ATI RN Fundamentals Proctored Exam
2026: Practice Questions with NGN-
Style Rationales
SECTION 1: DELEGATION AND ASSIGNMENT
Question 1
A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
B. Reinforcing teaching with 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. Reapplying a condom catheter for a client who has urinary
incontinence
Rationale: The application of a condom catheter is a noninvasive, routine
procedure that the nurse may delegate to the AP. Tasks requiring nursing
judgment, assessment, or sterile technique (feeding a client with aspiration
pneumonia, reinforcing teaching, applying sterile dressings) should not be
delegated to AP .
,Question 2
A nurse manager on a med-surg unit is assigning care responsibilities. A
client is awaiting transfer back from the PACU following thoracic surgery.
To which staff member should the nurse assign this client?
A. Charge nurse
B. RN
C. LPN
D. AP
Answer: B. RN
Rationale: A client returning from surgery requires assessment and
establishment of a plan of care. RNs are responsible for this, especially if
the client is potentially unstable. This assignment cannot be delegated to
LPNs or AP .
Question 3
An RN is making assignments for client care to an LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Providing tracheostomy care to a client with pneumonia
B. Administering oral medications to stable clients
C. Replacing the cartridge and tubing on a PCA pump
D. Performing wound care for a stable postoperative client
Answer: C. Replacing the cartridge and tubing on a PCA pump
,Rationale: PCA pump management requires RN-level assessment and
judgment. LPNs can perform tracheostomy care, administer oral
medications, and perform wound care under RN supervision within their
scope of practice .
Question 4
A nurse is delegating ambulation of a client to an AP. Which of the
following information should the nurse share with the AP? (Select all that
apply)
A. The client ambulates with slippers over antiembolic stockings
B. The client uses a front-wheeled walker when ambulating
C. The client had pain medication 30 minutes ago
D. The client is allergic to codeine
E. The client ate 50% of breakfast
Answer: A, B, C
Rationale: When delegating, share information relevant to the task: how
the client ambulates (with slippers over stockings), what equipment they
use (front-wheeled walker), and when pain medication was given (to ensure
the AP ambulates when the client is comfortable) .
Question 5
A nurse on a long-term care unit is assigning tasks. Which task should the
nurse delegate to the AP?
, A. Change the dressing for a client who has a stage 3 pressure injury
B. Determine a client's response to a newly prescribed diuretic
C. Compare bilateral radial pulses for a client who is postoperative
D. Provide postmortem care for a deceased client
Answer: D. Provide postmortem care for a deceased client
Rationale: Providing postmortem care is within the AP's scope because it is
a standardized procedure and does not require ongoing assessment. Tasks
requiring judgment, assessment, medication evaluation, or sterile technique
must remain with licensed nurses .
Question 6
A nurse is preparing to delegate tasks to an LPN. Which statement indicates
understanding of appropriate delegation?
A. "I can delegate the initial assessment of a newly admitted client"
B. "I can delegate medication administration to stable clients"
C. "I can delegate client teaching about a new diagnosis"
D. "I can delegate the evaluation of client outcomes"
Answer: B. "I can delegate medication administration to stable clients"
Rationale: LPNs can administer medications to stable clients. Assessment,
teaching, and evaluation require RN-level education and are not delegable
to LPNs .
2026: Practice Questions with NGN-
Style Rationales
SECTION 1: DELEGATION AND ASSIGNMENT
Question 1
A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
B. Reinforcing teaching with 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. Reapplying a condom catheter for a client who has urinary
incontinence
Rationale: The application of a condom catheter is a noninvasive, routine
procedure that the nurse may delegate to the AP. Tasks requiring nursing
judgment, assessment, or sterile technique (feeding a client with aspiration
pneumonia, reinforcing teaching, applying sterile dressings) should not be
delegated to AP .
,Question 2
A nurse manager on a med-surg unit is assigning care responsibilities. A
client is awaiting transfer back from the PACU following thoracic surgery.
To which staff member should the nurse assign this client?
A. Charge nurse
B. RN
C. LPN
D. AP
Answer: B. RN
Rationale: A client returning from surgery requires assessment and
establishment of a plan of care. RNs are responsible for this, especially if
the client is potentially unstable. This assignment cannot be delegated to
LPNs or AP .
Question 3
An RN is making assignments for client care to an LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Providing tracheostomy care to a client with pneumonia
B. Administering oral medications to stable clients
C. Replacing the cartridge and tubing on a PCA pump
D. Performing wound care for a stable postoperative client
Answer: C. Replacing the cartridge and tubing on a PCA pump
,Rationale: PCA pump management requires RN-level assessment and
judgment. LPNs can perform tracheostomy care, administer oral
medications, and perform wound care under RN supervision within their
scope of practice .
Question 4
A nurse is delegating ambulation of a client to an AP. Which of the
following information should the nurse share with the AP? (Select all that
apply)
A. The client ambulates with slippers over antiembolic stockings
B. The client uses a front-wheeled walker when ambulating
C. The client had pain medication 30 minutes ago
D. The client is allergic to codeine
E. The client ate 50% of breakfast
Answer: A, B, C
Rationale: When delegating, share information relevant to the task: how
the client ambulates (with slippers over stockings), what equipment they
use (front-wheeled walker), and when pain medication was given (to ensure
the AP ambulates when the client is comfortable) .
Question 5
A nurse on a long-term care unit is assigning tasks. Which task should the
nurse delegate to the AP?
, A. Change the dressing for a client who has a stage 3 pressure injury
B. Determine a client's response to a newly prescribed diuretic
C. Compare bilateral radial pulses for a client who is postoperative
D. Provide postmortem care for a deceased client
Answer: D. Provide postmortem care for a deceased client
Rationale: Providing postmortem care is within the AP's scope because it is
a standardized procedure and does not require ongoing assessment. Tasks
requiring judgment, assessment, medication evaluation, or sterile technique
must remain with licensed nurses .
Question 6
A nurse is preparing to delegate tasks to an LPN. Which statement indicates
understanding of appropriate delegation?
A. "I can delegate the initial assessment of a newly admitted client"
B. "I can delegate medication administration to stable clients"
C. "I can delegate client teaching about a new diagnosis"
D. "I can delegate the evaluation of client outcomes"
Answer: B. "I can delegate medication administration to stable clients"
Rationale: LPNs can administer medications to stable clients. Assessment,
teaching, and evaluation require RN-level education and are not delegable
to LPNs .
