The Ultimate High-Yield 2026 ATI RN
Fundamentals Proctored Exam Prep: 200
Practice Questions with Rationales, Clinical
Judgment Strategies, and Content Mastery for
Nursing Success.
Management of Care & Delegation
Question 1: A nurse on a medical-surgical unit
has received change-of-shift report and will
care for four clients. Which of the following
tasks should the nurse delegate to an assistive
personnel (AP)?
A. Assessing the client's ability to swallow
before meals
B. Obtaining a daily weight on a client with
heart failure
C. Teaching a client how to use an incentive
spirometer
,D. Evaluating the effectiveness of a client's pain
medication
☑VERIFIED ANSWERS: B
Rationale: The RN can delegate routine, stable
tasks to AP, such as obtaining daily weights,
measuring intake and output, and providing
basic hygiene. The RN cannot
delegate assessment (A), teaching (C),
or evaluation (D) to AP, as these require clinical
judgment and nursing knowledge.
Question 2: A nurse is caring for a client who is
postoperative and reports incisional pain at a
level of 8 on a 0–10 scale. Which of the
following actions should the nurse take first?
A. Administer the prescribed PRN analgesic
B. Reposition the client to a more comfortable
,position
C. Assess the client's surgical incision for signs
of complications
D. Offer nonpharmacological pain relief
measures
☑VERIFIED ANSWERS: C
Rationale: Using the nursing process
(ADPIE), assessment is always the first step.
Before administering medication or
implementing interventions, the nurse must
assess the client's condition to ensure the pain
is not indicative of a serious complication (e.g.,
infection, dehiscence). This follows the
prioritization framework of assessing before
acting.
Question 3: A nurse is preparing to administer
medications to a client. Which of the following
, actions is the most important for preventing
medication errors?
A. Checking the client's room number against
the medication administration record
B. Asking the client to state their name and date
of birth
C. Reviewing the client's allergy list
D. Checking the medication label three times
☑VERIFIED ANSWERS: B
Rationale: The most important action to
prevent medication errors is verifying the
client's identity using two identifiers (e.g.,
name and date of birth). Room numbers can
change and are not reliable identifiers. While
checking allergies and the label are important,
client identification is the primary safety
measure.
Fundamentals Proctored Exam Prep: 200
Practice Questions with Rationales, Clinical
Judgment Strategies, and Content Mastery for
Nursing Success.
Management of Care & Delegation
Question 1: A nurse on a medical-surgical unit
has received change-of-shift report and will
care for four clients. Which of the following
tasks should the nurse delegate to an assistive
personnel (AP)?
A. Assessing the client's ability to swallow
before meals
B. Obtaining a daily weight on a client with
heart failure
C. Teaching a client how to use an incentive
spirometer
,D. Evaluating the effectiveness of a client's pain
medication
☑VERIFIED ANSWERS: B
Rationale: The RN can delegate routine, stable
tasks to AP, such as obtaining daily weights,
measuring intake and output, and providing
basic hygiene. The RN cannot
delegate assessment (A), teaching (C),
or evaluation (D) to AP, as these require clinical
judgment and nursing knowledge.
Question 2: A nurse is caring for a client who is
postoperative and reports incisional pain at a
level of 8 on a 0–10 scale. Which of the
following actions should the nurse take first?
A. Administer the prescribed PRN analgesic
B. Reposition the client to a more comfortable
,position
C. Assess the client's surgical incision for signs
of complications
D. Offer nonpharmacological pain relief
measures
☑VERIFIED ANSWERS: C
Rationale: Using the nursing process
(ADPIE), assessment is always the first step.
Before administering medication or
implementing interventions, the nurse must
assess the client's condition to ensure the pain
is not indicative of a serious complication (e.g.,
infection, dehiscence). This follows the
prioritization framework of assessing before
acting.
Question 3: A nurse is preparing to administer
medications to a client. Which of the following
, actions is the most important for preventing
medication errors?
A. Checking the client's room number against
the medication administration record
B. Asking the client to state their name and date
of birth
C. Reviewing the client's allergy list
D. Checking the medication label three times
☑VERIFIED ANSWERS: B
Rationale: The most important action to
prevent medication errors is verifying the
client's identity using two identifiers (e.g.,
name and date of birth). Room numbers can
change and are not reliable identifiers. While
checking allergies and the label are important,
client identification is the primary safety
measure.
