ATI FUNDAMENTALS PROCTORED EXAM
2026/2027 – 350 PRACTICE QUESTIONS &
ANSWERS
SECTION 1: MANAGEMENT OF CARE & DELEGATION (Questions 1–40)
1. A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to assistive personnel (AP)?
A. Changing the dressing for a client who has a stage 3 pressure injury
B. Determining a client's response to a diuretic
C. Comparing radial pulses for a client who is postoperative
D. Providing postmortem care to a client
Answer: D. Providing postmortem care to a client
Rationale: Postmortem care is a noninvasive, routine procedure that can be
delegated to AP. Dressing changes for stage 3 pressure injuries, determining
response to diuretics, and comparing radial pulses require nursing
assessment and judgment.
2. A charge nurse is making assignments on a medical-surgical unit. Which
client should be assigned to the most experienced LPN?
A. A client who needs assistance with activities of daily living
B. A client who is stable and ready for discharge
C. A client who is postoperative with a new tracheostomy
D. A client who needs routine medication administration
,Answer: C. A client who is postoperative with a new tracheostomy
Rationale: The client with a new tracheostomy requires more complex care
and assessment, making it appropriate to assign to the most experienced
nurse. Stable clients and routine tasks can be assigned to less experienced
staff.
3. A nurse is caring for a client who is comatose and has advance directives
indicating the client does not want life-sustaining measures. The client's
family wants the client to have life-sustaining measures. Which action should
the nurse take?
A. Arrange for an ethics committee meeting to address the family's concerns
B. Support the family's decision and initiate life-sustaining measures
C. Complete an incident report
D. Encourage the family to contact an attorney
Answer: A. Arrange for an ethics committee meeting to address the family's
concerns
Rationale: The nurse should respect the client's advance directives while
addressing the family's concerns. Arranging for an ethics committee meeting
can help resolve the conflict and provide support to the family.
4. A nurse is caring for a client who has a DNR (Do Not Resuscitate) order.
Which action should the nurse take?
A. Initiate CPR if the client's heart stops
B. Withhold all medical treatment
C. Continue providing comfort care and symptom management
D. Contact the provider for verbal confirmation of the DNR order every shift
,Answer: C. Continue providing comfort care and symptom management
Rationale: A DNR order means the client does not want resuscitative
measures, but it does not mean withholding all medical treatment. The nurse
should continue to provide comfort care and symptom management.
5. A nurse on a med-surg unit has received change-of-shift report and will care
for 4 clients. Which of the following client's needs may the nurse assign to an
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.
6. 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. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on
the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D. Replacing the cartridge and tubing on a PCA pump
, Rationale: The RN is responsible for the PCA pump. The LPN should question
this assignment.
7. A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of
delegation? (Select all that apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B, C, E. Right supervision/evaluation, Right
direction/communication, Right circumstances
Rationale: The five rights of delegation are: right task, right circumstances,
right person, right direction/communication, and right
supervision/evaluation. Right client and right time are rights of medication
administration.
8. A nurse manager of a med-surg unit is assigning care responsibilities for the
oncoming shift. A client is awaiting transfer back to the unit 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
2026/2027 – 350 PRACTICE QUESTIONS &
ANSWERS
SECTION 1: MANAGEMENT OF CARE & DELEGATION (Questions 1–40)
1. A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to assistive personnel (AP)?
A. Changing the dressing for a client who has a stage 3 pressure injury
B. Determining a client's response to a diuretic
C. Comparing radial pulses for a client who is postoperative
D. Providing postmortem care to a client
Answer: D. Providing postmortem care to a client
Rationale: Postmortem care is a noninvasive, routine procedure that can be
delegated to AP. Dressing changes for stage 3 pressure injuries, determining
response to diuretics, and comparing radial pulses require nursing
assessment and judgment.
2. A charge nurse is making assignments on a medical-surgical unit. Which
client should be assigned to the most experienced LPN?
A. A client who needs assistance with activities of daily living
B. A client who is stable and ready for discharge
C. A client who is postoperative with a new tracheostomy
D. A client who needs routine medication administration
,Answer: C. A client who is postoperative with a new tracheostomy
Rationale: The client with a new tracheostomy requires more complex care
and assessment, making it appropriate to assign to the most experienced
nurse. Stable clients and routine tasks can be assigned to less experienced
staff.
3. A nurse is caring for a client who is comatose and has advance directives
indicating the client does not want life-sustaining measures. The client's
family wants the client to have life-sustaining measures. Which action should
the nurse take?
A. Arrange for an ethics committee meeting to address the family's concerns
B. Support the family's decision and initiate life-sustaining measures
C. Complete an incident report
D. Encourage the family to contact an attorney
Answer: A. Arrange for an ethics committee meeting to address the family's
concerns
Rationale: The nurse should respect the client's advance directives while
addressing the family's concerns. Arranging for an ethics committee meeting
can help resolve the conflict and provide support to the family.
4. A nurse is caring for a client who has a DNR (Do Not Resuscitate) order.
Which action should the nurse take?
A. Initiate CPR if the client's heart stops
B. Withhold all medical treatment
C. Continue providing comfort care and symptom management
D. Contact the provider for verbal confirmation of the DNR order every shift
,Answer: C. Continue providing comfort care and symptom management
Rationale: A DNR order means the client does not want resuscitative
measures, but it does not mean withholding all medical treatment. The nurse
should continue to provide comfort care and symptom management.
5. A nurse on a med-surg unit has received change-of-shift report and will care
for 4 clients. Which of the following client's needs may the nurse assign to an
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.
6. 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. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on
the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D. Replacing the cartridge and tubing on a PCA pump
, Rationale: The RN is responsible for the PCA pump. The LPN should question
this assignment.
7. A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of
delegation? (Select all that apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B, C, E. Right supervision/evaluation, Right
direction/communication, Right circumstances
Rationale: The five rights of delegation are: right task, right circumstances,
right person, right direction/communication, and right
supervision/evaluation. Right client and right time are rights of medication
administration.
8. A nurse manager of a med-surg unit is assigning care responsibilities for the
oncoming shift. A client is awaiting transfer back to the unit 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
