DNR only applies to CPR (respiratory and cardiac
arrest). The Heimlich maneuver is not CPR; it's a life-saving
measure for choking.
Question 9 (DNR – Clarification)
The nurse is caring for a patient with a DNR order. Which
statement indicates the family understands the DNR?
A) "If my father stops breathing, the nurse will call a code."
B) "My father will receive comfort care only."
Exam 2026/2027 – 100% Verified |
Detailed Rationales – Pass Guaranteed
– A+ Graded INSTANT DOWNLOAD
Question 1 (Delegation – RN to LPN)
An RN is delegating tasks to an LPN on a medical-surgical unit.
Which task is appropriate to delegate to the LPN?
A) Performing the initial admission assessment on a new patient
B) Administering oral medications to a stable patient with
diabetes
C) Developing the nursing care plan for a patient with pneumonia
D) Discharging a patient with new heart failure teaching
Answer: B
Explanation: LPNs can administer oral medications to stable
patients. RNs cannot delegate initial assessment, care plan
development, or discharge teaching (requires RN-level judgment).
LPNs work under RN supervision.
Question 2 (Delegation – RN to UAP)
A nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A) Assessing a patient's lung sounds
B) Feeding a stable patient with dysphagia who has a prescribed
feeding plan
C) Evaluating the effectiveness of pain medication
D) Teaching a patient about insulin administration
,Answer: B
Explanation: UAP can perform basic care tasks including feeding
stable patients with established feeding plans. Assessment,
evaluation, and teaching require licensed nursing judgment.
Question 3 (Delegation – Five Rights)
The five rights of delegation include all of the following EXCEPT:
A) Right task
B) Right circumstances
C) Right patient
D) Right person
Answer: C
Explanation: The five rights of delegation are: right task, right
circumstances, right person, right direction/communication, and
right supervision/evaluation. "Right patient" is a right of
medication administration, not delegation.
Question 4 (Prioritization – Maslow)
A nurse is prioritizing care for four patients. Which patient should
the nurse see first?
A) A patient requesting pain medication
B) A patient with a respiratory rate of 7/min
C) A patient needing assistance with bathing
D) A patient ready for discharge
Answer: B
Explanation: Maslow's hierarchy: Physiological needs (ABCs)
always take priority. A respiratory rate of 7/min indicates
significant respiratory depression and requires immediate
assessment and intervention.
,Question 5 (Delegation – Condom Catheter)
A nurse on a med-surg unit has received change-of-shift report &
will care for 4 clients. Which of the following client's needs may
the nurse assign to an assistive personnel (AP)?
A) Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B) Reinforcing teaching w/a client who is learning to walk using a
quad cane
C) Reapplying a condom catheter for a client who has urinary
incontinence
D) Applying a sterile dressing to a pressure ulcer
Answer: C
Explanation: The application of a condom catheter is a
noninvasive, routine procedure that the nurse may delegate to the
AP. Feeding a client with aspiration pneumonia is not stable
enough for UAP, teaching and sterile dressings require licensed
nursing judgment.
Question 6 (Informed Consent – Nurse Role)
A patient is scheduled for a cardiac catheterization. The nurse's
responsibility regarding informed consent includes:
A) Explaining the risks and benefits of the procedure
B) Witnessing the patient's signature and ensuring the patient
understands the information provided by the physician
C) Deciding if the patient is competent to sign
D) Performing the procedure
Answer: B
Explanation: The physician is responsible for explaining risks,
benefits, and alternatives. The nurse witnesses the signature,
confirms understanding, and ensures consent was voluntary.
, Question 7 (Advance Directives)
A patient with terminal cancer has a living will stating no CPR or
intubation. The patient becomes unresponsive and stops
breathing. The nurse should:
A) Begin CPR immediately
B) Honor the living will and not initiate CPR, notify the provider
C) Call the family for permission
D) Intubate but not do chest compressions
Answer: B
Explanation: A living will is a legal document stating the patient's
wishes regarding life-sustaining treatment. The nurse must honor
the advance directive.
Question 8 (DNR Orders)
A patient has a Do Not Resuscitate (DNR) order but is choking on
food. The nurse should:
A) Do nothing because the patient is DNR
B) Perform the Heimlich maneuver (DNR does not apply to
choking)
C) Call the family to ask for permission
D) Page the physician for a new order
Answer: B
Explanation: DNR only applies to CPR (respiratory and cardiac
arrest). The Heimlich maneuver is not CPR; it's a life-saving
measure for choking.
Question 9 (DNR – Clarification)
The nurse is caring for a patient with a DNR order. Which
statement indicates the family understands the DNR?
A) "If my father stops breathing, the nurse will call a code."
B) "My father will receive comfort care only."
